![](https://prod-dm.s3.us-gov-west-1.amazonaws.com/practices/main_display_images/000/000/046/thumb/Impact1_Naloxone.png?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=ASIAR2ERFC2NHDGR45RE%2F20240901%2Fus-gov-west-1%2Fs3%2Faws4_request&X-Amz-Date=20240901T012609Z&X-Amz-Expires=2700&X-Amz-Security-Token=FwoDYXdzEHoaDDKECtsYTbrDDDK68SLkBMIThmvG59S47ri%2BJYYrIBkquCJpAWF3M3DrhVu6F4jQjmPuTGKpKcV4Ovd2UafJ3UT2q8DFdLH2D9baM%2BEGRsSg2rFf8OWsC66MC5s4jIfG7YmYyqMR1G1FOKTYtYCBDtOUzLYV9wG8wzsHDF0cxJg42O26HXvfjqAXPELrHrE8lMh05qklBqurg5600dGzijKwYn3xy0Hmk2H%2FWIGkp8drAx36uQqBRjxi7Ogtg1zyT%2B01dsfqHD74LFCaBU18qw3UxDBXCFB6UiyapVazqpMpxSKCr8M59%2BoT3BxwZOcgUlj5rGaa2RUMb8KsG9MZSd8z3Tbjy1XRDwrXhBZ7YqebG8WZ937ZZrAkQxW71v0YoQlumKSUVrsOyx64zx8xYKeWg5N4NNJo4t%2B6df4oWIdmjxBsBKub3mwGP6v09zkXxsm07OdbhXNxL0%2F%2BIxRubVUODFtCRVgDVYkZKnUqYBqpbX%2F70%2B%2FktQc6ddzbYARcWFUArBqHVxrwzcPa12xovxRLidB0uqOnBfm8ysOSlBNBrTlf9NgK%2BNwMEurhiliBu9BocdZJ93%2B1EFFgZLCvfJ9XnZVxFnbQB456xxDKN2%2F%2BZBJAdAUNuc2zSuGLYDX6dEzD9IfRjbyBfB8zTZ5%2FMoErJ9oTGWVJjdyZF9OrgXdOr6temoeDrX3F4%2FvWgNSOcPeIA0Yk8amt4dBig7OcGAEthwZXMfMxCiexBlJ40nSNeMmHzMf0AhjAkAKSXQdaApucB5EcvzUx2KBwYyCWFvKGWd0xBIdzzEzHgGYuIwzjVh%2B07m9FTmxu4PRrHNs0UF%2BcFiih4s22BjJBcnRvlC7mh%2F9bmm0iUg47nIHUYXjjFT1Njx7m8GQyNXgztXy27iBrZB%2FFv3E83AN8p4bhgh6%2FnJFAN%2F%2FZQtcWv0E%3D&X-Amz-SignedHeaders=host&X-Amz-Signature=ed9433b7c329928fdeaaa95298ba8b2668b5823dd76d7d93c78ab2ed4a76cfe7)
VHA Rapid Naloxone
Last updated
Share PrintIn September 2018, the Veteran’s Health Administration (VHA) launched a Rapid Naloxone Initiative that aims to reduce opioid overdose deaths by increasing the rapid availability of Naloxone. This is done via three practice elements: 1) Opioid Overdose Education and Naloxone Distribution (OEND) to VHA patients who are at-risk for opioid overdose, 2) VA Police carry Naloxone, and 3) Automated External Defibrillator (AED) Cabinets contain Naloxone.
