Mira Costa College Police Department OPIOID OVERDOSE NALAXONE

Mira. Costa College Police Department OPIOID OVERDOSE NALAXONE PROGRAM FOR LAW ENFORCEMENT

Drug Overdose Deaths in the US - 2017 According to the Center for Disease Control and Prevention, 70, 237 people died from drug overdose in the year of 2017 making it a leading cause of injury-related death in the United States. 68% of the deaths involved a prescription of illicit opioid Adults between the ages of 25 and 54 years old have the highest rates of opioid overdose deaths In 2017, California alone saw 2, 199 opioid related deaths *National Institute of Drug Abuse and CDC

Why MCPD? MCPD sworn police officers may be called to a person or persons experiencing an opioid overdose within our district. Those responding officers will be equipped with Nalaxone (Narcan) which is a safe, effective and easy to use medication which can reverse the effects of opioids

Legal Premises for Implementation Administration of nasal naloxone by pre-hospital emergency medical care personnel, which include peace officers (H&S § 1797. 183/. 188/197/. 221, PC § 13518) The medical director of a local EMS agency may, pursuant to H&S § 1797. 221, approve or conduct a trial study of the use and administration of naloxone hydrochloride or other opioid antagonists by any level of pre-hospital emergency medical care personnel Liability protection - reasonable care in administering opioid antagonist (AB-635/Civil Code § 1714. 22). Training requirements for naloxone. (CCR Title 22 Division 9 - Chapter 1. 5 - § 100019) Existing law also allows for the dispensing of naloxone by a pharmacist over the counter (AB-1535, SB-1438, H&S § 1797. 189 paragraph (2) of subdivision (a)).

Naloxone - Narcan Naloxone, sold under the brand name of Narcan among others, is a medication used to block the effects of opioids, especially in overdose. Side rare effects resulting from Narcan are VERY

Naloxone - Narcan https: //www. narcan. com/first-responders/law-enforcement-roll-call-video/

Indications for Use When officer arrives on scene, the following should be brought to the scene: Naloxone kit First aid bag AED (Automated External Defibrillator) Ensure the scene is safe Don appropriate Personal Protective Equipment (PPE) Assess the need for medical treatment of the person consistent with Department policies, procedures and training. This includes obtaining statements from witnesses and/or family members regarding drug use. Request Fire and Paramedics if not already in route Provide first aid to the person consistent with first responder training Continue to observe and provide first aid until Fire and Paramedics arrive

Anatomy of an Overdose Opioids repress the urge to breath Carbon dioxide levels increase OVERDOSE Oxygen levels decrease This process takes time, leaving time to respond but there is no time to waste 1 • SLOW BREATHING 2 • BREATHING STOPS 3 • LACK OF OXYGEN MAY CAUSE BRAIN DAMAGE 4 5 • HEART STOPS • DEATH

Anatomy of an Overdose Loss of consciousness Unresponsive to outside stimulus Awake, but unable to talk Breathing is very slow, shallow, erratic or has stopped Choking sounds or a snore like gurgling sound (“death rattle”) Vomiting Body is very limp Face is very pale and clammy Fingernails and lips turn blue or purplish black Pulse heartbeat is slow, erratic or not there at all

How Narcan Works Narcan Keeps reverses the effects of an opioid the patient breathing until help arrives Be prepared to support breathing and control the airway Upon administration, the patient may become combative

Storage of Narcan storage temperature 57° to 77° F May be stored for short periods up to 104° F Do not freeze the medication Patrol car temperature test conducted by Los Altos Hills found: Inside the insulated case, inside first aid bag in the trunk: Exterior air temperature - 86° F Exterior top of trunk - 138° F Interior of trunk - 110° F Exterior of insulated case - 105° F Interior of insulated case - 95° F Long term storage in patrol vehicles is NOT an option One unit of Narcan will be issued to each officer and will be stored in the station while off duty.

Narcan Kit and Needed Equipment Single use nasal spray 2 spray modules per box Carrying case for duty belt AED

Using the Narcan Kit The Narcan kit will be stored in accordance with MCPD P&P for Naloxone The Narcan kit, first aid bag and AED shall be brought into all medical call locations Remove the kit from your duty belt pouch Ensure the patient is in the supine (lying face up) position Open the airway Insert the tip into the nostril Push the plunger all the way

Patient Care If there is no response from the initial dose, repeat. Monitor the patient. They may respond by waking, becoming combative or trying to leave There is no Against Medical Advice (AMA) from the Police Department’s stand point Narcan is a short-term medication. Patients will revert back to the overdose unless they receive proper care from EMS ALWAYS be prepared to perform CPR/Assist breathing

Transferring Patient Upon the arrival of FD/EMS, brief them on what you did Eg. CPR, AED, assist breathing, Narcan administration If Narcan was administered, please tell FD/EMS what the patients response was to the Narcan administration

Things to Remember…… It’s a Medical Call CPR/Assist Breathing/AED take priority If possible, two sworn officer response One squeeze of Narcan Use breathing mask to support respiration Transfer the patient to EMS as quick as possible