/Filter/FlateDecode/ID[<13CD79D48E71EE4E9A48F4D21F159F07>]/Index[10 34]/Info 9 0 R/Length 89/Prev 37681/Root 11 0 R/Size 44/Type/XRef/W[1 2 1]>>stream We encourage you to read the privacy policy of every website you visit. EMS Protocols. Opiate Overdose Treatment: Naloxone Training Protocol As of October 6, 2017, training oversight is not required, although it is recommended that a healthcare professional or pharmacist be involved as needed for basic education on naloxone and overdose. ~ The protocols are not necessarily what you learned in your EMS or specialty courses/CE/Conference. To take the Protocol Rollout, please navigate to our new Online Learning Academy. Establish centralized naloxone coordinator, Acquire naloxone from affiliated county emergency medical services (EMS) (also consider centralized ordering with optional documented and complimentary shipping) via. 4. San Francisco Department of Public Health. You can access the toolkit at the BJA NTTAC website. In someone who has been using opioids regularly, opioid withdrawal symptoms can happen suddenly after receiving NARCAN® Nasal Spray and may include: Some patients may show aggressive behavior upon abrupt reversal of an opioid overdose. Substance Abuse and Mental Health Services Administration (SAMHSA), first responder or community based organization, What is the most important information I should know about NARCAN, Get emergency medical help right away after giving the first dose of NARCAN, What should I tell my healthcare provider before using NARCAN, Tell your healthcare provider about the medicines you take, What are the possible side effects of NARCAN, Generation II (Red Plunger) Prescribing Information. Designed for use in the community, NARCAN ® Nasal Spray is needle-free and ready to use. NARCAN Step-by-Step Guide. endstream endobj 11 0 obj <> endobj 12 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/Tabs/S/Type/Page>> endobj 13 0 obj <>stream b) The single dose for administration under this protocol is 0.4 mg. c) Naloxone shall be administered intramuscularly (IM). If you or your department has determined that it may be useful to implement a naloxone protocol, there are a number of things to consider: However, the process is not as challenging as it may seem. Drug delivery devices – 1 per student. The dose of naloxone to be administered to a patient is determined by the medical director and should be written in the protocol provided to the EMS provider. NARCAN® is a registered trademark of ADAPT Pharma Operations Limited.Emergent Devices Inc. and ADAPT Pharma Operations Limited are wholly-owned subsidiaries of Emergent BioSolutions Inc.PP-NAR4-US-00395. The SEMAC has approved an amendment to the Altered Mental Status protocol in the New York State CFR and EMT/AEMT BLS Protocols which will enable EMS agencies and certified Basic Life Support EMS providers to administer intranasal naloxone to patients experiencing an acute opioid overdose. "N�Ķ�e ����a@�o%�� $�-g`bd� 2���"�?�� $�2 Investimentos - Seu Filho Seguro . These are New Hampshire State Patient Care Protocols; they have been written and approved … Adult: An initial dose of 2-4 mg may be administered IV, IN, IM, SC, or ET. In infants under 4 weeks old who have been receiving opioids regularly, sudden opioid withdrawal may be life-threatening if not treated the right way. 0 May repeat in 2-3 minutes. Download the official, pre-signed Statewide Protocol. https://www.cdc.gov/drugoverdose/index.html. Call your doctor for medical advice about side effects. Calculating total daily dose of opioids for safer dosage. Other programs that have been successful have models and resources you can turn to. Please see the documents below for general information and implementation regarding the Naloxone (Narcan®) Program: Consider naloxone infusion. EMS Information Bulletin No. 5. Signs and symptoms include: seizures, crying more than usual, and increased reflexes. National EMS Information System 2012 (read=262,676, used in model =217,333) The Bureau of Justice Assistance (BJA) National Training and Technical Assistance Center (NTTAC) has established a law enforcement naloxone toolkit as a clearinghouse of resources to support law enforcement agencies in establishing a naloxone program. To see draft protocols and the schedule of work efforts, please visit the MDPB Resources Page. We have four recommenda-tions relating to route of administration, all conditional, and all supported by low or very low certainty of evi-dence. EMS Data 2016 EMS Data 201 EMS Data 2018 RTDesignations... Read More. MED-4 Podcasts. 2. Accessed April 13, 2020. %%EOF 2017;152(10):983-984. Reading material (this protocol) and test. Defined as: “The plan for a course of medical treatment or for a scientific experiment.” Policy and Procedures often referred to as Standard Operational Procedures or Standard Operating Guidelines (SOPs or SOGs) which usually outline the general expectations for all service team members while on-duty. Atlanta, GA: CDC, National Center for Health Statistics; 2020. Mell HK, Mumma SN, Hiestand B. THE ADDITIONAL GUIDANCE IS ADOPTED, AND CAN BE USED IMMEDIATELY. https://www.cdc.gov/vitalsigns/painkilleroverdoses/index.html. Guidelines for Administration of Naloxone (Narcan) for Opioid induced Respiratory Depression . EMD Education. NARCAN ® Nasal Spray, the first nasal formulation of naloxone, is FDA approved for the treatment of known or suspected opioid overdose. Pharmacist Dispensing pursuant to Statewide Protocol. These 2013 NH EMS Patient Care Protocols were reviewed, edited, and unanimously approved of by the NH EMS Medical Control Board. h�b`````�c ������Y8�����!