Origin:
March 2015, Jamaica Plain VA Medical Center
Adoptions:
100 successful, 50 in-progress, 4 unsuccessful
Awards and Recognition:
Diffusion of Excellence Promising Practice, Gears of Government Winner, VHA Shark Tank Winner
Partners:
Diffusion of Excellence, Office of Primary Care
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TAGS:
PharmacyRecent Updates
Overview
The problem
The solution
Images
![](https://prod-dm.s3.us-gov-west-1.amazonaws.com/practice_solution_resources/attachments/000/000/012/thumb/naloxone_cabinet_set_up_Wichita.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=ASIAR2ERFC2NHDGR45RE%2F20240901%2Fus-gov-west-1%2Fs3%2Faws4_request&X-Amz-Date=20240901T012609Z&X-Amz-Expires=2700&X-Amz-Security-Token=FwoDYXdzEHoaDDKECtsYTbrDDDK68SLkBMIThmvG59S47ri%2BJYYrIBkquCJpAWF3M3DrhVu6F4jQjmPuTGKpKcV4Ovd2UafJ3UT2q8DFdLH2D9baM%2BEGRsSg2rFf8OWsC66MC5s4jIfG7YmYyqMR1G1FOKTYtYCBDtOUzLYV9wG8wzsHDF0cxJg42O26HXvfjqAXPELrHrE8lMh05qklBqurg5600dGzijKwYn3xy0Hmk2H%2FWIGkp8drAx36uQqBRjxi7Ogtg1zyT%2B01dsfqHD74LFCaBU18qw3UxDBXCFB6UiyapVazqpMpxSKCr8M59%2BoT3BxwZOcgUlj5rGaa2RUMb8KsG9MZSd8z3Tbjy1XRDwrXhBZ7YqebG8WZ937ZZrAkQxW71v0YoQlumKSUVrsOyx64zx8xYKeWg5N4NNJo4t%2B6df4oWIdmjxBsBKub3mwGP6v09zkXxsm07OdbhXNxL0%2F%2BIxRubVUODFtCRVgDVYkZKnUqYBqpbX%2F70%2B%2FktQc6ddzbYARcWFUArBqHVxrwzcPa12xovxRLidB0uqOnBfm8ysOSlBNBrTlf9NgK%2BNwMEurhiliBu9BocdZJ93%2B1EFFgZLCvfJ9XnZVxFnbQB456xxDKN2%2F%2BZBJAdAUNuc2zSuGLYDX6dEzD9IfRjbyBfB8zTZ5%2FMoErJ9oTGWVJjdyZF9OrgXdOr6temoeDrX3F4%2FvWgNSOcPeIA0Yk8amt4dBig7OcGAEthwZXMfMxCiexBlJ40nSNeMmHzMf0AhjAkAKSXQdaApucB5EcvzUx2KBwYyCWFvKGWd0xBIdzzEzHgGYuIwzjVh%2B07m9FTmxu4PRrHNs0UF%2BcFiih4s22BjJBcnRvlC7mh%2F9bmm0iUg47nIHUYXjjFT1Njx7m8GQyNXgztXy27iBrZB%2FFv3E83AN8p4bhgh6%2FnJFAN%2F%2FZQtcWv0E%3D&X-Amz-SignedHeaders=host&X-Amz-Signature=d505b86f76c1da68aa145e9814192ff896e3789209729d5cf650ee309042a871)
Above:
AED cabinet with naloxone. Note red "N" and seal
![](https://prod-dm.s3.us-gov-west-1.amazonaws.com/practice_solution_resources/attachments/000/000/013/thumb/Naloxone_Pouch.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=ASIAR2ERFC2NHDGR45RE%2F20240901%2Fus-gov-west-1%2Fs3%2Faws4_request&X-Amz-Date=20240901T012609Z&X-Amz-Expires=2700&X-Amz-Security-Token=FwoDYXdzEHoaDDKECtsYTbrDDDK68SLkBMIThmvG59S47ri%2BJYYrIBkquCJpAWF3M3DrhVu6F4jQjmPuTGKpKcV4Ovd2UafJ3UT2q8DFdLH2D9baM%2BEGRsSg2rFf8OWsC66MC5s4jIfG7YmYyqMR1G1FOKTYtYCBDtOUzLYV9wG8wzsHDF0cxJg42O26HXvfjqAXPELrHrE8lMh05qklBqurg5600dGzijKwYn3xy0Hmk2H%2FWIGkp8drAx36uQqBRjxi7Ogtg1zyT%2B01dsfqHD74LFCaBU18qw3UxDBXCFB6UiyapVazqpMpxSKCr8M59%2BoT3BxwZOcgUlj5rGaa2RUMb8KsG9MZSd8z3Tbjy1XRDwrXhBZ7YqebG8WZ937ZZrAkQxW71v0YoQlumKSUVrsOyx64zx8xYKeWg5N4NNJo4t%2B6df4oWIdmjxBsBKub3mwGP6v09zkXxsm07OdbhXNxL0%2F%2BIxRubVUODFtCRVgDVYkZKnUqYBqpbX%2F70%2B%2FktQc6ddzbYARcWFUArBqHVxrwzcPa12xovxRLidB0uqOnBfm8ysOSlBNBrTlf9NgK%2BNwMEurhiliBu9BocdZJ93%2B1EFFgZLCvfJ9XnZVxFnbQB456xxDKN2%2F%2BZBJAdAUNuc2zSuGLYDX6dEzD9IfRjbyBfB8zTZ5%2FMoErJ9oTGWVJjdyZF9OrgXdOr6temoeDrX3F4%2FvWgNSOcPeIA0Yk8amt4dBig7OcGAEthwZXMfMxCiexBlJ40nSNeMmHzMf0AhjAkAKSXQdaApucB5EcvzUx2KBwYyCWFvKGWd0xBIdzzEzHgGYuIwzjVh%2B07m9FTmxu4PRrHNs0UF%2BcFiih4s22BjJBcnRvlC7mh%2F9bmm0iUg47nIHUYXjjFT1Njx7m8GQyNXgztXy27iBrZB%2FFv3E83AN8p4bhgh6%2FnJFAN%2F%2FZQtcWv0E%3D&X-Amz-SignedHeaders=host&X-Amz-Signature=de32fa803fc8f75717ee0517d0efbd12c974cd51a21c3fca6e87cf2953507279)
