Dublin City School District |
Administrative Guidelines |
5330.04 - NARCAN® NASAL SPRAY: MAINTENANCE AND USE
In accordance with State law, the Superintendent hereby approves this policy and procedure, alternatively termed "Administrative Guidelines," governing the maintenance and use of NARCAN® (naloxone hydrochloride) Nasal Spray.
A. |
Protocol for Use: |
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The manufacturer recommendations for NARCAN® Nasal Spray, are as follows: |
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1. |
Dosage : If signs or symptoms of opioid overdose are developing or present themselves, administer four (4) mg of NARCAN® Nasal Spray. |
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2. |
Frequency : Due to the duration of action of naloxone hydrochloride relative to the opioid, keep the individual under continued observation. If additional doses are available, administer repeat doses of NARCAN® Nasal Spray, every two (2) to three (3) minutes, as necessary, while awaiting emergency medical assistance. |
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3. |
Referral: The individual must be referred to a physician for medical evaluation, even if symptoms resolve completely. Symptoms may recur within minutes as the duration of action of most opioids exceeds that of naloxone hydrochloride. |
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4. |
Documentation and Notification: Document the details of the incident and notify the individual’s parents, guardian, or caretaker and emergency medical services (911) in accordance with school policy. |
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B. |
Locations: At least one (1) dose of NARCAN® Nasal Spray shall be securely stored in the AED kits in each building. |
C. |
Storage, Replacement, and Disposal: NARCAN® Nasal Spray shall be stored, replaced, and disposed of in accordance with the following guidelines: |
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1. |
Storage: NARCAN® Nasal Spray shall be stored in its sealed, original container from the manufacturer at room temperature, 59 degrees F to 77 degrees F. |
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2. |
Replacement: Will be re-ordered after use or expiration date of NARCAN® Nasal Spray. |
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3. |
Disposal: In sharps container after expiration date; if used, send with the person in which it was used with EMS. |
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The building principal/school nurse is responsible for verifying that at least one dose of NARCAN® Nasal Spray is maintained in the school building and that it has not expired. |
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D. |
Individuals Authorized to Administer NARCAN® Nasal Spray in Emergency Situations: The following individuals are authorized to access and use NARCAN® Nasal Spray in emergency situations: |
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1. |
licensed school nurse |
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2. |
licensed athletic trainer |
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3. |
athletic directors/site-directores |
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4. |
building administrators |
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5. |
building intern |
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6. |
building secretary |
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7. |
teacher |
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8. |
clinic aide |
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9. |
Traumatic First Aid Team |
10. |
Emergency Response Team |
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11. |
any staff member that thas been trained to administer the NARCAN® Nasal Spray |
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Each school shall have at least two (2) persons trained in the appropriate use of NARCAN® Nasal Spray. Building Principals shall maintain a list of the specific individuals authorized to use, in emergency situations, the District-maintained NARCAN® Nasal Spray. |
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E. |
Training: Before using a NARCAN® Nasal Spray in an emergency situation, an individual other than a licensed school nurse or licensed athletic trainer, must complete a NARCAN® Nasal Spray administration training conducted by a licensed health professional. The training shall include how to recognize opioid overdose and administer a NARCAN® Nasal Spray. The training shall also include an evaluation by the licensed health professional of the employees’ understanding of the protocols for administration of the NARCAN® Nasal Spray. The school nurse is responsible for coordinating the training of Board employees to administer NARCAN® Nasal Spray. |
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F. |
Emergency Situations: The authorized individuals may access and administer NARCAN® Nasal Spray in emergency situations, including but not limited to: |
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1. |
when an individual suffers from a known opioid overdose; |
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2. |
when an individual suffers from a suspected opioid overdose as manifested by respiratory and/or central nervous system depression. |
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G. |
Emergency Medical Provider Assistance: The individual administering shall seek immediate emergency medical assistance (911) after administration of the first dose of NARCAN® Nasal Spray. |
H. |
Additional Recipients of NARCAN® Nasal Spray Assistance: In addition to students, school employees, contractors, and visitors, NARCAN® Nasal Spray may be administered to the following individuals in an emergency situation: any individual on school grounds who is believed to be experiencing an opioid overdose. |
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I. |
Reporting of Administration: Any person who administers NARCAN® Nasal Spray to a student shall promptly notify the student’s parents/guardian. Additionally, all NARCAN® Nasal Spray administration by Board employees/contractors to students shall be reported to the superintendent. |
Approved 3/20/18