Providers above threshold Total administrations or wastes
Oct. Nov. Dec.
Jan. Feb. Mar. Apr.
c g ) 200
1. Publication title: Journal of Emergency Medical Services. 2.
Publication number: 530-710 3. Filing date: October 1, 2017.
4. Issue frequency: Monthly. 5. Number of issues published
annually: 12. 6. Annual subscription price: $19.99. 7.
Complete mailing address of known office of publication:
Penn Well Corporation 1421 South Sheridan Road, Tulsa, OK
74112, Tulsa County. 7a. Contact person: Traci Huntsman. 7b.
Telephone: 918-831-9435. 8. Complete mailing address
of headquarters or general business office of publisher:
Penn Well Corp., 1421 S. Sheridan Road Tulsa, OK 74112. 9.
Full names and complete mailing addresses of Publisher,
Editor and Managing Editor: Publisher: MaryBeth De Witt,
1421 S. Sheridan Road Tulsa, OK 74112. Editor: A.J. Heightman,
4180 La Jolla Village Dr, Ste 260, La Jolla, CA 92037. Managing
Editor: Ryan Kelley, 4180 La Jolla Village Dr, Ste 260, La Jolla,
CA 92037. 10. Owner: Penn Well Corporation, 1421 S. Sheridan
Rd., Tulsa, OK 74112, Tulsa County; Sucessors to the Estate
of Helen B. Lauinger, 1421 S. Sheridan Rd., Tulsa, OK 74112,
Tulsa County. 11. Known Bondholders, Mortgages, and Other
Security Holders Owning or Holding 1 Percent or More of
Total Amount of Bonds, Mortgages, or Other Securities:
None. 12. N/A. 13. Publication Title: Journal of Emergency
Medical Services. 14. Issue Date for Circulation Data: September 2017.
15. Extent and Nature of Circulation:
Average No. No. copies of
copies each single issue
issue during published
preceding nearest to
12 months: filing date:
a. Total number of copies 29,350 25,647
b. Legitimate paid and/or requested distribution
1. Outside county paid/requested 16,672 14,931
mail subscriptions stated
on PS form 3541
2. In-county paid/requested mail 0 0
subscriptions stated on PS form 3541
3. Sales through dealers and 658 441
carriers, street vendors, counter
sales, and other paid or requested
distribution outside USPS®
4. Requested copies distributed 0 0
by other mail classes
through the USPS®
c. Total paid and/or 17,330 15,372
d. Non-requested distribution
1. Outside county nonrequested 11,150 10,071
copies stated on PS form 3541
2. In-county nonrequested copies 0 0
stated on PS form 3541
3. Nonreqeusted copies distributed 0 0
through the USPS by other
classes of mail
4. Nonrequested copies distributed 473 27
outside the mail
e. Total nonrequested distribution 11,623 10,098
f. Total Distribution 28,953 25,470
g. Copies not Distributed 397 177
h. Total 29,350 25,647
i. Percent Paid/Requested Circulation 59.86% 60.35%
16. Electronic Copy Circulation
a. Requested and Paid Electronic Copies 24,361 30,485
b. Total requested and paid print copies 41,691 45,857
+ requested/paid electronic copies
c. Total requested copy distribution + 53,314 55,955
requested/paid electronic copies
d. Percent Paid and/or requested 78.20% 81.95%
I certify that 50% of all my distributed copies (electronic and print)
are legitimate requests or paid copies.
17. Publication of Statement of Ownership: Will be printed
in the November 2017 issue of this publication.
18. Signature and title of Editor, Publisher, Business
Manager, or Owner: Traci Huntsman, Manager Corporate Assets
and Postal Compliance. Date: 10/01/2017.
I certify that all information furnished on this form is true
and complete. I understand that anyone who furnishes false
or misleading information on this form or who omits material or information requested on the form may be subject to
criminal sanctions (including fines and imprisonment) and/
or civil sanctions (including civil penalties).
STATEMEN T OF OWNERSHIP, MANAGEMEN T,
— Continued from page 49
cases, symptoms of post-traumatic stress disorder. Providers often self-medicate with alcohol, drugs, tobacco and caffeine, and rarely do
they seek professional help.
The typical response to diversion is often
termination of employment or suspension of licensure or certification. However,
if the employee resigns in lieu of termination (as is often the case), the deeper issues
Most organizations have programs through
which providers can self-report substance abuse
and seek treatment without fear of punitive
action, but how many of our colleagues have
availed themselves of this service? And how
many can recognize their addiction, or overcome the sense of shame or humiliation that
prevents them from doing so?
A NEW BEST PRACTICE
Controlled substance abuse and diversion are
embedded in a complex mix of societal and cultural influences and biases. The following principles are based on our experience and offered
here to help navigate toward a new best practice for addressing this complicated problem.
>>EMS providers face extremely stressful situations every day. To manage this stress,
many providers self-medicate. If we can’t
get a handle on the pace and content of our
jobs and our own mental health, we probably won’t correct the problem of controlled
>>Don’t rely on vial tracking systems as the sole
means to prevent diversion. Even the most
advanced technology and software can’t
identify subtle trends in the administration
and wasting of drugs—something that may
require a human eye to detect.
>>Although the reporting of controlled sub-
stance violations may appear punitive and
even get an organization some unwanted
attention, it’s important to do more than
“kick the can” to the next system.
>>Systems should consider programs through
which personnel may self-report problems
with substance abuse, and then be pro-
vided the opportunity for treatment without
negative consequence. JEMS
William Gleason, EMT-P, is the clinical quality manager for
the MedStar Mobile Healthcare System in Fort Worth, Texas.
Neal J. Richmond, MD, FACEP, is board certified in emergency
medicine and medical director for the MedStar Mobile Healthcare System in Fort Worth, Texas.
Learn more from Neal Richmond at the
EMS Today Conference, Feb. 21–23, in
Charlotte, N.C. EMS Today.com
1. Partridge JW. (Dec. 19, 2011.) Correspondence from DEA
to Anchorage Fire & Ambulance Districts. NASEMSO.org.
Retrieved Sept. 19, 2017, from www.nasemso.org/Projects/
2. Hudson R. (Jan. 12, 2016.) H.R.4365: Protecting patient access
to emergency medications act of 2016. Congress.gov. Retrieved
Sept. 19, 2017, from www.congress.gov/bill/114th-congress/
3. U.S. Metropolitan Municipalities EMS Medical Director Consortium. (2017.) Email listserv survey.
4. Texas Department of State Health Services. (December 2016.)
Report on emergency medical services. Retrieved Sept. 19,
2017, from www.dshs.texas.gov/legislative/2016-Reports/
Figure 3: Monthly controlled substance
administrations/wastes & providers who exceeded thresholds