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. 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 . THERE IS NO ACTION REQUIRED OF AGENCIES CURRENTLY USING THE KY STATE EMS PROTOCOLS. Break It To Me Gently. Or, select the links below and they will go directly to the State then to the download links. Use of NARCAN, are breastfeeding or plan to breastfeed. 2011-02 Implementation of Updated ALS/BLS Protocols; EMS Information Bulletin No. Coffin PO, Behar E, Rowe C, et al. Accessed April 13, 2020. 8. … Mell HK, Mumma SN, Hiestand B. Atlanta, GA: CDC, National Center for Health Statistics; 2020. 7. 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. Medication Reviews. 2017;57:S5-S7. Accessed April 13, 2020. 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. Ambulance services licensed in Massachusetts may begin implementing the use of the 2020 Statewide Treatment Protocols prior to April 1, 2020, as soon as their EMS personnel are trained and equipped. naloxone following the same procedure as above and contact medical control . EMSTAR BLS Naloxone Administration Program- Intranasal Naloxone (Narcan®) The goal of this program is to provide faster appropriate care to Opioid Overdose patients in our Region. Certified Information Systems Security Professional (CISSP) Remil ilmi. 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. The medicine in NARCAN® Nasal Spray has no effect in people who are not taking opioid medicines. 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. 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. https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf. 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. Follow us on facebook. )� )C ��Il2�ǕNP��fK��~&ş����|a�n�W�U� X4l^�)��\��v���gs��hVlj�������{l4������lo�:]=��B�f)Bv�ū Android, IPhone, IPad, etc.) The protocols change yearly through extensive research, best practices, medical director preference, and field needs & requests. Narcan Administration Program for EMS Providers and Law Enforcement Officers. Document in case notes. access the toolkit at the BJA NTTAC website. A NYS EMS Lesson Plan Guide has been developed for use by EMS course sponsors. If you would like to make a group qualified purchase, call 1-844-4NARCAN (1-844-462-7226) or click here. 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 What is the most important information I should know about NARCAN® Nasal Spray? NARCAN ® Nasal Spray is to be given right away and does not take the place of emergency medical care. Naloxone, commonly known by the brand names Narcan and Evzio, has been used by EMS providers to treat overdoses for more than 30 years. 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 Patient Care Procedure Documents for NC EMS Systems (3.6 MB PDF) - Revised 6/8/2017 It is not known if NARCAN. The Indiana EMS system is ready every day for every kind of emergency. ~ The protocols are not necessarily what you learned in your EMS or specialty courses/CE/Conference. 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. Continue Reading. EMS personnel should be familiar with these programs, and prepared to assume care from trained bystanders who may have administered naloxone prior to … However, Montgomery County … Intranasal Administration Technique. Medical Director Statement of Approval . ADPH OEMS PATIENT CARE PROTOCOLS EDITION 9.01, JANUARY 2020 Section5: Disaster 120 5.01 Crisis Protocol … Those first responders may also have administered Narcan via their protocols. 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. BLS Protocols” to the EMS providers of Pennsylvania. Download the official, pre-signed Statewide Protocol. The tip of the syringe should be placed near or just inside the nostril . 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. NARCAN® Nasal Spray is used to temporarily reverse the effects of opioid medicines. 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) It can be given as an injection or as a nasal mist. http://www.who.int/substance_abuse/information-sheet/en. Naloxone, an effective opioid antidote, is commonly administered by advanced emergency medical services (EMS) personnel in the prehospital setting. 1. Call your doctor for medical advice about side effects. San Francisco Department of Public Health. Another example is the Police Assisted Addiction and Recovery Initiative in Gloucester, MA. EMS Data 2016 EMS Data 201 EMS Data 2018 RTDesignations... Read More. To see draft protocols and the schedule of work efforts, please visit the MDPB Resources Page. Stage Design - A Discussion between Industry Professionals. Click “Continue” to proceed or “Cancel” to return to NARCAN.com. Management of substance abuse: information sheet on opioid overdose. EMS is most easily recognized when emergency vehicles or helicopters are seen responding to incidents, but EMS is much more than a ride to the hospital. THE ADDITIONAL GUIDANCE IS ADOPTED, AND CAN BE USED IMMEDIATELY. Administer 100-200 micrograms naloxone IV immediately. As required per rule, a pharmacist provides patient counseling prior to dispensing naloxone. EMS Information Bulletin No. Since all EMS agencies in the region use GMVEMSC protocols, having a