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STATE OF MICHIGAN
GRETCHEN WHITMER
GOVERNORDEPARTMENT OF HEALTH AND HUMAN SERVICES
LANSINGELIZABETH HERE
DIRECTORStanding Order Information PacketNaloxone Prescription for Opioid Overdose Prevention
I.
OVERVIEW
Naloxone
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How to fill out standing order information packet-naloxone
How to fill out standing order information packet-naloxone
01
Obtain a standing order for naloxone from a healthcare provider.
02
Gather all necessary information, such as patient details and contact information.
03
Fill out the standing order information packet with the required information.
04
Make copies of the completed packet for your records and for distribution as needed.
Who needs standing order information packet-naloxone?
01
Individuals who are at risk of experiencing or witnessing an opioid overdose may need a standing order information packet for naloxone.
02
Healthcare providers, first responders, and community organizations that provide services to individuals at risk of opioid overdose may also need this information packet.
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What is standing order information packet-naloxone?
The standing order information packet-naloxone is a set of documents detailing the protocol for distributing and administering the medication naloxone.
Who is required to file standing order information packet-naloxone?
Healthcare providers and facilities that are authorized to dispense naloxone are required to file the standing order information packet-naloxone.
How to fill out standing order information packet-naloxone?
The standing order information packet-naloxone can be filled out by providing details about the healthcare provider or facility, the protocol for naloxone distribution, and any related procedures.
What is the purpose of standing order information packet-naloxone?
The purpose of the standing order information packet-naloxone is to ensure that naloxone is readily available for use in cases of opioid overdose, ultimately saving lives.
What information must be reported on standing order information packet-naloxone?
The standing order information packet-naloxone must include details such as the name of the healthcare provider or facility, the protocol for naloxone distribution, and any related procedures.
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