Deployment of Narcan

Question 1

Where should department personnel keep their Narcan spray?

Answer 1

With their first aid kits

Question 2

What is the approximate shelf life of the Narcan Nasal Spray?

Answer 2

2 years

Question 3

What are the signs of opioid overdose?

Answer 3

ALOC; constricted pupils; slow and shallow breathing (or arrest); cool, pale and clammy skin; slow pulse (or arrest)

Question 4

If patient is not breathing and is unresponsive, what must be started before administering Narcan?

Answer 4

CPR, then administer Narcan when possible

Question 5

Once patient is breathing adequately, move patient to what position for recovery?

Answer 5

Left lateral recumbent position

Question 6

How long does Narcan Spray take to start working?

Answer 6

3-5 minutes

Question 7

When should a second dose of Narcan Spray be administered?

Answer 7

If the patient does not respond to the first dose within 3-5 minutes

Question 8

Prior to administering a second dose of Narcan Spray, what must personnel ensure?

Answer 8

that fire/paramedics are en route

Question 9

Narcan Spray shall only be administered to whom?

Answer 9

adults and children

Question 10

Narcan Spray shall not be administered to whom?

Answer 10

Infants (under one year of age)

Question 11

If the ALOC is not opioid-related, will Narcan cause any significant side effects?

Answer 11

No

Question 12

Does state law exempt Department personnel from liability when administering Narcan Spray during the scope and course of their duties?

Answer 12

Yes, if properly trained

Question 13

If Narcan is administered, who must be notified?

Answer 13

• Paramedics (verbally)
• Narcan Use Report form (SH-R-630)
• email completed form to Narcan@lasd.org

Question 14

Does Narcan Spray require a prescription in order to purchase it?

Answer 14

No, it is an OTC drug

Question 15

Once a deputy has initiated medical care, he must continue until:

Answer 15

• the scene becomes unsafe
• physical exhaustion
• deputy is relieved by someone with equal or higher level of medical training
• the person revives
(FOSS Newsletter 17-01)

Question 16

Do deputies have qualified immunity from liability from civil damages when causing injury during a medical emergency?

Answer 16

Yes when,

• acting within scope of employment
• acting in good faith
• the standard of care is within the scope of training and agency policy
(FOSS Newsletter 17-01)