BLOG: Naloxone: What It Is, How to Get It, and How to Use It SHARE Email Facebook Twitter May 17, 2016 Substance Use Disorder, The Blog On January 10, 2018, Governor Tom Wolf declared the opioid epidemic a statewide disaster. Under this declaration, emergency service providers are now able to leave naloxone behind after a 911 visit. Centralized Coordinating Entities (CCE) can contact the Pennsylvania Commission on Crime and Delinquency (PCCD) to obtain naloxone for first responders under their jurisdiction. For more information, visit PCCD’s website. Updated with the paragraph above: February 15, 2018, 12:23 PMIn 2014, nearly 2,500 Pennsylvanians died from a drug overdose. Heroin and opioid overdose are the leading cause of accidental death in Pennsylvania, killing more individuals each year than motor vehicle accidents.Governor Tom Wolf joined Pennsylvania Physician General Dr. Rachel Levine today at the Rite Aid Pharmacy in Lemoyne to remind Pennsylvania residents and pharmacists that a doctor’s prescription is not needed to obtain the life-saving opioid overdose antidote drug naloxone — but many in Pennsylvania may still be unaware how they can access this life-saving medication.Let’s take it from the top.What is Naloxone?Naloxone is a medication that can temporarily reverse an overdose that is caused by an opioid drug (prescription pain medication or heroin).When given during an overdose, naloxone blocks the effects of opioids on the brain and restores breathing within two to eight minutes. Naloxone has been used safely by medical professionals for more than 40 years and has only one function: to reverse the effects of opioids on the brain and respiratory system in order to prevent death. Naloxone has no potential for abuse – a person can’t get high or become addicted to it – and it is safe to use. Naloxone does not work to reverse overdose from other types of substances.How do I get it?Anyone can access this medication by obtaining a prescription from their family doctor or by using the standing order — a prescription written for the general public, rather than specifically for an individual — issued by Rachel Levine, M.D., Pennsylvania Physician General. The standing order is kept on file at many pharmacies, or may be found here.Naloxone prescriptions can be filled at most pharmacies, but you should call your pharmacy to make sure they stock it. Although the medication may not be available for same day pick up, it can often be ordered and available within a day or two. There is no limit to the number of fills that can be obtained for naloxone.FAQWhat are the different types of naloxone?Two of the most common ways that naloxone is administered are intranasal (nasal spray) and the auto-injector. Please note, not all pharmacies stock both forms and insurance coverage may vary depending on the type of medication being purchased and each individual insurance plan. Check your insurance prescription formulary or call your benefits manager to determine if the medication is covered by your particular plan or if your purchase of the medication will be an out-of-pocket cost.The only approved FDA naloxone nasal spray is supplied as a single 4 mg dose of naloxone hydrochloride in a 0.1 ml nasal spray device. The device requires no assembly, so no specialized training is required to administer the dose. Non-medically trained individuals can administer this device. Do not prime or test the device prior to administration as this is not necessary. The device only delivers a single nasal spray dose of naloxone hydrochloride.The Auto-injector comes in a manufactured dosage form (similar to an epi-pen) and has a recorded message to talk you through giving the medication.How do I pay for naloxone?Insurance companies vary in how they cover naloxone and other drugs used to treat an opioid overdose. Prior to having a naloxone prescription filled with a pharmacy, consumers are encouraged to check with their insurance carriers to find out whether naloxone is a covered benefit under their policy, and, if so, what form of naloxone is covered, and any cost-sharing amounts that may apply under their policy.If I’m a Medical Assistance Recipient, what do I need to know for accessing naloxone?Fee-for-service and managed care organizations (MCOs) will pay for naloxone dispensed under the standing order for medical assistance recipients. Pennsylvania Medical Assistance will make the payment for naloxone for any eligible Medical Assistance recipient.Per 55 Pa Code, Chapter 1121 – Pharmaceutical Services – §1121.52, pharmacists can treat the standing order as a verbal order for Medical Assistance recipients.The Evzio Auto-Injector is covered by Medical Assistance, but requires prior authorization. Generic naloxone is covered without the need for prior authorization.The Medical Assistance co-pay does not apply for the naloxone products.How old do I need to be to purchase Naloxone?The age of consent for alcohol and drug treatment in Pennsylvania is age 14. Thus that would be the age that someone could obtain the Naloxone. This is also subject to a pharmacy’s policies as well as insurance and billing issues.How do I use it?In addition to talking to your healthcare provider or the pharmacist about how to use naloxone, individuals giving this medication to someone should take online training ahead of time.Training is available at one of