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All righty, good afternoon. And welcome to our webinar.
Focused on educating yourself on one box and how to administer.
Naloxone.
My name is Casey Stevens and I'm a communications specialist here at
quality insights. Everyone today has entered the webinar.
On mute, but we'll have a discussion following the presentation.
If time allows, we have questions or comments,
feel free to drop those in the Q and a chat Q and a box, the chat,
or at the end of the presentation,
feel free to raise your hand and ask that your question on allow.
I'm going to now let my colleague Lisa SWI introduce our
guest today.
Thank you, Casey.
Today we have the West Virginia drug intervention Institute.
Known by the initials. W V D I I, for our presentation.
W V D I I is an independent 5 0 1 C entity.
With a primary mission to reduce.
Opioid and drug related deaths.
And what impresses me about this group.
Is that they walk the walk and talk the talk.
A little background on how today's educational session came to be.
September is national recovery month.
September 14th is save a life day.
And myself and some colleagues had the privilege.
To hear a one box presentation a few months ago.
And thought this would be a great session for the.
Organizations we work with in Pennsylvania and West Virginia.
To recognize national recovery month.
There's been a little change in speakers today.
So Lilith McGee is with us.
She's an outreach coordinator at w V D I, I.
She creates educational programming.
And medications safety program.
Lilith is passionate about promoting evidence-based.
Prevention strategies and identifying gaps in current.
Practices, Lilith. We're happy to have you with us today.
Thank you so much for having me.
So I'll go ahead and jump right in.
So this is the one box I'm gonna go ahead and open this up.
So here it goes. It's really small.
And it's portable. It's a opioid overdose reversal kit.
So this is portable. It's easy to carry with you.
And it even has hooks,
so you can put it up on a wall and have it front facing.
To the public, or you can even have it.
Behind like for libraries, for example,
we have them behind rotation desks.
Or circulation desks.
And then some businesses will keep them.
In break rooms, for example, but as long as you know, where it is,
that's the most important part.
I always told people to keep this box wherever you would keep a first
aid kit.
Or wherever a fire extinguisher extinguisher,
maybe because this is really an emergency response kit.
So you wanna keep everything close together. Should you need.
One thing and have to go get others at the same time.
So inside.
Inside when you open it up, it can fit.
Two boxes of Naloxone inside.
We have Narcan here just for display,
but you can fit other kinds in here as well.
We also have a P P E kit.
And this comes with a C P R mask.
Gloves and wipes.
And then when you register the box with us,
We send you a year's supply of it for free.
So, this is the really great part about the box.
Not only does it provide the emergency response that I'm about to show
you, but it also provides training. So.
You can use this.
As a training tool for new staff or.
You can even have it for onboarding purposes.
So when people are filling out their paperwork,
When they're starting on,
they can have this as part of that onboarding process.
It's also just a really good refresher to have.
So I will go ahead and open this up.
So inside, it says to call 9 1 1 and pull the tab.
When you pull the tab,
it goes immediately into emergency response mode. Let's call let's.
Take a deep breath.
It's a little hard to see on the camera.
But there is a video playing in here.
Definitely shaking them and shaking. I think you can kind of see,
use your knuckles. It's always hard to show up.
On camera. So let me show you a few features inside of the box.
First off the first thing. So.
Off let's first off. Excuse me. What
[unknown].
First off, let's take a deep.
First off. Let's take a, I'm sorry, deep breath. OK.
So inside of the box, there is a replay function.
There's training mode and it's available in Spanish as well.
It also has a charging component inside.
Now the battery lasts five years.
But
Should you need to charge it beforehand if you're using it.
Really often,
like several times a day for training purposes or for emergency
purposes,
you can always just go back and just plug it in and recharge it.
So I am
Going to share with you the video that's inside the box.
So you can actually see it.
So when we first open up the box,
It goes into emergency response mode.
And inside we have Jan Rader here.
She is the fire chief at Huntington West Virginia.
We're located in Charleston. Huntington is pretty close to us.
It's also known as the opioid overdose capital of the world.
And unofficially Janor is known for having the most
saves using Naloxone. So we figured she would be the perfect one.
To show us how to use Naloxone.
So I'll go ahead and play this video for you guys.
First off, let's take a deep breath.