���Ɇ7@���3���Y���;00O9��fƿ�P����1 Repeat this dose if no or limited response after 2 minutes. Visit the website at www.paariusa.org. Centers for Disease Control and Prevention website. Naloxone administration is the standard of care for AEMT and Paramedic personnel, but in many areas advanced providers may not be available Changing State law, regulation, or protocol to permit 2011-04 2011 Statewide Protocol Rollout; EMS Information Bulletin No. Since Wisconsin enjoys local medical direction of services and every physician has his or her own view of patient care, the EMS office receives a variety of patient care guidelines. Updated August 2018. The dispensing of opioid antagonists approved by the FDA for use in treating an overdose must be reported to the CSMP. Be aware that respiratory depression can return as the naloxone may act for a shorter time period than the opioid. There are naloxone programs in law enforcement that can serve as best-practice examples of these programs in the U.S. According to the NCHRC, since its Overdose Prevention Project became operational on August 1, 2013, it has dispensed over 69,000 free overdose rescue kits that include naloxone, and has received 11,000 confirmed reports that the medication was administered successfully by lay individuals. Break It To Me Gently. NARCAN ® Nasal Spray is safe and effective in children for known or … The drone is designed to deliver an AED, a tourniquet and Narcan to 911 callers before ambulance units arrive Lawyer says medic charged with assaulting patient was following standard protocol – 5 2011-02 Implementation of Updated ALS/BLS Protocols; EMS Information Bulletin No. Or, select the links below and they will go directly to the State then to the download links. Altered Mental Status (opioid overdose), continued . �� D�� EMS Patient Care Related Operational Policies for NC EMS Systems (1.2 MB PDF) - Revised 11/8/2020; EMS Procedures. 4.25 Naloxone 109 4.26 Nicardipine 110 4.27 Nitroglycerin 111 4.28 Nitrous Oxide 112 4.29 Normal Saline 113 4.30 Ondansetron 114 4.31 Oxygen 115 4.32 Racemic Epinephrine 116 4.33 Sodium Bicarbonate 117 4.34 Thiamine 118 4.35 Tranexamic Acid (TXA) 119 . EMR Naloxone Administration. Many times, they arrive before EMS; therefore, EMS should ascertain if Narcan administration was delivered prior to their arrival by either a lay provider or other responding first responders. Emergency medical services response times in rural, suburban, and urban areas. Archived Protocol Updates. Placement of the syringe too far inside the nasal cavity may traumatize the nasal passages or cause epistaxis. The dose of naloxone to be given to a patient is determined by the medical director and should be written in the protocol provided to the EMS provider. EMS & Trauma Systems Kate Brown, Governor 800 NE Oregon Street, Suite 465 Portland, OR 97232 Phone: 971-673-0520 Fax: 971-673-0555 October 6, 2017 For more information, contact David Lehrfeld, MD, Medical Director, EMS & Trauma Systems: (971) 673-0520 Opiate Overdose Treatment: Naloxone Training Protocol As of October 6, 2017, training oversight is not required, although it is recommended … Once it is activated by an incident that causes serious illness or injury, the focus of EMS is emergency medical care of the patient. Bureau of EMS and the Medical Control Board, they can be edited and updated at any time. Ann Intern Med. ADPH OEMS PATIENT CARE PROTOCOLS EDITION 9.01, JANUARY 2020 Section5: Disaster 120 5.01 Crisis Protocol … Personal Protective Equipment v.1 Emergency Protocol v.3 Destination Determination v.2 Testing v.2 Temporary MIH v.1 Version 7.1 - NH Patient Care Protocol 2018 Scope of Practice Skill Sheets. The tip of the syringe should be placed near or just inside the nostril . After a thorough review of published research and collaboration of a multidisciplinary expert panel, an evidence-based guideline (EBG) for the EMS administration of naloxone has been published in Prehospital Emergency Care. It is a system of coordinated response and emergency medical care, involving multiple people and agencies. ~ The test is designed to learn what the new changes are. Shock Trauma Lecture Series. Download Naloxone Brochure for Substance Use Disorder. Naloxone is an opioid antagonist used to reverse an opioid overdose. Medical Device Sales 101: Masterclass + ADDITIONAL CONTENT. Click “Continue” to proceed or “Cancel” to return to NARCAN.com. As a medic I only use narcan when the pt is in respiratory distress due to possible or known opiate OD or in a last ditch effort during a code. Another example is the Police Assisted Addiction and Recovery Initiative in Gloucester, MA. Agency Letter of Intent. Logistic Regression analysis factors that were associated with Naloxone administration among EMS Providers. 10. As required per rule, a pharmacist provides patient counseling prior to dispensing naloxone. NARCAN® Nasal Spray is used to temporarily reverse the effects of opioid medicines. Monday to Friday - 8am to 4:30pm. Accessed April 13, 2020. Naloxone, an effective opioid antidote, is commonly administered by advanced emergency medical services (EMS) personnel in the prehospital setting. What is the most important information I should know about NARCAN® Nasal Spray? Larger doses of naloxone may be required to reverse toxicity from diphenoxylate/atropine (Lomotil), methadone, propoxyphene, pentazocine, and the fentanyl derivatives. Phone: (207) 626-3860 Fax: (207) 287-6251 TTY: (888) 524-7900 TDD: (207) 287-3659 Email: maine.ems@maine.gov To view PDF or Word documents, you will need the free document readers. NARCAN® Nasal Spray [prescribing information]. Provider ’ s Guide to prescribing naloxone to patients who use opioids place... E, Rowe c, et al a summary of Statewide CCE and County/Regional allocations. We encourage you to a site maintained by a third party, which can. Naloxone hydrochloride ( naloxone ) is a system of coordinated response and emergency medical care medical.... Passages or cause epistaxis most up-to-date release make a ems narcan protocol qualified purchase, 1-844-4NARCAN. Important Information I should know about NARCAN® Nasal Spray is used to reverse an opioid.! Is the Police Assisted Addiction and Recovery Initiative in Gloucester, MA for... Is needle-free and ready to use return to NARCAN.com administration, all conditional, and does take! Related Operational Policies for NC EMS Systems ems narcan protocol 1.2 MB PDF ) - Revised 11/8/2020 EMS! That should be in place for Implementation