08-15 Naloxone

Question 1

Naloxone is a life-saving medication which can be used to temporarily counteract an ——— overdose and prevent an overdose death. In response to an increase in opioid-related overdoses within the City of Toronto, the Toronto Police Service (Service) will provide ——— members with Naloxone to assist with life-saving efforts until other medical assistance is available

Answer 1

opioid
designated

Question 2

Supervision

 Supervisory Officer ——— mandatory when
‒ Naloxone is ————-
‒ a member is ——— injured

 Supervisory Officer notification ———when Naloxone is administered
 —————– notification mandatory when SIU Mandate is or may be invoked

Answer 2

attendance
administered
critically
mandatory
Officer in Charge – Toronto Police Operations Centre (TPOC)

Question 3

Procedure
Designated ———– members with access to Naloxone will adhere to this Procedure in conjunction with Court Services’ unit specific policies.

Answer 3

Court Services

Question 4

Fentanyl

Fentanyl is a powerful ———opioid that is highly —— and potentially ——- in small doses. The ——– and toxicity of fentanyl varies significantly, as it is sometimes combined with other ——– illicit narcotics and ———- agents. As it can
be skin ———, proper handling of suspected fentanyl and fentanyl ————- is essential to minimizing health risks to involved members.

Answer 4

synthetic
toxic
lethal
potency
powdered
cutting
permeable
analogues

Question 5

Members shall seek immediate medical attention, in compliance with Procedure 08–06, if they feel ill and note any of the following symptoms:

 irregular and or shallow difficult breathing,
 c———–,
 s———-,
 d———-,
 excessive ————-,
 h————,
 pinpoint ———-, or
 nausea/———–

Answer 5

confusion
seizures,
dizziness
drowsiness
eadaches
pupils
/vomiting

Question 6

Naloxone Spray Kits

The Service will be providing designated members with kits containing ———–® brand (Naloxone) nasal spray. Each Naloxone nasal spray kit contains —– doses of Naloxone nasal spray ——– .
Naloxone nasal spray requires storage protection from extreme temperature changes. It must be stored between ———, with brief excursions permitted between ——–. Naloxone cannot be —————– and must be protected from direct
———-

Answer 6

Narcan
two (2)
(4mg/0.1ml)
15˚C - 25˚C
4˚C - 40˚C
frozen
sunlight

Question 7

Medical Oversight

Section—-of the —————- (RHPA) states that controlled medical acts, such as administering Naloxone nasal spray to a person experiencing an opioid overdose, may only be performed by persons who are not physicians if a physician has ———- that authority to them.

Answer 7

27
Regulated Health Professions Act
delegated

Question 8

The Service has obtained a medical delegation from a physician in order for ———– members to be able to administer Naloxone to members of the public experiencing an overdose. This medical delegation stipulates that all members being issued Naloxone shall maintain a current ———–certification. Failure to maintain a Standard First Aid certification shall result in the requirement for those members to ——– their Service issued Naloxone kit.

Answer 8

designated
Standard First Aid
return

Question 9

The Naloxone ————— text template shall be used to track Naloxone use. Any member that attends an ——— related overdose shall complete this text template in the related eReport forthwith, ———- of whether Naloxone was administered or not.

Answer 9

Tracking Form
opioid
regardless

Question 10

Notification of the Special Investigations Unit

In instances where police officers administer Naloxone, the Special Investigations Unit (SIU) may require notification if the SIU established injury ——–is met.

This may include instances where:
 the police officer used ——– against the person —–to or after the provision of first aid;
 the person suffered ——— or ——— while detained by police or in police custody; or
 the person suffered serious injuries or died as a result of a —— incident involving police or a police ———-.

Answer 10

threshold
force
prior
serious injuries
dies
motor vehicle
pursuit

Question 11

Member

1. Prior to being issued a Naloxone kit, members shall complete the Naloxone training program as required by the ————————
2. When issued a Naloxone kit shall
    maintain a current Standard ——– certification
    Medical delegation under the RHPA stipulates that all members being issued Naloxone shall maintain a ———— Standard First Aid certification. Members shall return their Naloxone kit to their ————in the event their Standard First Aid certification expires.
    ensure Naloxone is stored at a temperature that is between fifteen (15)˚C – twenty five (25)˚C
    Naloxone cannot be frozen and must be protected from direct sunlight. Naloxone kits shall be replaced if exposed to either of these elements. Brief excursions between four (4)˚C – forty (40)˚C are permitted.
    obtain a replacement Naloxone kit, as soon as practicable by completing a TPS ——— and emailing the form to —————-

in the event a kit is
‒ l——–
‒ d———-, including as a result of exposure to heat or cold
‒ u——–
‒ e——–

