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Naloxone Distribution Project Dispense LogDateRecipient Age & M/F/Trans/Other (OK to give estimate) Example: 22 Number of kits dispensed (each kit has 2 naloxone sprays)If this is a refill, # of times
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How to fill out naloxone distribution project dispense

01
Ensure you have the necessary naloxone kits and materials for distribution
02
Set up a designated distribution site or event
03
Create a sign-up sheet for individuals receiving the naloxone kits
04
Provide education on how to properly administer naloxone in case of an overdose
05
Verify the eligibility of individuals requesting naloxone kits
06
Document the distribution of naloxone kits for tracking purposes

Who needs naloxone distribution project dispense?

01
Individuals who are at risk of opioid overdose
02
Family members or friends of individuals at risk of opioid overdose
03
Healthcare providers, first responders, and harm reduction organizations
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Naloxone distribution project dispense refers to the initiative that provides naloxone, a medication used to reverse opioid overdoses, to individuals and organizations, enabling them to receive and distribute naloxone to those at risk of opioid overdose.
Entities involved in the distribution of naloxone, such as healthcare providers, community organizations, and pharmacies, are typically required to file for naloxone distribution project dispense.
To fill out the naloxone distribution project dispense form, you should include relevant information such as the organization's details, the number of naloxone units to be distributed, target population, and any required contact information.
The purpose of naloxone distribution project dispense is to increase the accessibility of naloxone, thereby reducing the incidence of opioid overdose deaths by enabling timely intervention.
Information that must be reported includes the quantity of naloxone distributed, recipient details, distribution methods, and any reported outcomes related to opioid overdose reversals.
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