Step number one is to check to see if somebody really is unresponsive.
You can do that by gently shaking them and shouting,
or you can use your knuckles against the sternum to see if you get a
reaction.
If you find this person is unresponsive,
please call 9 1 1 immediately.
The next step would be to remove the safety barrier devices for you.
The rescuer.
Once you're protected, remove a single dose Naloxone from the one box.
You will insert this into the nostril.
As you aim the tip towards the ear, you will push the plunger firmly.
If you find that this person is not breathing proficiently.
You wanna use the rescue breathing mask face shield that is in the one
kit.
Push the bite block down into the mouth of the victim.
Raise up the chin.
Pinch the nose and breathe.
Once spontaneous breathing returns.
We want to place this patient in what we call the recovery position
until the paramedics arrive.
And that would be on their left side with at least one hand over their
head and a bent knee to keep 'em in place.
Once the paramedics arrive,
you want to give them information on everything that you have done for
this patient.
And you will give them any used or unused Naloxone.
So this is the video that plays.
Inside when you first open it.
So really what we want to do is provide that on demand.
Emergency response training in case somebody does recognize that there
is an overdose going on.
And it's really helpful,
even if you have been trained on how to use Naloxone.
I know for myself in an instance where I actually had to respond to
two overdoses at one time.
I forgot to, I forgot to put the person.
The second person into recovery position.
And had I had something like the one box, that's something that.
Would've been reminded.
So I maybe would've put them in recovery position,
but also it puts Naloxone.
In proximity where overnight overdoses could occur.
So it's close by and you know exactly where it is.
So the second video I'm going to show you is the long form training
video.
So, again,
this is so businesses or organizations can train their employees or
volunteers on demand.
So you don't ever have to have people go through an entire course or
have someone come in to do the training.
You can all always just pull out the, this box when,
whenever it's convenient.
So it
Whenever it works for your schedule,
you can just bring it out and do the short training.
It's about a five minute long video.
So I will show you that here.
So the first thing that you wanna do,
if you come across someone you think has overdosed from an opioids,
is something like fentanyl or heroin, some type of.
Pain medication is really look for two things.
So the first thing is that they are not breathing or not breathing
well.
So if they're not breathing very often,
Or maybe they're taking very shallow breaths.
They may start to turn blue. So blue lips or blue fingertips, even,
maybe even like a gurgling sound in the back of the throat.
All of those things would indicate that they're not getting enough
oxygen, especially if they're starting to get this blue lips and blue
fingertips and maybe even a gray tent to the skin.
So not breathing or not breathing well.
And then also if they are not responding to you so you can yell at
'em, you can kind of talk to them.
Lightly shake them. You can even do. What's called a sternal rub,
which is where you take your knuckle and you run it along their
breastbone with a little bit of pressure.
And that will hopefully wake them up if it's not an overdose.
So if you notice that those two things are present, so not breathing,
not breathing well and not responding to you.
Then you would assume that it could be potentially an opioid overdose.
So once you establish that it's an overdose,
you wanna try to get them safely to the ground if you can.
So that's gonna be getting them down to the ground,
laying them flat on their back and then opening their airway.
Opening their airway can allow a little bit of oxygen to get in.
Even if they're breathing just a little bit and that can help save
their life potentially by just allowing them to get a little bit of
oxygen.
So once they're down on the ground,
you wanna make sure that you call 9 1 1.
So that's kind of first and foremost,
make sure you get either someone to call 9 1 1 for you.
Or call yourself and then you can go ahead and administer Naloxone.
So each Naloxone's gonna be a little bit different on how you
administer it.
But the one that I'm gonna talk about today is the Narcan or the four
milligram nasal Naloxone.
So once they're down on the ground airway open,
but their head tilted back.
You wanna take the device out of the box?
And that looks just like this.
And you're gonna put two fingers on top of the device and have your
thumb ready to push the button. Once you put it into the nose.
So you're gonna insert it all the way into the individual's nose until
the bottom of their nose touches the top of your fingers.
Once it's in the nose, tilt it slightly towards the ear.
And then you're going to just press that button while it's in the
nose.
Once you do that, you've administered the dose.
So you're gonna take it out.
You're gonna hold onto this and give it to E M S when they arrive.
