Special Order - Naloxone Nasal Spray Pilot Program 12-13-18Date:
To:
From:
Subject:
City of Long Beach
Working Together to Serve
November 30, 2018
WATCH REPORT
Robert G. Luna, Chief of Police
Memorandum
SPECIAL ORDER — NALOXONE NASAL SPRAY PILOT PROGRAM
SPECIAL ORDER
This Special Order will address the Long Beach Police Department's Overdose
Prevention Pilot Program to which selected officers shall be trained to administer
Naloxone Nasal Spray in accordance with mandated training guidelines as
determined and established by the Long Beach Health Department pursuant to
Health & Safety Code 1797.197 and California Civil Code 1714.22. Naloxone is
a medication designed to rapidly reverse opioid overdose.
a) Officers who are trained in accordance with mandated training guidelines,
determined by the Long Beach Health Department, shall deploy with a
Naloxone Kit in the field. However, the officer will retain the discretion to
administer or not administer Naloxone to persons experiencing or
suspected of experiencing opioid -related overdoses. There is no legal
obligation to administer Naloxone.
b) Officers who administer Naloxone, are protected from civil and criminal
liability if they "act with reasonable care" and "in good faith". This is
accomplished by administering Naloxone per established training protocol
determined by the Long Beach Health Department.
c) If an officer selected for the Overdose Prevention Pilot Program has a valid
reason for not participating in the program, the officer will be excused from
the program with the prior approval of his/her Division Commander.
d) Officers selected to participate in the Overdose Prevention Pilot Program
are those currently assigned to the Mental Evaluation Team, Quality of Life
Detail(s), Bike Detail(s), Drug Investigations Section, Property Section, and
K9 Unit.
e) During the Overdose Prevention Pilot Program, the Special Enforcement
Section Lieutenant will serve as the Department's Program Coordinator and
will work in collaboration with the Health Department. The Program
Coordinator will be responsible for reviewing reports, tracking and
replacement of Naloxone Kits, assisting Health Department personnel in
training provisions, maintaining training logs and general informational
needs. The Program Coordinator will be responsible for preparing a report
on the Pilot Program after it has concluded.
November 30, 2018
Special Order — Naloxone Nasal Spray Pilot Program
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TRAINING:
INITIAL TRAINING: Officers may not administer Naloxone Nasal Spray
without having first completed the Long Beach Health Department's
mandated training. Participating officers will receive initial training that will
include, at a minimum, an overview of California Civil Code 1714.22, patient
assessment (signs/symptomology of overdose), universal precautions,
rescue breathing, seeking medical attention, and the use of intra -nasal
Naloxone. Upon completion of training, officers will have their training
recorded with the Program Coordinator. A certificate or class roster
documenting the training being received will be retained in the officer's
training file at the Academy.
CONTINUING TRAINING: Officers participating in the Overdose Prevention
Pilot Program will receive refresher training as deemed appropriate by the
Long Beach Health Department.
NALOXONE KITS:
For the duration of the Overdose Prevention Pilot Program, the Long Beach
Health Department will provide the Naloxone Kits. Naloxone Kits will
include at a minimum: gloves, mask, eye protection, and Naloxone. Officers
participating in the program will be assigned Naloxone Kits and deploy with
their kit during their work shift. Officers should inspect their assigned kit
before each shift to confirm the medication is not out of date (expired) and
that all other kit equipment is serviceable. Kits that are missing equipment
or that have expired medication shall not be deployed. Kits that are not
deployable shall be returned to the Program Coordinator for
inspection/replacement as soon as possible. Officers participating in the
Pilot Program should notify their supervisor and email the Program
Coordinator when they believe that their assigned kit has missing
equipment or expired medication. The Program Coordinator will assist in
the officer in securing a replacement kit.
NALOXONE STORAGE:
Naloxone Kits were designed for the rigors and conditions frequently seen
by patrol personnel. The medication (Naloxone) and the other contents of
the Kit are very durable and should remain serviceable for the life of the
medication. However, should a question or concern arise about a kit's
contents and/or the medication, the Program Coordinator should be
contacted. Naloxone Kits found to need equipment or replacement
medication - due to medicine expiration date, use of kit items, daily wear
and tear or other conditions - shall be withdrawn from use. Naloxone Kits
removed from service shall be returned to the Program Coordinator.
November 30, 2018
Special Order — Naloxone Nasal Spray Pilot Program
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NALOXONE USE:
Officers who have completed mandated Naloxone training provided by the
Long Beach Health Department will be authorized to administer Naloxone
when they reasonably believe someone is experiencing an opioid -related
overdose. Personnel will treat the incident as a medical emergency and
shall follow these steps when performing this intervention:
a) Confirm Fire personnel are responding to the medical emergency.
If not, request Fire response
b) Maintain universal precautions
c) Perform patient assessment
d) Determine unresponsiveness
e) Update Dispatch of a potential overdose situation
f) Follow Naloxone use protocol
g) Immediately notify responding emergency medical personnel that
Naloxone has been administered
h) Notify a Detail or Patrol Sergeant of the use of Naloxone
i) Document use of Naloxone
DOC UMENTATIONINALOXONE REPORTS
Each incident where Naloxone was administered by an officer participating in the
Pilot Program shall be documented by filing an "Info -Only Narcan/Naloxone"
report. The report shall at a minimum detail the nature of the incident, the care
the patient received, which Fire resources/personnel responded, the name of the
supervisor notified and that Naloxone was administered.
OFFICER RESPONSIBILITY
Upon completion of the incident where Naloxone was administered, officers shall
file an "Info -Only Narcan/Naloxone" report before their end of watch.
SUPERVISOR RESPONSIBILITY
A Detail or area Patrol Sergeant shall be responsible to ensure the "Info -Only
Narcan/Naloxone" report is completed when they have been notified by an officer
participating in the Pilot Program that Naloxone was administered. The report
should contain at a minimum; the nature of the incident, the care the patient
received, which Fire resources/personnel responded, the name of the supervisor
notified and that Naloxone was administered. The notified supervisor shall ensure
that a report is filed before the administering officer's end of watch. The notified
supervisor shall also email the Program Coordinator with the Call Number
associated with Naloxone being administered, and the name of the officer who
administered the medication.
November 30, 2018
Special Order — Naloxone Nasal Spray Pilot Program
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PROGRAM COORDINATOR RESPONSIBILITY
For the duration of the Pilot Program, the Program Coordinator will review all "Info -
Only NarcanlNaloxone" reports as an aide toward full program implementation,
future training considerations, kit composition, kit tracking, logistical or other
administrative needs.
MAINTENANCE AND REPLACEMENT
The daily inspection of Naloxone Kit will be the responsibility of officers issued
the kits as a part of their assignment to the Overdose Prevention Pilot Program.
The maintenance and replacement of the Naloxone medication and other kit
contents will be the responsibility of the Program Coordinator (or their
designee). Officers shall report used, lost, expired, or damaged Naloxone Kits
to their immediate supervisor and to the Program Coordinator. The Program
Coordinator will facilitate providing a replacement Naloxone Kit and/or
consumable kit contents.
SPECIAL ORDER DURATION
This Special Order will remain in effect until the conclusion of the Overdoes
Prevention Pilot Program on January 31, 2020.
Robert G. Luna, Chief of Police Date
RGL:WH:JC:pb
Special Order— Naloxone Spray