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- Administration and Maintenance of Intranasal Naloxone, G.O. No. 3.1.65 Page 1 ALBANY, NEW YORK POLICE DEPARTMENT 165 HENRY JOHNSON BOULEVARD ALBANY, NEW YORK 12210 ADMINISTRATION AND MAINTENANCE OF INTRANASAL NALOXONE GENERAL ORDER NO: 3.1.65 Issue Date: December 6, 2016 Effective Date: December 6, 2016 Revision Date: December 6, 2016 CALEA: N/A Volume III: Operations Chapter I: Patrol and Investigations Distribution: All Personnel NYSLEAP: N/A Issuing Authority: Chief Eric Hawkins Page: 1 of 4 PURPOSE: The purpose of this policy is to establish broad guidelines and regulations governing the utilization of naloxone by trained personnel. The objective is to treat and reduce injuries and fatalities due to opioid-involved overdoses POLICY: It is the policy of the Albany Police Department to train personnel in the use and administration of naloxone in compliance with New York State Public Health Law §3309 and the regulations in §80.138 of Title 10 of the New York Codes, Rules and Regulations. New York State Public Health Law §3309 provides protection for non-medical individuals from liability when administering naloxone to reverse an opioid overdose. DEFINITIONS: Opioid – Opioid means a medication or drug that is derived from the opium poppy or that mimics the effect of an opiate. Opiate drugs are narcotic sedatives that depress activity of the central nervous system; these will reduce pain, induce sleep, and in overdose, will cause people to stop breathing. First responders often encounter opiates in the form of morphine, methadone, codeine, heroin, fentanyl, oxycodone (OxyContin®, Percocet®, and Percocet®), and hydrocodone (Vicodin®). Naloxone – Naloxone means a prescription medication that can be used to reverse the effects of an opiate overdose. Specifically, it displaces opioids from the receptors in the brain that control the central nervous system and respiratory system. It is marketed under various trademarks, including Narcan®. Overdose Rescue Kit – Overdose rescue kits should at a minimum include the following: One prefilled luer-lock syringes, without needles, each containing 2mg of naloxone in 2ml of solution, and within their manufacturer assigned expiration dates. And one mucosal atomizer device (MAD) tips, compatible with standard luer-lock syringes. I. PROCEDURES A. Deployment 1. The Commander of Administrative Services shall be the coordinator for Eric Hawkins Chief of Police 1789 ---PAGE BREAK--- - Administration and Maintenance of Intranasal Naloxone, G.O. No. 3.1.65 Page 2 the naloxone administration program. Duties and responsibilities shall include: a. Maintaining training records for personnel; b. Assuring the supply, integrity and expiration dates of the Overdose Rescue Kits; and c. Assuring the maintenance of the administration records. 2. Personnel shall only carry and administer Overdose Rescue Kits after successfully completing department administered training in the use of the kits. a. Refresher training should occur at minimum biennially and consist of familiarity with the assembly of the Overdose Rescue Kit and the effective administration and maintenance of naloxone. 3. Overdose Rescue Kits shall be maintained by each unit and deployment of such shall be recorded in the unit blotter. II. NALOXONE USE A. AFD/EMS will be dispatched to all potential overdoses and medical emergencies. If a police unit arrives prior to the arrival of AFD/EMS the responding officer will notify the dispatcher of the circumstances and physical state of the victim so that EMS has the most up to date status. B. Officers should use universal precautions and protections from blood borne pathogens and communicable diseases when administering naloxone. C. Officers will determine need for treatment with naloxone by evaluating the aided: if the aided is unresponsive with decreased or absent respirations they should administer naloxone following the established training guidelines. D. Once the assessment of the aided is complete; which should include, but may not be limited to determining unresponsiveness and other indicators of opioid involved overdose, each officer will administer the medication from the Overdose Rescue Kit following the established training guidelines. E. Officers will use proper tactics when administering naloxone; aided individuals who are revived from an opioid overdose may regain consciousness in an agitated and combative state and may exhibit associated with withdrawal. F. Upon EMS arrival, officers shall inform EMS that naloxone has been administered. G. Officers shall complete a New York State Public Safety Naloxone Quality Improvement Usage Report shown on page 4 of this general order and forward it to the NYS Department of Health using the submission information on the bottom of the form. The original copy will then be forwarded to Central Records through departmental mail. ---PAGE BREAK--- - Administration and Maintenance of Intranasal Naloxone, G.O. No. 3.1.65 Page 3 1. A copy of the form shall also be faxed to Albany Medical Center Staff at [PHONE REDACTED] upon the officer’s completion of the report. III. MAINTENANCE/REPLACEMENT OF NALOXONE A. Overdose Rescue Kits will be carried in a manner consistent with proper storage guidelines for temperature and sunlight exposure. B. Used, lost, damaged, or expired Overdose Rescue Kits will be replaced through the Training Unit. C. Expired naloxone will be: 1. Maintained by the department for use in training; or 2. Properly disposed of according to agency policy. ---PAGE BREAK--- - Administration and Maintenance of Intranasal Naloxone, G.O. No. 3.1.65 Page 4