Naloxone Administration in School Settings Toolkit
Resources for Education and Staff Training
Go to: School Toolkit
Resources in this section include educational information to guide school leaders and to train school staff in naloxone administration.
Education for School Leaders, School Nurses, Naloxone Coordinators
While coordinating and developing a comprehensive naloxone emergency response program in schools, key leaders (i.e., Naloxone Coordinator, School Nurse, Administrator) identified to assist in decision making and programing may find it helpful to review these education resources. Comprehensive knowledge to guide decisions and programming help to ensure decisions are evidenced based to increase program quality and positive outcomes.
- National School Boards Association
Drugs, Substance Abuse, and Public Schools: A Legal Guide for School Leaders Amidst Evolving Social Norms (2019) - Overdose Lifeline
School Naloxone Opioid Overdose Training (90 min) $30- Explain the need for school-based opioid emergency response planning and preparedness
- Recognize the signs of an opioid overdose
- Demonstrate how to administer the opioid overdose reversal drug naloxone
- Readiness and Emergency Management for Schools (REMS) Technical Assistance (TA) Center
- Preparing for Opioid-Related Emergencies for K-12 and Institutions of Higher Education
- Fact Sheet
- 6 steps to for planning process for Opioid Emergencies
- 5 mission areas for preparedness
- Opioids, Drug-Related Emergencies, and Substance Abuse Prevention Before, During, and After the COVID-19 Pandemic Webinar (90 min) (Aug 2020)
- Overview of opioids and school safety
- Adolescent substance use information
- School-based prevention and intervention methods
- How schools can plan for opioid overdoses and other drug-related emergencies
- Preparing for Opioid-Related Emergencies for K-12 and Institutions of Higher Education
- U.S. Department of Education, Office of Elementary and Secondary Education’s Office of Safe and Supportive Schools, the National Center on Safe Supportive Learning Environments (NCSSLE)
- Lessons from the Field Webinar – Part 1: Knowing the Facts About Fentanyl Webinar (90 mins) (Jan 2023)
- Setting the context and understanding the facts
- Addressing the fentanyl problem
- Lessons from the Field Webinar – Part 2: Preventing and Addressing Fentanyl Use Webinar (90 mins) (Feb 2023)
- Best practices in prevention
- Prevention strategies round table
- Lessons from the Field Webinar – Part 1: Knowing the Facts About Fentanyl Webinar (90 mins) (Jan 2023)
Staff Training to Administer Naloxone
Training to administer naloxone in an emergency response to probable overdose is essential. This training, since it is not student specific (i.e., a student with an emergency medication for seizures) is not nursing delegation. This training is more closely aligned with CPR and First Aid.
It is recommended that training topics include:
- Understanding the school’s procedure for emergency response
- How to identify a possible overdose and how to respond
- Understand what naloxone is, how it works, where to locate the medication, and how to give it to someone who is suspected to have overdosed on opioids
- Understand how to care for the person after administering naloxone until EMS arrives
The level of training needed to build confidence and competency may vary depending upon the individual person, their role in the school, and previous training or experience.
Knowledge Check & Self-Assessment Post Training
Schools may find it beneficial to have staff engage in self-assessment of knowledge and skills to build confidence and competency to ensure trained staff members feel prepared to administer naloxone if an opioid incident occurs.
Benefits of a knowledge check & self-assessment include:
- Encourages personnel to critically reflect on their own learning.
- Encourages personnel to be more responsible for their own learning.
- Helps personnel develop their critical thinking skills.
- No peer pressure when being evaluated & encourages honest self-evaluation.
- Helps to identify personal strengths, weaknesses, and ability to ask for further training.
These tools could be used and will need to be modified to fit a schools’ policy and procedure.
- Self-Knowledge Check: Opioid Antagonist (Naloxone) Administration
- Self-Assessment Training Tool: Emergency Response and Naloxone Administration
Training Options
MDH School Health Team has gathered and reviewed several types of training materials and videos available through several state and national organizations. This list does not reflect endorsement of any specific training materials. Schools will need to review and determine the training based on their policy, procedures, environment, and staff who are being trained.
