Stock Naloxone Policy: JLCD-R

I. PURPOSE

• The purpose of this policy is to establish guidelines and procedures governing the utilization and administration of the opioid antagonist, naloxone, administered by trained district staff.

II. POLICY

• Per RIGL §16-21-35 (2015-S 0154A, 2015-H 5047A), it is the policy of 27J Schools that all public secondary schools (Charters may opt in) shall provide and maintain, as available, on-site in each school facility an opioid antagonist. To treat a case of suspected opioid overdose in a school setting, any trained nurse or staff member may administer an opioid antagonist, during an emergency, to any student or staff suspected of having an opioid-related drug overdose whether or not there is a previous history of opioid abuse.
• No school nurse or trained staff member shall be liable for civil damages which may result from acts of omissions relating to the use of the opioid antagonist which may constitute ordinary negligence; nor shall the school personnel be subject to criminal prosecution which may result from acts or omissions in the good faith administration of an opioid antagonist. This immunity does not apply to acts or omissions constituting gross negligence or willful or wanton conduct. No school nurse or trained staff member shall be subject to penalty or disciplinary action for refusing to be trained in the administration of an opioid antagonist.

III. TRAINING

• 1. School nurses and designated staff shall be trained in the use of naloxone utilizing training materials approved by the Children’s Hospital Colorado School Health Department.

IV. PROCUREMENT OF NALOXONE

• 1. The superintendent, principal, school nurse, or designee will be responsible for the procurement of naloxone. The school district’s nurse liaison shall sign and approve standing orders and update annually provided naloxone is available and at the request of the school district designee.

List of naloxone related supplies, manufacturers, and quantity

Item	Manufacturer	Quantity
Naloxone HCL 4mg/0.1ml Nasal Spray	ADAPT	1
Gloves, pair	Various	1
Mask/barrier device	Various	1
Step by step instructions	Various	1

V. STORAGE

1. Naloxone will be clearly marked and stored in an accessible place at the discretion of the school nurse. The school nurse will ensure that all other relevant staff are aware of the naloxone storage location.
2. Naloxone will be stored in accordance with manufacturer’s instructions to avoid extreme cold, heat, and direct sunlight.
3. Inspection of the naloxone shall be conducted regularly.
   • Check the expiration date found on box.

VI. USE OF NALOXONE

1. In case of a suspected opioid overdose, school nurses or other trained staff shall follow the protocols outlined in the naloxone training:
   • a. Call the SRO who will activate EMS and alert the school medical response team.
   • b. Administer rescue breathing if indicated.
   • c. The school SRO shall prepare and administer naloxone; if the SRO is either not available or does not have naloxone available on his/her person, then trained staff should administer the stock naloxone.
   • d. Continue rescue breathing as needed.
   • e. Give another dose of naloxone in 3 minutes if no response or minimal breathing or responsiveness (if available).
   • f. Naloxone wears off in 30-90 minutes, which necessitates definitive medical care
   • g. Comfort them; withdrawal can be unpleasant
   • h. Encourage survivors to seek treatment

VII. FOLLOW-UP

1. After administration of naloxone, the school nurse or other trained staff will follow the Colorado Department of Education reporting protocols.
2. The school nurse or trained staff will:
   • a. Ensure that the overdose victim was transported to the emergency department
   • b. Notify appropriate student services
   • c. Provide substance abuse prevention resources to the overdose victim and family, as appropriate