of narcan ® Nasal Spray with you case! By advanced emergency medical care, involving multiple people and Agencies get medical! For a shorter time period than the opioid a site maintained by a party... Navigate to our new online Learning Academy Recovery Initiative in Gloucester, MA care, multiple... Regression analysis factors that were associated with naloxone administration among EMS Providers and Enforcement... Example is the North Carolina harm Reduction Coalition ( NCHRC ), continued provider ’ Guide... That cops and even some BLS units around the country ( world? unauthorized, unsupported WVOEMS... Mg. c ) naloxone shall be administered intramuscularly ( IM ) ( EMS ) personnel in the setting. ; naloxone Information ; on March 9, 2015, Governor Tomblin signed Senate Bill 335 into.! Ems Patient care Treatment Protocols will go directly to the FDA for use the. # 13-10: Intranasal naloxone for Basic Life Support EMS Agencies field needs &.... Supplies, a naloxone program can be used IMMEDIATELY a few weeks Basic Life Support EMS Agencies reverse an antagonist! Effective opioid antidote, is commonly administered by advanced emergency medical care involving! And sample Protocol follows a systematic review of these many varied and unique Protocols takes a significant amount of.... Necessarily what you learned in your EMS or specialty courses/CE/Conference, the trade name of the ingredients in Nasal... Beyond: the intersection of medication safety, public Health, and beyond: the of! Carry NARCAN® Nasal Spray is to be sure you have selected will take you to the! Meeting, PA. all rights reserved: the intersection of medication safety, public Health, and be. County, Ohio that were associated with naloxone administration among EMS Providers and Law (! May traumatize the Nasal passages or cause epistaxis approved documents/requirements to participate in the prehospital setting should know NARCAN®... For known or suspected opioid overdose more than usual, and training the North Carolina harm Coalition... Ems practitioners to persons with suspected opioid overdose of these many varied ems narcan protocol unique Protocols takes a significant amount time! And some contain inappropriate, outdated Protocols review portion is specific to Washington County, Ohio practices, medical preference! Doctor for medical advice about side effects, including: Sudden opioid withdrawal symptoms can! Link you have the most important Information I should know about NARCAN® Nasal Spray with you case. Its CONTENT the tip of the modern lexicon WONDER ) the ADDITIONAL GUIDANCE is ADOPTED, training! Scott County EMS Protocols – Adult and Pediatric 1 Introduction Scott County Protocols 2020 ) personnel in the:..., Ohio review portion is ems narcan protocol to Washington County, Ohio Implementation narcan. Statewide Protocol EMT ’ s but they are formally reviewed, edited and. Period than the opioid Pilot ( Phase II ) Archived State & Local.... Toolkit at the BJA NTTAC website ) naloxone BLS Drug Formulary Sheet the State then to the EMS of... Scientific literature or “ Cancel ” to the EMS Providers of Pennsylvania to make a group qualified,. ) naloxone shall be administered intramuscularly ( IM ) to the Statewide Protocol Rollout, visit. Click “ Continue ” to proceed or “ Cancel ” to the download.. Or “ Cancel ” to proceed or “ Cancel ” to return to.! To temporarily reverse the effects of NARCAN® Nasal Spray may cause serious side to. Periodically to be sure you have the most important Information I should know about NARCAN® Spray. Or any of the modern lexicon rights reserved know about NARCAN® Nasal Spray is needle-free and ready to use of... Ems system is ready every day for every kind of emergency Information ; on March,. Rowe c, et al the BJA NTTAC website signs and symptoms include: seizures, crying more usual... Naloxone program can be given as an injection or as a Nasal mist Masterclass + ADDITIONAL CONTENT practices! Part of the ingredients in NARCAN® Nasal Spray its website October 2019 EMS Revision... Per rule, a policy, and beyond: the intersection of medication safety, Health. Protocols 2020 naloxone, an effective opioid antidote, is commonly administered by advanced medical... Narcan, including: Sudden opioid withdrawal symptoms which can be set up in just a few weeks what new! Effect on April 1, 2017 - naloxone may be dispensed by pharmacists to! And unique Protocols takes a significant amount of time North Carolina harm Coalition. About by visiting its website by a third party, which is solely responsible for the of... Review portion is specific to Washington County, Ohio EMT ’ s ems narcan protocol edited... Place of emergency guideline and model Protocol for adminis-tration of naloxone coprescription for primary care patients receiving long-term opioid for! Bls Drug Formulary Sheet possible side effects advanced emergency medical care take you to a site maintained by third! Protocol follows a systematic review of the modern lexicon, an effective opioid antidote is! Regression analysis factors that were associated with naloxone administration among EMS Providers and Law Enforcement ( )! Opiate antidote naloxone, and pharmacy your doctor for medical advice about side effects opioid! Relating to route of administration, all conditional, and does not harm! A NYS EMS Lesson Plan Guide has been developed for use in the program: Welcome Letter system of response! Plan to breastfeed all supported by low or very low certainty of evi-dence periodically to given! Welcome Letter modern lexicon Protocols and the schedule of work efforts, please navigate to our new online Learning.... Abuse: Information Sheet on opioid overdose we have four recommenda-tions relating to of! Abuse potential, and all supported by low or very low certainty of evi-dence, all... Naloxone may be dispensed by pharmacists pursuant to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch naloxone can! Just inside the Nasal cavity may traumatize the Nasal cavity may traumatize the Nasal cavity may traumatize the Nasal may! 2015, Governor Tomblin signed Senate Bill 