La. Admin. Code tit. 55 § XXV-105

Current through Register Vol. 50, No. 11, November 20, 2024

Section XXV-105 - Training Requirements

A. First responders who will possess and administer naloxone or other opioid antagonists shall be trained on, at a minimum, the following:

1. standards and procedures for storage and administration of naloxone or other opioid antagonists in accordance with the guidelines of the manufacturer of the product or device. Because opioid antagonists can be administered through a nasal atomizer or through injection, the standards and procedures established by the manufacturer of the specific product or device to be used by the first responder shall be covered in the training;

2. patient assessment in order to recognize the signs/symptoms of an opioid-related overdose, which often includes:

a. face is extremely pale and/or clammy to the touch;

b. body is limp;

c. fingernails or lips have a blue or purple cast;

d. the patient is vomiting or making gurgling sounds;

e. the patient cannot be awakened or is unable to speak;

f. breathing is very slow or stopped;

g. heartbeat is very slow or stopped.;

3. contraindications of an opioid-related overdose;

4. emergency follow-up procedures, which may include:

a. calling 911 if not done prior to the first responders arrival on scene or the administration of naloxone or other opioid antagonist.

b. administering a second dose of naloxone or other opioid antagonist if the patient does not respond.

c. performing rescue breathing or CPR if certified or instructions are provided by a 911 operator or dispatcher.

d. recognizing typical responses to treatment with naloxone or other opioid antagonists;

5. documenting the administration of naloxone or other opioid antagonists and retaining such documentation in accordance with law and agency policy;

6. safely disposing of used administration devices and replacement of administration devices.

B. It is recommended that training for first responders also include laws relating to possession and administration of naloxone or other opioid antagonists by third parties, and immunity for reporting of drug overdoses.

C. Training resources are available through the Substance Abuse and Mental Health Services Administration (SAMHSA), which has developed an opioid overdose toolkit available online through its website: www.samhsa.gov. Furthermore, the Bureau of Justice Assistance (BJA) has developed a law enforcement naloxone toolkit which is available online through its website: www.bja.gov. Furthermore, as provided by R.S. 40:978.1, a law enforcement agency or fire department may enter into a written agreement to affiliate with an ambulance service provider or a physician for the purposes of obtaining a supply of naloxone or other opioid antagonist or and/or to obtain training necessary to safely and properly administer naloxone or other opioid antagonists to individuals who are believed to be undergoing an opioid-related drug overdose.

La. Admin. Code tit. 55, § XXV-105

Promulgated by the Department of Public Safety and Corrections, Office of State Police, LR 44, Promulgated by the Department of Public Safety and Corrections, Office of State Police, LR 4573 (1/1/2019).

AUTHORITY NOTE: Promulgated in accordance with R.S. 40:978.1(F) and R.S. 14:403.11.