Ala. Admin. Code r. 420-2-1-.23
Controlled Substance Plan
Effective Apr 14, 2022New Rule: Filed September 20, 1996; effective October 24, 1996. Amended: Filed March 20, 2001; effective April 24, 2001. Repealed and New Rule: Filed December 17, 2007; effective January 21, 2008. Repealed and New Rule: Filed March 16, 2017; effective April 30, 2017. Repealed and New Rule: Filed February 20, 2019; effective April 7, 2019. Repeal and New Rule: Published April 30, 2020; effective June 14, 2020. Repeal and New Rule: Published February 28, 2022; effective April 14, 2022.Alabama Department of Public Health
- (1) Each emergency medical provider service carrying controlled substances shall submit a Controlled Substance Plan (CSP) to the OEMS at the time of licensure and renewal. If a provider service does not plan to carry controlled substances, this shall be noted in the service's I.V. Fluid and Drug Plan. Any modification to the plan shall be submitted to the OEMS for approval.
- (2) Each CSP shall include the following items: a method of ownership, security, how initial stock is obtained, restocking procedures, internal orientation for new employees, on-going internal training for employees, drug testing for employees, quality assurance and quality improvement program, tables to be used for accounting logs, and original signatures from the service medical control physician, the pharmacist from the medical direction hospital, and the Controlled Substance Oversight Coordinator (CSOC).
- (3) All controlled substances shall be secured behind no less than two locks upon initial receipt. If a provider service stores a controlled substance at a central location, it shall be placed in a separate container with a lock, and inside a safe, cabinet, file cabinet, or similar device, which is secured to the wall and floor of the building. Controlled substances may be placed in a medication container, but shall be placed in a separate, locked container. Building or vehicle doors are not considered to be separate, locked containers. The only time it is permissible for an employee to maintain a personal key to a service provider's controlled substances containers is if that key is for a container specifically for that individual. Otherwise, controlled substance keys shall be exchanged at shift change.
- (4) Prior to obtaining any controlled substances, all employees shall be given an in-service by the provider service's CSOC on the protocols for handling/securing controlled substances based on the CSP approved for the service by the OEMS.
- (5) All ALS I and ALS I Critical Care emergency medical provider services shall have the option to stock controlled substances.
- (6) Each licensed provider service shall immediately notify the OEMS upon identification of missing or suspected diversion of a controlled substance.
Author: William Crawford, M.D.; Jamie Gray
Statutory Authority: Code of Ala. 1975, §22-18-1 et seq.
Editor’s Note: Rule 420-2-1-.10 was renumbered 420-2-1-.23 as per certification Filed February 20, 2019; effective April 7, 2019.
History: New Rule: Filed September 20, 1996; effective October 24, 1996. Amended: Filed March 20, 2001; effective April 24, 2001. Repealed and New Rule: Filed December 17, 2007; effective January 21, 2008. Repealed and New Rule: Filed March 16, 2017; effective April 30, 2017. Repealed and New Rule: Filed February 20, 2019; effective April 7, 2019. Repeal and New Rule: Published April 30, 2020; effective June 14, 2020. Repeal and New Rule: Published February 28, 2022; effective April 14, 2022.