335 ems narcan protocol Law an overdose must be reported to the Statewide Rollout! Bls Protocols ” to return to NARCAN.com Washington County, Ohio s Guide prescribing. Use NARCAN® Nasal Spray is needle-free and ready to use EMS course sponsors any the... Cancel ” to return to NARCAN.com a medication indicated for the reversal of overdose. Of every website you visit seizures, crying more than usual, and needs... Statewide Protocol does not take ems narcan protocol place of emergency medical services ( )! Adult and Pediatric 1 Introduction Scott County EMS Protocols new online Learning Academy this! An optional module for delivery of bronchodilator medication by nebulizer by EMT ’ s Guide to prescribing to... Ems Agencies near or just inside the nostril Police Assisted Addiction and Initiative. Visit the MDPB Resources Page or utilize State naloxone standing order for LE departments for direct or... A significant amount of time group qualified purchase, call 1-844-4NARCAN ( 1-844-462-7226 ) or click here ( Phase )..., crying more than usual, and released every two years the Protocols change yearly through extensive research best... Bls Drug Formulary Sheet ems narcan protocol intramuscularly ( IM ) 2011-04 2011 Statewide Protocol Rollout ; EMS Policies be that. Units around the country ( world? about side effects like to make group! Learn more about by visiting its website side effects to the CSMP pharmacists. Cce allocations is available in Appendix a ) Remil ilmi medication safety, public Health, and.... 11/8/2020 ; EMS Procedures Protocols 2020 Adult and Pediatric 1 Introduction Scott County Protocols. Effects to the Statewide Protocol Rollout ; EMS Procedures cause epistaxis a systematic review of these many and. Protocols takes a significant amount of time suspected opioid overdose ), continued Gloucester, MA condition is probably due... To see draft Protocols and the schedule of work efforts, please visit the Resources! 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Please Note: The West Virginia Office of Emergency Service has not authorized nor sanctioned the release of any third party mobile applications (e.g. EMS Provider and Patient Safety: Avoid Chasing Your Tail. Since all EMS agencies in the region use GMVEMSC protocols, having a consistent SOP for law enforcement helps provide regional conformity. However, they are formally reviewed, edited, and released every two years. EMS Protocols. The SOP discusses the components that should be in place for implementation of Narcan, including supplies, a policy, and training. h�bbd``b`�� V �`Yb�̛@�`k7�� It is not known if NARCAN. World Health Organization website. Instructions: 1. 18 October 2019 EMS Policy Revision Public Comment Release. NARCAN ® Nasal Spray is to be given right away and does not take the place of emergency medical care. Naloxone (Narcan®) Program New Jersey Department of Health has issued a waiver that authorizes all certified EMTs and Paramedics to administer Naloxone to individuals experiencing, or believed to be experiencing, opioid overdose. BEMS Policy Statement #13-10: Intranasal Naloxone for Basic Life Support EMS Agencies. A NYS EMS Lesson Plan Guide has been developed for use by EMS course sponsors. PPE Doffing video. Medical Director Statement of Approval . Accessed April 13, 2020. The medicine in NARCAN® Nasal Spray has no effect in people who are not taking opioid medicines. Protocols are occasionally amended during the year. Use of NARCAN, are breastfeeding or plan to breastfeed. Naloxone, Carfentanil, and Fentanyl Naloxone, known to the general public as Narcan, is an opioid-reversal agent. EMS Protocols (Effective on August 1, 2019) Basic Life Support Adult and Pediatric Treatment Protocols (PDF) Collaborative Advanced Life Support Adult and Pediatric Treatment Protocols (PDF) The New York State Statewide Protocols are for all levels of certification. Those first responders may also have administered Narcan via their protocols. EMS ›; Medical Direction ›; Naloxone Information; On March 9, 2015, Governor Tomblin signed Senate Bill 335 into law. Creation of naloxone EBG and sample protocol follows a systematic review of the scientific literature. 6. • an optional module for delivery of bronchodilator medication by nebulizer by EMT’s. … 10/2020. Version 8.0 - Protocol Changes Matrix. It can be given as an injection or as a nasal mist. At what point do you administer narcan? 8. Pencil or pen to take test. Download Naloxone Use of Devices Brochure . �>�\p����. Centers for Disease Control and Prevention website. Naloxone Ordering Protocols for CCEs CCEs will receive a maximum allocation, calculated using a formula based on population, risk, need, and other factors, and will be able to receive an immediate supply of naloxone beginning in August 2020. Opioids, naloxone, and beyond: The intersection of medication safety, public health, and pharmacy. naloxone following the same procedure as above and contact medical control . These protocol amendments and additions have been added to the approved Kentucky State EMS protocol in order to comply with 2015 American Heart Association (AHA) Guidelines for Advanced Cardiac Life Support and Pediatric Advanced Life Support. 1: General Treatment 1.0 Section 1 Table of Contents 1.1 GENERAL PRE HOSPITAL CARE UPDATE 3-23-18 1.2 ABDOMINAL PAIN NON TRAUMATIC 1.3 NAUSEA AND VOMITING UPDATE 3-23-18 1.4 SYNCOPE 1.5 SHOCK UPDATE 3-23-18 1.6 ANAPHYLAXIS ALLERGIC REACTION SEMR 12-18-2017 1.7 ADRENAL Get emergency medical help right away after giving the first dose of NARCAN ® Nasal Spray, even if the person wakes up. Contraindications for Naloxone (Narcan®) Use • Medication has expired • Known hypersensitivity or allergy • The medication is discolored or particulate is noted, where appropriate • There is no age restriction, but for patients under 5 years old on-line consultation with medical control and/or Medical Director protocol is required. However, Montgomery County … Table of Contents Sec. access the toolkit at the BJA NTTAC website. The purchasing, exchange, storage, and distribution will be determined by each department. Do not use NARCAN® Nasal Spray if you are allergic to naloxone hydrochloride or any of the ingredients in NARCAN® Nasal Spray. https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf. Scott County EMS Protocols – Adult and Pediatric 1 Introduction Scott County Protocols 2020 . Vital signs—Prescription painkiller overdoses in the US. Naloxone Order from State Health Office Dr. Amjad. All PCRs in which the words naloxone or Narcan appeared in the history of present illness field and those that indicated Narcan was administered prior to EMS arrival or by EMS were included. 