Ultimate magazine theme for WordPress.

Authorized Assessment of State Emergency Medical Companies Insurance policies and Protocols for Naloxone Administration

Background

Given the continued rise in opioid-related overdoses, many states have expanded entry to the opioid antagonist naloxone. We sought to supply complete information on one such technique: the authority of suppliers at completely different emergency medical providers (EMS) licensure ranges to manage naloxone.

Strategies

We performed a scientific authorized evaluation of state legal guidelines and protocols governing the authority of various EMS licensure ranges to manage naloxone. We used Westlaw, state authorities web sites and scope of apply protocols. We coded related insurance policies concerning which, if any, administration routes and dosages of naloxone are permitted for every licensure degree: emergency medical responder (EMR), emergency medical technician (EMT), superior emergency medical technician (AEMT), and paramedic.

Outcomes

As of July 2020, all states with related legal guidelines or protocols authorize paramedics, AEMTs, and EMTs to manage naloxone. Thirty-nine states with an EMR licensure degree and statewide protocol authorize naloxone administration by EMRs, up from solely two in 2013. Permissible routes of administration have elevated throughout all EMS supplier ranges, offering superior life assist suppliers (i.e., paramedics and AEMTs) with expanded discretion; nonetheless, authorization for intravenous and intramuscular administration stays comparatively unusual for fundamental life assist (BLS) suppliers. When specified, most doses licensed ranged broadly, from 2.0 to 12.0 milligrams.

Conclusions

Naloxone administration authority is now broadly granted to EMS suppliers. Most states permit all licensed EMS supplier ranges to manage naloxone, a considerable enhance for EMRs and EMTs since 2013. Paramedics and AEMTs have the best authority to pick out the dosage and route of administration.

This report is a part of the RAND Company Exterior publication sequence. Many RAND research are revealed in peer-reviewed scholarly journals, as chapters in industrial books, or as paperwork revealed by different organizations.

Our mission to assist enhance coverage and decisionmaking via analysis and evaluation is enabled via our core values of high quality and objectivity and our unwavering dedication to the very best degree of integrity and moral conduct. To assist guarantee our analysis and evaluation are rigorous, goal, and nonpartisan, we topic our analysis publications to a strong and exacting quality-assurance course of; keep away from each the looks and actuality of monetary and different conflicts of curiosity via workers coaching, undertaking screening, and a coverage of necessary disclosure; and pursue transparency in our analysis engagements via our dedication to the open publication of our analysis findings and suggestions, disclosure of the supply of funding of revealed analysis, and insurance policies to make sure mental independence. For extra info, go to www.rand.org/about/research-integrity.

The RAND Company is a nonprofit establishment that helps enhance coverage and decisionmaking via analysis and evaluation. RAND’s publications don’t essentially mirror the opinions of its analysis purchasers and sponsors.

Comments are closed.