Current through Register Vol. 54, No. 44, November 2, 2024
(a)
An EMS agency may stock medications as approved by the Department and shall
store medications in a temperature-controlled environment, secured in
conformance with the Statewide EMS protocols and the EMS agency's policy and
procedures on the storage and environmental control of medications. Additional
medications may be stocked by an EMS agency as approved by the EMS agency
medical director and the Department if the EMS agency uses PHPEs, PHRNs or
PHPs.
(b) The Department will
publish at least annually by notice in the Pennsylvania
Bulletin a list of medications approved for use by EMS agencies, by
EMS provider certification level and a list of medications that an EMS agency
is required to stock based upon the type of EMS service it is licensed to
provide.
(c) An EMS agency may
procure and replace medications from a hospital, pharmacy or from a medical
supply company, if not otherwise prohibited by law.
(d) EMS providers, other than a PHP, may
administer to a patient, or assist the patient to administer, medications
previously prescribed for that patient, as specified in the Statewide EMS
protocols or as authorized by a medical command physician. A PHP may administer
to a patient, or assist the patient to administer, medications that were
previously prescribed for the patient.
(1) An
EMS provider, other than a PHPE, PHRN or PHP, is restricted to administering
medications, not previously prescribed for a patient, as permitted by the
Statewide EMS protocols.
(2) A PHPE
or PHRN may administer medications, not previously prescribed for a patient, in
addition to those permitted by the Statewide EMS protocols, provided the PHPE
or PHRN has received approval to do so by the EMS agency medical director, and
has been ordered to administer the medication by the medical command physician.
A PHP may administer any medication that the PHP has authority to administer by
virtue of the PHP's license to practice medicine or osteopathic
medicine.
(e) The EMS
agency shall adequately monitor and direct the use, control and security of
medications provided to the EMS agency. This includes:
(1) Ensuring proper labeling and preventing
adulteration or misbranding of medications, and ensuring medications are not
used beyond their expiration dates.
(2) Storing medications as required under The
Controlled Substance, Drug, Device and Cosmetic Act (35 P. S. §§ 780-101-780-144), and as otherwise required
to maintain the efficacy of medications and prevent misappropriation.
(3) Including in the EMS PCR information as
to the administration of medications by patient name, medication
identification, date and time of administration, manner of administration,
dosage, name of the medical command physician who gave the order to administer
the medication and name of person administering the medication.
(4) Maintaining records of medications
administered, lost or otherwise disposed of and records of medications received
and replaced.
(5) Providing the
pharmacy, physician or hospital that is requested to replace a medication with
a written record of the use and administration or loss or other disposition of
the medication, which identifies the patient and includes any other information
required by law.
(6) Ensuring, in
the event of an unexplained loss or theft of a controlled substance, that the
dispensing pharmacy, physician or hospital has contacted local police or State
Police and the Department's Drugs, Devices and Cosmetics Office and has filed a
DEA Form 106 with the Federal Drug Enforcement Administration.
(7) Disposing of medications as required
under The Controlled Substance, Drug, Device and Cosmetic Act.
(8) Arranging for the original dispensing
pharmacy, physician or hospital, or its EMS agency medical director, to provide
it consultation and other assistance necessary to ensure that it meets the
requirements in this section.
(9)
Securing medications in a manner so that only those EMS providers authorized to
administer the medications in providing EMS have access to those
medications.
This section cited in 28 Pa. Code §
1027.3 (relating to licensure and
general operating standards).