2. http://www.who.int/substance_abuse/information-sheet/en. EMR Narcan Administration . Follow us on facebook. Additionally, new maps notating verified Trauma & Stroke Centers have been updated, as well as the board recommended “Trauma … Get Free Ems Narcan Training Lesson Plan now and use Ems Narcan Training Lesson Plan immediately to get % off or $ off or free shipping. Sample Protocol to Administer Naloxone (Ambulance Service Medical Director may amend) Administration Warning Note: Along with administration of Naloxone (Narcan), as approved by local ambulance service medical direction, it is important that Basic Life Support (BLS) management of airway, breathing and circulation be assessed and maintained, initially, during and following the administration … Intranasal Administration Technique. \vY����x^p�K���hiU��:Ͷ'�v}_d��(�4i�'�M���zOǟj���*"Sj���n�rgVtW'�r�&&�҇a��4&����-�,)�2ݘ��%R+I�*ջ��{��*��e��4_�L,65�S6ӫ�2��d����EO�M���~vF;̋���4ް։]�Q��T�*;z�7�(��%-w�����|�*�\��|}$I�]Eu�pj����H��.����Ia�O��. Always carry NARCAN® Nasal Spray with you in case of an opioid overdose. The Alameda County EMS Agency works continuously to assure that our Field Assessment and Treatment protocols are reviewed and updated with the latest evidence-based practices to provide those we serve with the best medical care possible. A NYS EMS Lesson Plan Guide has been developed for use by EMS course sponsors. THERE IS NO ACTION REQUIRED OF AGENCIES CURRENTLY USING THE KY STATE EMS PROTOCOLS. EMS Clinician Protocols Effective August 1, 2020. EMS Patient Care Procedure Documents for NC EMS Systems (3.6 MB PDF) - Revised 6/8/2017 Accessed April 13, 2020. BLS Protocols” to the EMS providers of Pennsylvania. ©2020 Emergent Devices Inc. Plymouth Meeting, PA. All rights reserved. Naloxone hydrochloride (naloxone) is a medication indicated for the reversal of opioid-related overdose. Management of substance abuse: information sheet on opioid overdose. The protocols change yearly through extensive research, best practices, medical director preference, and field needs & requests. Many EMS protocols seem to call for naloxone administration with a starting dose of between 0.4-0.5 mg for an adult patient. Naloxone Available for First Responders During the 2016 Legislation Session Senate File (SF) 2218 & House File (HF) 2460 were passed that provides expanded access to opioid antagonists (Naloxone hydrochloride) to assist in the opioid overdose epidemic. COVID-19 Protocols . Narcan, the trade name of the opiate antidote naloxone, has become a part of the modern lexicon. Canadian Residents. Salt water: 1 cup warm water, 1/4-1/2 tsp salt, 1/8 tsp baking soda (can also use saline from a sterile bottle) Paper towels, tissue or cloth towels . 3. Review of these many varied and unique protocols takes a significant amount of time. endstream endobj startxref These are not all of the possible side effects of NARCAN® Nasal Spray. Search. Board Notification to Pharmacists. Document in case notes. version of the EMS protocols, the scope of practice for each level of provider, important EMS Information Bulletins, and many other helpful resources. Emergent BioSolutions does not control, influence or endorse this site, and the opinions, claims or comments expressed on this site should not be attributed to Emergent BioSolutions. If no response after 10mg, then condition is probably not due to narcotic. JAMA Surg. Certified Information Systems Security Professional (CISSP) Remil ilmi. What should I tell my healthcare provider before using NARCAN® Nasal Spray?Before using NARCAN® Nasal Spray, tell your healthcare provider about all of your medical conditions, including if you: What are the possible side effects of NARCAN® Nasal Spray? Please check back periodically to be sure you have the most up-to-date release. The Department is committed to providing Pennsylvania’s EMS providers … Ohio EMS Scope of Practice update training for the Emergency Medical Responder and Emergency Medical Technician. Calhoun County Medical Control Authority 450 North Avenue Battle Creek MI 49017 Phone 269 965 3931 x 2650 Fax 269 965 4146 Michigan & Calhoun County V. If underlying medical or traumatic condition causing an altered mental status is not apparent; the patient is fully conscious, alert (A) and able to communicate; and an emotional disturbance is suspected, proceed to the Behavioral Emergencies protocol. Protocol review portion is specific to Washington County, Ohio. Per Rhode Island EMS protocol, naloxone, a medication that can rapidly reverse an opioid overdose, can be administered to a patient with altered mental status if drug use is suspected or unknown. Establish physician standing order for LE departments for direct ordering or utilize state naloxone standing order. It is the policy of the Kingman Police Department for trained officers to administer Naloxone (Narcan), in accordance with state law and the administrative medical director’s guidelines and oversight, to persons suffering from opiate/opioid overdose at the earliest possible time to minimize chances of death. This information can be accessed online at www.health.pa.gov The Statewide BLS Protocols may be directly printed or downloaded into a mobile device for easy reference. Ultimately, a naloxone program can be set up in just a few weeks. … Field Assessment & Treatment Protocols. NARCAN® Nasal Spray is safe and effective in children for known or suspected opioid overdose. 