2-10. CRASH CARTS AND EMERGENCY TRAYS AND SECURITY
CONSIDERATIONS
a. The number of crash carts and emergency trays (essential emergency
materials) that contain controlled substances must be kept to a minimum and will be
provided with maximum security consistent with requirements for immediate availability.
b. Locking devices on emergency trays and crash carts hinder medical
personnel from obtaining controlled medical substances and sensitive items,
(for example, syringes), in an emergency. Therefore, locking devices on emergency
assemblages will not be used. Appropriate sealing devices will be used to indicate that
the cart or tray has undergone tampering, and to assist in inventory. Nevertheless, the
contents of the tray or cart must be easily opened without the use of a key, combination,
or other time-delaying device.
c. Emergency assemblages containing controlled medical substances will be
sufficiently protected, but must not hamper ready and authorized visual inspection and
immediate removal for use.
NOTE:
The accountability and control requirements of AR 40-2 and TB MED 291
also apply to crash carts and emergency trays.
Section III. SECURITY IN THE TABLE OF ORGANIZATION AND
EQUIPMENT (FIELD UNIT) PHARMACY
2-11. INTRODUCTION
As you have read, security in the fixed facility pharmacy is a real necessity.
Likewise, security in the Table of Organization and Equipment (TO&E) (field unit)
pharmacy is also a necessity. A great deal of emphasis was placed upon pharmacy
design and construction (for example, reinforced concrete walls) in the fixed facility
pharmacy. Obviously, reinforced concrete construction would be impractical in the field.
How is the subject of security in the field type of pharmacy to be addressed? This
section will explore the answers to this question.
2-12. SECURITY CONSIDERATIONS IN THE TABLE OF ORGANIZATION AND
EQUIPMENT (FIELD UNIT) PHARMACY
a. In Table of Organization and Equipment (field units), it is very difficult to build
or find a structure which meets the established specifications of the TDA fixed facility
pharmacy. The fixed facility specifications must be followed as closely as the field
situation allows. One important security rule is this: Ensure the pharmacy area is a
limited access area.
MD0812
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