Assessment-of-Impact-SC-Overdose-Prevention-Act-of-2015-Presentation2016
Assessment-of-Impact-SC-Overdose-Prevention-Act-of-2015-Presentation2016
Assessment-of-Impact-SC-Overdose-Prevention-Act-of-2015-Presentation2016
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An <strong>Assessment</strong> <strong>of</strong> the <strong>Impact</strong> <strong>of</strong> the South Carolina<br />
<strong>Overdose</strong> <strong>Prevention</strong> <strong>Act</strong> <strong>of</strong> <strong>2015</strong>:<br />
DHEC Bureau <strong>of</strong> EMS
Authors:<br />
• Brian Barrier, BA – EMS Performance Improvement Center,<br />
Department <strong>of</strong> Emergency Medicine, University <strong>of</strong> North Carolina ,<br />
Chapel Hill , North Carolina, USA<br />
• Michael Mastropole, BS, EMT-B – EMS Performance Improvement<br />
Center, Department <strong>of</strong> Emergency Medicine, University <strong>of</strong> North<br />
Carolina , Chapel Hill , North Carolina, USA<br />
• Rob Wronski, MBA, NPR – South Carolina Bureau <strong>of</strong> EMS,<br />
Department <strong>of</strong> Health and Environmental Control, Columbia, South<br />
Carolina, USA<br />
• Arnold Alier, EdD, NRP – South Carolina Bureau <strong>of</strong> EMS,<br />
Department <strong>of</strong> Health and Environmental Control, Columbia, South<br />
Carolina, USA<br />
• Antonio R. Fernandez, PhD, NRP, FAHA – EMS Performance<br />
Improvement Center, Department <strong>of</strong> Emergency Medicine,<br />
University <strong>of</strong> North Carolina , Chapel Hill , North Carolina, USA
Background<br />
The Law Enforcement Officers Naloxone Training<br />
Program (LEON) is the product <strong>of</strong> the<br />
collaborative efforts between<br />
Anderson County EMS (ACEMS)<br />
South Carolina Department <strong>of</strong> Alcohol and Other Drug<br />
Abuse Services (DAODAS)<br />
South Carolina Department <strong>of</strong> Health and<br />
Environmental Control (DHEC) Bureau <strong>of</strong> EMS<br />
Fifth Judicial Circuit Solicitor Office (FCSO)<br />
Greenville County Sheriff's Office (GCSO)<br />
DHEC Bureau <strong>of</strong> EMS
The LEON's goal is to provide a comprehensive<br />
training to law enforcement agencies all across<br />
South Carolina that focuses on<br />
The identification<br />
The treatment<br />
The reporting <strong>of</strong><br />
Background<br />
drug overdoses attributed to opiates, such as<br />
heroin and narcotic pharmaceutical drugs.<br />
DHEC Bureau <strong>of</strong> EMS
Background<br />
The program was created pursuant to the<br />
<strong>2015</strong> passing <strong>of</strong> the South Carolina <strong>Overdose</strong><br />
<strong>Prevention</strong> <strong>Act</strong> (<strong>SC</strong> Code Section 44-130). The<br />
<strong>Act</strong> seeks to grant immunity from both civil and<br />
criminal prosecution, to doctors, pharmacists,<br />
caregivers, and first responders, who are<br />
engaged in the prescription, dispensing, and<br />
administration <strong>of</strong> Naloxone in an opioidoverdose<br />
suspected case.<br />
DHEC Bureau <strong>of</strong> EMS
Background<br />
The <strong>SC</strong> Bureau <strong>of</strong> EMS involvement included<br />
training and tracking <strong>of</strong> LEO naloxone usage<br />
through a secure web portal.<br />
DHEC Bureau <strong>of</strong> EMS
Study Objective<br />
Evaluate the impact <strong>of</strong> training and<br />
implementing a secure web portal to track<br />
prehospital naloxone administration by Law<br />
Enforcement Officers (LEOs).<br />
DHEC Bureau <strong>of</strong> EMS
Methods<br />
• In January 2016, the <strong>SC</strong> Bureau <strong>of</strong> EMS began<br />
training LEOs on administration and<br />
reporting <strong>of</strong> naloxone. Training was provided<br />
in a “train the trainer” model.<br />
• The secure web portal was created in<br />
February 2016<br />
DHEC Bureau <strong>of</strong> EMS
Methods:<br />
Post Administration (Admin)<br />
https://www.scemsportal.org/nfadf<br />
Enter user name (<strong>SC</strong>PA number)<br />
Enter user password (Law enforcement agency specific)<br />
Naloxone Field Administration Data Form
Naloxone Admin Portal<br />
https://www.scemsportal.org/nfadf<br />
You can begin a new form<br />
You can view an old form on file<br />
Naloxone Field Administration Data Form
Naloxone Admin Portal<br />
DHEC Bureau <strong>of</strong> EMS
Naloxone Pharmacy Admin Portal
Naloxone Admin Portal<br />
Pharmacist<br />
https://www.scemsportal.org/nfadf/check.php<br />
Naloxone Field Administration Data Form
Naloxone Admin Portal<br />
DHEC Bureau <strong>of</strong> EMS<br />
https://www.scemsportal.org/nfadf/admin
Results<br />
• There were 1,266 LEOs eligible to participate<br />
in the pilot project.<br />
• Within the first eight months <strong>of</strong> the project,<br />
38.6% (489) had completed the required<br />
training.<br />
• Each LEO who successfully completed<br />
training received a two dose unit <strong>of</strong> naloxone.<br />
• Currently 649 completed the required<br />
training (100 more Friday)
Results<br />
• The first reported field administration <strong>of</strong><br />
naloxone was performed in the first two<br />
weeks <strong>of</strong> June 2016.<br />
• By July 31, 2016, a total <strong>of</strong> 6 reported<br />
administrations had been performed in the<br />
field by LEOs. (8 as <strong>of</strong> 9/21/16)<br />
• In 3 instances, there was a report <strong>of</strong> repeat<br />
administrations <strong>of</strong> naloxone by LEOs.<br />
• Naloxone was resupplied to LEOs a total <strong>of</strong> 5<br />
times.
Conclusion<br />
The South Carolina <strong>Overdose</strong> <strong>Prevention</strong> <strong>Act</strong> <strong>of</strong><br />
<strong>2015</strong> demonstrated that LEOs can<br />
successfully administer and document the<br />
delivery <strong>of</strong> naloxone in the field. This project<br />
has led to a number <strong>of</strong> successes that can be<br />
considered “saves”. Further analysis will<br />
examine the long term success <strong>of</strong> this pilot<br />
project.<br />
DHEC Bureau <strong>of</strong> EMS
Questions?<br />
Rob Wronski<br />
Chief<br />
DHEC Bureau <strong>of</strong> EMS<br />
wronskra@dhec.sc.gov<br />
803-760-5493<br />
Sara Goldsby<br />
Agency Director<br />
<strong>SC</strong> DAODAS<br />
sgoldsby@daodas.sc.gov<br />
803-896-8371<br />
Joseph Y. Shenkar<br />
Assistant Solicitor<br />
Fifth Judicial Circuit<br />
shenkarj@rcgov.us<br />
803-576-1841<br />
Brian Barrier<br />
Education & Support Director<br />
EMSPIC<br />
bbarrier@emspic.org<br />
866-773-6477
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