Medic 1: Alright, medication cross-check 

Medic 2:  Ready 

Medic 1: I’m going to give medication for *REASON*. (*hands vial to partner without stating the medication*) Please check: the medication name, concentration, and expiry date. 

Medic 2: This is *MEDICATION NAME*, 10mg in 1 mL, and expiry date is next year, March 2027. (Medic2 hands vial back to Medic1). What are the indications and contraindications for *MEDICATION? 

Medic 1: The patient meets the conditions of *REASON FOR GIVING MEDICATION*; *STATE CONTRAINDICATIONS* 

Medic 2: What is the volume you’re going to draw up? What route?  

Medic 1: I’m going to draw up *STATE VOLUME*, and administer it PO (*shows partner the syringe*). Check: confirm *VOLUME OF MEDICATION*  

Medic 2: I agree that the concentration of *STATE CONCENTRATION*, *STATE VOLUME* is the right volume for an *STATE DOSE AMOUNT* dose. Any concerns before you give it? 

Medic 1: No concerns. I am going to give *STATE DOSE OF MEDICATION, NAME OF MEDICATION, VOLUME OF MEDICATION, REASON FOR GIVING THIS MEDICATION, ROUTE OF MEDICATION*  

Medic 2: Go ahead and give it. Cross-check complete.

Goal: Prepare 50 mcg of fentaNYL in a 50 mL mini-bag; 1mcg/1mL
1. Verify medication
2. Withdraw medication
     o Draw up 1 mL of fentaNYL (50mcg)
3. Removing volume from mini-bag is not necessary
4. Add medication to mini-bag
     o Gently invert or roll the bag to ensure even mixing
     o Do NOT shake
5. Label the mini-bag
     o Drug: FentaNYL
     o Total dose: 50 mcg
     o Time initiated
     o Attending Paramedic name and initials
6. Titrate drip rate
     o Titrate drip rate based on how fast you would like to give the medication.
7. Flush the line
     o When the 50mL of medication has been given, flush the IV line to ensure all medication has been delivered to the patient (can also attach another saline bag to assist the flushing,