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Opioid Overdose Responder Training

Opioid Overdose Responder Training. Presented by [insert name of organization] Adapted from NJ Department of Human Services/Division of Mental Health and Addiction Services. Purpose of this Course. Training community members to be prepared in an overdose situation

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Opioid Overdose Responder Training

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  1. Opioid Overdose Responder Training Presented by [insert name of organization] Adapted from NJ Department of Human Services/Division of Mental Health and Addiction Services

  2. Purpose of this Course • Training community members to be prepared in an overdose situation • Recognizing an opioid overdose • Providing emergency assistance, including rescue breathing • Administering naloxone to the victim • Providing the victim with recovery resources

  3. What are Opioids? • Can be natural or synthetic • Work on the opioid receptors in the body • Includes the illegal drugs like heroin as well as prescription pain medications such as oxycodone, fentanyl, etc. • Can be tampered with to be snorted or injected • Can be abused when taken by mouth

  4. What is an Opioid Overdose? • Opioids bind to opioid receptors in the brain as well as on vital organs • When too much of an opioid is taken, body functions can shut down • Breathing is slowed down or stopped • The victim is not receiving vital oxygen to his/her brain

  5. Overdose Risk Factors • Using an opioid after not using it for a period of time after detox, jail, etc. • Using street drugs with unknown strength or purity • Using an abusive method such as snorting or injecting • Mixing with other drugs or with alcohol • Using drugs without anyone around

  6. How Does Naloxone Work? • Displaces opioids from the opioid receptors • Only effective for overdoses related to opioids • Works for about 30 to 90 minutes • Even if victim responds to treatment, must still seek emergency services

  7. Naloxone given by a Bystander • Can be on the scene before emergency first responders • No adverse effect if given to someone who is not suffering opioid overdose • Intranasal spray can be properly administered with minimal training • No risk of needle sticks with intranasal formulation

  8. Opioid Overdose and NJ Law • Overdose Prevention Act signed by Chris Christie in May 2013 • Protects someone who overdoses or seeks help for someone else from prosecution for drug use or possession • Prevents not seeking help for fear of getting in trouble with the law

  9. Signs of an Opioid Overdose • Slow breathing, gurgling sounds, or no breathing • Cold and clammy skin • Blue lips or fingertips • Confusion, seizure, unconsciousness • Pinpoint pupils

  10. Steps in an Opioid Overdose • ASSESS AND STIMULATE • CALL 911 • PERFORM RESCUE BREATHING • ADMINISTER NALOXONE • STAY AND ASSIST

  11. ASSESS AND STIMULATE • Attempt to wake the victim by yelling his/her name or using your knuckle to rub his/her sternum • Check the individual’s breathing • If the individual is breathing, place him/her in the recovery position • If there is no breathing or pulse, CALL 911 IMMEDIATELY

  12. PERFORM RESCUE BREATHING Healthy Streets Outreach Program, Lynn, MA

  13. ADMINISTER NALOXONE http://harmreduction.org/wp-content/uploads/2014/10/OD-Response-administer-naloxone-intranasal-instructions.png

  14. ADMINISTER NALOXONE • Spray half of the vial into each nostril, equivalent to one full dose • Observe for any signs of breathing or the victim awakening • If there is no response in 2 to 5 minutes, a second full dose of naloxone can be given Healthy Streets Outreach Program, Lynn, MA

  15. STAY AND ASSIST • Stay with victim and monitor: • Observe for withdrawal symptoms (agitation, sweating, vomiting, etc.) • Observe for return of overdose symptoms • Prevent choking or aspiration • Place the victim on their side in the recovery position

  16. The Recovery Position • Ensures safety of someone who is unconscious, but breathing • Prevents choking or aspiration Healthy Streets Outreach Program, Lynn, MA

  17. Staying with the Victim • Naloxone is only a temporary reversal agent • If a victim is going through withdrawal symptoms, he/she may try to immediately use again • It helps to explain to paramedics exactly what happened in the overdose situation

  18. The Aftermath of an Overdose • You may be in the position to have a conversation with the victim about recovery options • Resources can be found at knowaddiction.nj.gov • Make sure to replenish your supply of naloxone in case of an emergency

  19. Thank you for saving lives! We must work together as a community to fight back against the opioid epidemic.

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