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Author Topic: rio grande council member opposes non prescription naloxone, a fool imho  (Read 2787 times)

Offline clinton (OP)

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Two years after it was announced that Española Police officers would carry the overdose-reversing drug Narcan, the Department is one step closer to actually instituting a policy to govern when the drug should be administered and having officers carry it.

    Española Police Chief Richard Gallegos and Deputy Chief Miguel Maez presented the proposed policy, along with four others, during the Oct. 7 Public Safety Committee meeting.

    “It’s been a work in progress since 1992 and we’ve tried, with the change of administrations, to put a stop to it (draft a policy) since then,” Maez said. “Former chief Eric Garcia got the ball rolling and we took the hand-off.”

    The proposed directives for the Department were unanimously approved by the Committee members and it will be sent to the full City Council for a vote.

     According to news reports from 2001, former police chief Wayne Salazar claimed that Española police officers would be the first in the nation to carry the brand-name Narcan, known by its common name of naloxone, to administer to opiate overdoses.

    Officers currently do not carry naloxone.

    In July 2013, the city council approved a resolution to allow the use of the drug by police officers and demand that someone in the Department of Public Safety draft standard operating procedure, or directives, for its use.

    According to minutes from that meeting, former councilor Robert Seeds asked if the city would bear any liability for administering the drug.

    Attorney Frank Coppler replied, that the state legislature had removed the ability to sue someone who administers naloxone.

    Maez said in the Oct. 7 meeting, that he passed along the proposed directives for the Department to Dr. Robert Duran for review.

    Duran wrote in an email, in response to the directive, that he was very happy about the move for the proposed policy.

    “I could not congratulate both departments enough for implementing such a program,” Duran wrote. “As highly needed in this community, we are fortunate for its implementation.”

    Española firefighters already carry Narcan.

    According to the proposed directives, the purpose is to reduce fatalities in the city caused by opiate overdoses.

    After being trained, officers will be provided a kit, with two pre-filled syringes, sans needles, as well as two nasal sprays, gloves and instructions for use.

    “Trained targeted responders are required to maintain the intranasal naloxone kit within their assigned unit at all times while on duty,” the proposed directive states.

    All of it will be in a type of protective case, Fire Lt. Ron Padilla said in the meeting.

    Padilla said the drug is important not just for addicts, but for anyone in the community who has been prescribed an opiate.

    “It isn’t all based on those who have an addiction,” Padilla said.

Proposed

procedures

    According to the proposed directive, officers should call for emergency medical services first. If they have not arrived and are not expected within the next one to two minutes, the officer should consider giving the person who overdosed the naloxone.

    Once an officer determines that medics or firefighters are more than one to two minutes out, they should put on their gloves and attempt to wake up the overdoser with a sternum rub, or a hard rub in the middle of the chest, in an attempt to wake up the person, by causing pain.

    If the person wakes up, he should be placed in a “recovery position” and monitored until medics arrive. If he does not, the officer should check for a pulse.

    If there is no pulse, he should start CPR. If there is a pulse, but the sternum rub does not wake him, the officer should check his breathing, the directives state.

    If the breathing is normal or fast, he should be placed in the “recovery position.”

    If it is slow or he is not breathing, the officer should administer the first dose of naloxone. If his breathing does not improve, the second dose should be administered.

    If the directives are approved by the full council, and an officer uses the naloxone, he must also complete an separate incident report sheet for the use of the drug.

How naloxone/

Narcan works

    Opiates are a type of drug, originally derived from the poppy plant, but now also made synthetically, that bind to specific receptors in the brain.

    Opiates are usually prescribed as painkillers. The opiate morphine has been used in hospitals and emergency medicine since 1827.

    Other opiates include heroin, methadone, Suboxone, opium, oxycodone, hydrocodone and codeine.

    When the opiates cling to the brain receptors, in addition to the painkilling effects, they depress the central nervous system, to include breathing, which can lead to unconsciousness and an overdose.

    Naloxone, an opiate antagonist, binds to the same receptors as the opiates but instead of activating the receptor, it blocks it and prevents it from being activated, according to the Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opioid Addiction.

    “An antagonist (naloxone) is like a key that fits in a lock but does not open it and prevents another key from being inserted to open the lock,” the Guidelines state.

    When administered, it kicks the opiates off of the receptors, enabling the person overdosing to regain consciousness.

Opposition

    Councilor Tania Sanchez expressed her doubts, during the Oct. 7 meeting, about arming police with the life-saving drug because she said it would give addicts an added mental security blanket, and therefore encourage even more abuse.

    Current state policy dictates that those addicted to opiates can be prescribed the drug, as well as those who are in close proximity to them, because a person overdosing cannot administer it to himself.

    “This is why I’m really concerned,” Sanchez said. “They can rely on them as well as their family members (to administer the life-saving drug).”

    Sanchez said it seems Narcan enables addicts and their addictions.

    “Going down this path, it’s going down a spiral, if you will,” she said during the meeting.

    In an Oct. 14 interview, Sanchez said she is totally supportive of the ability to save lives and that as it gets more publicized, more lives could be saved.

    “I feel it could have unintended consequences and create an increase in drug use and addiction,” she said. “I know the benefits in saving lives far outweighs (the increase) and the first time I’m able to, I want to get some statistics and see how many lives (we’re) saving.”

    She said she worries that officers carrying the drug, as well as the ability to get naloxone to the friends and family of those addicted, could increase drug use.

    Sanchez is not alone in her worries.

    A 2015 survey funded by the National Institute on Drug Abuse, part of the National Institutes of Health, found in a study of 56 physicians, that many doctors who prescribe opiates have limited knowledge about naloxone and are worried about its misuse and safety.

    “Other perceived barriers to naloxone prescribing included insufficient time during patient appointments, inability to follow up with patients, fear of offending patients, privacy issues, and concerns that patients would be less careful in their opioid use if they possessed a perceived ‘antidote’ to overdose,” the study’s abstract states. “Participants also had difficulty with the concept of prescribing opioid along with an overdose medication as this seemed to send the message that a patient should not be taking the prescribed opioid.”

The fear

    Although Sanchez said she thinks publicity of officers carrying the drug will increase 911 calls, many who call 911 because someone is overdosing flee the scene after calling.

    Others bypass 911 entirely and instead drop off the overdosing person at the doors of the hospital or the emergency room, likely fearing police reprisal.

    Some of that fear may be misplaced because police are not allowed to arrest those who overdose or those who call to report an overdose for possession of drug paraphernalia or possession of a controlled substance.

    According to the 2006 law, called the Overdose Prevention Act, the first of its kind in the country, police “shall not” charge anyone with possession of a controlled substance if they are called to the site of an overdose.

    It does not preclude police from arresting people overdosing or the people who call reporting overdoses, for warrants, restraining order violations or on other, violent charges.
In the vein...

Offline dizzle

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that woman Tania Sanchez, is a fucking moron.


she thinks naloxone will INCREASE drug use?


what a dumb whore



I think I'm gonna email her:  TSanchez@espanolanm.gov

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