These will be posted on the Department’s website and may be adapted for use by registered programs for their specific purposes. Currently most opioid overdose curricula in the United States, including those used in New York, incorporate rescue breathing as a resuscitation technique to be used by responders who are not already trained in full CPR or who do not otherwise have advanced skills or equipment. The following information must be maintained: Every program needs to have policies and procedures which address these issues. The same individual may serve as both the program director and the clinical director. There is no bar to a nurse becoming a trained overdose responder, so long as that trained overdose responder role is distinct from the role of practicing the profession of nursing. (i) indication that the naloxone was dispensed pursuant to a non-patient specific prescription; (iii) the opioid antagonist being prescribed, including the route of administration and dosing; (iv) the date of the dispensing or furnishing; and. 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 naloxone. For more information, or to schedule a pharmacist education training, email firstname.lastname@example.org. For some trainings, abbreviated training that only covers the core elements of overdose recognition and response may be appropriate. The actual inventory of naloxone and other overdose supplies should be routinely assessed, with a recommended frequency of at least once per month, to determine whether there are any discrepancies between documented inventory and actual inventory and to prevent such discrepancies. It is also permissible under the regulations for naloxone that has already been dispensed or furnished pursuant to a patientâspecific prescription to be shared so long as the conditions noted above are Under the regulations, the clinical director may "designate individuals who are authorized to Pharmacies that dispense naloxone are protected from liability under New York State law. Recipient "means a The New York State Department of Health is working with community pharmacies to ensure that naloxone in its various formulations is more routinely stocked. No individual enrollment is necessary. dispense or furnish an opioid antagonist to trained overdose responders and/or individuals who are responsible for ensuring orderly, controlled, shared access to an identifiable pool of trained overdose responders pursuant to a nonâpatient specific prescription. This line supports inquiries from clinicians only (MD, NP, PA, RN, PharmD or DDS) and is not intended for patient or consumer questions. 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. This should be a collaborative decision between the prescriber and the organization or workforce. In addition to prescribing and/or dispensing naloxone, their specific responsibilities include: 1) providing clinical consultation, expertise and oversight; 2) serving as a clinical advisor and liaison concerning medical issues related to the program; 3) providing consultation to ensure that all trained overdose responders are properly trained; 4) reviewing and approving opioid overdose prevention training curriculum content and protocols; 5) reviewing reports of all administrations of naloxone; and 6) designating individuals in addition to themselves, if any, who are authorized to dispense or furnish naloxone to trained overdose responders and/or individuals who are responsible for ensuring orderly, controlled, shared access to an identifiable pool of trained overdose responders pursuant to a nonâpatient specific prescription. Mechanisms for pharmacist and patient training are still being explored. 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. Program directors have the overall responsibility for managing their programs and for being the primary liaison with the Department. When the individual is functioning as a nurse (other than a nurse practitioner), he or she may only administer naloxone following a patientâspecific or nonâ patient specific medical order. Program and clinical directors should assess the capacity and the willingness of individuals contemplated as responders for using the various resuscitation techniques and then decide on their emphasisâif anyâin a given curriculum. 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. 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. 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." "Shared access" is sometimes referred to as "communal access.". Flexibility is encouraged in the both the content of the curriculum and in its delivery. These forms are currently being developed and will be provided in the near future. The designation of individuals to dispense or furnish naloxone is sometimes referred to as a “standing order” though in New York State, consistent with Public Health Law Section 3309, it is known as a "nonâpatient specific prescription." Those appropriate responses should always include summoning EMS (calling 911), if it has not already taken place, and administering naloxone. 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. The following definition appears in the regulations: “Trained overdose responder means any individual not otherwise permitted by law to administer an opioid antagonist, who is either: Yes. For individuals with prescription coverage as part of their health insurance plan, N- CAP ensures that there are no or lower out-of-pocket expenses when getting naloxone at a participating pharmacy. City of New York. The clinical director must be able to prescribe medication in New York State. This program is specifically designed to equip those most at risk of experiencing or witnessing an overdose, including substance users, with the knowledge and tools necessary to reverse overdoses and save lives. 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. Readily available administered the medication have the overall responsibility for managing their programs and for being the liaison... The both the content of the group of trained overdose responders who may have naloxone standing order new york... 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