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OVERDOSE EDUCATION Pharmacy Naloxone ( N a r c a n ) Rescue Kit Access Program 1. Overdose risks factors a. Previous OD b. Using after not using for 3 or more days c. Mixing drugs 2. Recognize a. Turning blue? b. Trouble breathing? c. Not responding to you? 3. Respond a. Sternal rub – rub knuckles on breastbone for 10-15 seconds b. Call 9-1-1 c. Let them know exactly where you are 4. Rescue breathing a. Tilt head back and pinch nose b. Give 2 small breaths then 1 breath every 5 seconds 5. Administer Naloxone a. Give 1st dose b. Rescue breathing c. Give 2nd dose after 2- 3 minutes 6. Tell first responders you’ve administered Naloxone when they arrive. Healthy Streets Outreach Program A program of Health Innovations Inc. 100 Willow Street 2nd Floor Lynn, MA 01902 Phone: (339) 440-5633 Fax: (339) 440-5653 Find Us on Facebook! WHAT DO I SAY AT THE PHARMACY? 1. Make sure the pharmacy you are going to is under the standing order. (call us if you don’t know) 2. Have your insurance card ready if you have one. 3. Bring an ID if you have one. 4. “Hello, I’d like a Naloxone Rescue Kit please.” 5. Please tell the pharmacist if you prefer nasal or injectable. 6. The pharmacy tech will input your information and the pharmacist checks the order. 7. Ask for the cost or co-pay before they fill the order. 8. If the pharmacy declines the request please ask politely if they are familiar with the standing order. 9. If they are on the list of participating pharmacies but are unable to fill the request or are unfamiliar with the standing order please call us as soon as you can with the name and location of the pharmacy. Healthy Streets Outreach Program Phone: [PHONE REDACTED] ---PAGE BREAK--- STANDING ORDER “On Thursday March 27th, 2014, Governor Patrick declared a state of emergency, providing emergency powers to DPH Commissioner Cheryl Bartlett, RN. At the Governor’s direction, Commissioner Bartlett, with the approval of the Public Health Council, issued an order that authorized pharmacists to dispense Naloxone Rescue Kits to a person at risk of experiencing an opiate-related overdose or a family member, friend or other person in a position to assist a person at risk of experiencing an opiate-related overdose.” Text from Massachusetts Department of Public Health Example Standing Order – Available at www.mass.gov **This standing order covers BOTH Nasal Naloxone and Intramuscular Naloxone SO WHAT DOES THAT MEAN? Take home Naloxone kits can be dispensed by a pharmacist WITHOUT a prescription under this current standing order. Registered pharmacists participating in the pharmacy access program should be familiar with the “Naloxone Pamphlet” that comes with your kit. Registered pharmacists dispensing the kits should be familiar with the use of the Naloxone Rescue Kits. Individuals should become familiar with assembly and administration of Naloxone prior to the need to use it. HOW MUCH IS THE KIT? Some insurance plans will cover some or all of the cost. Some health centers will cover the cost of the kit for their patients. The cost will vary and we STRONGLY suggest that you contact the pharmacy or your insurance and ask for prices before ordering the prescription. Prices can range from $0.00 for the 2 dose/2 atomizer kit up to $50.00 for a 2 dose/2 atomizer kit.