BPHC Overdose Prevention Training Request

BPHC Overdose Prevention Training Request

The City offers education and training to opioid users, their families, and community partners that work or may come into contact with people at risk of overdosing. When receiving this training, participants will learn: (1) about the importance of calling 9-1-1 in the event of an overdose, (2) how to perform rescue breathing and how to administer intranasal naloxone, and (3) about the various treatment options that exist for opioid users. Please fill out the following form to request a training from BPHC.
Name of agency or organization?*
Contact person?*
Phone number?*
Email address?*
Would you like this training to be virtual or in-person at your location?*

VirtualIn-person
Is this training for....*

StaffClientsOther
How many people will be getting trained?*
What's the best day of the week?*

MondayTuesdayWednesdayThursdayFriday
What's the best time of day to do a training?*

MorningAfternoonEvenings
Is this an initial or follow up training?*
Has an overdose already occurred in your agency?*
How did the agency respond to the overdose?*
What worked well and what needs improvement?*
What existing overdose response policy does your agency have that needs to be evaluated or updated?*
Where are the locations within your agency that may present heightened overdose risks or complicate overdose response? (SRO’s, Locked Bathrooms)*
What is your protocol for staff if they witness an off-site overdose while working?*
Do you currently have naloxone kits available?*

YesNoI don't know
If yes, how many naloxone kits do you have? (Answer N/A if none)*
What is the expiration date on the naloxone kits that you have?*
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