the Department of Health approved training sites: Get Naloxone Now or PA Virtual Training Network. These easy to understand, brief trainings explain how to recognize the signs and symptoms of an opioid overdose, what to do in the event of an overdose, and instruct on how to give naloxone.While it is not necessary to obtain a training certificate in order to purchase naloxone, learning these important details will help you respond properly in the event of an overdose and also meet the immunity requirements of PA Act 139.In addition, it may be helpful to review the First Responder Toolkit for more details about how to use naloxone if you are the first to respond at an overdose emergency.FAQWill I get in trouble for using naloxone?Through the ‘Good Samaritan’ provision of Act 139, friends, loved ones and bystanders are encouraged to call 911 for emergency medical services in the event an overdose is witnessed and to stay with the individual until help arrives. The provision offers certain criminal and civil protections to the caller so that they cannot get in trouble for being present, witnessing, and reporting an overdose.Physicians are permitted to write third party prescriptions for naloxone for family members of addicts. You are immune from liability for giving naloxone if you believed the person was suffering from an opioid overdose (heroin or prescription pain medication) and you called for medical help/911 after giving the medication.What do I do if I am a first responder at the scene of an overdose?Please view the First Responder Toolkit for more details about each of these steps, and click here to access Act 139 training for first responders.What are the Do’s and Don’ts in responding to an opioid overdose?DO support the person’s breathing by administering oxygen or performing rescue breathing.DO administer naloxone.DO put the person in the “recovery position” on their side, if he or she is breathing independently.DO stay with the person and keep him/ her warm.DON’T slap or try to forcefully stimulate the person — it will only cause further injury. If you are unable to wake the person by shouting, rubbing your knuckles on the sternum (center of the chest or rib cage), or light pinching, he or she may be unconscious.DON’T put the person into a cold bath or shower. This increases the risk of falling, drowning or going into shock.DON’T inject the person with any substance (salt water, milk, “speed,” heroin, etc.). The only safe and appropriate treatment is naloxone.DON’T try to make the person vomit drugs that he or she may have swallowed. Choking or inhaling vomit into the lungs can cause a fatal injury.Where can I get trained to administer naloxone?For EMS agencies licensed through the Department of Health, and for certified EMS providers, training will be provided through the Department of Health’s Learning Management System.For law enforcement, fire departments, and other persons not currently licensed by the Department of Health:For training of law enforcement officers by law enforcement officers: The PA Virtual Training Network training on naloxone can aid every law enforcement agency and professional in the Commonwealth of Pennsylvania. In order to access PAVTN.net, you must be registered as a member of the site. Typically, officers are registered by their departments to complete courses.For friends, family, and all other non-licensed, non-certified fire or EMS agencies and providers: visit GetNaloxoneNow.org or PAVTN – Other First Responders and General Public.For Chester County Law Enforcement only: Visit Good Fellowship Ambulance and EMS Training Institute. Like Governor Tom Wolf on Facebook: Facebook.com/GovernorWolf By: Sophie Stone, Deputy Press Secretary
SHARE Email Facebook Twitter Governor Wolf Announces Pennsylvania Ranks Second in Nation for Reduction of Opioid Prescriptions June 07, 2018 National Issues, Press Release, Public Health, Substance Use Disorder Harrisburg, PA – Governor Tom Wolf announced today that Pennsylvania had the second largest percent change for all 50 states in opioid prescriptions between 2016 and 2017, according to data released by IQVIA.Prescriptions for opioids in Pennsylvania decreased by 14 percent in 2017, just behind New Hampshire with a 15.1 percent decline. The number of opioid prescriptions in Pennsylvania decreased from 9,496,052 in 2016 to 8,163,730 in 2017. This decrease is attributed to numerous initiatives introduced since Governor Wolf took office, including an increase in the use and accessibility of the state’s Prescription Drug Monitoring Program (PDMP).The expansion of access to the Prescription Drug Monitoring Program (PDMP) included access to other commonwealth departments for clinical decision-making purposes, numerous local and state departments, and neighboring states that are all now connected to and accessing Pennsylvania’s PDMP. To date, there have been more than 15 million searches using the PDMP and 97,000 prescribers, dispensers, and their delegates have registered to use the program. In addition, 16 different states and Washington, D.C. currently have access to the PDMP’s interstate data-sharing ability which allows prescribers and pharmacists to see if patients have filled controlled substance prescriptions in these states.Additionally, the efforts of the Opioid Command Center, a multi-agency initiative put in place as part of the governor’s heroin and opioid disaster declaration, first announced in January and continuing in its second 90 days, are geared to help continue to reduce opioid prescriptions, among other goals.