1. DEA Do’s & Don'ts for EMS OUR STORY AT KATY FIRE DEPT.

2. Overview ▪ Our Story ▪ What went wrong ▪ DEA 222’s ▪ Invoices ▪ Distribution ▪ Inventory ▪ Education

3. History 20+ years of EMS we have never had a DEA audit/Investigation 1 Medical Director Numerous EMS Directors All certifications were up to date (DEA, DPS, DSHS or TX Dept. Of Health) Protocols regularly reviewed and updated CCTV with recording and Cyber keys in place for control measures Log books in place

4. What went wrong Protocol change to phase out Valium and add Ativan (Diazepam) (Lorazepam) Surplus Valium in stock Valium should have been returned to vendor or destroyed

5. What went wrong ▪ No one questioned the Boss ▪ The boss knew better than anyone ▪ The boss educated staff ▪ The boss wouldn’t do wrong

6. WHAT ELSE DID WE FIND? APPROPRIATE BOXES MUST BE FILLED OUT & LEGIBLE. EACH INFRACTION OR MISSING 222 $10,000

7. Copy 3 will be for receiving Packages received and date received must be completed

8. Invoices Can be kept in two places On site City Hall/finance/records Letter must be on file with the DEA listing the address and intent to keep invoices at a different address than where scheduled drug are delivered and stored. Keep invoices, packing slips, and 222 forms together and keep for 2 years Invoices & Packing slips are NOT the same!!! Packing slips should be signed and dated to account for arriving narcotics. Each missing invoice is $10,000

9. Distribution Agencies with multiple stations: Cannot distribute from a central station without licensure Cannot distribute narcotics to an ambulance then post the ambulance (anywhere) for a majority of the workday Each station must be on file with DEA Drugs must be delivered to that address for supply, distribution, and usage. Power of Attorney You must have a power of attorney on file to purchase and distribute narcotic on behalf of the medical director. 1 POA for purchasing 1 POA for distribution

10. Biennial Inventory Biennial Inventory (2yrs) of scheduled drugs must be completed and on file!

11. Education Educate your personnel Diversion education should be part of new hire indoctrination Continuing education on diversion should be a part of your training program Once found, you have 24 hours to report missing (LOSS or THEFT) narcotics to the DEA!!! Form 106 or call to DEA