First Responder Naloxone Program
The Virginia Association of Chiefs of Police (VACP) is managing a First Responder Naloxone grant for the Virginia Department of Behavioral Health and Developmental Services (DBHDS). The project goals are to increase access and distribution of naloxone to all first responders in the Commonwealth of Virginia, increase participation in the DBHDS REVIVE! training for first responders, and to increase the number of REVIVE! Trainers and Master Trainers.
Please read below for information on No-Cost Naloxone Supplies, training to administer naloxone, and links to additional information/ resources.
NO-COST NALOXONE SUPPLIES
Naloxone is an opioid antagonist drug that reverses the effects that opioids have in the brain. When a person overdoses on opioids, the opioid overwhelms specific receptors in the brain, slowly decreasing respiration and heart rate before finally stopping it altogether. Naloxone has a very high affinity for these receptors and effectively pushes the opioid off of the brain receptor. This action allows a person’s body to resume respiration. Naloxone has been used for years by emergency medical technicians and emergency room doctors to reverse opioid overdose emergencies. Outside of this singular purpose, naloxone has no effect on the body, and poses no danger to anyone who accidentally administers it to themselves or someone else.
In partnership with the Department of Behavioral Health and Developmental Services (DBHDS), VDH has received federal funding to support naloxone distribution efforts. This funding opportunity will allow VDH to once again provide no-cost naloxone to law enforcement agencies and fire service organizations (non-EMS licensed). Law enforcement agencies and fire service organizations that would like to obtain NARCAN® Nasal Spray at no cost through VDH, should visit the links listed below. Licensed emergency medical services (EMS) agencies remain eligible for no-cost naloxone through the Nasal Naloxone for EMS Agencies (NNEA) grant opportunity administered by the VDH Office of Emergency Medical Services.
SAMSHA Bulletin: Guidance from SAMHSA for First Responders administering naloxone during pandemic.
Statewide Naloxone Prescription Order for Virginia First Responders: First responder agencies located in the Commonwealth of Virginia no longer have to go to a physician to obtain a prescription to enable them to order and administer naloxone! The Virginia Department of Health (VDH) has included all Virginia first responder agencies in their Statewide Standing Order for Naloxone (prescription) as long as they have completed a training program in accordance with the policies and procedures of their governing agency/employer. Please click on the link to view the NEW Statewide Standing Order. (March 19, 2020)
NARCAN® Application: Please use this form if your organization would like to request Narcan through the Virginia Department of Health for the first time or if your organization's agreement with VDH has expired. Please note that you must have received REVIVE! training in order to submit an application.
NARCAN® Order Form: Please use this form to place an order if your organization currently has a fully-executed agreement with the Virginia Department of Health for provision of Narcan.
Naloxone Carrying Cases: For a limited time, FREE temperature controlled Naloxone Carrying Cases are available to Virginia law enforcement agencies. To view the available cases, please click here. To order cases, please download this form and follow the directions listed on the form. Limited supplies are available and orders are subject to review before processing. For general questions, please contact Suzanne Robinson at email@example.com.
Personal Protective Equipment (PPE): SAMHSA has issued a letter certifying that opioid treatment services are essential medical services. The letter confirms the need of personal protective equipment to be used by professionals who provide these services, and that the ordering of PPE supplies is for a legitimate need and purpose. Please feel free to share this information within your agency and with opioid treatment service providers in your localities. (SAMHSA is the Substance Abuse and Mental Health Services Administration, an agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation.)
General Information: Virginia Department of Health (VDH) webpage that contains general information on Naloxone and FAQ’S.
REVIVE! is the Opioid Overdose and Naloxone Education (OONE) program for the Commonwealth of Virginia. First responders (law enforcement, fire, and EMS) are required to go through a separate industry specific training that is being coordinated by the VACP in partnership with the DBHDS. REVIVE! offers two different types of trainings:
REVIVE! Basic Training for First Responders: This training certifies attendees to administer Naloxone in the event of an overdose emergency. The training is between 1-1.5 hours long, and covers understanding opioids, how opioid overdoses happen, risk factors for opioid overdoses, and how to respond to an opioid overdose emergency with the administration of Naloxone.
REVIVE! Train the Trainer for First Responders: Successful completion of this training program is required to become a Certified Trainer of the REVIVE! Basic Training. This training program is approximately 2-3 hours long and covers understanding opioids, how opioid overdoses happen, risk factors for opioid overdoses, how to respond to an opioid overdose emergency with the administration of Naloxone, and the administrative requirements to conduct REVIVE! trainings.
REVIVE! Training Schedule: REVIVE! Trainings are being scheduled throughout the Commonwealth of Virginia. To view scheduled trainings, please visit the VACP Calendar. To request a training in your area or for questions about REVIVE! trainings, please contact VACP Program Manager, Stephanie Diaz, at firstname.lastname@example.org.
Certified REVIVE! Trainers: To download a list of trainers certified to conduct the REVIVE! Basic Training for First Responders, click here. To view a list of master trainers qualified to conduct the Train the Trainers classes, please click here.
Resources for REVIVE! Trainers: To receive a copy of the Amendment to Trainer's Guide for First Responders and updated training materials, please contact VACP Program Manager, Stephanie Diaz, at email@example.com.
Virginia Code Concerning Safe Reporting and Liability Exemption
- § 18.2-251.03. Safe Reporting of Overdoses
- § 8.01-225. Persons Rendering Emergency Care, Obstetrical Services Exempt from Liability
Opioid Overdose Toolkits, Research Articles, & Information
- How to give Narcan® to a K9
- SAMHSA Overdose Prevention Toolkit - Five Essential Steps for First Responders
- ASA - Opioid Overdose Resuscitation
- NIH - Opioid Overdose Reversal with Naloxone
- Bureau of Justice Assistance's Law Enforcement Naloxone Toolkit Information
- RAND Corporation Research Report E-book: Law Enforcement Efforts to Fight the Opioid Crisis
- Office of National Drug Control Policy Advisory: Fentanyl Safety Recommendations for Law Enforcement
- John Hopkins Bloomberg School of Public Health: Policing and the Opioid Crisis – Standards of Care
- John Hopkins Bloomberg School of Public Health: A Roadmap for Reducing Stigma on Opioid Addiction
Naloxone Videos (while not Virginia-specific, with useful information)
- NIH - How Naloxone Saves Lives
- VDH - Recognizing and Responding to an Opioid Overdose
- AMA How to Use Naloxone
- Training on Using 4 Types of Naloxone
- NASN Narcan Training
- Naloxone Project Dawn Training Video
- NY Naloxone Update for Law Enforcement
- Official Narcan Video – How to Use Narcan Nasal Spray
- Key Steps to Administering Narcan Nasal Spray