1. Enhancing Ability to Prevent, Recognize & Respond to Opioid Overdose in Your Organization

2. Outline Overdose preparedness at your organization
Overdose Prevention
Early Identification of Overdoses
Responding to overdoses at work
Working together
Debriefing and Support
Your organization’s overdose policy
Introduction to the Facility Overdose Response Box program

3. Why Overdose Preparedness?
Like planning for fires or earthquakes
Know where the highest risk areas are?
Know what to do if there is one
To make sure you are ready:
Do regular drills

4. Overdose Preparedness
If this was preparing for a fire you might ask:
Where are fires most likely to occur?
Where are fires least likely to be detected promptly?
Based on your answers you may choose to:
place a smoke detector outside the kitchen (high fire risk area)
place a smoke detector outside your bedroom (sleep makes you less likely to notice a fire)

5. 1. a) Overdose Prevention

6. Review: Risk Factors for Fatal OD
Environmental
Quiet Corners
Bathrooms
Sleeping
Social
Shame/Stigma
Drug Use is Illegal – Fear of negative consequences
Individual
Tolerance
Substance(s) Used
Route of Administration

7. How we integrate prevention into day-to-day operations

8. Integrating your knowledge of overdose prevention into your work
Understanding the risk factors for overdose and learning tips for safer use can facilitate strengths based conversations with your clients about lowering their risks of overdose
Activity: Take turns practicing having discussions about overdose prevention.

9. 1. b) Early Identification of Overdoses
Naloxone is most effective when given soon after an overdose begins – when the person has not been without oxygen for very long.

10. Types of Stigma Vertical Stigma Lateral Stigma Internalized Individual
Peers
Individual
Results:
Restrictions on Participation
Social Exclusion
Poor Quality of Life

11. Why is it important to promote compassion and inclusion?
This can increase the comfort level of your clients in notifying staff promptly of overdoses without fear of negative consequences
Remember: Clients may experience stigma (internal or lateral) even when staff are non-judgmental

12. Discussion: How might stigma affect your clients?

13. Discussion Questions:
Where are overdoses likely to occur?
How can you ensure you identify overdoses early?
How can you involve clients?

14. Overdose Preparedness
Discussion: How are staff at your organization going to work together increase likelihood of identifying overdoses early?

15. 2. Responding to Overdoses at Work

16. Delegating and Working Together
Our Shift Change Checklist
Why do we have it?
What is on it?
Let’s practice using it

17. Delegating and Working Together
Our Overdose Response Protocol
Discussion:
What roles need to be filled?
How can we work together?

18. Accessing Support After an OD
What immediate supports are available?
What longer term supports are available?
What does support look like to you?

19. 3. The Organization’s Overdose Policy

20. Policy on Opioid Overdose
Overview of the organization’s policy on staff responding to opioid overdose

21. Off-Site Overdoses
What are the guidelines for staff if overdoses occur off-site?
What are the guidelines for staff on outreach (if applicable)

22. Maintaining Competency
Know what to do
To administer naloxone staff must possess specific competencies.
Staff competency will be maintained through practice drills and yearly refresher training.

23. Let’s do a practice drill
What did we do well?
What do we need to work on?
How can we make drills more realistic in the future?

24. 4. The Facility Overdose Response Box Program

25. Care and Storage of Naloxone
Location of Facility Overdose Response Box
Monitoring Inventory Levels
Use of the Naloxone Tracking Log
Monitoring Expiry Dates
Expiry Date

26. Requirements for Giving Naloxone
Comply with the organization’s policies & protocols
Possess the competencies for the Facility Overdose Response Box Program
No one is ever required to give naloxone
Employees that do not meet these requirements can still call 911 and perform rescue breathing, which are lifesaving actions

27. Mandatory Documentation After Naloxone Administration
Organization’s Critical Incident Report
Facility Overdose Response Box Naloxone Administration Form
All 15 questions are required
Form will be faxed to BCCDC when completed
Orders for new naloxone will not be filled unless documentation for the naloxone used has been received by BCCDC

28. Questions? Comments? Suggestions?