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OSD Intranasal Naloxone Usage Form Agency DemographicsDate: / / Agency: Agency ID#: Trauma Region: Please select your agency licensure level: Reason for refill: Administered kit EMR/FR Basic Broken/lost
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How to fill out osdh intranasal naloxone usage

01
Open the packaging of the OSDH intranasal naloxone.
02
Remove the nasal spray device from the packaging.
03
Hold the nasal spray device with your thumb at the bottom and your index and middle fingers on the sides.
04
Tilt your head slightly backward.
05
Insert the tip of the nasal spray device into one nostril until your fingers on the sides are against your nose.
06
Press down firmly on the plunger to release the naloxone into your nostril.
07
Repeat the process for the other nostril.
08
After administering the naloxone, stay with the person and monitor their breathing and responsiveness.
09
If there is no improvement or the person's symptoms worsen, seek medical assistance immediately.
10
Dispose of the used nasal spray device properly according to local regulations.

Who needs osdh intranasal naloxone usage?

01
OSDH intranasal naloxone usage is recommended for individuals at risk of experiencing opioid overdose or individuals who may witness an opioid overdose. This includes individuals who use opioids, individuals who have a history of opioid overdose, individuals who have been recently discharged from emergency medical care for opioid overdose, individuals in substance abuse treatment programs, and friends, family members, or caregivers of individuals at risk of opioid overdose.
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OSDH intranasal naloxone usage refers to the administration of naloxone by intranasal spray, a method used to reverse opioid overdoses, as per the guidelines set by the Oklahoma State Department of Health.
Entities such as healthcare providers, emergency medical services, and organizations that distribute naloxone are generally required to file reports on intranasal naloxone usage to the OSDH.
Filling out the OSDH intranasal naloxone usage report typically involves providing details such as the quantity of naloxone distributed, the demographics of individuals served, and the outcomes following naloxone administration.
The purpose of OSDH intranasal naloxone usage is to provide a quick and effective intervention to counteract the effects of opioid overdose, ultimately saving lives.
The information that must be reported includes the total number of doses administered, demographic information of recipients, any adverse events, and the overall effectiveness of the naloxone provided.
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