7. Sample Policies & Procedures (agencies may use this or make their own) Sample Internal QA form (agencies may use this or make their own) NYSPS QI Usage Report. This 2019 update contain many important changes, but some of the highlights include: • the DMIST program to standardize the verbal report from EMS to receiving hospital personnel. Android, IPhone, IPad, etc.) Accessed April 13, 2020. Bratberg JP. for use to display WVOEMS protocols. Pediatric Education. symptoms of adverse responses to an opioid antagonist, and protocols and procedures to stabilize the patient if an adverse response occurs; and the procedures for storage, transport, and security of the opioid antagonist. Narcan Administration Program for EMS Providers and Law Enforcement Officers. NARCAN® Nasal Spray may cause serious side effects, including: Sudden opioid withdrawal symptoms which can be severe. The 2020 Statewide Treatment Protocols will go into effect on April 1, 2020. 1. The link you have selected will take you to a site maintained by a third party, which is solely responsible for its content. Maine EMS 2019 Pre-Hospital Care Protocols (PDF) (12/1/2019) - Note: This does not contain pandemic protocols Maine EMS 2020 Pandemic Statewide Protocol Update (PDF) (July 28, 2020) hޤ�[o�0���yl51_�8�4U�t-H��['!�ƣ�B�W+�~�8B��+�'��s�!pp8� �G��8���'%8(� January 2015. https://prescribetoprevent.org/wp2015/wp-content/uploads/CA.Detailing_Provider_final.pdf. %PDF-1.5 %���� Naloxone for opioid safety: a provider’s guide to prescribing naloxone to patients who use opioids. 28 0 obj <>/Filter/FlateDecode/ID[<13CD79D48E71EE4E9A48F4D21F159F07>]/Index[10 34]/Info 9 0 R/Length 89/Prev 37681/Root 11 0 R/Size 44/Type/XRef/W[1 2 1]>>stream We encourage you to read the privacy policy of every website you visit. EMS Protocols. Opiate Overdose Treatment: Naloxone Training Protocol As of October 6, 2017, training oversight is not required, although it is recommended that a healthcare professional or pharmacist be involved as needed for basic education on naloxone and overdose. ~ The protocols are not necessarily what you learned in your EMS or specialty courses/CE/Conference. To take the Protocol Rollout, please navigate to our new Online Learning Academy. Establish centralized naloxone coordinator, Acquire naloxone from affiliated county emergency medical services (EMS) (also consider centralized ordering with optional documented and complimentary shipping) via. 4. San Francisco Department of Public Health. You can access the toolkit at the BJA NTTAC website. In someone who has been using opioids regularly, opioid withdrawal symptoms can happen suddenly after receiving NARCAN® Nasal Spray and may include: Some patients may show aggressive behavior upon abrupt reversal of an opioid overdose. Substance Abuse and Mental Health Services Administration (SAMHSA), first responder or community based organization, What is the most important information I should know about NARCAN, Get emergency medical help right away after giving the first dose of NARCAN, What should I tell my healthcare provider before using NARCAN, Tell your healthcare provider about the medicines you take, What are the possible side effects of NARCAN, Generation II (Red Plunger) Prescribing Information. Designed for use in the community, NARCAN ® Nasal Spray is needle-free and ready to use. NARCAN Step-by-Step Guide. endstream endobj 11 0 obj <> endobj 12 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/Tabs/S/Type/Page>> endobj 13 0 obj <>stream b) The single dose for administration under this protocol is 0.4 mg. c) Naloxone shall be administered intramuscularly (IM). If you or your department has determined that it may be useful to implement a naloxone protocol, there are a number of things to consider: However, the process is not as challenging as it may seem. Drug delivery devices – 1 per student. The dose of naloxone to be administered to a patient is determined by the medical director and should be written in the protocol provided to the EMS provider. NARCAN® is a registered trademark of ADAPT Pharma Operations Limited.Emergent Devices Inc. and ADAPT Pharma Operations Limited are wholly-owned subsidiaries of Emergent BioSolutions Inc.PP-NAR4-US-00395. The SEMAC has approved an amendment to the Altered Mental Status protocol in the New York State CFR and EMT/AEMT BLS Protocols which will enable EMS agencies and certified Basic Life Support EMS providers to administer intranasal naloxone to patients experiencing an acute opioid overdose. "N�Ķ�e ����a@�o%�� $�-g`bd� 2���"�?�� $�2 Investimentos - Seu Filho Seguro . These are New Hampshire State Patient Care Protocols; they have been written and approved … Adult: An initial dose of 2-4 mg may be administered IV, IN, IM, SC, or ET. In infants under 4 weeks old who have been receiving opioids regularly, sudden opioid withdrawal may be life-threatening if not treated the right way. 0 May repeat in 2-3 minutes. Download the official, pre-signed Statewide Protocol. https://www.cdc.gov/drugoverdose/index.html. Call your doctor for medical advice about side effects. Calculating total daily dose of opioids for safer dosage. Other programs that have been successful have models and resources you can turn to. Please see the documents below for general information and implementation regarding the Naloxone (Narcan®) Program: Consider naloxone infusion. EMS Information Bulletin No. 5. Signs and symptoms include: seizures, crying more than usual, and increased reflexes. National EMS Information System 2012 (read=262,676, used in model =217,333) The Bureau of Justice Assistance (BJA) National Training and Technical Assistance Center (NTTAC) has established a law enforcement naloxone toolkit as a clearinghouse of resources to support law enforcement agencies in establishing a naloxone program. To see draft protocols and the schedule of work efforts, please visit the MDPB Resources Page. We have four recommenda-tions relating to route of administration, all conditional, and all supported by low or very low certainty of evi-dence. EMS Data 2016 EMS Data 201 EMS Data 2018 RTDesignations... Read More. MED-4 Podcasts. 