Title: Naloxone Policy

Responsible Office: University Police
Policy Administrator: VP for Finance and Administration
Scope:
|Faculty |Staff |Student |Public

Approved By: President's Council

Approved Date: 3/22/2017

Effective Date: 3/22/2017

Category: Institutional


Description/Purpose:

Opiate overdose is one of the leading causes of accidental death in Cambria County. Fatal and non-fatal overdose can result from the abuse of opiates such as morphine, heroin, fentanyl, oxycodone as found in OxyContin, Percocet, Percodan, and hydrocodone as found in Vicodin. Act 139 of 2014 allows law enforcement to administer NALOXONE to individuals experiencing and opioid overdose provided certain requirements have been met.

Details:

Definitions

Naloxone is an intranasal prescription medication that can be used to reverse the effects of an opioid overdose.

Opioid drugs include, but are not limited to, heroin, morphine, oxycodone, methadone,hydrocodone, and codeine. 

Drug Overdose Response Immunity: Act 139 of 2014 mandates a person shall not be charged and shall be immune from prosecution from violations of, and for probation and parole violations of, The Controlled Substance, Drug, Device, and Cosmetic Act, Sections 13(a), (5), (16), (19), (31), (32), (33)and (37) provided the following occur:

  • Law enforcement only became aware of the offense because the person transported the overdose victim to a law enforcement agency or for medical help or,
  • A person reports a drug overdose event in good faith to law enforcement, emergency services or a medical provider, and,
  • The person provided his or her own name, proper location, and remained with the overdose victim until help arrived.

Purpose of the Policy 

  • To provide protocols within the Department for obtaining, storage, and recordkeeping of Naloxone.
  • To inform patrol officers of the circumstances under which the use of Naloxone is appropriate.

Requirements of Each Office Within the Department

  1. Each officer shall complete the online training provided by the Pennsylvania Department of Health: Opioid-Associated Overdose Prevention, Recognition, and Response Training.
  2. Each officer shall provide a copy of the certificate of that training to the Departmental Naloxone Manager.
  3. Each patrol officer shall, prior to beginning his/her shift, secure from the Naloxone Manager in accordance with the distribution policies determined by the Naloxone Manager, two (2) doses of Naloxone, and shall at the conclusions of his/her shift return unused doses. In the event of usage, the officer shall prepare the attached report, and provide the completed report to the Departmental Naloxone Manager.
  4. It is the responsibility of each officer carrying Naloxone within his/her vehicle to inspect the Naloxone kits to ensure they are intact and not damaged. All damaged Naloxone kids shall be immediately reported to their shift supervisor.
  5. When an officer believes that an individual is suffering from an opioid drug overdose:
    1. Immediately request the response of Emergency Medical Services (EMS)
    2. If the aided is unconscious, rub the sternum of the aided in attempt to regain consciousness.
    3. Provide CPR, AED, or other emergency treatment as necessary.
    4. If the aided is not breathing adequately (6 to 8 breaths a minute) or does not have a pulse, administer Naloxone in the following manner:
      • Pry the yellow caps from the plastic tube.
      • Remove the red cap from the Naloxone ampule.
      • Insert the nasal cone into the appropriate end of the plastic tube.
      • Gently screw the Naloxone ampule into the barrel of the plastic tube.
      • Insert the nasal cone into a nostril while depressing the Naloxone ampule into the tube.
      • Spray one-half of the Naloxone into each nostril.
      • Request dispatch to notify responding EMS personal that Naloxone has been administered.
      • If the aided has not responded within three to five minutes after administering the first doses, administer a second dose.
      • Inform responding EMS of the circumstances in which the victim was found that led to the belief that aided is suffering from an opioid overdose (i.e., physical signs, statement by witnesses, etc.)
      • Report any attempt to revive aided (e.g., CPR, AED, etc.)
      • In each case of a suspected overdose (Opioid or otherwise) fill out and provide the Naloxone Manager a copy of The Drug Overdose Intel Report.

Department Protocols

  1. Lieutenant Christopher Lytle is designated as the Naloxone Manager within the Department. 
  2. The Naloxone Manager shall, 1) make a written initial request to the District Attorney for the number of dosages determined to be appropriate for the Department and shall at the time of receipt, 2) certify through the Chief County Detective, that all members of the department have undergone training as required by 3 (d), and 3) and shall supply a signed Memorandum of Understanding (MOU) between the Department and the District Attorneys Office concerning the use of Naloxone by the Department.
  3. The Naloxone Manager shall: 
    1. Maintain a signed Memorandum of Understanding (MOU) between the Department and the District Attorneys Office concerning the use of Naloxone by the Department.
    2. Maintain records, and annually certify, through the Chief County Detective and Office of the District Attorney, that all officers within the Department have received the appropriate training and instructional materials, thereby permitting them to administer Naloxone.
    3. Procure and transport Naloxone from the District Attorneys Office as necessary and maintain records of procurement together with copies of invoices therefore.
    4. Insure that any officer maintaining employment within the Department shall successfully complete the online training provided by the Pennsylvania Department of Health: Opioid Associated Overdose Prevention, Recognition, and Response Training.
    5. Insure proper storage of Naloxone supplies at room temperature in a secure location within the Department.
    6. Maintain a written inventory documenting the quantities of Naloxone maintained, and expiration dates for Naloxone supplies, and a log documenting the distribution and return of Naloxone before and after each shift.
    7. Insure that Naloxone is appropriately distributed and returned at the beginning and end of each shift.
    8. Insure replacement of expired or used kits by supplying the District Attorney, as necessary, copies of all Drug Overdose Intel Reports completed by the departmental officers together with any expired doses for destruction.

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