Chicago Police DepartmentDepartment Notice D18-04
Opioid Overdose Reversal (Naloxone) Pilot Program
Issue Date:02 August 2018Effective Date:02 August 2018
Rescinds:Version dated 20 June 2018
Index Category:Department Notice
I.Purpose
This directive:
  • A.introduces an opioid overdose reversal (naloxone) pilot program in the:
    • 1.Canine Unit,
    • 2.Narcotics Division,
    • 3.Gang Investigation Division, and
    • 4.Districts 005, 006, 010, and 011.
    NOTE:
    All affected members will be trained in the assessment of an overdose victim and in the administration of naloxone. Once trained, members may elect to carry naloxone that will be supplied by the Department.
  • B.establishes guidelines and procedures governing the administration of naloxone by trained Department members.
  • C.introduces Illinois Uniform Crime Report (IUCR) code 5105 "naloxone use by Department member."
  • D.introduces the Unit Naloxone Issuance Log (CPD-21.245).
  • E.introduces the Unit Naloxone Returned or Lost Log (CPD-21.246)
  • F.introduces the Equipment & Supply Section Naloxone Issuance Log (CPD-34.623).
II.Policy
  • A.Illinois Public Act 096-0361, as amended by Section 5-23, Drug Overdose Prevention Program, and the Illinois Public Act 099-0480, which became effective 9 September 2015, enables non-medical persons to administer naloxone to persons experiencing an opioid overdose. This law made it legal in Illinois for emergency responders such as EMS, firefighters, and law enforcement to be trained in administering naloxone. As such, Chicago Police Department members may possess and administer naloxone to suspected opioid overdose victims provided they have completed the required training given by the Education and Training Division. Those members in pilot program units who arrive on the scene of a suspected opioid overdose before CFD will conduct an assessment, ask OEMC to dispatch CFD and, if safe and feasible, may administer naloxone to help prevent the fatality of a suspected overdose victim.
  • B.A scene must be safe and secure and the officer must not be endangered by engaging with a suspected overdose victim during the assessment of the victim and the administration of naloxone.
III.Definitions
  • A.OPIOID: A medication or drug that is derived from the opium poppy or that mimics the effect of an opiate. Opiate drugs depress activity of the central nervous system; they reduce pain, induce sleep, and, in an overdose, will suppress respiration. The resulting lack of oxygen to the brain can cause brain damage within minutes and may lead to a complete secession of breathing. First responders often encounter opiates in the form of morphine, buprenorphine, methadone, codeine, heroin, fentanyl, oxycodone, and hydrocodone.
  • B.NALOXONE: A prescription medication that blocks the effects of the opioids and reverses the overdose. Specifically, it displaces opioids from receptors in the brain that control the central nervous and respiratory systems. It is marketed under various trade names, including Narcan. If it is given to a person who has not taken opioids, it will not have any effect on him or her, since there is no opioid overdose to reverse. Naloxone can help restore breathing even if opioids are taken with alcohol or other drugs.
    NOTE:
    Naloxone is NOT a narcotic and will not produce intoxicating effects under any circumstances.
IV.Illinois Good Samaritan Overdose Law
The 2012 Good Samaritan Overdose Law, Illinois Public Act 097-0678, ensures immunity from criminal prosecution for Class 4 felony violations of the Illinois Controlled Substances Act and Class 3 felony violations of the Methamphetamine Control and Community Protection Act for persons who are in possession of less than three grams of a substance containing (among others) heroin, cocaine, or morphine and:
  • A.seek emergency medical assistance for someone experiencing a drug-related overdose; or
  • B.are in possession of the drug while experiencing an overdose.
    NOTE:
    For the complete list of drug types and amounts that are eligible for immunity from prosecution, see the Good Samaritan Overdose Law, Illinois Public Act 097-0678.
V.Law Enforcement Immunity
745 ILCS 49/70 Sec. 70—Verbatim Text
Law enforcement officers, firemen, Emergency Medical Technicians (EMTs) and First Responders; exemption from civil liability for emergency care. Any law enforcement officer or fireman as defined in Section 2 of the Line of Duty Compensation Act, any "emergency medical technician (EMT)" as defined in Section 3.50 of the Emergency Medical Services (EMS) Systems Act, and any "first responder" as defined in Section 3.60 of the Emergency Medical Services (EMS) Systems Act, who in good faith provides emergency care, including the administration of an opioid antagonist as defined in Section 5-23 of the Alcoholism and Other Drug Abuse and Dependency Act, without fee or compensation to any person shall not, as a result of his or her acts or omissions, except willful and wanton misconduct, on the part of the person, in providing the care, be liable for civil damages when administering naloxone in an emergency situation, and shall not, as a result of his or her acts or omissions, except willful and wanton misconduct on the part of the person, in providing the care, be liable to a person to whom such care is provided for civil damages. (Source: P.A. 99-480, eff. 9-9-15.) When administering naloxone, Chicago Police Department civilian employees are provided immunity for civil damages under the Illinois Tort Immunity Act.
VI.General Information
  • A.Participants will be issued:
    • 1.two naloxone devices,
    • 2.nitrile gloves,
    • 3.face mask,
    • 4.biohazard disposal bag,
    • 5.black carry pouch (which will be considered personal property).
  • B.Each device has an expiration date. Members should routinely check the expiration date and replace through the watch operations lieutenant/unit commanding officer as necessary.
  • C.The naloxone devices should not be exposed to prolonged temperature extremes. Inadvertently frozen devices will be returned to the watch operations lieutenant/unit commanding officer and will be replaced.
