PREHOSPITAL ADMINISTRATION OF NALOXONE RENEE YANDEL PAT MOORE HIV ALLIANCE DINT Amnesty in overdose reporting Senate Bill 839 of the 2015 Oregon Legislative Session A person who calls EMS or Police to report an OD along with the actual patient may not be arrested or prosecu ID: 552106
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Slide1
OVERDOSE PREVENTION
PRE-HOSPITAL ADMINISTRATION
OF NALOXONE
RENEE YANDEL PAT MOORE
HIV ALLIANCE D.I.N.T. Slide2
Amnesty in overdose reporting
Senate Bill 839 of the 2015 Oregon Legislative Session.
A person who calls EMS or Police to report an OD, along with the actual patient, may not be arrested or prosecuted for the following crimes if the evidence was obtained pursuant to the emergency response:
Frequenting a Drug House, Possession of Controlled Substance, Unlawful Possession of Hydrocodone, Methadone, Oxy, Heroin, Marijuana, Cocaine, Meth, Rx, or Paraphernalia w/ intent to sell.
Pre-existing arrest warrants will NOT be served upon the reporting party or patient if the warrant was issued for any of the crimes listed above, or for a violation of Parole or Probation pursuant to such an offense Slide3
Douglas county overdose rates:
33 deaths in 30 months (2012 to 2014):
24 of the 33 (73%) by Opiates, including synthetic opioids.
75% of Opiate deaths involved Rx; the other six were by Heroin.
Two-thirds of ALL fatal ODs were via Rx; nine via illicit drugs.
Meanwhile, Heroin arrests in Douglas County topped 200 for the first time ever, in the calendar year 2015.
Naloxone has been issued to select, trained LE officers in DINT, the county jail, and Winston Police Department. Slide4
Oregon Senate Bill 384
You can use naloxone on someone else.
You will not be liable if something bad happens (mostly).
A variety of organizations can train individuals and give them naloxone.
You can also take a “training certificate” to a pharmacy.
Pharmacists can train/prescribe. New House Bill 4124
Social service agencies: trained staff use, not just by individual named employee. New House Bill 4124 Slide5
What is naloxone ?
Opioid antagonist-temporarily stops effects of opioids
Cannot be used to get high, not addictive
No effect if the person has not taken Opioid
Effective even if Opioid taken w alcohol or other drugs
No risk if the person has not taken Opioid or not overdosingSlide6
What is naloxone?
Administered via injection or nasal
Injection Dose 1mL vial, kits contain 2
Onset of action 3-15 mins
Duration of action: 30-45 minsSlide7
Nasal naloxone
7Slide8
Auto-injector
8
8Slide9
9
Narcan
SpraySlide10
Naloxone Training
OAR 333-055-0100 through 333-055-0110
Training must meet OHA criteria
Training must be “approved” by a licensed physician or Nurse Practitioner
Retraining every 3 years
OHA Training Video: https://www.youtube.com/watch?v=wsN0ijLnK2k&feature=youtubeSlide11
Opioid
Overdose Prevention Programs Providing Naloxone to Laypersons
82.8% of the reported reversals were done by people who use drugs and 9.6% by family and friends of a user. Service providers came in at 0.2%.
“An opioid overdose is a life-threatening medical emergency. If laypeople have naloxone, they can start the process of reviving the person before paramedics or law enforcement come through the door.”
Dr. Stephen Jones, researcher and author of the report
CDC Report 2015Slide12
HIV Alliance Naloxone Distribution
December 2015-OR DOJ Settles with
Insys
January 2016- Lines for Life (LFL) receives funds from settlement to prevent Opioid abuse and misuse
April 2015-HIV Alliance receives funding through LFL
July 2016- HIVA launches Naloxone project in Lane Co.
January 2017-HIVA launches Naloxone project in Douglas Co.
February 2017- HIVA partners with Max’s Mission to host a community training and distributes 22 doses to family/friendsSlide13
HIVA kit
Naloxone
Syringes
Face shield
Alcohol wipes
Sharps container
Info & InstructionsSlide14
NEX survey
Have you ever witnessed a drug overdose ?
83% reported YES
Have you ever overdosed? 53% reported YES
Have you overdosed in the last yr? 20% reported YES
What type of insurance do you have?
OHP 63%
None 27%
Medicare 5%
VA 3%
Private 2%Slide15
Syringes
Exchanged
2013-2016
(Douglas County)Slide16
Contact Information
Renee Yandel
HIV Alliance
Executive Director
541.342.5088 x 113
ryandel@hivalliance.org
Lieutenant Pat Moore,
Commander
Douglas Interagency Narcotics Team
541.440.4474
pmoore@cityof roseburg.org