Loading
 

 

Oregon Bulletin

January 1, 2014

Oregon Health Authority, Public Health Division, Chapter 333

Rule Caption: Implementation of training of laypeople to recognize and treat opiate overdose

Adm. Order No.: PH 12-2013

Filed with Sec. of State: 11-19-2013

Certified to be Effective: 11-19-13

Notice Publication Date: 10-1-2013

Rules Adopted: 333-055-0100, 333-055-0105, 333-055-0110, 333-055-0115

Rules Repealed: 333-055-0100(T), 333-055-0105(T), 333-055-0110(T)

Subject: The Oregon Health Authority, Public Health Division is permanently adopting administrative rules in chapter 333, division 55 to clarify the purpose of training on lifesaving treatments for opiate overdose; to establish definition terms; to establish training protocols and criteria; and to establish certificates of completion of training.

Rules Coordinator: Brittany Sande—(971) 673-1291

333-055-0100

Purpose

(1) The purpose of OAR 333-055-0100 through 333-055-0110 is to define the protocols and criteria for training on lifesaving treatments for opiate overdose.

(2) Nothing in these rules is meant to require training for health care professionals that are otherwise authorized to administer naloxone within their scope of practice.

(3) Opiate overdose requiring lifesaving treatment occurs in a wide variety of settings and circumstances, creating a need for training a variety of overdose responders. In recognition of this need, Oregon law authorizes a wide range of organizations to provide training on lifesaving treatments for opiate overdose including public health authorities, and organizations and other appropriate entities that provide services to individuals who take opiates. The Oregon Public Health Division interprets providing services to opiate users broadly and includes but is not limited to clinical, substance abuse, social services, public health, law enforcement and criminal justice, and other providers.

Stat. Auth: OL 2013, ch. 340

Stats. Implemented: OL 2013, ch. 340

Hist.: PH 8-2013(Temp), f. & cert. ef. 7-1-13 thru 12-27-13; PH 12-2013, f. & cert. ef. 11-19-13

333-055-0105

Definitions

Unless otherwise stated in OAR 333-055-0100 through 333-055-0110, or the context of 333-055-0100 through 333-055-0110 requires otherwise, the following definitions apply to OAR 333-055-0100 through 333-055-0110:

(1) “Certified nurse practitioner” means a nurse practitioner licensed under ORS chapter 678.

(2) “Licensed physician” means a physician licensed under ORS chapter 677.

(3) “Opiate” has the same meaning given that term in Oregon Laws 2013, chapter 340.

(4) “Opiate overdose” has the same meaning given that term in Oregon Laws 2013, chapter 340.

(5) “Oversight” means ensuring, through periodic review, that the training on lifesaving treatments for opiate overdose is consistent with the scope and intent of the protocols and criteria established by the Oregon Health Authority. ‘Oversight’ does not require the licensed physician or certified nurse practitioner to be present during the training.

Stat. Auth: OL 2013, ch. 340

Stats. Implemented: OL 2013, ch. 340

Hist.: PH 8-2013(Temp), f. & cert. ef. 7-1-13 thru 12-27-13; PH 12-2013, f. & cert. ef. 11-19-13

333-055-0110

Educational Training

(1) Training to administer naloxone is subject to oversight by a licensed physician or certified nurse practitioner with prescriptive privileges.

(2) Subject to the oversight required in section (1) of this rule, training may be conducted by a public health authority, an organization or other entity that provides services to individuals who take opiates.

(3) Individuals trained to respond to opiate overdose must be retrained at least every three years.

(4) The training must meet the protocols and criteria established by the Oregon Health Authority, Public Health Division. The approved training protocol and criteria for the treatment of opiate overdose is available on the Internet at https://public.health.oregon.gov/ProviderPartnerResources/EMSTraumaSystems/Pages/Naloxone-Training-Protocol.aspx and is incorporated by reference.

Stat. Auth: OL 2013, ch. 340

Stats. Implemented: OL 2013, ch. 340

Hist.: PH 8-2013(Temp), f. & cert. ef. 7-1-13 thru 12-27-13; PH 12-2013, f. & cert. ef. 11-19-13

333-055-0115

Certificate of Completion of Training

(1) Persons who successfully complete opiate overdose response training under OAR 333-055-0000 through 333-055-0115 shall be given a statement of completion signed by the individual conducting the training. The statement of completion may be used as an authorization to obtain naloxone from a licensed pharmacy if fully completed and signed by a nurse practitioner or physician overseeing the training. The statement of completion for the treatment of opiate overdose response training is available on the Internet at https://public.health.oregon.gov/ProviderPartnerResources/EMSTraumaSystems/Pages/Naloxone-Training-Protocol.aspx and is incorporated by reference.

(2) The statement of completion authorizes a pharmacist to generate a prescription and dispense to the trained individual doses of naloxone if the statement of completion is signed by a nurse practitioner or physician. Whenever such a statement of completion is presented, the pharmacist may generate a prescription and dispense naloxone to the trained individual as specified under OAR 855-041-2330.

(3) A statement of completion and authorization to obtain naloxone shall expire three years after the date of training identified on the statement of completion. Individuals trained to respond to opiate overdose must be trained every three years in accordance with OAR 333-055-0110 to obtain a new statement of completion.

Stat. Auth: OL 2013, ch. 340

Stats. Implemented: OL 2013, ch. 340

Hist.: PH 12-2013, f. & cert. ef. 11-19-13

Notes
1.) This online version of the OREGON BULLETIN is provided for convenience of reference and enhanced access. The official, record copy of this publication is contained in the original Administrative Orders and Rulemaking Notices filed with the Secretary of State, Archives Division. Discrepancies, if any, are satisfied in favor of the original versions. Use the OAR Revision Cumulative Index found in the Oregon Bulletin to access a numerical list of rulemaking actions after November 15, 2013.

2.) Copyright Oregon Secretary of State: Terms and Conditions of Use

Oregon Secretary of State • 136 State Capitol • Salem, OR 97310-0722
Phone: (503) 986-1523 • Fax: (503) 986-1616 • oregon.sos@state.or.us

© 2013 State of Oregon All Rights Reserved​