  • D.When replacing a single device, it will be replaced with a device with the same expiration date. If no other device with the same expiration date is available, the remaining device will be returned and two matching devices will be issued with the same date.
  • E.Used devices will be considered low-level biohazard waste consistent with the Department directive titled "Exposure Control Plan."
VII.Procedures
  • A.Trained officers arriving on a scene of what appears to be an opioid overdose before Chicago Fire Department (CFD) personnel have arrived may conduct an assessment and administer naloxone using the following procedures:
    • 1.ensure that the Office of Emergency Management and Communication (OEMC) is notified and has dispatched CFD personnel to the location.
    • 2.don nitrile gloves and perform assessment as per training.
    • 3.request back-up in case of officer contact with a harmful substance or possible combative behavior by the victim once resuscitated with naloxone.
    • 4.ensure the subject is in a safe location and remove any sharp or heavy objects from the subject's immediate reach.
    • 5.if applicable and if feasible to do so, inform any other persons (friends or family of victim) on the scene that you are going to try to help the overdose victim by administering the naloxone.
    • 6.administer naloxone as per training, using the approved device.
      NOTE:
      Once revived, an adult overdose victim may refuse medical attention and may leave the scene.
    • 7.If no parent or guardian is on the scene, a juvenile overdose victim must be taken into protective custody and brought to a hospital. Procedures and notifications will be consistent with the Department directive titled "Abused, Neglected, Dependent or Abandoned Children Coming Under Department Control."
    • 8.inform arriving CFD personnel of any intervention that has been applied including the total number of doses of naloxone administered prior to the arrival of CFD.
    • 9.assist CFD personnel, as requested.
    • 10.inventory any narcotics found or recovered on the scene consistent with the Department directive tilted "Inventorying Narcotics Evidence."
    • 11.dispose of empty naloxone devices and removed PPE items consistent with training and the Department directive titled "Exposure Control Plan." If a biohazard container is available on scene through Chicago Fire Department personnel, that container will be used.
    • 12.a Hospitalization Case Report (IUCR 5105) will be completed following all cases of administration of naloxone by a Department member. Include information on any inventoried narcotics.
      NOTE:
      A Hospitalization Case Report will be completed in addition to any other case report required to document the incident.
  • B.All officers must be aware of the potential dangers in any overdose environment and take all necessary universal precautions against the accidental ingestion, exposure, or contact with any suspected opioid substance or with body fluids. The use of personal protective equipment, especially nitrile medical gloves, is required when touching an overdose victim and handling items in the environment consistent with the Department directive titled "Exposure Control Plan."
  • C.Department members who administer naloxone to themselves or another Department member due to accidental opioid ingestion, exposure, or contact will follow post-exposure procedures consistent with the Department directive titled "Exposure Control Plan."
VIII.Training, Replacement, and Storage
  • A.The Deputy Chief, Education and Training Division, will ensure Department members are trained, as required, in the administration of naloxone.
  • B.The Equipment and Supply Section will maintain the inventory of naloxone according to manufacturer's instructions and will:
    • 1.ensure that the inventory is stored in a temperature-controlled environment and is not exposed to extreme temperatures.
    • 2.monitor the inventory to ensure a non-expired supply.
    • 3.record and track all naloxone issued to districts and units on the Equipment and Supply Section Naloxone Issuance Log (CPD-34.623).
  • C.Pilot unit watch operations lieutenants/commanding officers will:
    • 1.maintain an adequate supply of naloxone in the unit.
    • 2.ensure the weekly firearms inspections includes a check of naloxone device expiration dates. Ensure replacement as necessary.
    • 3.when needed, replenish the unit supply of naloxone by calling the Equipment and Supply Section, Unit 172.
      NOTE:
      The naloxone will be picked up at the General Support Division located in the Public Safely Headquarters.
    • 4.ensure the unit supply of naloxone has not reached the expiration date.
    • 5.dispense replacement naloxone.
      NOTE:
      When replacing a single device, it will be replaced with a device with the same expiration date. If no other device with the same expiration date is available, the remaining device will be returned and two matching devices will be issued with the same date.
    • 6.discard naloxone by placing expired or damaged naloxone devices in the Secure Drop Box Container consistent with the Department directive titled "Pharmaceutical Collection and Destruction Program."
    • 7.issue naloxone to naloxone trained Department members only, maintaining the Unit Naloxone Issuance Log (CPD-21.245) and the Unit Naloxone Return or Lost Log (CPD-21.246) recording all naloxone:
      • a.issued,
      • b.exchanged,
      • c.expired,
      • d.lost, or
      • e.damaged.
    • 8.fax a copy of the Unit Naloxone Issuance Log (CPD-21.245) and the Unit Naloxone Return or Lost Log (CPD-21.246) to Equipment and Supply Section at the end of each police period.
  • D.For any inquiries, the Equipment and Supply Section, Unit 172, can be contacted directly at Bell: (312) 745-5905 or PAX: 0582
  • E.Pilot program participants transferred, reassigned, or promoted.
    Members who are issued naloxone in a pilot unit and who subsequently leave that unit may continue to participate in the naloxone pilot program consistent with this directive, but must return to the pilot unit from which the naloxone was issued with any expired or damaged naloxone devices or to replace used or lost devices.
IX.Evaluation of pilot program
Data will be collected on CPD administration of naloxone.
(Items indicated by italics/double underline have been added or revised.)
Eddie T. Johnson
Superintendent of Police
18-063 SB