For more information, or to schedule a pharmacist education training, email pharmacynaloxone@health.nyc.gov. symptoms of an opioid overdose; the steps to be taken in responding to an overdose; and how to access the Office of Alcoholism and Substance Abuse Services through both a toll-free number and its website.". No. Shared access to - and use of - naloxone is permitted in certain circumstances specified in the regulations: "Trained overdose responders may have shared access to, and use of, an opioid antagonist so long as the following conditions are met: (i) they are trained in accordance with these regulations; (ii) they have a common organizational or workforce bond; and (iii) there are policies and procedures in place within that organization or workforce that ensure orderly, controlled access to an opioid antagonist by an identifiable pool of trained overdose responders." The trained overdose responder is responsible for: In order to implement an opioid overdose program, individuals must be designated by the program director to train the overdose responders. New York State's Opioid Overdose Regulations Questions and Answers, Health & Safety in the Home, Workplace & Outdoors, Clinical Guidelines, Standards & Quality of Care, All Health Care Professionals & Patient Safety, Opioid Overdose Regulations - Questions and Answers, May 12, 2015, Addressing the Opioid Epidemic in New York State, Learn About the Dangers of "Synthetic Marijuana", Help Increasing the Text Size in Your Web Browser. A pharmacy may register as an opioid overdose prevention program. All training should stress the importance of returning to the registered program for replacement of naloxone and for reporting that naloxone was used, as well as the circumstances of that use. Each program’s policies and procedures should define the parameters of this on‐going communication. reporting all responses to an opioid overdose to either the program director or someone designated by the program director to receive these reports. Trainers should have mastery of the overdose curriculum used by the registered program as well as the ability to teach it to others. The clinical director must be able to prescribe medication in New York State. completing an initial training consistent with the program’s opioid overdose prevention training curriculum; completing a refresher training at least every two years or otherwise demonstrating competence in opioid overdose recognition and response to the satisfaction of the program director or someone designated by the program director; contacting EMS (dialing 911) when encountering someone who is the victim of a suspected drug, complying with protocols set out in the training curriculum for responding to victims of a suspected drug overdose; and. It is also permissible under the regulations for naloxone that has already been dispensed or furnished pursuant to a patient‐specific prescription to be shared so long as the conditions noted above are No individual enrollment is necessary. 2020 All Rights Reserved, NYC is a trademark and service mark of the City of New York, Promoting and Protecting the City's Health, Poison Control Center Consultants’ Conference, NYC Pharmacist Dispensing Protocol and Agreement, Quarterly Naloxone Reporting Form for NYC Pharmacies, Naloxone Co-payment Assistance Program (N-CAP), Naloxone Co-payment Assistance Program (N-CAP) FAQs, Designate a Pharmacist Program Coordinator to review and sign the, Email the first page of the signed Protocol and Agreement to. Please submit reports online using the Quarterly Naloxone Reporting Form for NYC Pharmacies. This clinical director could then issue a non‐patient specific prescription covering potential witnesses to an overdose as well as persons who may be at risk of experiencing an opioid overdose. person at risk of experiencing an opioid-related overdose, or a family member, friend or other person If a group of individuals are trained overdose responders for the same program or agency or in the same location, they will be considered as meeting this requirement. 4 The New York State Department of Health has a new program, Naloxone Co-payment Assistance Program (N-CAP). Examples include law enforcement personnel working for the same police department; staff and volunteers in a social service agency; and personnel in a homeless shelter, who may or may not have the same employer. issuing a patient-specific prescription for an opioid antagonist as otherwise permitted by law." The same individual may serve as both the program director and the clinical director. Patients who cannot afford naloxone and are not eligible to use N-CAP can contact NYC Well for a referral to a free naloxone dispenser. Pharmacists may dispense naloxone pursuant to a patient‐specific prescription in the same manner as any other prescription medication. The organization which is receiving naloxone pursuant to a non-patient specific prescription must have policies and procedures in place that ensure the appropriate training of its staff; the safe and secure storage of naloxone; and the controlled access to naloxone solely by those who have been trained. by a registered pharmacist pursuant to a patient-specific or non-patient specific prescription; by a licensed prescriber under that prescriber’s patient-specific or non-patient specific prescription; and. dispense naloxone using a standing order? There should be a policy and procedure for disposing of expired naloxone. by individuals specifically authorized by a prescriber affiliated with a registered opioid overdose prevention program to furnish naloxone under a non-patient specific prescription (standing order). Naloxone may be dispensed or furnished in the following ways: Do prescribers always need to be present when naloxone is furnished to trained overdose responders? The naloxone inventory should be maintained so that trained overdose responders receive this medication with at least six months and preferably 12 months prior to its labeled expiration. If you would like to make naloxone available at your pharmacy: Requirements for Participating Pharmacies. The following elements should be included: Model non-patient specific prescriptions and policies and procedures for their implementation are being developed for and by various agencies. Where sharing of naloxone is anticipated, it is preferable that a non‐patient specific prescription The statute contains this provision: "A recipient or opioid overdose prevention program under this section, acting reasonably and in good faith in compliance with this section, shall not be subject to criminal, civil or administrative liability solely by reason of such action." Pharmacies that dispense naloxone are protected from liability under New York State law. NDC 69547-353-02, Multi-step intramuscular naloxone vial and syringe. Non-patient specific prescriptions - either by name or title - should designate those individuals who are to do the furnishing or dispensing and must identify the pool of trained overdose responders who may have access to the opioid antagonist. Yes, the clinical director of a registered program - or an affiliated prescriber of a registered program with the approval of the clinical director - may issue a non-patient specific prescription for an organization to make naloxone available. Everyone being furnished or dispensed naloxone should have training in opioid overdose recognition and response. Naloxone coming into - and out of - inventory under the program’s policies and procedures should be documented with the quantities specified. Although all resuscitation techniques can be valuable and should be given serious consideration for incorporation in a program’s curriculum, they are not required elements. It is the responsibility of each registered program to ensure that there are policies and procedures in place to collect information on naloxone use and overdose reversal. Under Public Health Law Section 3309: “the purchase, acquisition, possession or use of an opioid antagonist pursuant to this section shall not constitute the unlawful practice of a profession or other violation under title eight of the education law or this article.” In addition: "Use of an opioid antagonist pursuant to this section shall be considered first aid or emergency treatment for the purpose of any statute relating to liability.". Pharmacies to ensure that naloxone in its various formulations is more routinely stocked your. Same manner naloxone standing order new york any other prescription medication calling 911 ), if it has not already taken place, administering! Curriculum, which is under development every other registered program, naloxone Co-payment Assistance program ( N-CAP ) Topics must! Pharmacist and patient training are still being explored policy and procedure for disposing of expired naloxone to discuss PEP PrEP. 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