FDIHB
NARCAN
Presented by Clinical Education Tsehootsooi Medical Center
go!
Session Goals
- Understand the severity of the Opioid Crisis
- Recognize Symptoms of Opioid Overdose
- Understand how Narcan works
- Demonstrate the ability to safely store and administer Narcan
National & State Data
Notice the groups at highest risk.
Drug Overdose Death Facts
Why is this important?
Preventable
In the USA
Age Factors
65.7% of overdose-related deaths had at least 1 potential opportunity for interventions... but did they get it?
adults ages 35–44 are at higher risk of death while adults between 15–24 are at a lower risk of death.
Leading Cause of Unintentional Death
ARIZONA DATA
This is our larger Community.
Ranks 18th in opioid drug overdose deaths in the U.S
Ranks 18th in overdose deaths related to illegally-made Fentanyl
4 Arizonians die from overdose daily
Ranks 7th in Overdose Deaths by Methamphetamine
In 2024: 1700 reported opioid overdose deaths (Note: it is under reported)
New Mexico DATA
This is our next door neighbor.
Ranks 12th in overdose deaths related to illegally-made Fentanyl
Ranks 11th in opioid drug overdose deaths
Ranks 5th in Overdose Deaths by Methamphetamine
National vs State trends
In 2024-2025 the percentage of opioid overdose deaths went down by 21% nationwide. However, in AZ and NM, it went up.
- AZ Overdose deaths are up by 17.22%
- NM Overdose deaths are up by 7.64%
- * special note
...peace officers and ancillary law enforcement employees who administer naloxone hydrochloride or any other opioid antagonist pursuant to this section are immune from professional liability...
A.R.S. 36-2228
A medicine that reverses an opioid overdose
- It is typically fast
- Multiple Doses might be required
- Can quickly restore normal breathing
- Note: is effective with OPIOID overdoses, not other types of overdose.
It has many different names:
- Naloxone (generic name)
- Narcan (nasal spray)
- Zimhi (Injection)
What is Narcan?
Drugs/Substances that Narcan treats
Note these are examples and not a complete list
- Opium (Black Pill, O, Gum)
- Heroin (Dope, Horse, Junk, Smack, )
- Codeine (Schoolboy, Loads)*
- Oxycodone & Methadone
- Hydromorphone & Morphine
- Fentanyl (Blues, Dance Fever, M30s,TNT, 💊💀🔥)
Why Promote Narcan?
How do I get Narcan?
- Arizona State covers the cost of Narcan via grants.
- This means you can request the state for Narcan
- This is FREE
- It is Over-the-Counter, AKA you do NOT need a prescription
- Pharmacies (Might cost)
- Walmart/Amazon (Might Cost)
Challenges in our Community
By Karen Nofchissey
When do I administer Narcan?
- When there are signs of potential overdose
- Unknown substances or syringes nearby
- According to protocols/policies
- Reasonable suspicion
- Family member/bystanders mention it's drug-related.
Narcan Storage
Keeping it in the right place, makes a difference.
keep in Ziplock Bags or Protective Cases to protect it from getting wet.
keep it in a place that avoids extreme temperatures or moisture
keep it in a place where it is accessible (first aid kits, car trunk, with AEDs)
know when the packet expires and prepare to replace them
Question
Narcan Administration
The Practice
Important Things to Consider
There are certain points you need to keep in mind about Narcan before we learn to give it.
Narcan administraion does NOT replace BLS assessment and CPR
Narcan lasts only 30-90 minutes
Multiple doses may be required
Opioids may stay in the blood for longer than 90 minutes
Individual will need at least 2 hours of observation after the last dose of Narcan
Narcan takes 2-3min to work
Steps to Administration
Practice
This will be a BLS team-based practice on a person found to be unresponsive.
Remember this...
Conclusions
- There are initiatives to promote public access to Narcan and Education
- Anyone can be trained to administer Narcan. Even kids.
- Teach family, friends, your kids, and their friends.
- 4 Arizonians die daily from an overdose
- The leading cause of Unintentional Death
- 65.7% of them had a bystander who could have administered Narcan
- American Natives are at higher risk
Public Access to Narcan and Education can save lives.