Online or Virtual
- American Heart Association Opioid Education for Nonclinical Staff and Lay Responders (14 min)
- Describe the current opioid epidemic in the United States
- Identify some prescription and illegal opioids
- Recognize why opioids are so addictive
- Identify a possible overdose and how to respond to it
- Identify the antidote for an opioid overdose
- Demonstration on how to give naloxone by nasal, IM and auto-injection methods
- Understand what naloxone is, how it works, and how to give it to someone who has overdosed on opioids
- Recognize the importance of treatment options after an opioid overdose
- California Department of Public Health – Administering Naloxone (2018) (11 min)
*Note this resource uses California immunity laws – schools in MN will need to cross reference Minnesota immunity laws (604A.05 Good Samaritan Overdose Medical Assistance)- What opioids are and what puts a person at risk for overdose
- How to prevent an overdose
- How to recognize an opioid overdose, including how to check responsiveness
- How to store and administer naloxone with a nasal administration demonstration
- How to administer rescue breathing
- How to place the victim in recovery position
- How to provide post-overdose care
- National School Nurse Association (NASN) Naloxone in Schools Toolkit
- NIH National Institute on Drug Abuse– How Naloxone Saves Lives in Opioid Overdose (2019) (5:30 min)
- What opioids are
- Signs of overdose
- How naloxone is given (very brief) … does not include step by step demonstration
- How naloxone works
- Spanish translation (7 min)
- Steve Rummler HOPE Network -Opioid Response Training
Training Options:- Full training (60 mins) - Live in-person or virtual via Zoom
- Dates and times found on their training calendar. No registration required.
- Trainees receive certificate of completion and free IM naloxone kit
- Full training covers:
- Key info on opioids and current data on the opioid crisis
- How to recognize signs of an opioid overdose
- What naloxone is, and how it works to reverse an opioid overdose
- The action steps when responding to an overdose
- How to administer intramuscular (IM) and nasal naloxone
- Protections provided by Steve’s Law (MN’s Good Samaritan/Naloxone Law)
- Where and how to get low or no cost naloxone
- Demonstration videos only - YouTube
- Interactive online training (15 mins) - Requires free account registration
- Covers both IM and nasal administration and includes comprehension quizzes
- Videos can be reviewed after training completion
- Trainees receive certificate of completion and free IM naloxone kit
- On-Demand Opioid Use Disorder Care: The Nursing Perspective (3 hours)
- Requires free account registration. Once in your user portal, select “Redeem a Voucher” in the side menu. Enter the code “Nursing” to enroll in the course.
- On-Demand Course includes modules:
- Introduction to opioid use disorder
- Pathophysiology and medication-assisted treatment
- Medical interventions
- Harm reduction
- Naloxone training
- Application
- Full training (60 mins) - Live in-person or virtual via Zoom
- Washington State’s stopoverdose.org
Two videos:
*Note this resource uses Washington immunity laws – schools in MN will need to cross reference Minnesota immunity laws (604A.05 Good Samaritan Overdose Medical Assistance)- Washington State Overdose Prevention and Response Training (9 min)
- Washington Department of Health – Opioid Overdose-Administering Naloxone (6 min)
- What causes an opioid overdose
- How to recognize an opioid overdose
- What to do in case of overdose
- How to give naloxone
- Wisconsin Department of Health Services Naloxone Training (2020) (12 min)
*Note this resource uses Wisconsin immunity laws – schools in MN will need to cross reference Minnesota immunity laws (604A.05 Good Samaritan Overdose Medical Assistance)- Introduction
- signs and symptoms of overdose & calling 911
- Rescue breathing
- Administration of naloxone via autoinjector, syringe and needle, and nasal spray
- Rescue position
- Overdose risk factors
- Introduction
Manufacturer Resources & Instructions for Using Medications
These manufacturers provide various types of resources that are specific to their product.
- Emergent Inc. NARCAN nasal spray 4 mg
- Key Steps to Administering Narcan Nasal Spray. Click on “Watch how to use” for a demonstration on how to administer nasal Narcan (naloxone).
- Narcan Instructions for Use (PDF)
This is written instruction for use of nasal administration - Email narcancustomerservice@ebsi.com to order a nasal training device
- Hikma Specialty USA Inc. Kloxxado (naloxone HCl) nasal spray 8 mg
- There is no demonstration video on this site
- Kloxxado Instructions for Use
This is written instruction for use of nasal administration - Kloxxado Training Device
This is where you can order a nasal training device
- TEVA naloxone hydrochloride nasal spray 4 mg
- There is no demonstration video on this site
- TEVA Instructions for Use
This is written instruction for use of nasal administration