Narcotic lock options

pamedic983

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We have had narcotic sealing/accountability problems recently at the company I work for and I was wondering what types of systems other services use to lock their narcs.

Currently we have our narcs locked in our ALS med bags with a small combo lock. Inside the locked compartment the individual narcs are sealed with a breakable seal in a small plastic organizer. Everything is accounted for in a log book that accompanies the ALS med bag. I work for another service that has a key locked in a combo compartment on the wall of each truck. The key inside unlocks a small compartment in the truck with the narcs and the log book. Finally, a third service I used to work for gave the on-duty medic a key that unlocked the narcs in the truck and the station and that key was passed to the oncoming crew.

What other systems are out there for narc storage and accountability? I would like to be able to propose a new system or multiple systems to try.
 
Well,
Most places around me just place the box in a locked cabinet inside the fire truck or ambulance. The box is checked each morning/shift. Every medic (and I-99 we have I think 2) has their own key.

If your having problems than the KnoxBox MedVault is the way to go. Key pad locking with auditing of who opened it when.
http://www.knoxbox.com/store/medvault.cfm
 
We have a lock box located inside of a locked wall compartment on each truck that is checked every am for narc numbers. Each vial is numbered and registered in a log book in the directors office. If one goes missing or is used then we go back to the log book to determine where it went. If its used there are 3-4 types of documentation that must be provided for replacement. The only other at hand narcs we have are in a lock book in the supply room, one of each, should any get used over night or when the director, asst director, or another super isnt there to provide a replacement.

Then again I also worked for a company that the narcs were kept in a lock box where the lock was broken and it was held together with a rubber band and then they wondered why they kept going through Valium so fast.
 
We keep a locked container inside of a locked compartment in the truck. The narc count is performed by the medic every morning during rig check. Usage is documented in the run report. We restock it immediately after getting back from the run. We have to go to the nurses station and sign for them in a book.
 
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