Naloxone Flashcards
Rationale
Naloxone is a ____________ which can be used to temporarily counteract an ________________ and prevent ________________.
life-saving medication
opioid overdose
an overdose death
Fentanyl
Fentanyl is a ________________ that is highly toxic and potentially lethal in small doses. The potency and toxicity of fentanyl varies significantly, as it is sometimes___________________. As it can be ______________, proper handling of suspected fentanyl and fentanyl analogues is essential to minimizing health risks to involved members.
powerful synthetic opioid
combined with other powdered illicit narcotics and cutting agents
skin permeable
Members shall seek immediate medical attention, in compliance with Procedure 08–06, if they feel ill and note any of the following symptoms:
irregular and or shallow difficult breathing, confusion, seizures, dizziness, excessive drowsiness, headaches, pinpoint pupils, or nausea/vomiting.
Naloxone Spray Kits
The Service will be providing designated members with kits containing Narcan® brand (Naloxone) nasal spray. Each Naloxone nasal spray kit contains ______doses of Naloxone nasal spray ________.
two (2)
(4mg/0.1ml).
Naloxone nasal spray requires storage protection from extreme temperature changes. It must be stored between _____ to ____, with brief excursions permitted between _____ to ______.
15˚C to 25˚C
4˚C to 40˚C
Naloxone cannot be ______ and must be protected from ___________.
frozen
direct sunlight
Medical Oversight
Section 27 of the _________________ states that controlled medical acts, such as administering Naloxone nasal spray to a person experiencing an opioid overdose, may only be performed by persons who are not physicians if a physician has delegated that authority to them.
Regulated Health Professions Act (RHPA)
The Service has obtained a medical delegation from a physician in order for police officers to be able to administer Naloxone to members of the public experiencing an overdose. This medical delegation stipulates that
all police officers being issued Naloxone shall maintain a current Standard First Aid certification. Failure to maintain a Standard First Aid certification shall result in the requirement for police officers to return their Service issued Naloxone kit.
Any police officer that attends an opioid-related overdose shall complete
The Naloxone Tracking Form text template in the related eReport forthwith, regardless of whether Naloxone was administered or not.
The Ontario Special Investigations Unit (OSIU) has advised all police services across Ontario that they require notification in instances where
officers administer naloxone and the OSIU established injury threshold is met. This will include instances of admission of the overdosing subject to hospital and instances where officers did not administer Naloxone spray when there was a delay in attendance at the scene by Toronto Paramedic Services (Paramedics) and or Toronto Fire Services (TFS). The OSIU may also invoke their mandate in all instances where Naloxone is administered to an on-duty Service member.
Police Officer
Prior to being issued a Naloxone kit, members shall complete
the Naloxone training program as required by the Toronto Police College (TPC).
Police Officer
When issued a Naloxone kit shall
maintain a current Standard First Aid certification
NOTE:
Medical delegation under the RHPA stipulates that all officers being issued Naloxone shall maintain a current Standard First Aid certification. Officers shall return their Naloxone kit to their Unit Commander in the event their Standard First Aid certification expires.
obtain a replacement Naloxone kit, as soon as practicable, in the event a kit is
- lost
damaged, including as a result of exposure to heat
or cold
- used
- expired
Police Officer
Officers shall return their Naloxone kit to their _______________in the event their Standard First Aid certification expires.
Unit Commander
Police officers shall only administer Naloxone as needed when
arriving on scene where a person is suspected of overdosing
TFS and Paramedics are not yet on scene
subject is not breathing and CPR has been initiated
officer’s safety will not be compromised
Police Officer
After administering Naloxone to an overdosing subject shall
immediately notify Supervisor
complete an eReport, including a Naloxone Tracking Form text template
In cases where the OSIU mandate is invoked, ________shall collect all evidence
the OSIU
Supervisor
When attending the scene of an overdose where Naloxone has been administered; or
officers carrying Naloxone attended the scene prior to TFS and Paramedics, but did not administer Naloxone;
shall immediately notify the
Officer in Charge at their division or squad
Officer in Charge – Toronto Police Operations Centre (TPOC)
Supervisor
When attending the scene of an overdose where Naloxone has been administered; or
officers carrying Naloxone attended the scene prior to TFS and Paramedics, but did not administer Naloxone;
shall immediately notify the
Officer in Charge at their division or squad
Officer in Charge – Toronto Police Operations Centre (TPOC)
Supervisor
After Naloxone has been administered, shall ensure
that a Naloxone Tracking Form text template is completed as a part of the related eReport.
Officer in Charge
When notified that Naloxone has been used on a Service member who has been critically injured shall
immediately notify the involved member’s Unit Commander and the Officer in Charge – TPOC of the particulars of the event, including
-the date, time and location of the event
-the nature of the injury
-the circumstances that caused the event
-the injured member’s name, badge, unit
-the whereabouts of the injured member
-any other relevant facts
Officer in Charge
When directed to retrieve a police officer’s Naloxone kit, because their Standard First Aid Certification has expired, shall return the kit to ___________.
the Wellness unit.
Officer in Charge
When in receipt of a Naloxone kit that has been damaged, used or expired shall
mark the kit with “X”
complete a TPS 929 and email the form to the Wellness unit – Medical Advisory Services (MAS)
return the spoiled Naloxone kit to the Wellness unit via internal mail
Officer in Charge – TPOC
When Naloxone has been administered to on an on-duty Service member who has been critically injured shall
immediately notify the
on–call Wellness unit member
on–call Director of the Toronto Police Association
or the Senior Officers Organization
Duty Inspector – TPOCUnit Commander
When in command of police officers that have been issued a Naloxone kit shall ensure
the officers have successfully completed the Naloxone training program as required by the TPC
the officers complete Standard First Aid training at least once every thirty six (36) months
compliance with item 2
Unit Commander
16.
When in command of police officers that have been issued a Naloxone kit shall ensure the officers complete Standard First Aid training at least once every ____________.
thirty six (36) months
Unit Commander
When a police officer’s Standard First Aid certification expires, shall ensure that their Service issued Naloxone kit is returned to _________________.
the Wellness unit.
Unit Commander – Wellness Unit
When a Naloxone kit is returned to MAS shall ensure
the kit and related TPS 929 are tracked per unit specific policy
the spoiled kit is disposed of in method prescribed by the Naloxone kit provider
