Opioid Antagonist Specific Resources
The following resources have been approved by the Department of Public Instruction for use in training school personnel, bus operators, and volunteers in the emergency use of an opioid antagonist. The Department of Public Instruction acknowledges the work of the National Association of School Nurses in the development of many of these resources.
The Department of Public Instruction recognizes the discrepancy between American Heart Association (AHA) and American Red Cross (ARC) protocols and algorithms for responding to an unconscious victim. For school personnel, bus operators, and volunteers who have received training or have been certified by the AHA or ARC in performing CPR and using an AED, it is suggested they follow these organizations' steps when responding to a victim of suspected opioid overdose. At this time, AHA protocol would include the performance of CPR/AED use until the opioid antagonist was available and continuation of CPR/AED if the victim does not respond to the opioid antagonist. ARC has not incorporated an opioid antagonist protocol into their training at this time.
For school personnel, bus operators, and volunteers who have no prior training or certification in responding to an unconscious victim, they may use the algorithm of Recognize, Respond, Reverse, and Refer as outlined in the NASN training modules. Emphasis should be placed on learning the signs of a suspected drug overdose and the proper administration of either the intranasal or intramuscular form of Naloxone. School personnel, bus operators, and volunteers who may administer an opioid antagonist to a person who is suspected of an opioid-related overdose should also be taught what to do when the person responds (aftercare) or what to do if the person does not respond to the Naloxone. This information is described in both the AHA protocol and the protocols listed below. It is suggested school personnel, bus operators, and volunteers perform at their highest level of training.
School districts are not required to use these specific training resources. School districts may submit their training materials to the State School Nurse Consultant for Department of Public Instruction approval at: email@example.com.