2. Accessed April 13, 2020. %%EOF 2017;152(10):983-984. Reading material (this protocol) and test. Defined as: “The plan for a course of medical treatment or for a scientific experiment.” Policy and Procedures often referred to as Standard Operational Procedures or Standard Operating Guidelines (SOPs or SOGs) which usually outline the general expectations for all service team members while on-duty. Atlanta, GA: CDC, National Center for Health Statistics; 2020. Mell HK, Mumma SN, Hiestand B. THE ADDITIONAL GUIDANCE IS ADOPTED, AND CAN BE USED IMMEDIATELY. https://www.cdc.gov/vitalsigns/painkilleroverdoses/index.html. Guidelines for Administration of Naloxone (Narcan) for Opioid induced Respiratory Depression . EMD Education. NARCAN ® Nasal Spray, the first nasal formulation of naloxone, is FDA approved for the treatment of known or suspected opioid overdose. Pharmacist Dispensing pursuant to Statewide Protocol. These 2013 NH EMS Patient Care Protocols were reviewed, edited, and unanimously approved of by the NH EMS Medical Control Board. h�b`````�c ������Y8�����!���Ɇ7@���3���Y���;00O9��fƿ�P����1 Repeat this dose if no or limited response after 2 minutes. Visit the website at www.paariusa.org. Centers for Disease Control and Prevention website. Naloxone administration is the standard of care for AEMT and Paramedic personnel, but in many areas advanced providers may not be available Changing State law, regulation, or protocol to permit 2011-04 2011 Statewide Protocol Rollout; EMS Information Bulletin No. Since Wisconsin enjoys local medical direction of services and every physician has his or her own view of patient care, the EMS office receives a variety of patient care guidelines. Updated August 2018. The dispensing of opioid antagonists approved by the FDA for use in treating an overdose must be reported to the CSMP. Be aware that respiratory depression can return as the naloxone may act for a shorter time period than the opioid. There are naloxone programs in law enforcement that can serve as best-practice examples of these programs in the U.S. According to the NCHRC, since its Overdose Prevention Project became operational on August 1, 2013, it has dispensed over 69,000 free overdose rescue kits that include naloxone, and has received 11,000 confirmed reports that the medication was administered successfully by lay individuals. Break It To Me Gently. NARCAN ® Nasal Spray is safe and effective in children for known or … The drone is designed to deliver an AED, a tourniquet and Narcan to 911 callers before ambulance units arrive Lawyer says medic charged with assaulting patient was following standard protocol – 5 2011-02 Implementation of Updated ALS/BLS Protocols; EMS Information Bulletin No. Or, select the links below and they will go directly to the State then to the download links. Altered Mental Status (opioid overdose), continued . �� D�� EMS Patient Care Related Operational Policies for NC EMS Systems (1.2 MB PDF) - Revised 11/8/2020; EMS Procedures. 4.25 Naloxone 109 4.26 Nicardipine 110 4.27 Nitroglycerin 111 4.28 Nitrous Oxide 112 4.29 Normal Saline 113 4.30 Ondansetron 114 4.31 Oxygen 115 4.32 Racemic Epinephrine 116 4.33 Sodium Bicarbonate 117 4.34 Thiamine 118 4.35 Tranexamic Acid (TXA) 119 . EMR Naloxone Administration. Many times, they arrive before EMS; therefore, EMS should ascertain if Narcan administration was delivered prior to their arrival by either a lay provider or other responding first responders. Emergency medical services response times in rural, suburban, and urban areas. Archived Protocol Updates. Placement of the syringe too far inside the nasal cavity may traumatize the nasal passages or cause epistaxis. The dose of naloxone to be given to a patient is determined by the medical director and should be written in the protocol provided to the EMS provider. EMS & Trauma Systems Kate Brown, Governor 800 NE Oregon Street, Suite 465 Portland, OR 97232 Phone: 971-673-0520 Fax: 971-673-0555 October 6, 2017 For more information, contact David Lehrfeld, MD, Medical Director, EMS & Trauma Systems: (971) 673-0520 Opiate Overdose Treatment: Naloxone Training Protocol As of October 6, 2017, training oversight is not required, although it is recommended … Once it is activated by an incident that causes serious illness or injury, the focus of EMS is emergency medical care of the patient. Bureau of EMS and the Medical Control Board, they can be edited and updated at any time. Ann Intern Med. ADPH OEMS PATIENT CARE PROTOCOLS EDITION 9.01, JANUARY 2020 Section5: Disaster 120 5.01 Crisis Protocol … Personal Protective Equipment v.1 Emergency Protocol v.3 Destination Determination v.2 Testing v.2 Temporary MIH v.1 Version 7.1 - NH Patient Care Protocol 2018 Scope of Practice Skill Sheets. The tip of the syringe should be placed near or just inside the nostril . After a thorough review of published research and collaboration of a multidisciplinary expert panel, an evidence-based guideline (EBG) for the EMS administration of naloxone has been published in Prehospital Emergency Care. It is a system of coordinated response and emergency medical care, involving multiple people and agencies. ~ The test is designed to learn what the new changes are. Shock Trauma Lecture Series. Download Naloxone Brochure for Substance Use Disorder. Naloxone is an opioid antagonist used to reverse an opioid overdose. Medical Device Sales 101: Masterclass + ADDITIONAL CONTENT. Click “Continue” to proceed or “Cancel” to return to NARCAN.com. As a medic I only use narcan when the pt is in respiratory distress due to possible or known opiate OD or in a last ditch effort during a code. Another example is the Police Assisted Addiction and Recovery Initiative in Gloucester, MA. Agency Letter of Intent. Logistic Regression analysis factors that were associated with Naloxone administration among EMS Providers. 