So once you've administered that dose of Naloxone.
You can begin doing rescue breathing. If you know,
how and you feel comfortable, of course,
try to use some type of barrier to protect yourself the best that you
can.
If they're, if they don't start to breathe on their own.
Or start to breathe better within three minutes.
You can take another device out of your box.
Cuz there are two in the box.
And you can administer the second dose.
When you administer the second dose, go into the other nostril.
If you can, if the other nostril is completely clogged,
then you wanna readminister in the same nostril you did the first
time.
After you've done that. You want to just, again,
continue rescue breathing.
If they're not beginning to breathe on their own and then continue to
wait for E M S.
If they start to wake up or start to move, start to breathe,
start to show any signs that they're coming out of that overdose.
He went to put them in, what's called a rec or free position.
And so the recovery position is on their side with their knee up.
So they don't roll over onto their face.
And once they're in that position, he wanna back away.
So put some space between you and that individual.
That protects them if they start to vomit, but that also protects you.
If they come out of that overdose a little bit aggressive.
Oftentimes people come out aggressively.
It's not because they're bad people.
It's just because it's kind of this fight or flight response,
kind of a panic moment.
Where they don't know what happened.
They don't know who you are and they don't know what you're trying to
do to them. So they're just trying to protect themselves.
So give them some space, let them come out of it.
Wait with them until E M S arrives.
And of course do your best to, you know,
just try to talk to them and try to keep them as calm as possible.
So after the overdose has occurred and EMS has arrived,
you wanna make sure to provide them with any of the.
Doses that you gave so they can dispose of them correctly.
And then you wanna make sure that you report this to poison control as
well. And the form is available with whatever location that you go to,
to pick up your Naloxone. So if you do need another kit,
You can go to a location that should be available.
To be able to provide Naloxone to you.
Side effects of Naloxone really are just putting somebody into
withdrawal.
So if I give myself Naloxone right now with no drug in my system,
I'm really not gonna have any side effects.
But when you give this to someone that has overdosed the side effects
come from putting that person into withdrawal.
So the side effects that we see.
Are shaking a little bit of shaking, a little bit of sweating.
Nausea and vomiting,
their heart rate may go up and their blood pressure may go up.
So those are just things to look out for.
But these are all normal responses to Naloxone.
So, if you were watching that video,
you actually just got trained on how to use Naloxone.
And that's also something I can go over.
So I'm gonna open up.
The floor to any questions about.
The one box.
Right now.
I don't see any questions yet,
but they can be put into either chat or Q and a.
Let me share a resource with you guys.
So on our website and this is publicly available.
Let's see, lemme go back here.
On our website, you can go to WV D I i.org.
And go over here to one box.
And
We have lots of information here.
We have additional zoom webinars, which are similar to this.
And we also have more information.
About our quick start, like how to actually get.
The one box up and ready. So we have an entire.
SOP for you guys. And there's also a.
A Q and a
So, if you were to have any questions, we send all of these things.
With the kit. So the kit, again, it comes with.
A PPE kit and that's a C P R mask.
Gloves and wipes.
Inside of the box. There are.
Written instructions. So for some reason,
The video wouldn't work or if it were dead,
then you could read through here.
For directions on how to respond to that overdose.
There's also that QR code right here. So if you needed to,
you could scan the QR code and the video.
That I just showed you will pull up so you can follow along with that
as well.
And then again, it is available in Spanish. The emergency mode is.
So we really wanted it to be as accessible as possible to anyone who
may need it.
So we've made it pretty easy to put.
Emergency response.
And that training component into one.
Box really into one small box.
And it's really light.
It's so light that even a child could pick it up and run with it.
Should they need to.
So
There's a few more things in here. And of course our information.
It talks about where to.
Store the box.
Anything, any information about installation?
About keeping it in a vehicle, if you can or not.
Personally, we, I keep one in my vehicle.
But if it gets really hot or really cold, I do take it.
I do take the Naloxone out and keep it on my person at all times.
We also recommend that you don't store it.
Above 104.
Degrees Fahrenheit. So that, and then.
Try to keep it away from very extreme temperatures.
Although recent studies have come have come out, showing that even in.
Extreme hot temperatures and extreme cold temperatures that the
Naloxone still is effective. The one box.
