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Postal Take-Home Naloxone Course
Complete this course to order take-home Nyxoid (nasal spray Naloxone) from NUAA's NSP shop.
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1
Consent
By clicking “I Agree” to this question you agree that: ▪️ NUAA may use the information provided to evaluate the postal naloxone service, including contacting you using the details provided. This information may be shared with external evaluators but we will never release identifying information (name, address) outside of NUAA
AND
▪️ You are aged over 16
AND
▪️ You are either currently using or intending to use either pharmaceutical or illicit drugs that contain/may contain opioids
OR
▪️ You may witness an overdose
YES
NO
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2
Name
*
This field is required.
Use the name which will be used with your NSP postal order
First Name
Last Name
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3
Address
*
This field is required.
NUAA NSP only ships to NSW addresses
Street Address
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State
Post Code
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Afghanistan
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eSwatini
Sweden
Switzerland
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Taiwan
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Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
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Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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4
Phone Number
*
This field is required.
Use the phone number which will be used with your NSP postal order. A phone number or an email address has to be supplied so NUAA staff can check to see if the training has been completed.
Please enter a valid phone number.
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5
Email
*
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Use the email address which will be used with your NSP postal order
example@example.com
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6
Ethnicity
Choose as many as you like
Aboriginal and/or Torres Strait Islander Person
Person from a non-English speaking background
None of the above
Prefer not to say
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7
Gender
Man
Woman
Non-binary
Prefer not to say
Other
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8
Age
16-20
21-25
26-30
31-40
41-50
51-60
Over 60
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9
Have you used naloxone before?
Please Select
Yes
No
Unsure
Please Select
Please Select
Yes
No
Unsure
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10
Have you previously been supplied naloxone?
YES
NO
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11
What was this naloxone used for?
I administered the naloxone to another person
Someone administered the naloxone to me
The naloxone was lost/damaged/went out of date
Please Select
I administered the naloxone to another person
Someone administered the naloxone to me
The naloxone was lost/damaged/went out of date
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12
Why are you ordering naloxone today?
Please Select
I may witness an overdose
I have been prescribed opioids
I may use non-prescribed opioids
Please Select
Please Select
I may witness an overdose
I have been prescribed opioids
I may use non-prescribed opioids
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13
Nyxoid Training
Please watch the below video demonstrating how to reverse an opioid overdose using Nyxoid Nasal Spray. Following will be a short quiz demonstrating your understanding.
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14
Quiz
Before you get your naloxone we need to make sure you know how to use it
👍
If you answer incorrectly, you will be shown the correct answers and be asked to do the question again.
You can always go back to the video or Consumer Information Sheet to review the content if needed.
In this quiz you will need to know
◾
What can increase the risk of opioid overdose ◾ The signs of opioid overdose ◾ How to respond to an opioid overdose ◾ How long Naloxone takes to work
I understand
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15
Q1. Which of the Following increases the risk of an opioid overdose?
Using too much heroin or other opioids such as oxycodone, morphine, methadone or fentanyl
Using opioids with other substances
Changes in drug purity
Change in tolerance (e.g. after prison release, after detox)
Switching from smoking, topical or oral use to injecting
Never having previously used opioids
All of the above
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16
Whoops! Let's try that again, here are the correct answers.
*
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All of the options available increase the risk of an opioid overdose! ✔️ Using too much heroin or other opioids such as oxycodone, morphine, methadone or fentanyl ✔️ Using opioids with other substances ✔️ Changes in drug purity ✔️ Change in tolerance (e.g. after prison release, after detox) ✔️ Switching from smoking, topical or oral use to injecting ✔️ Never having previously used opioids Please go back and try again, or get in contact with someone from NUAA to learn more
Please click back to previous
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17
Q2. What are the signs of opioid overdose?
Choose the correct option
Slow/Shallow breathing
Deep snoring
Blue lips and finger tips is if light skinned, greyish or ashen lips and finger tips if darkskinned
Loss of consciousness/can't be roused
Pinned or small pupils
All of the above
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18
Whoops! Let's try that again, here are the correct answers.
*
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All of the options available are symptoms of an opioid overdose.
✔️ Slow/shallow breathing ✔️ Deep snoring ✔️ Blue lips and finger tips is if light skinned, greyish or ashen lips and finger tips if dark skinned ✔️ Loss of consciousness/can’t be roused ✔️ Pinned or small pupils Please go back and try again, or get in contact with someone from NUAA to learn more
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19
Q.3 What should you do if you think a person might have overdosed?
Choose the correct option
Check to see if the person responds to stimuli like calling their name or gently shaking
Call an ambulance
Give naloxone
Stay with the person until ambulance arrives
Perform rescue breathing (if you know how)
Cardiac compressions (if you know how)
Place the person in the recovery position (if you know how)
All of the above
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20
Whoops! Let's try that again, here are the correct answers.
*
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All of the options available are symptoms of an opioid overdose.
✔️ Check to see if person responds to stimuli like calling their name or gently shaking ✔️ Call an ambulance ✔️ Give naloxone ✔️ Stay with the person until ambulance arrives ✔️ Perform rescue breathing (if you know how) ✔️ Cardiac compression (if you know how) ✔️ Place the person in the recovery position (if you know how) Please go back and try again, or get in contact with someone from NUAA to learn more
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21
Q.4 How long does naloxone take to start to reverse an overdose?
Please Select
2-5 minutes
5-10 minutes
more than 10 minutes
Please Select
Please Select
2-5 minutes
5-10 minutes
more than 10 minutes
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22
Whoops! Let's try that again, here is the correct answer.
*
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Naloxone should take
2-5 minutes
to reverse an opioid overdose Please go back and try again, or get in contact with someone from NUAA to learn more
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23
Q.5 How confident do you feel to use naloxone to reverse an overdose?
Please Select
Confident
Unsure
Not confident
Please Select
Please Select
Confident
Unsure
Not confident
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24
Sorry, before you can get Naloxone, you need to feel confident to use it
*
This field is required.
If you would like to review the question again, click the previous button or select 'watch the training video again' to go back to the beginning of the training. If you would like assistance with completing the training or have feedback, please get in touch with us at
postalnsp@nuaa.org.au
or on (02) 91716690
Watch the training video again
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