Naloxone

Question 1

Rationale

Naloxone is a ____________ which can be used to temporarily counteract an ________________ and prevent ________________.

Answer 1

life-saving medication
opioid overdose
an overdose death

Question 2

Fentanyl

Fentanyl is a ________________ that is highly toxic and potentially lethal in small doses. The potency and toxicity of fentanyl varies significantly, as it is sometimes___________________. As it can be ______________, proper handling of suspected fentanyl and fentanyl analogues is essential to minimizing health risks to involved members.

Answer 2

powerful synthetic opioid

combined with other powdered illicit narcotics and cutting agents

skin permeable

Question 3

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

Answer 3

 irregular and or shallow difficult breathing,
 confusion,
 seizures,
 dizziness,
 excessive drowsiness,
 headaches,
 pinpoint pupils, or
 nausea/vomiting.

Question 4

Naloxone Spray Kits

The Service will be providing designated members with kits containing Narcan® brand (Naloxone) nasal spray. Each Naloxone nasal spray kit contains ______doses of Naloxone nasal spray ________.

Answer 4

two (2)

(4mg/0.1ml).

Question 5

Naloxone nasal spray requires storage protection from extreme temperature changes. It must be stored between _____ to ____, with brief excursions permitted between _____ to ______.

Answer 5

15˚C to 25˚C

4˚C to 40˚C

Question 6

Naloxone cannot be ______ and must be protected from ___________.

Answer 6

frozen

direct sunlight

Question 7

Medical Oversight

Section 27 of the _________________ 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 delegated that authority to them.

Answer 7

Regulated Health Professions Act (RHPA)

Question 8

The Service has obtained a medical delegation from a physician in order for police officers to be able to administer Naloxone to members of the public experiencing an overdose. This medical delegation stipulates that

Answer 8

all police officers being issued Naloxone shall maintain a current Standard First Aid certification. Failure to maintain a Standard First Aid certification shall result in the requirement for police officers to return their Service issued Naloxone kit.

Question 9

Any police officer that attends an opioid-related overdose shall complete

Answer 9

The Naloxone Tracking Form text template in the related eReport forthwith, regardless of whether Naloxone was administered or not.

Question 10

The Ontario Special Investigations Unit (OSIU) has advised all police services across Ontario that they require notification in instances where

Answer 10

officers administer naloxone and the OSIU established injury threshold is met. This will include instances of admission of the overdosing subject to hospital and instances where officers did not administer Naloxone spray when there was a delay in attendance at the scene by Toronto Paramedic Services (Paramedics) and or Toronto Fire Services (TFS). The OSIU may also invoke their mandate in all instances where Naloxone is administered to an on-duty Service member.

Question 11

Police Officer

Prior to being issued a Naloxone kit, members shall complete

Answer 11

the Naloxone training program as required by the Toronto Police College (TPC).

Question 12

Police Officer

When issued a Naloxone kit shall

Answer 12

maintain a current Standard First Aid certification

NOTE:
Medical delegation under the RHPA stipulates that all officers being issued Naloxone shall maintain a current Standard First Aid certification. Officers shall return their Naloxone kit to their Unit Commander in the event their Standard First Aid certification expires.

obtain a replacement Naloxone kit, as soon as practicable, in the event a kit is
- lost
 damaged, including as a result of exposure to heat
or cold
 - used
 - expired

Question 13

Police Officer

Officers shall return their Naloxone kit to their _______________in the event their Standard First Aid certification expires.

Answer 13

Unit Commander

Question 14

Police officers shall only administer Naloxone as needed when

Answer 14

arriving on scene where a person is suspected of overdosing

TFS and Paramedics are not yet on scene

subject is not breathing and CPR has been initiated

officer’s safety will not be compromised

Question 15

Police Officer

After administering Naloxone to an overdosing subject shall

Answer 15

immediately notify Supervisor

complete an eReport, including a Naloxone Tracking Form text template

Question 16

In cases where the OSIU mandate is invoked, ________shall collect all evidence

Answer 16

the OSIU

Question 17

Supervisor

When attending the scene of an overdose where Naloxone has been administered; or
officers carrying Naloxone attended the scene prior to TFS and Paramedics, but did not administer Naloxone;
shall immediately notify the

Answer 17

Officer in Charge at their division or squad

Officer in Charge – Toronto Police Operations Centre (TPOC)

Question 18

Supervisor

When attending the scene of an overdose where Naloxone has been administered; or
officers carrying Naloxone attended the scene prior to TFS and Paramedics, but did not administer Naloxone;
shall immediately notify the

Answer 18

Officer in Charge at their division or squad

Officer in Charge – Toronto Police Operations Centre (TPOC)

Question 19

Supervisor

After Naloxone has been administered, shall ensure

Answer 19

that a Naloxone Tracking Form text template is completed as a part of the related eReport.

Question 20

Officer in Charge

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

Answer 20

immediately notify the involved member’s Unit Commander and the Officer in Charge – TPOC of the particulars of the event, including
 -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

Question 21

Officer in Charge

When directed to retrieve a police officer’s Naloxone kit, because their Standard First Aid Certification has expired, shall return the kit to ___________.

Answer 21

the Wellness unit.

Question 22

Officer in Charge

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

Answer 22

mark the kit with “X”

complete a TPS 929 and email the form to the Wellness unit – Medical Advisory Services (MAS)

return the spoiled Naloxone kit to the Wellness unit via internal mail

Question 23

Officer in Charge – TPOC

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

Answer 23

immediately notify the
 on–call Wellness unit member
 on–call Director of the Toronto Police Association    
     or the Senior Officers Organization
 Duty Inspector – TPOC

Question 24

Unit Commander

When in command of police officers that have been issued a Naloxone kit shall ensure

Answer 24

the officers have successfully completed the Naloxone training program as required by the TPC

the officers complete Standard First Aid training at least once every thirty six (36) months

compliance with item 2

Question 25

Unit Commander
16.
When in command of police officers that have been issued a Naloxone kit shall ensure the officers complete Standard First Aid training at least once every ____________.

Answer 25

thirty six (36) months

Question 26

Unit Commander

When a police officer’s Standard First Aid certification expires, shall ensure that their Service issued Naloxone kit is returned to _________________.

Answer 26

the Wellness unit.

Question 27

Unit Commander – Wellness Unit

When a Naloxone kit is returned to MAS shall ensure

Answer 27

the kit and related TPS 929 are tracked per unit specific policy

the spoiled kit is disposed of in method prescribed by the Naloxone kit provider