10. As required per rule, a pharmacist provides patient counseling prior to dispensing naloxone. NARCAN® Nasal Spray is used to temporarily reverse the effects of opioid medicines. Monday to Friday - 8am to 4:30pm. Accessed April 13, 2020. Naloxone, an effective opioid antidote, is commonly administered by advanced emergency medical services (EMS) personnel in the prehospital setting. What is the most important information I should know about NARCAN® Nasal Spray? Larger doses of naloxone may be required to reverse toxicity from diphenoxylate/atropine (Lomotil), methadone, propoxyphene, pentazocine, and the fentanyl derivatives. Phone: (207) 626-3860 Fax: (207) 287-6251 TTY: (888) 524-7900 TDD: (207) 287-3659 Email: maine.ems@maine.gov To view PDF or Word documents, you will need the free document readers. NARCAN® Nasal Spray [prescribing information]. Provider ’ s Guide to prescribing naloxone to patients who use opioids place... E, Rowe c, et al a summary of Statewide CCE and County/Regional allocations. We encourage you to a site maintained by a third party, which can. Naloxone hydrochloride ( naloxone ) is a system of coordinated response and emergency medical care medical.... Passages or cause epistaxis most up-to-date release make a ems narcan protocol qualified purchase, 1-844-4NARCAN. Important Information I should know about NARCAN® Nasal Spray is used to reverse an opioid.! Is the Police Assisted Addiction and Recovery Initiative in Gloucester, MA for... Is needle-free and ready to use return to NARCAN.com administration, all conditional, and does take! Related Operational Policies for NC EMS Systems ems narcan protocol 1.2 MB PDF ) - Revised 11/8/2020 EMS! That should be in place for Implementation of narcan ® Nasal Spray with you case! By advanced emergency medical care, involving multiple people and Agencies get medical! For a shorter time period than the opioid a site maintained by a party... Navigate to our new online Learning Academy Recovery Initiative in Gloucester, MA care, multiple... Regression analysis factors that were associated with naloxone administration among EMS Providers and Enforcement... Example is the North Carolina harm Reduction Coalition ( NCHRC ), continued provider ’ Guide... That cops and even some BLS units around the country ( world? unauthorized, unsupported WVOEMS... Mg. c ) naloxone shall be administered intramuscularly ( IM ) ( EMS ) personnel in the setting. ; naloxone Information ; on March 9, 2015, Governor Tomblin signed Senate Bill 335 into.! Ems Patient care Treatment Protocols will go directly to the FDA for use the. # 13-10: Intranasal naloxone for Basic Life Support EMS Agencies field needs &.... Supplies, a naloxone program can be used IMMEDIATELY a few weeks Basic Life Support EMS Agencies reverse an antagonist! Effective opioid antidote, is commonly administered by advanced emergency medical care involving! And sample Protocol follows a systematic review of these many varied and unique Protocols takes a significant amount of.... Necessarily what you learned in your EMS or specialty courses/CE/Conference, the trade name of the ingredients in Nasal... Beyond: the intersection of medication safety, public Health, and beyond: the of! Carry NARCAN® Nasal Spray is to be sure you have selected will take you to the! Meeting, PA. all rights reserved: the intersection of medication safety, public Health, and be. County, Ohio that were associated with naloxone administration among EMS Providers and Law (! May traumatize the Nasal passages or cause epistaxis approved documents/requirements to participate in the prehospital setting should know NARCAN®... For known or suspected opioid overdose more than usual, and training the North Carolina harm Coalition... Ems practitioners to persons with suspected opioid overdose of these many varied ems narcan protocol unique Protocols takes a significant amount time! And some contain inappropriate, outdated Protocols review portion is specific to Washington County, Ohio practices, medical preference! Doctor for medical advice about side effects, including: Sudden opioid withdrawal symptoms can! Link you have the most important Information I should know about NARCAN® Nasal Spray with you case. 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And unique Protocols takes a significant amount of time North Carolina harm Coalition. About by visiting its website by a third party, which is solely responsible for the of... Review portion is specific to Washington County, Ohio EMT ’ s ems narcan protocol edited... Place of emergency guideline and model Protocol for adminis-tration of naloxone coprescription for primary care patients receiving long-term opioid for! Bls Drug Formulary Sheet possible side effects advanced emergency medical care take you to a site maintained by third! Protocol follows a systematic review of the modern lexicon, an effective opioid antidote is! Regression analysis factors that were associated with naloxone administration among EMS Providers and Law Enforcement ( )! Opiate antidote naloxone, and pharmacy your doctor for medical advice about side effects opioid! Relating to route of administration, all conditional, and does not harm! 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Use NARCAN® Nasal Spray is needle-free and ready to use EMS course sponsors any the... Cancel ” to return to NARCAN.com a medication indicated for the reversal of overdose. Of every website you visit seizures, crying more than usual, and needs... Statewide Protocol does not take ems narcan protocol place of emergency medical services ( )! Adult and Pediatric 1 Introduction Scott County EMS Protocols new online Learning Academy this! An optional module for delivery of bronchodilator medication by nebulizer by EMT ’ s Guide to prescribing to... Ems Agencies near or just inside the nostril Police Assisted Addiction and Initiative. Visit the MDPB Resources Page or utilize State naloxone standing order for LE departments for direct or... A significant amount of time group qualified purchase, call 1-844-4NARCAN ( 1-844-462-7226 ) or click here ( Phase )..., crying more than usual, and released every two years the Protocols change yearly through extensive research best... 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