3. After administering Naloxone to an overdosing subject shall

 immediately notify ———–
 complete an eReport, including a Naloxone ———- text template
 In cases where the SIU mandate is invoked, the SIU shall collect all evidence. Members shall ensure that
all Naloxone spray applicators, both used and unused, are properly protected and preserved at the scene, and released to the SIU in compliance with Procedure 13–16

Answer 11

Toronto Police College (TPC).
First Aid
current
Unit Commander
587
Fleet and Material Management (FLT) – Hanna,
lost
damaged, including as a result of exposure to heat or cold
‒ used
‒ expired
Supervisor
Tracking Form

Question 12

Supervisor

5. When attending the scene of an overdose where Naloxone has been administered shall immediately notify the

 ———– at their division or squad
 ———– – Toronto Police Operations Centre (TPOC)
6. After Naloxone has been administered, shall ensure that a Naloxone Tracking Form text template is completed as a part of the related eReport.
7. When the SIU mandate is or may be invoked shall comply with Procedure 13–16
8. When notified that Naloxone has been used on a Service member who has been critically injured shall comply with Procedure 08–03

Answer 12

Officer in Charge
Officer in Charge

Question 13

In cases where the SIU mandate is invoked, the SIU shall collect all evidence. Members shall ensure that all Naloxone spray ————, both used and unused, are properly protected and ——— at the scene, and released to the SIU in compliance with Procedure 13–16

Answer 13

applicators
preserved

Question 14

Officer in Charge

9. When the SIU mandate is or may be invoked shall ensure compliance with Procedure 13–16.

10.When notified that Naloxone has been used on a Service member who has been critically injured shall

 immediately notify the involved member’s ———- and the ——– of the particulars
of the event, including
‒ the date, time and l——of the event
‒ the n———- of the injury
‒ the c———– that caused the event
‒ the injured member’s name, badge, unit
‒ the w———– of the injured member
‒ any other re——— facts

 ensure compliance with Procedure 08–03
11.When directed to retrieve a member’s Naloxone kit, because their Standard First Aid Certification has expired, shall return the kit to the ————

12.When in receipt of a Naloxone kit that has been damaged, used or expired shall

 mark the kit with “—”
 return the spoiled Naloxone kit to ——–
 ensure used kits are safely and properly disposed of

Answer 14

Unit Commander
Officer in Charge – TPOC
the date, time and location of the event
‒ the nature of the injury
‒ the circumstances that caused the event
‒ the injured member’s name, badge, unit
‒ the whereabouts of the injured member
‒ any other relevant facts
FLT – Hanna.
X
FLT – Hanna

Question 15

Used kits can be disposed of by returning to fit- Hanna or at any local

Answer 15

pharmacy

Question 16

Officer in Charge - TPOC

13.When notified that Naloxone spray has been administered by a member and the SIU mandate is or may be invoked,

shall ensure compliance with Procedure 13–16.

14.When Naloxone has been administered to on an on-duty Service member who has been critically injured shall

 immediately notify the
‒ on–call ———–unit member
‒ on–call Director of the ————- or the Senior Officers Organization
D‒————-
 ensure compliance with Procedure 08–03

Answer 16

Wellness
Toronto Police Association
Duty Inspector – TPOC

Question 17

Critical Injury (to a Member) in reference to member health and safety means an illness/injury of a serious nature that:

 results in the d—— of a member;
 places —— in significant jeopardy;
 produces u————-;
 results in substantial ——–;
 involves the ——- of a leg or arm but not a finger or toe;
 involves the ———– of a leg, arm, hand or foot but not a finger or toe;
 consists of —— to a major portion of the body, or;
 causes the loss of ——– in an eye.

Answer 17

death
life
unconsciousness
loss of blood
fracture
amputation
burns
sight

Question 18

Special Investigations Unit (SIU) Mandate
means:
that the SIU ——- may cause an investigation to be conducted into any incident in which any of the following occurs, if the incident may have resulted from the ———— of a Service ———–:
 the ———- of a person
 the serious——- of a person
 the ———– of a firearm at a person (———— of causing injury or death, and including less lethal
weapons); and/or
 the ———of a person, as reported by the person

Answer 18

Director
criminal conduct
official
death
injury
discharge
sexual assault

Question 19

The SIU Director may cause an investigation to be conducted if, at the time of the incident,

 the official was on duty; or
 the official was ——- but

(a) engaged in the i————-, p———, d———- or a——–of a person or otherwise exercised the powers
of a police officer, special constable, ——- officer or other prescribed person, as the case may be,
whether or — the official intended to exercise such powers or identified themselves as a person who
may exercise such powers, or

(b) the incident involved ——–or other property ———- to the official in relation to their duties.

Answer 19

off-duty
investigation, pursuit, detention or arrest
peace
not
equipment
issued