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Pharmacist Prescribed Naloxone Rescue Kit Informed Consent Form Name Birthdate Chart Number Address Phone () PCP Before giving your consent, be sure you understand both the pros and cons of the naloxone
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How to fill out pharmacist prescribed naloxone rescue
How to fill out pharmacist prescribed naloxone rescue:
01
Check the packaging: Ensure that the naloxone rescue kit is properly sealed and has not expired. Look for any damage or tampering on the packaging.
02
Review the instructions: Read the instructions provided with the kit carefully. Familiarize yourself with the steps involved in administering naloxone and any precautions or warnings mentioned.
03
Check the components: Open the kit and check if all the necessary components are included. Typically, a naloxone rescue kit will contain a pre-filled syringe or nasal spray, instructions, and any additional items such as gloves or a face mask.
04
Preparation: If the kit includes gloves, put them on to protect yourself from any potential exposure. Ensure proper hand hygiene by washing your hands thoroughly or using hand sanitizer before handling the naloxone.
05
Administering naloxone: The specific method of administering naloxone may differ depending on the kit you have. It can be injected into a muscle (intramuscularly) or sprayed into the nostrils (intranasally). Follow the instructions provided to properly administer the naloxone.
06
Positioning and support: If the person experiencing an opioid overdose is unconscious, it is important to assess their position and ensure their airway is clear. Gently place them on their side (recovery position) to prevent choking and provide support until medical help arrives.
07
Post-administration care: After administering naloxone, monitor the person closely for any signs of improvement or adverse reactions. If they do not respond within a few minutes, additional doses may be necessary based on the instructions provided with the naloxone kit.
Who needs pharmacist prescribed naloxone rescue:
01
Individuals at risk of opioid overdose: Naloxone rescue kits are primarily prescribed to individuals who are at risk of opioid overdose. This includes people who misuse opioids, such as those with substance use disorders, as well as individuals who are prescribed opioids for pain management.
02
Friends and family members: Naloxone rescue kits may also be prescribed to friends or family members of individuals at risk of opioid overdose. This is to ensure that if an overdose occurs, those close to the person have the necessary tools to intervene and potentially save their life.
03
Healthcare professionals: Pharmacists may prescribe naloxone rescue kits to healthcare professionals who may encounter opioid overdose situations in their line of work. This can include emergency medical personnel, community health workers, or social workers who provide support to individuals who use opioids.
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What is pharmacist prescribed naloxone rescue?
Pharmacist prescribed naloxone rescue is a program that allows pharmacists to provide naloxone to individuals at risk of opioid overdose.
Who is required to file pharmacist prescribed naloxone rescue?
Pharmacists are required to file pharmacist prescribed naloxone rescue.
How to fill out pharmacist prescribed naloxone rescue?
To fill out pharmacist prescribed naloxone rescue, pharmacists need to document the naloxone dispensed and provide necessary information such as patient details and the reason for distribution.
What is the purpose of pharmacist prescribed naloxone rescue?
The purpose of pharmacist prescribed naloxone rescue is to reduce opioid overdose deaths by increasing access to naloxone.
What information must be reported on pharmacist prescribed naloxone rescue?
Information such as patient name, age, address, date of dispensing, pharmacist's details, and the reason for providing naloxone must be reported on pharmacist prescribed naloxone rescue.
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