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Date: 11/03/17 Revision: NEW Reviewed: 01/30/25 HILLSBOROUGH COUNTY SHERIFF’S OFFICE CHAD CHRONISTER, SHERIFF STANDARD OPERATING PROCEDURE Number: GEN 505.04 Page: 1 of 3 SUBJECT: OPIOID ANTAGONIST PROGRAM (Naloxone or Narcan) I. PURPOSE: The pur pose of this Standard Operating Procedure is to define guidelines governing the administration of naloxone hydrochloride by sworn Sheriff’s Office personnel. The objective is to treat suspected opioid overdoses as outlined in Florida Statute § 381.887 to reduce injuries and fatalities when a Sheriff’s Office deputy arrives on scene before emergency medical services personnel. II. SCOPE: This procedure shall apply to sworn Sheriff's Office personnel who have successfully completed the required cou rse of i nstruction on the administration of an emergency opioid antagonist, such as naloxone hydrochloride . III. DISCUSSION: Sheriff's Office deputies, as first responders, may render medical aid to individuals suspected of opioid overdoses. Naloxone h ydrochol oride may be provided to trained Sheriff’ s Office deputies as a tool to enhance the effectiveness of medical aid to individuals suspected of an opioid overdose. IV. DEFINITION: A. Antagonist – A drug that counteracts the effects of another drug. B. Naloxone Hydrochloride (Naloxone/Narcan) – An emergency opioid antagonist that blocks the effects of opioids administered from outside the body and that is approved by the United States Food and Drug Administration for the treatment of opioid overdose , such a s Naloxone auto injector or Narcan Nasal Spray. C. Opioid Overdose – The ingestion of an excessive dose of heroin or opiate - based prescription drugs such as methadone, fentanyl, oxycodone, hydrocodone, morphine, codeine, and name -brand drugs such as Perco cet, Vicodin, and Demerol. Indicators of an opioid overdose include: the patient will not wake up, will not respond to voice or touch, breathing is very slow, irregular, or has stopped, “pinpoint pupils,” and/or abnormally low heart rate or blood pressure . V. PROCEDURE: A. Only Sheriff’s Offi ce deputies who have completed the required course of instruction shall be issued naloxone hydrochloride. B. Sheriff's Office deputies who are the first to arrive at the scene of a suspected opioid overdo se shall ensure the safety of the scene and request the response of Emergency Medical Services (EMS) via the Communications Bureau. C. Sheriff’s Office d eputies shall perform a n assessment of the individual and determine what medical services may be neede d. If the individual does not have GEN 505.04 11/03/17 Page 2 of 3 a pulse, CPR an d an AED should be used. If a pulse is present, upon the determination the individua l is believed to be suffering from an opioid overdose, Sheriff’s Office deputies who have been i ssued naloxone hydrochlori de and ha ve successfully completed training on the use and administration of naloxone hydrochloride shall administer it to the individual as quickly as possible. If the Sheriff’s Office deputy on scene was not issued naloxone hydrochloride , a request shou ld be mad e over the radio for the nearest Sheriff’ s Office deputy , issued naloxone hydrochloride, to respond to the scene and administer the naloxone hydrochloride . D. If the individual’s breathing does not return to normal or if breathing difficulty resumes, afte r 2-3 minutes, a second dose of naloxone hydrochloride may be given with a new device. T he individual should be kept under continued observation until EMS arrives. E. After the use of naloxone hydrochloride, Sheriff’s Office deputies s hould be prepared for an unpredictable and potentially viol ent response from the individual. Individuals revived from an opioid overdose may regain consciousness in an agitated or combative state. F. The use of naloxone hydrochloride is not a substitute for emer gency med ical care. EMS must still respond regardless of the individual’s apparent condition following the use of naloxone hydrochloride. Once EMS arrives, immediately inform them naloxone hydrochloride was used on the individual . G. All individuals rev ived with the use of naloxone hydrochloride should be encouraged to go to the hospital for further evaluation. If the individual refuses transport to the hospital, they should be evaluated for a Marchman Act to determine if involu ntary examination is neede d. H. If naloxone hydrochloride is used on an individual facing criminal charges , that individual should be transported to Tampa General Hospital for medical clearance prior to being transported to central booking at the Orient Road Jail. I. Used nalo xone hydr ochloride dispensers can be given to EMS personnel for disposal or disposed of as normal refuse. J. When naloxone hydrochloride is administered, the Sheriff’s Office deputy shall originate a general offense report and document its