Rapid Naloxone Administration Workshop for Health Care Providers at an Academic Medical Center

MedEdPORTAL. 2020 Feb 14:16:10892. doi: 10.15766/mep_2374-8265.10892.

Abstract

Introduction: Opioid overdose is a growing problem in the US. Often, residents are first responders to community and in-hospital opioid overdoses, and so, hands-on naloxone administration education is necessary. While residents get a brief algorithm on suspected opioid overdose during their mandatory American Heart Association basic life support training, there is a lack of hands-on standardized curricula on how to administer this lifesaving medication.

Methods: To fill this gap, we developed a hands-on workshop for medical trainees on how to respond to an opioid overdose. Trainees who completed our workshop left with a first-responder naloxone kit using the Massachusetts statewide open prescription. All attendees were asked to take a voluntary pre- and posttraining survey.

Results: A total of 80 trainees from a variety of specialties and training levels participated in this workshop. We were able to successfully link the pre- and postdata of 29 participants. Trainees were assessed on comfort in administering naloxone as a first responder and in teaching patients how to administer naloxone (via a 5-point Likert scale) and on percentage of time they prescribed naloxone to high-risk patient populations. We saw statistically significant increases in comfort in using naloxone and comfort in teaching patients to administer naloxone.

Discussion: This innovative curriculum provides an adaptable, short, and effective workshop with hands-on practice for medical trainees at a variety of training levels. The workshop can efficiently train future health care professionals how to approach an opioid overdose.

Keywords: Harm Reduction; Interdisciplinary Medicine; Internal Medicine; Interprofessional Education; Naloxone; Nasal Naloxone; Opioid Overdose; Opioids; Substance Abuse/Addiction.

MeSH terms

  • Academic Medical Centers*
  • Analgesics, Opioid / poisoning*
  • Drug Overdose*
  • Emergency Responders
  • Health Personnel / education*
  • Hospitals
  • Humans
  • Internal Medicine
  • Massachusetts
  • Naloxone / administration & dosage*
  • Surveys and Questionnaires

Substances

  • Analgesics, Opioid
  • Naloxone