‘Narcan gives a person the opportunity to survive and live long enough to change.’
- many people
References
https://www.cdc.gov/nchs/products/databriefs/db549.htm
https://www.cdc.gov/overdose-prevention/data-research/facts-stats/sudors-dashboard-fatal-overdose-data.html
https://directorsblog.health.azdhs.gov/opioid-response-update-updated-data-naloxone-trainings-emergency-rule-making/
https://www.domesticviolence.az.gov/sites/default/files/meeting-documents/materials/4._adhs_opioid_update.pdf
https://narcan.com/en/opioid-education https://pmc.ncbi.nlm.nih.gov/articles/PMC8756371/
NARCAN
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Transcript
FDIHB
NARCAN
Presented by Clinical Education Tsehootsooi Medical Center
go!
Session Goals
National & State Data
Notice the groups at highest risk.
Drug Overdose Death Facts
Why is this important?
Preventable
In the USA
Age Factors
65.7% of overdose-related deaths had at least 1 potential opportunity for interventions... but did they get it?
adults ages 35–44 are at higher risk of death while adults between 15–24 are at a lower risk of death.
Leading Cause of Unintentional Death
ARIZONA DATA
This is our larger Community.
Ranks 18th in opioid drug overdose deaths in the U.S
Ranks 18th in overdose deaths related to illegally-made Fentanyl
4 Arizonians die from overdose daily
Ranks 7th in Overdose Deaths by Methamphetamine
In 2024: 1700 reported opioid overdose deaths (Note: it is under reported)
New Mexico DATA
This is our next door neighbor.
Ranks 12th in overdose deaths related to illegally-made Fentanyl
Ranks 11th in opioid drug overdose deaths
Ranks 5th in Overdose Deaths by Methamphetamine
National vs State trends
In 2024-2025 the percentage of opioid overdose deaths went down by 21% nationwide. However, in AZ and NM, it went up.
...peace officers and ancillary law enforcement employees who administer naloxone hydrochloride or any other opioid antagonist pursuant to this section are immune from professional liability...
A.R.S. 36-2228
A medicine that reverses an opioid overdose
- It is typically fast
- Multiple Doses might be required
- Can quickly restore normal breathing
- Note: is effective with OPIOID overdoses, not other types of overdose.
It has many different names:What is Narcan?
Drugs/Substances that Narcan treats
Note these are examples and not a complete list
Why Promote Narcan?
How do I get Narcan?
Challenges in our Community
By Karen Nofchissey
When do I administer Narcan?
Narcan Storage
Keeping it in the right place, makes a difference.
keep in Ziplock Bags or Protective Cases to protect it from getting wet.
keep it in a place that avoids extreme temperatures or moisture
keep it in a place where it is accessible (first aid kits, car trunk, with AEDs)
know when the packet expires and prepare to replace them
Question
Narcan Administration
The Practice
Important Things to Consider
There are certain points you need to keep in mind about Narcan before we learn to give it.
Narcan administraion does NOT replace BLS assessment and CPR
Narcan lasts only 30-90 minutes
Multiple doses may be required
Opioids may stay in the blood for longer than 90 minutes
Individual will need at least 2 hours of observation after the last dose of Narcan
Narcan takes 2-3min to work
Steps to Administration
Practice
This will be a BLS team-based practice on a person found to be unresponsive.
Remember this...
Conclusions
Public Access to Narcan and Education can save lives.
‘Narcan gives a person the opportunity to survive and live long enough to change.’
- many people
References
https://www.cdc.gov/nchs/products/databriefs/db549.htm https://www.cdc.gov/overdose-prevention/data-research/facts-stats/sudors-dashboard-fatal-overdose-data.html https://directorsblog.health.azdhs.gov/opioid-response-update-updated-data-naloxone-trainings-emergency-rule-making/ https://www.domesticviolence.az.gov/sites/default/files/meeting-documents/materials/4._adhs_opioid_update.pdf https://narcan.com/en/opioid-education https://pmc.ncbi.nlm.nih.gov/articles/PMC8756371/