8121.1-R Opioid Overdose Prevention Regulation

The district’s Opioid Overdose Prevention Program, registered with the New York State Department of Health (NYSDOH), shall establish and follow procedures for the use of naloxone, pursuant to state regulations, including: placement, storage, inventory and re-ordering, documenting and reporting incidents of usage, and volunteer responder training.

The district’s program shall provide individual naloxone kits. Naloxone kits provided by the district’s program shall be kept with the public access Automated External Defibrillator (AED). Extra naloxone kits shall be stored in the following location(s): in the nurse’s office and athletic trainer’s office.

An inventory of naloxone supplies shall be taken quarterly by the program director. Since the naloxone kits will be located in the Automated External Defibrillator (AED) case, the AED check will be performed at the same time, and the naloxone count will be recorded on the AED log. Recordkeeping of naloxone inventory shall be done in accordance with state regulations. Whenever an inventory check indicates that naloxone has been used, the program’s clinical director shall be notified. The head school nurse, as program director shall order replacement naloxone stocks to ensure adequate supply. Naloxone supplies that are near their expiration date shall be disposed of with the assistance of local law enforcement. The Program may also use expired naloxone for training purposes, as long as the expired naloxone is marked appropriately and not commingled with active supplies.

Every administration of naloxone shall be reported to both the school physician as clinical director and head school nurse as program director, of the district’s Opioid Overdose Prevention Program.

Every administration of naloxone, like administration of other emergency health care, shall be documented in a student’s health record and in a staff member’s personnel record by the school nurse with assistance from the volunteer responder who administered the naloxone. Documentation shall include all elements required by state regulations, and shall be signed by the person completing documentation. Naloxone will be documented in the individual’s cumulative health record for students, or consistent with applicable policies for care administered to staff. Documentation must include the date and time; the signs and symptoms displayed by the student or staff member prior to administrations; the student or staff member’s response to naloxone administration, if CPR/rescue breathing/AED was administered; the name of the EMS agency providing transport, along with the name of the health care facility the student/staff person was transported to; and signed by the person completing the documentation. Incident reports will be completed as per school district policy.

Training for volunteer responders shall be delivered by providers approved by the head school nurse as program director. The program director shall ensure that volunteer responders have completed the NYSDOH-approved curriculum and can demonstrate that they are trained (e.g., with a post-test and a skills compliance checklist) before issuing a certificate of completion.

School Nurse Administration of Naloxone

The school physician/clinical director shall develop procedures for the placement, storage, inventory, re-ordering, administration documentation, reporting, and training of the school nurse, regarding the use of naloxone.

The district shall ensure that there is always one backup naloxone kit per building for each kit that is ready to be used. When a naloxone kit is used, another backup kit will be ordered. Naloxone that is nearing its expiration date will be replaced. The school nurse shall maintain a log of naloxone supplies containing the following information: lot number, date of receipt, expiration date, and location. The school nurse shall perform an inventory check of naloxone supplies quarterly.

School nurses shall follow the non-patient specific order and written protocol for administration of naloxone, which includes criteria for assessment and directions for administration. School nurses shall review the order and protocol as needed to maintain an appropriate skill level.

School nurses shall document all administration of naloxone in the same manner as the administration of other medications under non-patient specific orders. School nurses shall report all administration of naloxone to the school physician/clinical director, building principal and superintendent.

District staff may volunteer as trained responders

The district shall follow the procedures established by the Guilderland C.S.D. Opioid Overdose Prevention Program, registered with the New York State Department of Health (NYSDOH), for the use of naloxone, including: placement, storage, inventory and re-ordering, documenting and reporting incidents of usage, and volunteer responder training.

Every administration of naloxone shall be reported to the clinical director and program director of the Opioid Overdose Prevention Program in which the district is participating, as well as the school nurse.

The district shall maintain a current list of all trained volunteer responders by building location that includes the date of the person’s most recent training, located in the head school nurse’s

office as program director. Those trained as volunteer responders in the administering of naloxone will be required to review training every year.

Reviewed October 24, 2017

Revised, Reviewed January 28, 2020

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