Section 56 Class Exemption for Designated Administrators of Ambulance Service/Air Ambulance Service Operators in Saskatchewan
Pursuant to section 56 of the Controlled Drugs and Substances Act (CDSA), Designated Administrators of licensed ambulance service/air ambulance service operators in the province of Saskatchewan are exempted for medical purposes from the application of the following provisions of the CDSA and its regulations:
- Subsection 4(1) of the CDSA with respect to fentanyl, ketamine, morphine and pethidine
- Subsections 5(1) and 5(2) of the CDSA with respect to diazepam, fentanyl, ketamine, lorazepam, midazolam, morphine and pethidine
- Subsection 8(1) of the Narcotic Control Regulations (NCR) with respect to fentanyl, ketamine, morphine and pethidine
In respect of this exemption,
- Controlled substance means one of the following substances: to diazepam, fentanyl, ketamine, lorazepam, midazolam, morphine and pethidine
- Paramedic means a person who is registered and entitled under The Paramedics Act (Saskatchewan) to practice as an Emergency Medical Technician-Advanced or Emergency Medical Technician-Paramedic in that province and to administer controlled substances as part of the practice of paramedicine, and who is employed by an ambulance service/air ambulance service operator licensed under The Ambulance Act (Saskatchewan).
- Designated Administrator means a person who is in a managerial position and is ultimately responsible for ordering, transporting, storing and providing controlled substances for an ambulance service/air ambulance service operator licensed under The Ambulance Act (Saskatchewan).
- Unserviceable controlled substance means a drug product containing a controlled substance that is expired, contaminated, damaged, or any residual controlled substance remaining in a multi-dose vial.
This exemption provides the aforementioned Designated Administrators with the authority to possess, transport and provide controlled substances required by Emergency Medical Technicians-Advanced and Emergency Medical Technicians-Paramedic employed by a licensed ambulance service/air ambulance service operator with which Designated Administrators are affiliated.
The exemption is only applicable if the following conditions are met. Designated Administrators must:
- Take necessary steps, in accordance with guidelines established by the Ministry of Health of Saskatchewan, to ensure the security of controlled substances in storage and during transportation;
- Order controlled substances only from a hospital pharmacy and return any unserviceable controlled substances for destruction to the originating hospital pharmacy;
- Record all transactions involving controlled substances, i.e., date, name and quantity of controlled substances ordered, received, stored in ambulances or aircrafts, provided to paramedics (to be carried on their person) and returned to originating hospital pharmacy for destruction;
- Maintain all records submitted by Emergency Medical Technicians-Advanced and Emergency Medical Technicians-Paramedic working for their ambulance service/air ambulance service operator;
- Report all incidences of loss or theft of controlled substances in writing to Health Canada within 10 days of discovery; and
- Keep information specified in (3) and (4) for at least two years and make it available to Health Canada upon request.
This exemption will remain in effect until revoked. Failure to comply with the terms and conditions of this exemption may, among other things, result in immediate suspension of this exemption, and ultimately, in its revocation.
Signed for and on the behalf of the Minister of Health
Diane Allan, Director
Office of Controlled Substances
Controlled Substances and Tobacco Directorate
Healthy Environments and Consumer Safety Branch
Effective Date: April 30, 2010
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