Starting in May 2016, the ratio expression format for drug concentrations will no longer be permitted. This new development will apply to epinephrine, isoproterenol and neostigmine. Unaffected by this are the lidocaine and epinephrine combination solutions for local anesthesia.

The new labeling for epinephrine will only be displayed as the mass concentration format used in virtually every other medication. For example, epinephrine 1:1000 will now be labeled as 1 mg/mL, and for the 1:10,000 as 0.1 mg/mL. It is hoped that this change will decrease medication errors in the field and in the hospital. pdf See the explanation HERE. (159 KB)

A new Pharmacy Administration Record (PAR) is being implemented in the WVEMS and BREMS regions.  With the new form, rather than indicating with an or O whether the medication was administered under a Standing Order (protocol) or Medical Control (online order from a physician), there are separate areas on the form.  In the middle of the form, providers will document those medications they administered by Standing Orders, and on the bottom of the form providers will document those medications administered after consulting with medical control and receiving an online order to administer a medication.  If a narcotic is administered and not all medication in the original packaging is administered, there is space for the REQUIRED documentation of wastage in either the Standing Order section or Medical Control section.

Additionally, unless required to by a specific hospital, a physician's signature WILL ONLY BE REQUIRED FOR MEDICAL CONTROL/ONLINE ORDERS. A physician's signature will no longer be required for Standing Order (protocol) administration of narcotics.  Please see the  pdf NEW WVEMS/BREMS Pharmacy Administration Record Instructions 4-20-16 (450 KB)  for an example and instruction details.

The Tidewater EMS Council in conjunction with the Tidewater CISM team are hosting a Taking Care of Your Own Conference, October 20-23, 2016. A conference for the health, safety and well‐being of EMS, fire, law enforcement, emergency department and other public safety providers. Featuring topics on provider health and safety, stress management, and preventing infectious diseases. So Mark your calendars and watch for more information to come.  For a listing of planned courses and location please see  pdf TEMS Taking Care of Our Own Conference Save the Date Flyer (167 KB)

We have been advised that some hospitals in our region have started using Normosol R IV fluids in their Emergency Department. 0.9 Sodium Chloride (Normal Saline), is still available for EMS restock. PLEASE pay close attention as you obtain your restock supplies, to be sure that you get Normal Saline for restocking.

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