Metropolitan Boston Emergency Medical Service Council

25 B Street, Suite A Burlington, Massachusetts 01803

781-505-4367 (voice) | 781-272-6967 (fax)

Emergency Amendments to Drug Control Program and First Responder (FR) Training Regulations for FR Use of Naloxone (Narcan) & Immediate Implementation of Updated Protocol 2.14 of the Statewide Treatment Protocols, for EMT-Basic and First Responder Use of Naloxone (Narcan)

OFFICE OF EMERGENCY MEDICAL SERVICES

DEPARTMENT OF PUBLIC HEALTH

COMMONWEALTH OF MASSACHUSETTS 

Notice

Emergency Amendments to Drug Control Program and First Responder (FR) Training Regulations for FR Use of Naloxone (Narcan)

The Public Health Council today approved emergency amendments to both the Department’s Drug Control Program Regulations and First Responder Training Regulations, to authorize first responder agencies and their personnel to carry and use, naloxone (Narcan). The emergency amendments have been filed with the Secretary of State’s office, and are effective today. In addition, the Department has issued an updated version of Administrative Requirement (A/R) 2-100, Minimum Standards for First Responder Training for First Aid, Epinephrine Auto-Injector and Naloxone Use, which is also effective today. Attached are copies of the following: 1) the full set of the First Responder Training Regulations, 105 CMR 171.000, incorporating the emergency regulatory amendments, which were made to sections 105 CMR 171.165 and 171.227; 2) the updated A/R for the first responder training minimum standards, including use of intranasal naloxone, and 3) the emergency regulatory amendments only to 105 CMR 700.003 of the Drug Control Program’s regulations.

Emergency amendments to regulations remain in effect for 90 days. The Department will hold a public hearing and finalize regulatory amendments within that time period, as required by law. The Department has scheduled a public hearing on the emergency amendments to both sets of regulations for Friday, April 25, 2014 at 10 AM, at 250 Washington St., Boston, in the Public Health Council room, on the 2nd Floor. The emergency regulations and the public hearing notice will be posted on the main DPH website shortly.


 

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OFFICE OF EMERGENCY MEDICAL SERVICES

DEPARTMENT OF PUBLIC HEALTH

COMMONWEALTH OF MASSACHUSETTS 

 

Notice

Immediate Implementation of Updated Protocol 2.14 of the Statewide Treatment Protocols, for EMT-Basic and First Responder Use of Naloxone (Narcan)

Under the 2014 updates to the Statewide Treatment Protocols, which will be issued in the coming weeks, one of the changes allows all EMT-Basics, once trained, to administer nasal naloxone. Given the Governor’s declaration of a public health emergency for opiate overdoses, and the issuance March 27, 2014 of the emergency regulatory amendments that allow first responders to use nasal naloxone (also now expressly covered in the Protocols), OEMS is today issuing the updated Protocol 2.14 Poisoning/Substance Abuse/Overdose/Toxicology – ahead of the full issuance of the updated Statewide Treatment Protocols. The effective date of this Protocol only is March 31, 2014.

 

Please find Protocol 2.14 attached. You will notice it looks very different from the old format of the Protocols. All the protocols have been redesigned in this format, which you will be hearing more about when the full set of updated Statewide Treatment Protocols are released. Once ambulance services and first responder agencies have appropriately trained their EMT-Basics, they can begin immediately to have these trained EMT-Basics administer nasal naloxone in accordance with the Protocol. Attached again is also the updated Administrative Requirement governing minimum standards for First Responder Training, which was issued March 27, 2014, and includes minimum elements of training on nasal Narcan use and administration.



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