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43.0 EMERGENCY OPIOID ANTAGONIST TREATMENT Page 1 of 5 EDGEWOOD POLICE DEPARTMENT GENERAL ORDER # 43.0 EMERGENCY OPIOID ANTAGONIST TREATMENT Effective Date: June 15, 2017 The purpose of this policy is to establ ish guidelines and regulations governing the utilization of intra -nasal Narcan by trained personnel within the Edgewood Police Department. The objective is to treat and reduce injuries and fatalities due to opioid -involved overdoses when trained sworn personnel are first to arrive at th e scene of a suspected overdose . This General Order consists of the following numbered sections: I. Policy II. Definitions III. Procedures I. POLICY It is the policy of the Edgewood Police Department to be able to provide the best possible response to the citizens and visitors of the City of Edgewood , including the administration of an emergency opioid antagonist when indicated by trained officers, in the absence of trained emergen cy medical personnel, as outlined in Florida State Statute (FSS) 381.887, also known as the Emergency Treatment and Recovery Act. II. DEFINITIONS A. Emergency Opioid Antagonist - Narcan hydrochloride or any similarly acting drug that blocks the effects of op ioids administered from outside the body and that is approved by the United States Food and Drug Administration for the treatment of an opioid overdose. B. Naloxone (commonly marketed and known as Narcan) - A prescription medicine that reverses an opioid overdose by blocking opioids in the brain for 30 to 90 minutes. Opioids that can be affected by Narcan administration include heroin, oxycodone, methadone, fentanyl, morphine, codeine, opium, hydrocodone, a nd name -brand drugs such as Percocet, Vicodin and Demerol. C. Opioid Ov erdose - The ingestion of an excessive dose of heroin or opiate based prescription drugs such as methadone, fentanyl, oxycodone, hydrocodone, morphine , codeine or name -brand drugs such as P ercocet, Vicodin, and Demerol. Indicators of an opioid overdose are the patient shall not wake up, shall not respond to your voice or touch, breathing is very slow, irregular, or has stopped, “pinpoint pupils,” or bluish lips. 43.0 EMERGENCY OPIOID ANTAGONIST TREATMENT Page 2 of 5 D. Patie nt- A person at risk of experiencing an opioid overdose. E. Administer or Administration - To introduce an emergency opioid antagonist into the body of a person. F. Office of the Med ical Director’s Standing Order - A formal document signed by the Orange County Office of the Medical Direc tor authorizing trained department perso nnel to administer Narcan nasal spray to persons at risk of experiencing a suspected opioid -related overdose. The Standing Order is to be renewed annually by Orange County’s Office of the Medical Director. G. Recovery P osition – A first aid position to protect the airway of an unconscious or semi -unconscious person. The patient is laid on one side with the underneath leg straight while the other leg is fully flexed at the hip, with the knee bent and resting on the ground , to prevent rolling onto the back. The head is supported by the arm, maintaining the desired position with the face tilted towards the ground. III. PROCEDURES A. Narcan Deployment 1. Narcan will be assigned to each properly trained Edgewood Police Officer . 2. When using the Narcan Kit, officers will first adhere to the following: a. Ensure scene is safe and maintain/use universal precautions. b. Perform a patient assessment: 1. Determine if it is a suspected (or high suspicion of a) opioid overdose 2. Determine patient’s unresponsiveness 3. Absence of breathing 4. Absence of pulse c. Officers shall update dispatch that a patient is in a potential overdose state. 1. Dispatch will notif y EMS to dispatch medical assistance. 3. Officer protocols a. Identify and assess the victim for responsiveness, pulse, and status of breathing. b. If no pulse, initiate CPR and AED; notify incoming EMS c. If a pulse is present and th e victim is unconscious, assess breathing status. 1. If breathing is adequate and no signs of trauma, place patient in the recovery position protecting airway from aspiration (vomiting). 2. If breathing is labored, patient has snoring res pirations, decreased or signs of low oxygen (cyanosis) place patient in recovery position. If overdose is suspected (based on history, evidence on scene, bystander reports, physical examination) and the patient does not improve in the recovery position then proceed with Narcan administration. d. Retrieve Narcan . e. Remove applicator from blister pack 43.0 EMERGENCY OPIOID ANTAGONIST TREATMENT Page 3 of 5 f. Officer should use proper defensive tactics when administering Narcan g. Place the patient on their back facing upwards prior to administering; be sure the device nozzle is inserted into either nostril of the patient, and provide support to the back of the neck to allow