“This great news among so much difficult news associated with the heroin and opioid crisis is heartening and affirms the dedicated efforts of many state agencies and advocates, and I thank everyone involved for their contribution to this very favorable ranking for Pennsylvania,” Gov. Wolf said.At the governor’s direction, the Command Center agencies have established a core set of initiatives aimed at prevention, education, and treatment of opioid use disorder, including reducing barriers to treatment along with the increased use and access to the PDMP.Governor Wolf has announced progress of the Opioid Command Center since the disaster declaration in January and second 90-day renewal in April, including waiving prior authorization for medication-assisted treatment, an initiative that according to the AMA is critical to the success of a reduction in opioid prescriptions.Because getting people into treatment is critical in this crisis, Pennsylvania waived fees for birth certificates for individuals with opioid use disorders, allowing them faster access to treatment and benefits. To date, 242 birth certificates have been expedited through this process to help get people into treatment faster.In addition, the administration waived annual licensing requirements for high-performing drug and alcohol treatment facilities and have already seen 196 eligible facilities apply for and receive two-year licenses, ensuring continued, high-quality treatment for Opioid Use Disorder sufferers.Another major initiative of Governor Wolf’s disaster declaration is the creation of the Opioid Data Dashboard to help the public gain access to information about what resources are available locally, and where those resources need to be deployed. Since its launch, there have been nearly 20,000 visits to the dashboard, which can be viewed here.“I am pleased to see Pennsylvania ranked second in the reduction of opioid prescriptions,” Gov. Wolf said. “It’s confirmation that the progress we are seeing is making a difference in this difficult and ongoing epidemic. It is my hope that this positive news further spurs efforts and attitudes towards solving this crisis, which we know will take time and the continuation of the concerted effort we have in place in Pennsylvania.”
Seedlings of fruit-bearing trees and vegetable seeds were also distributed. Several young boys underwent circumcision while youths and adults alike got free massage and haircut services. The delivery of assistance from various government agencies was in line with the implementation of the Retooled Community Support Program that aims to sustain the whole-of-nation approach in addressing the local communist armed conflict. Mothers, children and senior citizens avail free dental, medical and other services provided by the government during the Serbisyo Caravan in Barangay Montilla, Moises Padilla, Negros Occidental on Feb. 18. The delivery assistance was in line with the implementation of the Retooled Community Support Program. PIA The Office of 5th District Representative Marilou Arroyo and District Board Member Rita Gatuslao also supported the services caravan together with the Provincial Health Office and concerned government agencies, such as the Comelec, PhilHealth, and the departments of health, agrarian reform, and interior. Accompanied by Vice Mayor Adrian Villaflor, she told her constituents that progress can be achieved only when there is peace. Other residents obtained certificates of ownership for large animals and also brought them for immunization and vitamin supply. BACOLOD City – A total of 1,132residents in the far-flung villages of Moises Padilla, Negros Occidentalavailed of government services during a caravan led by Mayor Ella CelestinaYulo-Garcia on Feb. 18. “The government is looking for ways tobring services to the people, especially (those in) the upland barangays,” themayor said on Feb. 19. Personnel of the Philippine Army, Philippine National Police, and Bureau of Fire Protection were among those who provided assistance. Some of the beneficiaries were able to enroll as members of the Philippine Health Insurance Corp., register as voters with the Commission on Elections, avail birth and marriage certificate through registration and join the agriculture and agrarian reform consultation. In 2019, the municipality caught nationwide attention when it was placed by the Commission on Elections under its control, following an election-related incident that claimed the lives of the mayor’s younger brother and nephew. Days before the May 13 elections, President Rodrigo Duterte himself visited the town to preside over a security meeting and bring the violence to a stop.(With a report from PNA/PN)
ORVC Weekly Report (August 20 – August 25)Players of the Week.Volleyball: Kristen Snodgrass – Shawe Memorial and Keely Fink – Southwestern.Girls Cross Country: Leah Anders – Switz. County and Cloey Simon – Jac-Cen-Del.Boys CC: Damon Hughes – Jac-Cen-Del and Bradley Winston – Southwestern.Girls Golf: Katie Hertz – Shawe Memorial.Girls Soccer: Lily Phelps – Milan.Boys Soccer: Henry Grote – Shawe Memorial.ORVC Report(August 20-25)2018Courtesy of ORVC Recorder Travis Calvert.
