5330.05 - STORAGE AND ADMINISTRATION OF NALOXONE/NARCAN

In accordance with State law, the Board of Education shall procure Naloxone, also known by the brand name Narcan, for use in emergency situations. The Board has determined that it is in the best interests of its students and employees to have Naloxone available to be administered, if necessary, by appropriately trained employees, volunteers, or contractors who have been authorized by the Board to administer Naloxone to an individual who is apparently experiencing an opioid-related overdose.

1. Procurement of Naloxone
    
   1. The District RN shall procure a minimum of two (2) dose(s) of Naloxone for each school from a distributor who is authorized by State law to distribute the drug.The District RN will log the date that each dose has been procured, as well as the expiration date of the drug. A copy of the log will be maintained and made available to all building administrators.
   2. A dose of Naloxone will be replaced at least annually or on the expiration date listed by the manufacturer, whichever occurs first. It shall be the responsibility of the District Nurse to be sure that the supply of Naloxone is maintained at the appropriate level and that the Naloxone doses have not expired.
2. Naloxone Storage Protocol
   
   Each Naloxone dose will be properly stored in a locked storage unit in each building. In accordance with the manufacturer’s instructions, the drug should be stored at room temperature in a location that is protected from direct light.
3. Training of Designated Nonmedical Staff, Volunteers, and Contractors
    
   1. The District Nurse shall be responsible for coordinating the training of District employees to administer the Naloxone and maintaining the list of employees authorized to administer Naloxone.
   2. The list will be made available to all building administrators. At a minimum, the training will include the following: 
       
      1. risk factors of opioid overdose;
      2. signs of opioid overdose;
      3. steps in responding to an overdose;
      4. information on the Naloxone dispensed to the District;
      5. procedures for administering the Naloxone;
      6. proper storage and expiration of the Naloxone; and
      7. information on where to obtain a referral for substance abuse treatment.
4. Administration Protocol
   
   An opioid-related overdose is a condition including, but not limited to, extreme physical illness, decreased level of consciousness, respiratory depression, coma, or death that results from the consumption or use of an opioid or another substance with which an opioid was combined. Signs of an overdose include loss of consciousness where a person cannot be woken up, breathing very slowly, making gurgling sounds, or not breathing at all, and lips appear blue or gray in color.
   
   Naloxone is available in a single-dose nasal spray and is designed for nasal administration only. Naloxone may only be administered by a school nurse or a trained school employee, volunteer, or contractor to a student or other individual on school grounds who is believed to be experiencing an opioid-related overdose.
   
   What to do for an apparent opioid-related drug overdose:
    
   1. The school nurse, trained personnel, or volunteers will access the building’s supply of Naloxone (Narcan) in the designated storage area. Only these individuals will have access to the drug.
   2. The drug is administered through a nasal spray, in accordance with the manufacturer’s instructions, which include the following steps:
       
      1. Remove the Naloxone from the packaging immediately before administering. DO NOT TEST THE DEVICE. The device contains one (1) dose and does not need to be primed.
      2. Lay the person on their back. Tilt their head back and provide support under the neck with your hand.
      3. Gently insert the tip of the nozzle into one (1) nostril until your fingers on either side of the nozzle are against the bottom of the person’s nose.
      4. Press the plunger firmly to administer the dose.
          
      5. Remove the nasal spray after administering.
      6. Watch the person closely for signs of breathing difficulty, vomiting, or other symptoms of illness that might require first aid attention. 
      7. If the person does not respond in two (2) minutes and a second dose of Naloxone is available, repeat steps a-f and administer a second dose of Naloxone. It is recommended that the second dose of the drug be administered in the other nostril. 
      8. Roll the person on their side in a recovery position and wait for first responders.
      9. Properly dispose of the used Naloxone cartridge.
   3. Emergency services will be called as soon as practicable by the individual who administers Naloxone or another school employee after administering the first dose of the drug.

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