Careful management of narcotic medications carried on emergency service vehicles includes:
a. Eliminating standing orders and protocols when using narcotics
b. Only using Schedule IV narcotics if necessary
c. Ensuring that the medications are stored in a substantial safe or cabinet or have a tamperproof seal
d. Allowing Schedule I drug if an unlabeled medication use exists according to current literature.
c
Rationale: a. Standing orders may be necessary in circumstances where on-line medical direction is not available.
b. Schedule IV narcotics generally do not have application to prehospital care.
c . All narcotics should be stored in a substantial safe or cabinet or have a tamperproof seal if necessary to remove from unit.
d. Schedule I narcotics have no acceptable use in prehospital care and often are illegal.
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