Inter have repeatedly stated that Lautaro has not asked to leave, so pending a dramatic turnaround, he is staying at San Siro for the time being. read also:Man City plan mega summer spend for Torres, Alaba, Lautaro The hitman turns 23 next month and already has nine goals in 17 senior caps for Argentina. He has found the net 18 times in all competition for Inter this season, along with six assists. FacebookTwitterWhatsAppEmail分享 According to Spanish newspaper AS, Inter forward Lautaro Martinez is prepared to reject Manchester City and wait a year to make his Barcelona dream come true. The Argentina international has a release clause worth €111m in his contract, but the date for that has already passed for this year. It means any club will have to negotiate directly with Inter, which opened the door for Manchester City. However, AS are confident it’s Barcelona or nothing for Lautaro, as the striker has his heart set on a move to Camp Nou with Lionel Messi. Therefore, any interest from Manchester City or other top European clubs will be rejected out of hand by the player.Advertisement Loading…
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A brief statement on Cardiff’s official website read: “Cardiff City Football Club can confirm that Blackpool midfielder Thomas Ince will not be joining the Bluebirds. “Having agreed a fee with Blackpool FC towards the end of June and with the player and agent happy with personal terms offered, Blackpool manager and Thomas’ father Paul confirmed on Friday that, due to the recent birth of Thomas’ first child this week, the player didn’t want to leave his family or the Seasiders at this stage of his life.” Ince, who progressed through Liverpool’s academy, made only one senior appearance at Anfield before departing for Blackpool in August 2011 when a compensation fee was agreed between the two clubs. He has made a total of 88 appearances for the Seasiders, who appointed father Paul as Michael Appleton’s permanent replacement in February this year. The two clubs recently agreed an £8million fee for the England Under-21 international, who had reportedly agreed personal terms. Ince met with Cardiff manager Malky Mackay this week and visited the club’s Vale training ground, but the winger, who has just become a father for the first time, has opted to stay with Blackpool, who are managed by his father Paul Ince. Cardiff’s plans for their first season back in the top flight in 53 years have been dealt a blow by transfer target Thomas Ince’s decision to stay at Championship club Blackpool. Press Association
“Next season is an extremely important one for me, added to the fact we are back in the Premier League. I want to show what I can do in the best league in the world for QPR – that’s what it’s all about,” Traore told www.qpr.co.uk. “I am 24 now – it’s time to wake up and do something serious. “I wanted to stay at QPR and now this is done I can fully concentrate on the challenge that lies ahead. “I am fully focused on the start of the Premier League season.” QPR may have released the likes of Aaron Hughes, Stephane Mbia and Andrew Johnson at the end of their contracts, but the club is determined to further bolster the squad, with g oalkeeper Rob Green and striker Bobby Zamora are also in talks over possible new deals. On Thursday, manager Harry Redknapp confirmed QPR are set to sign former England captain Rio Ferdinand and have agreed a fee with Cardiff for defender Steven Caulker. However, Nottingham Forest have rejected a bid from for their 20-year-old centre-half Jamaal Lascelles. New Forest chief Stuart Pearce insists the offer, reported to be £4million, will not tempt owner Fawaz Al Hasawi to sell. Armand Traore feels it is about time to “wake up and do something serious” after penning a new two-year contract at QPR. Press Association “QPR have let it out that they have put money on the table for him,” Pearce told the Nottingham Post. “But I have come to build this club, not to dismantle it. “The only way we will accept an offer for our best young players is if it is a sensational offer that ends up enabling me to strengthen the team. “I have to know that, at the end of any negotiation, I am stronger than I was at the outset. “But we would not take money for our best young players. The chairman has enough financial clout to trust my judgement on that.” The versatile Senegal international follows Clint Hill and Alejandro Faurlin in remaining at Loftus Road following QPR’s promotion back to the Barclays Premier League via the play-offs. Traore started his career at Monaco before moving to Arsenal in 2005, and also had spells with Portsmouth and Juventus before heading to west London.
