title: Development and implementation of intranasal naloxone opioid overdose response protocol at a homeless health clinic.
abstract: OBJECTIVE
  To describe the development, implementation, and preliminary evaluation of Opioid Overdose Response Protocol using intranasal (IN) naloxone in a homeless shelter.
  
  
  METHODS
  Opioid Overdose Response Protocol and training curriculum were developed using the Massachusetts Department of Public Health Opioid Overdose Education and Naloxone Distribution (OEND) flow chart, the American Heart Association (AHA) simplified adult basic life support algorithm, and resources through Harms Reduction Coalition.
  
  
  CONCLUSIONS
  Intranasal naloxone offers a safe and effective method for opioid reversal. To combat the rising incidence of opioid overdose, IN naloxone should be made available at homeless shelters and other facilities with high frequency of opioid overdose, including the training of appropriate staff. This project has demonstrated the effective training and implementation of an Opioid Overdose Response Protocol, based on feedback received from cardiopulmonary resuscitation (CPR) trained nonhealthcare staff. Nurse practitioners (NPs), with our focus on patient care, prevention, and education, are well suited to the deployment of this life-saving protocol.
  
  
  CONCLUSIONS
  NPs are in critical positions to integrate opioid overdose prevention education and provide naloxone rescue kits in clinical practices.
authors: School of Nursing, University of Michigan, Ann Arbor, Michigan.
authors: Chin Hwa Y
authors: CH
authors: Dahlem
authors: Center for Innovations in Quality, Effectiveness, and Safety (IQuESt), Michael E. DeBakey VA Medical Center, Section of General Internal Medicine and Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, Texas.
authors: Molly J
authors: MJ
authors: Horstman
authors: Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan.
authors: Brent C
authors: BC
authors: Williams
mesh_terms: D000281:Administration, Intranasal; D000554:Ambulatory Care Facilities / Q000639:trends*; D002985:Clinical Protocols; D062787:Drug Overdose / Q000188:drug therapy*; D006703:Ill-Housed Persons; D006801:Humans; D009270:Naloxone / Q000627:therapeutic use*; D009294:Narcotics / Q000009:adverse effects / Q000627:therapeutic use; D016730:Program Development / Q000379:methods*; D014481:United States
chemical_list: D009294:Narcotics; D009270:Naloxone
keywords: Homeless; evidence-based practice; practice algorithm; substance abuse