19-03_Fentanyl

MOUNTAIN 2019 POLICE VIEW MOUNTAIN VIEW POLICE DEPARTMENT OPERATIONAL SERVICES UNIT TRAINING AND INFORMATION DATE: BULLETIN NUMBER: 19-03 SUBJECT: BULLETIN PAGE 1 OF 3 Fentanyl/Unknown Substance Handling Standard Operating Procedures INFORMATION: may involve The following Standard Operating Procedures (SOP) have been developed in order to provide guidance to all personnel when responding to an incident that Fentanyl (e.g., acetylfentanyl, acrylfentanyl, carfentanil, furanylfentanyl) or any other unknown substance. In order to protect yourself from exposure: - Wear Nitrile gloves when the presence of fentanyl is suspected If powder form, avoid any action that may cause powder to become airborne Use N95 protective masks and eye protection in the event that the fentanyl is in powder or aerosol form and may become airborne Minimize contact with skin Do not perform any presumptive test on any suspected drug. Suspected drugs should be placed into a "K-PAC" plastic bag, seal the bag accordingly, place into another K-PAC bag and seal again (double bagged)and submit for processing to the SCC crime lab While logging the substance into the evidence locker, officers will work in pairs so that the primary officer has additional officer maintaining visual observation in the event symptoms of exposure are presented The cover officer should not be standing immediately adjacent to the officer but must maintain constant visual contact with the officer processing evidence If there is a large amount (i.e. distribution/storage facility, pill milling operation, clandestine lab, gross contamination, spill or release), secure the area and notify a supervisor so that the appropriate hazmat response may be initiated. CONFIDENTIAL FOR LAW ENFORCEMENT USE ONLY MOUNTAIN 2019 POLICE VIEW MOUNTAIN VIEW POLICE DEPARTMENT OPERATIONAL SERVICES UNIT TRAINING AND INFORMATION BULLETIN PAGE 2 OF 3 In the event that anyone exhibits the following symptoms: Slow Breathing or No Breathing Drowsiness or Unresponsiveness Constricted or Pinpoint Pupils Actions to take: Rescue breathing can be a lifesaving measure until EMS arrives. Use standard basic life support safety precautions (e.g., pocket mask, gloves) to address the exposure risk. Move the affected subject and yourself away from the source of exposure and call EMS. Administer naloxone according to department protocols. Multiple doses required to reverse the symptoms of an exposure. If needed, initiate CPR until EMS arrives. In the event you feel you have been exposed: may be Prevent further contamination and notify other first responders and dispatch. Do not touch your eyes, mouth, nose or any skin after touching any potentially contaminated surface. Wash skin thoroughly with cool water, and soap if available. DO NOT use hand sanitizers as they may enhance absorption. Wash your hands thoroughly after the incident and before eating, drinking, smoking, or using the restroom. If you suspect your clothing, shoes, and PPE may be contaminated: - Remove clothing that has been or may be contaminated If indoors, exit the building to "de-contaminate" area (location TBD) Utilize the hazmat wash located in the sally port Place all contaminated articles into garbage bags Label all bags accordingly CONFIDENTIAL FOR LAW ENFORCEMENT USE ONLY MOUNTAIN 2019 POLICE VIEW MOUNTAIN VIEW POLICE DEPARTMENT OPERATIONAL SERVICES UN IT TRAINING AND INFORMATION BULLETIN Narcotic Overdose Suspected Not Responsive To Physical Stimuli (Voice/Touch) Breathing Status Normal or Fast Breathing Slow ILess Than Bredhis 10 Per Minute) No Breathing Or Gasping Breaths Turn On Side Adminster Naloxone Immediatley Initiate CPR/AED PAGE 3 OF 3 For additional information, see the "Responding to a Fentanyl Overdose: What California First Responders Need to Know" and "Safety recommendations for first responders" reference cards which have been loaded onto the DOC. Prepared by: Det. Rivas Approved by: Lt. St.Clair and County EMS CONFIDENTIAL FOR LAW ENFORCEMENT USE ONLY California Statewide Opioid Safety Workgroup Responding to a Fentanyl Overdose: What California First Responders Need to Know CDPH California has seen an increasing number of fentanyl/fentanyl analog-related overdoses. Preliminary 2018 data report 743 fentanyl-related overdose deaths (an increase of 72% from 2017). With fentanyl in our drug supply, first responders (e.g., emergency medical services and law enforcement) are likely to encounter it on the job and may have safety concerns. To address these concerns, the American College of Medical Toxicology (ACMT) and the American Academy of Clinical Toxicology (AACT) released a position statement for first responders.2 The risk of clinically significant exposure to emergency responders is extremely low. According to the ACMT and AACT Position Statement: ⚫ Incidental skin absorption is unlikely to cause clinical signs of toxicity. • Nitrile gloves provide sufficient protection for routine handling. Simple washing with soap and water is adequate to remove fentanyl from contaminated skin. Hand sanitizers and cleaning agents may increase fentanyl absorption and should not be used. If drug particles are suspended in the air, a fit-tested N95 respirator provides