RelatedUEFA Women’s Euro Daily Wrap: Hosts Netherlands Launch Campaign With WinJuly 17, 2017In “AFCON Insider”Third Bundesliga Manager Loses JobOctober 31, 2017In “Europe”Champions League: Marco Asensio Gives Real Madrid Favourable Lead Against AjaxFebruary 14, 2019In “UEFA” My thoughts are with you, your family and everyone involved. ??#StayStrongAppie pic.twitter.com/m46SYKmes8— Daley Blind (@BlindDaley) July 13, 2017 Ajax’s midfielder, Abdelhak Nouri have been diagnosed with “serious and permanent brain damage” after he collapsed during a pre-season friendly match on Saturday.The club’s official Twitter handle stated: “Ajax are deeply saddened by the news that Appie Nouri has been diagnosed with serious and permanent brain damage,”“Our thoughts and prayers go out to him and his loved ones in this difficult time.”Thanks to everyone for their support. We will keep you informed. For now: stay strong Appie! ❤️ pic.twitter.com/vo4VVkjFbZ— AFC Ajax (English) (@AFCAjax_EN) July 8, 2017Nouri collapsed during the second half of the friendly game and was quickly taken to the hospital in a helicopter, which subsequently led to the game been abandoned.Former Man United goalkeeper and now Ajax CEO, Edwin Van sar said: “This is the worst possible message. It is terrible. We feel enormously for his parents, siblings and other relatives.“The blow is also difficult for Ajax, though we knew we had to consider this scenario. They were uncertain days, lots of people in different ways have sympathized with his situation and is greatly appreciated.“Abdelhak is such a great talent, but unfortunately we will never know how far his star would have reached had this not happened. ”The 20-year-old Dutchman was in Ajax’s Europa League Final squad but didn’t get to play as Man United went on to win 2-0.Players across the football world have been sending their condolences and prayers to Ajax and his family.My thoughts and prayers are with Nouri, his family, friends, teammates, club Ajax and all football fans. Stay strong ❤️? #StayStrongAppie pic.twitter.com/jLR6EebJhR— Marc ter Stegen (@mterstegen1) July 13, 2017
Everton will stay in the bottom three for one week at least after the ‘New Manager’ bounce failed to deliver anything different from the results witnessed under sacked manager Ronald KoemanThe club’s U23 manager, David Unsworth, has been mandated to lead the team in the immediate future however his appointment on a temporary basis has failed to lift the club with his latest game ending in a 2-0 defeat to Leicester City at the King Power Stadium.The result represents a bright start for new Leicester City manager Claude Puel, who was confirmed as the club’s permanent manager last week.Jamie Vardy and Demarai Gray were on the scoresheet to help the Foxes a result that catapulted the club to 11th on the English Premier League (EPL) table.In the earlier game played on Sunday, Brighton and Hove Albion played out a 1-1 draw with Southampton in the South Coast derby. The away side took an early lead at the Amex Stadium through Steven Davis’ 7th minute strike but Brighton striker Glenn Murray scored the equaliser seven minutes after halftime to make it 3 goals in his last 2 league games.Both sides failed to add to their tally as they settled for a stalemate that took Southampton to 9th while Brighton occupy the 12th spot on the log with the additional point gained.Results:Leicester City 2-0 EvertonBrighton 1-1 SouthamptonRelatedSaturday’s Top Premier League StatsSeptember 10, 2017In “England”Premier League; Week Eleven PreviewNovember 4, 2017In “Europe”Premier League Review: Toothless Chelsea Drop Points Again As Tottenham Close In On Top Four With Emphatic WinJanuary 14, 2018In “England”