Because of the battery, we don't know entirely.
How extremely hot or how extremely cold.
It will work. So I see a question in here about.
Spanish? Yes, there is a video.
In Spanish on the administration of Naloxone.
Inside of the box.
Moving along through here with maintenance,
we recommend that someone check the box at least once a month.
To make sure that it is filled with Naloxone.
And that the box is fully charged.
And working properly.
And then also to see if the Naloxone that's inside is
still good to use. So if it's expired or not, and if it is,
if you're in the state of West Virginia,
then we can supply you with additional doses of free Naloxone. If not,
then we can.
Connect you with people in your area that can provide free.
Or very affordable Naloxone.
Does anyone have any other questions?
We have one in the Q and a that asked,
is there a Spanish or is there a video in Spanish of the.
Administration Naloxone.
Yes inside. It does have a Spanish version.
So all you have to do.
Is open it up.
And press the
Button here. Let's take,
let's just Spanish pre I know you guys can't see it very well,
but the video always playing, we go.
It's a little difficult with the screens,
but I just found the right angle. .
So really that's kind of a wrap on the one box.
I did go over some Naloxone training.
With you guys via the last video.
That I showed with Dr. AK.
So,
do you guys have any questions on Naloxone administration that I can
answer for you guys?
I don't have a question, but I do have a comment.
When I had listened to the original presentation with Kenny Matthews.
What he had shown was a picture of an office.
With their red first aid kit, monitor the wall.
And then the purple one box kit monitored right next to it.
Mm-hmm . So if there was a situation that occurred.
Everybody knew exactly where to go grab the box and take care of what
was needed.
So I thought that was nice and the color purple distinguishes.
The Naloxone kit too.
Right. It does. And that color purple is also really special.
Because it's a color that signifies recovery.
And the really great thing about these boxes is that it's made by
people.
In recovery here in West Virginia.
So we employ
Several people who are in long-term recovery now who put these boxes
together.
And
Yeah, sure.
Another thing he mentioned.
Was what distinguishes one box as one box.
Is the video mm-hmm that there are other types of boxes.
But without the instruction.
So again, it can help.
Anybody, whether you're knowledgeable or not knowledgeable,
if that occurs.
Right. There are other types of boxes.
Personally, the ones that I've seen.
They're pretty big and bulky.
They're also very heavy.
I couldn't imagine running across like a hallway in a school or in a
hospital with something that large, because it really is like,
It's very big. It's.
Almost like a desktop computer, like that type of big.
But this, this is something you can pick up and easily just run with.
And then you also don't have to break any glass.
And the instructions are just laid out for you.
You just open the box up, get the Naloxone out, pull the tab.
And listen to the instructions.
You don't have to read and go back and forth.
You can just listen and watch the video.
To respond to an overdose and potentially save a life.
Thank you.
And we do have another question that came in.
Can the box be provided for use out of state.
And how do you request one?
Yes. So they are available per for purchase on our website.
And I'll also provide my email.
Here in the chat.
So, if you are interested in making a purchase, you can let me know.
Or if you're ready to make a purchase.
Then you can go on our website and do so.
We have a small discount.
For nonprofits.
So as long as you provide.
The, the paperwork that reflects that you're a nonprofit,
then we'll honor that.
And then also
Hold on one second.
There we go. Okay. Also,
A lot of people are using grant funding for this.
The boxes are $250 a piece.
But for nonprofits, it ends up being.
About 200 per box.
Are there any other questions I can answer for you guys?
And then the link to visit us is w B D I.
I org slash
One box.
Thanks, Lola. I meant to send that to everyone.
That's okay. thanks so much.
Any thoughts?
Did the group enjoy the presentation and learn something today.
And if you guys have any questions on how to use Naloxone,
that's also.
Something that you can ask about right now, too.
While we wait for any additional questions to come in.
I wanna ask that everyone that attended,
please answer a short evaluation of today's webinar.
As soon as you log off of the zoom, you'll receive a pop-up window.
You've got a few moments just to take those survey questions that
would be greatly appreciated. Lila, thank you so much for joining us.
It looks like we do have a question in the chat here.
Someone said very good presentation. Thanks.
Okay. thanks so much for having me today.
Thank you all. I hope you have a great rest of your day.