Naloxone Administration Process

Name:

Date:

📚 Part 1: Scene Safety and Assessment

1. Before approaching someone who may have overdosed, what should you do FIRST?

Give naloxone immediately

Check for scene safety

Call their family

Move them to a different location

2. Which signs indicate a possible opioid overdose? (Check all that apply)

Person is unresponsive

Blue lips or fingernails

Normal, steady breathing

Slow or no breathing

Cannot be woken up

3. When should you call 911?

Only if naloxone doesn't work

Immediately, even before giving naloxone / Sternum Rubs

After waiting 10 minutes

Only if the person asks you to

4. To try to wake someone up, you should:

Shake them very hard

Pour cold water on them

Shout their name and tap their shoulders

Wait quietly for them to wake up

🔄 Part 2: Naloxone Administration Steps

5. Put the naloxone administration steps in the correct order. Write numbers 1-5 in the circles:

Insert nozzle into one nostril Remove naloxone spray from packaging Press the plunger firmly to release the dose Hold spray with thumb on bottom, fingers on nozzle Remove spray and dispose of it safely

6. After giving naloxone, what should you do while waiting for emergency services?

Leave the person alone

Give them food or water

Monitor their breathing and stay with them

Give another dose immediately

7. Fill in the blanks about naloxone:

Naloxone is a _____________ that can reverse an opioid overdose. It works by blocking _____________ receptors in the brain. The effects of naloxone last about _____________ to _____________ minutes.

✏️ Part 3: Critical Thinking and Application

8. Explain why scene safety is important before helping someone with an overdose:

9. A friend asks you: "Why should I call 911 if naloxone will fix everything?" Write a clear explanation for them:

10. Extension Activity: Create a simple teaching script. Write 3-4 sentences you would use to teach a family member about when and how to use naloxone:

11. Success Check: Complete this "I can..." statement based on what you learned:

I can ________________________________________________

when I encounter someone who may have had an opioid overdose.