consistent SOP for law enforcement helps provide regional conformity. Snohomish County EMS has provided guidance, training, quality assurance, and certification support since 1977. Who We Represent All stakeholders involved in Emergency Medical Service provision from EMS Providers, to EMS Agencies, Hospitals, Community Groups and the general public. Field Assessment & Treatment Protocols. Ann Intern Med. Effective July 1, 2017 - Naloxone may be dispensed by pharmacists pursuant to the Statewide Protocol. Signs and symptoms include: seizures, crying more than usual, and increased reflexes. ~ The test is designed to learn what the new changes are. The dispensing of opioid antagonists approved by the FDA for use in treating an overdose must be reported to the CSMP. Establish a state-based policy:All Law Enforcement (LE) officers receive naloxone and training on its use, Additional Resources – NCHRC.org/law-enforcement. At what point do you administer narcan? Please see the documents below for general information and implementation regarding the Naloxone (Narcan®) Program: NARCAN Step-by-Step Guide. Drug delivery devices – 1 per student. Altered Mental Status (opioid overdose), continued . Monday to Friday - 8am to 4:30pm. EMS Protocols. 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. Ultimately, a naloxone program can be set up in just a few weeks. Active Assailant. The 2020 Statewide Treatment Protocols will go into effect on April 1, 2020. However, they are formally reviewed, edited, and released every two years. NARCAN® Nasal Spray [prescribing information]. Naloxone Protocol 3/8/2018. Naloxone is an opioid antagonist used to reverse an opioid overdose. Please check back periodically to be sure you have the most up-to-date release. Be aware that respiratory depression can return as the naloxone may act for a shorter time period than the opioid. Creation of naloxone EBG and sample protocol follows a systematic review of the scientific literature. Please Note: The West Virginia Office of Emergency Service has not authorized nor sanctioned the release of any third party mobile applications (e.g. Accessed April 13, 2020. 0 Shock Trauma Lecture Series. 10. 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. Centers for Disease Control and Prevention website. Designed for use in the community, NARCAN ® Nasal Spray is needle-free and ready to use. Protocols are occasionally amended during the year. Repeat this dose if no or limited response after 2 minutes. Emergency Medical Services, more commonly known as EMS, is a system that provides emergency medical care to Hoosiers more than 2,000 times per day. Bratberg JP. Other programs that have been successful have models and resources you can turn to. Logistic Regression analysis factors that were associated with Naloxone administration among EMS Providers. Reading material (this protocol) and test. Naloxone is inexpensive and effective, has no abuse potential, and does not cause harm to individuals experiencing a non-opioid overdose. 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 . A NYS EMS Lesson Plan Guide has been developed for use by EMS course sponsors. EMS Protocols. Additionally, new maps notating verified Trauma & Stroke Centers have been updated, as well as the board recommended “Trauma … In This Section. 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. �>�\p����. \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��. COVID-19 Protocols . Competency Skills Sheet. January 2015. https://prescribetoprevent.org/wp2015/wp-content/uploads/CA.Detailing_Provider_final.pdf. b) The single dose for administration under this protocol is 0.4 mg. c) Naloxone shall be administered intramuscularly (IM). Consider naloxone infusion. eMEDS Training. Visit the website at www.paariusa.org. 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 version of the EMS protocols, the scope of practice for each level of provider, important EMS Information Bulletins, and many other helpful resources. 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. Guidelines for Administration of Naloxone (Narcan) for Opioid induced Respiratory Depression . Adult: An initial dose of 2-4 mg may be administered IV, IN, IM, SC, or ET. Canadian Residents. 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. 10 0 obj <> endobj Opioids, naloxone, and beyond: The intersection of medication safety, public health, and pharmacy. 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. EMS Treatment Guidelines Over the last year, Coastal Valleys EMS Agency (CVEMSA) has worked in collaboration with a representative group of EMS system partners to revise many of the EMS system treatment guidelines. 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. Pediatric Education. World Health Organization website. Many EMS protocols seem to call for naloxone administration with a starting dose of between 0.4-0.5 mg for an adult patient. 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. You must work with your software, or, if need be, work with your software provider, to … BEMS Policy Statement #13-10: Intranasal Naloxone for Basic Life Support EMS Agencies. 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