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HomeMy WebLinkAboutHUR130-032 Naloxone Program Procedure Procedure Title: Naloxone Program Procedure Number HUR 130-032 Reference HUR 130 Occupational Health & Safety Policy Date Originated (m/d/y) June 20, 2024 Date Revised (m/d/y) Pages 5 Approval: Chief Administrative Officer Point of Contact Director, Community Services Procedure Objective The naloxone program outlines measures in place to train First Responders, establishes proper storage and supply protocols, and ensures readiness for accessing and administering it in the event of an opioid overdose in City of Pickering operated buildings. Index 01 Definitions 02 Roles and Responsibilities 03 Procedures 01 Definitions 01.01 Auto External Defibrillator (AED) Attendant – the employee responsible for maintaining the AED unit in their proximity by ensuring the pads and battery are not expired, and that the communication data is downloaded from the device. 01.02 First Responder – a First Responder is an employee within a workplace designated to be the first response to serious injuries and incidents. A First Responder has the responsibility to organize and manage the response to such an incident, and to direct the contact of emergency services personnel, and administer first aid. 01.03 First Responder Coordinator – the employee responsible for overseeing the maintenance and operation of AEDs in the workplace and track inventory and supply of naloxone. The First Responder Coordinator is responsible for arranging training for personnel, managing the budget related to the program, and ensuring an adequate number of First Responders are assigned to each facility. Procedure Title: Naloxone Program Page 2 of 4 Procedure Number: HUR 130-032 01.04 Naloxone Hydrochloride (Naloxone) – a medicine that temporarily prevents or reverses the effects of an opioid overdose. Specifically, it can help restore breathing during an opioid overdose. 01.05 Opioids – a broad group of drugs intended to treat pain that work by attaching to specific receptors in the brain, depressing the central nervous system potentially impacting breathing, heart rate, and level of consciousness. Common opioids include heroin, fentanyl, morphine, methadone, codeine, and oxycodone. 01.06 Opioid Overdose – a state that occurs when the body is overwhelmed by opioids and the central nervous system can no longer control basic life functions (breathing, heart rate, temperature), which can lead to unconsciousness and even death if untreated. 02 Roles and Responsibilities 02.01 Designated First Responders are to: a) participate in Naloxone training, use PPE and follow all safety measures to protect themselves in the administration of Naloxone; b) recognize the signs and symptoms of an opioid overdose including, but not limited to: • slow, irregular or not breathing • slow or no heartbeat • very small pupils • cold and clammy skin • extreme drowsiness • unconsciousness, or unable to arouse • hypotension (unusually low blood pressure) • hypoxia (a lack of oxygen which can lead to brain damage, cardiac arrest, and death) • blue or grey lips or nails c) call 911 immediately • put on personal protective equipment (PPE) provided with the kit; • if the person is unresponsive and not breathing or has irregular breathing, perform CPR if it is safe to do so; • check for a medical alert tag to see if the person is known to be allergic to Naloxone; Procedure Title: Naloxone Program Page 3 of 4 Procedure Number: HUR 130-032 • give the person the Naloxone in one nostril. It may take about one to five minutes for breathing to return to normal; • monitor the person’s condition while waiting for emergency assistance. Naloxone lasts for about 20 to 90 minutes. Since opioids may remain in the person’s system longer, symptoms may return and a second dose may be required; and • remove PPE once care of the person has been assumed by EMS and wash hands. d) complete an incident report under the Observation Type – Customer Medical Issue and be sure to include: • time, date and location of incident • identity and contact information of customer (if known) • signs and symptoms presented by customer • actions taken including when 911 was called, whether Naloxone was administered, and number of doses • outcome/status of customer’s health once emergency services took over the scene • if there was a potential exposure to hazardous substances including bio hazards; and e) complete Naloxone Kit Order Form to replenish supply. 02.02 First Responder Coordinator is to: a) order replacement naloxone kits as needed and distribute accordingly; b) track expenses related to the naloxone program; and c) coordinate naloxone training for First Responders. 02.03 Supervisors are to: a) ensure naloxone kits are inspected monthly as part of the first aid kit and AED inspection; b) provide support to a worker who has administered Naloxone if required; c) refer impacted staff to Employee Family Assistance Program; d) ensure Incident Report is filed for review and tracking; and e) ensure training is completed by First Responders. 02.04 Chief Administrative Officer is to: a) support the Naloxone Program and approve any amendments thereto; and Procedure Title: Naloxone Program Page 4 of 4 Procedure Number: HUR 130-032 b) review, amend and approve all standard operating procedures related to the Naloxone Program. 03 Procedures 03.01 Training First Responders shall complete assigned training and annual refresher training that will acquaint them with the signs and symptoms of an opioid overdose, the steps to respond, how to administer Naloxone safely, the hazards associated with doing so, and the application of the Good Samaritan’s Act. 03.02 Naloxone Kits a) The First Responder Coordinator will distribute naloxone kits for placement in or near AED stations. Each kit shall contain one hard shell zipper case, two doses of naloxone hydrochloride intranasal spray (4mg/0.4ml), non-latex gloves, one card that identifies the person trained to give the Naloxone, written instructions on how to administer it, eye protection, and a one-way rescue breathing barrier. b) The inventory of kits must be maintained by the AED Attendant and replacement kits shall be ordered using the Naloxone Kit Order Form (Appendix I) and will be billed back to Facilities Maintenance - Fire & Life Safety Budget. c) Naloxone kits have a shelf life of 24 months and must be stored below 25° Celsius. Appendices Appendix 1 Naloxone Kit Order Form