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carrynaloxONe Naloxone Training Video

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This video is part of a toolkit for Ontario Public Health Units to support eligible community based organizations in distributing naloxone to clients.

If i recall correctly i’ve administered in the lock zone at least a couple of dozen times yes i’ve had it used on myself i have an easel and when i came to i was confused and i was embarrassed i didn’t know what was going on sneezing i upset stomach nausea but i realized that everybody needed to do to save my life folks he’s and those are people who are near and dear

To my heart that’s why everyone should carry and lock some kit because someone you love is a drug user as well it’s super important for folks to carry naloxone because lockland is a life-saving medication it’s an emergency life-saving medication and it matters how quickly you use it so if it’s on hand in a and someone overdoses they can be revived and it can be a

Really minimally impactful event but if it’s not there at the scene if it’s not with the person or with somebody nearby any delay can cause at the minimum irreparable name brain damage but at the worst someone can die and it’s a preventable death naloxone also known by the brand name narcan is a medication that can temporarily reverse an opioid overdose naloxone

Is safe and easy to use first let’s talk about what opioids are and what an opioid overdose looks like opioids include medications prescribed by doctors to treat pain they might also be taken or used to get high all opioids carry the risk of sleepiness drowsiness and difficulty breathing to the point where people’s lives are in danger examples of opioids include

Oxycodone percocet morphine codeine heroin and fentanyl although there are many more opioids can be found in non-opioid street drugs including uppers like cocaine due to contamination if someone purchases heroin it could be laced with a stronger opioid such as fentanyl using opioids can sometimes lead to an overdose signs that a person has overdosed can include

The person’s body may be very limp they can’t stay awake walk or talk or they have lost consciousness they are unresponsive even if you shout or pinch them they are breathing slowly or not at all their fingernails or lips look purple or blue they may be making snoring or gurgling sounds when you look into their eyes their pupils the black center of the eye will be

Very small almost pinpoint their face may look pale or feel clammy they may also vomit there are five simple steps to respond to an opioid overdose step 1 shout and shake step 2 call 911 step 3 give naloxone step four rescue breathing and or chest compressions step five reassess the first step is to shout and shake if you suspect someone has overdosed check if

They respond to noise or touch perhaps they’re simply sleeping for noise shout their name if you know them or yell hey are you okay you can pinch or shake their shoulders rub your knuckles up and down on their breastbone or under their nose or pinch their earlobe say what you’re going to do before you do it in case they are still conscious if the person responds

To any of these actions keep an eye on them do not leave them alone in case the drugs they took have not fully taken effect they could still overdose if the person does not respond to shouting or shaking check their breathing see if their chest and stomach are rising and falling or hold the back of your hand over their mouth or nose to feel their breath if the

Person is breathing put them in the recovery position to keep their airway clear and open and to prevent choking if they vomit to place the person in the recovery position place the arm nearest you at a right angle to their body with the palm facing upwards lift their knee to a 90 degree angle and roll them on to their side when you’re finished the top arm should

Be supporting the head to keep their airway open and the bent leg should be on the floor to stop them from rolling over too far call 911 does not last as long as most opioids and the person could overdose again so it is critical to get help so that the person receives continued care after you call 9-1-1 continue to step three while you wait for help to arrive after

Calling 9-1-1 give the person naloxone naloxone temporarily reverses the effect of an opioid overdose so that the person can start breathing again under canada’s good samaritan drug overdose act if you seek medical help for someone who is overdose no one at the scene will be charged for possessing or using drugs there are two different types of naloxone injectable

Naloxone where dan alloxan is injected into the arm or leg using a needle or nasal spray in a loc zone where naloxone is sprayed into the nose both types of naloxone are effective carry the type that you are the most comfortable with or have access to let’s review how to use the nasal naloxone kit in each kit you will find two doses of nasal spray naloxone inside

Sealed packages a pair of non latex gloves a breathing barrier and insert with instructions and an identifier card showing that you have been trained to carry naloxone and the expiry date of the naloxone lay the person on their back and put on your gloves wipe their nose clear if necessary and tilt their head back while supporting their neck take one of the naloxone

Sprays out of the package place your two fingers on each side of the nozzle and your thumb on the plunger do not place your thumb on the plunger until you’re ready to administer to avoid releasing the lock zone place a tip of the nozzle into one of the persons nostrils as far as you can or until your fingers touch the base of their nose press the plunger firmly until

The naloxone is released naloxone is absorbed through the mucous membrane and can be used even if the person is not breathing note the time or set a timer as another dose may be required the other type of naloxone is injectable naloxone in this kit you will find two ampules of naloxone two ampule snappers two syringes two alcohol swabs a pair of non latex gloves a

Breathing barrier an instructional insert and an identifier card here’s how to use injectable naloxone put on your gloves holding the ampule upright swirl or tap it so the liquid falls down into the bottom holding the top of the ampule with the supplied ampule snapper or alcohol pads now take the bottom end with the thumb and forefinger of your opposite hand and

Snap the ampule away from you remove a syringe from its packaging and take the protective plastic cap off the needle insert the needle into the naloxone ampule and pull up the plunger so the naloxone enters a syringe with the needle pointed in the air tap the syringe so any air bubbles float to the top slowly push the plunger to remove the air bubbles don’t worry

A little bit of air will not hurt the person insert the needle at a ninety degree angle into the large muscle of the thigh or upper arm you can inject someone through their clothing if you need to push down on the plunger until all the naloxone is gone dispose of the needle and ampule in a plastic puncture-proof container like a sharps container or a water bottle

Note the time or set a timer as another dose may be required the fourth step is to give chest compressions and/or rescue breaths depending on what you have been trained to provide when someone has overdosed on opioids they may stop breathing and their heart may stop beating it is important to get oxygen moving in their body your naloxone kit includes a breathing

Barrier that you can use when giving rescue breaths the fifth step is to check if naloxone is working naloxone usually starts working within two to three minutes if the person is not responding administer a second dose if using the nasal spray make sure to release a naloxone into the person’s other nostril if you have access to more than one kit then keep giving

A lock zone every two to three minutes if the person still hasn’t responded if you are providing rescue breaths or chest compressions continue until the person becomes alert or until help arrives at any point when the person starts breathing again put them into the recovery position even if they are not fully conscious continue to monitor their breathing stay with

Them and keep checking them until they become more conscious and alert or until help arrives when someone comes out of an overdose they may wake up suddenly or slowly they may feel confused disoriented agitated concerned or embarrassed talk with them when they have become more alert provide emotional support and reassurance and explain what has happened they may

Experience mild to severe withdrawal symptoms they may feel sick or be sweating they may also throw up or so themselves explained that these symptoms will go away as anna locsin wears off in 30 to 90 minutes explain that taking more drugs to deal with withdrawal symptoms or to get high will be a waste as the naloxone will block the effects of the drugs it can also

Further increase their risk of overdosing again monitor and prepare in case they lose consciousness again as anna locks own wears off let them know more naloxone may need to be given if that happens if paramedics were not called suggests a trip to the hospital for further observation responding to an overdose can be challenging both emotionally and physically make

Sure to check in with a friend or colleague if you need to debrief after self-care is important carry your naloxone kit with you at all times store naloxone at room temperature and away from light leave the spray or ampules in the container your kit comes in don’t leave it in your car on really hot or really cold days and lastly check the expiry date from time to

Time we hope you found this video helpful for more information please contact the public health unit in your region get in a loc zone get trained and together we can save lives

Transcribed from video
carrynaloxONe Naloxone Training Video By Ontario Harm Reduction Network