Above:
Pouch that attaches to VA Police gear
Links
- news article Strangers saves life
- VA Insider VA initiates Rapid Naloxone
The results
Diffusion tracker
Does not include Clinical Resource Hubs (CRH)
Multimedia
Images
![](https://prod-dm.s3.us-gov-west-1.amazonaws.com/practice_multimedia/attachments/000/000/041/thumb/Impact1_Naloxone.png?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=ASIAR2ERFC2NHDGR45RE%2F20240901%2Fus-gov-west-1%2Fs3%2Faws4_request&X-Amz-Date=20240901T012609Z&X-Amz-Expires=2700&X-Amz-Security-Token=FwoDYXdzEHoaDDKECtsYTbrDDDK68SLkBMIThmvG59S47ri%2BJYYrIBkquCJpAWF3M3DrhVu6F4jQjmPuTGKpKcV4Ovd2UafJ3UT2q8DFdLH2D9baM%2BEGRsSg2rFf8OWsC66MC5s4jIfG7YmYyqMR1G1FOKTYtYCBDtOUzLYV9wG8wzsHDF0cxJg42O26HXvfjqAXPELrHrE8lMh05qklBqurg5600dGzijKwYn3xy0Hmk2H%2FWIGkp8drAx36uQqBRjxi7Ogtg1zyT%2B01dsfqHD74LFCaBU18qw3UxDBXCFB6UiyapVazqpMpxSKCr8M59%2BoT3BxwZOcgUlj5rGaa2RUMb8KsG9MZSd8z3Tbjy1XRDwrXhBZ7YqebG8WZ937ZZrAkQxW71v0YoQlumKSUVrsOyx64zx8xYKeWg5N4NNJo4t%2B6df4oWIdmjxBsBKub3mwGP6v09zkXxsm07OdbhXNxL0%2F%2BIxRubVUODFtCRVgDVYkZKnUqYBqpbX%2F70%2B%2FktQc6ddzbYARcWFUArBqHVxrwzcPa12xovxRLidB0uqOnBfm8ysOSlBNBrTlf9NgK%2BNwMEurhiliBu9BocdZJ93%2B1EFFgZLCvfJ9XnZVxFnbQB456xxDKN2%2F%2BZBJAdAUNuc2zSuGLYDX6dEzD9IfRjbyBfB8zTZ5%2FMoErJ9oTGWVJjdyZF9OrgXdOr6temoeDrX3F4%2FvWgNSOcPeIA0Yk8amt4dBig7OcGAEthwZXMfMxCiexBlJ40nSNeMmHzMf0AhjAkAKSXQdaApucB5EcvzUx2KBwYyCWFvKGWd0xBIdzzEzHgGYuIwzjVh%2B07m9FTmxu4PRrHNs0UF%2BcFiih4s22BjJBcnRvlC7mh%2F9bmm0iUg47nIHUYXjjFT1Njx7m8GQyNXgztXy27iBrZB%2FFv3E83AN8p4bhgh6%2FnJFAN%2F%2FZQtcWv0E%3D&X-Amz-SignedHeaders=host&X-Amz-Signature=34ef5effec3fcd93abf9482efd60b2b753a6dcb4d704aeb595edd97b6c7e7f77)
Above:
Pam Bellino
Implementation
Timeline
-
Month 1
Identify a Facility Champion / garner support from stakeholders -
Month 2 and 3
Develop a local policy and obtain approval / AED cabinet identification / AED cabinet physical set up -
Month 4
Increase staff awareness of program / staff training and implementation of program -
Ongoing
Monitoring and program evaluation
Core Resources
Files
- VA_Insider_10_1_18.docx VA_Insider_10_1_18.docx
Links
Risks and mitigations
Risk | Mitigation |
---|---|
Police officers may not want to carry Naloxone. | Compliance is voluntary. |
Staff may not see a need to equip AED cabinets with Naloxone. | Enthusiastic practice champion can teach staff and provide motivation. |
About
Origin story
Original team
Dr. Elizabeth Oliva
OEND National Coordinator
Pam Bellino
Patient Safety Manager
Mary Burkhardt
Pharmacy Executive National Center for Patient Safety
Dr. Jennifer Burden
Deputy Director, MH RRTP
Carl McCoy
Diffusion Specialist
Comment
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