Snohomish Health District 10/10/2022

EXHIBIT A RULES AND PROTOCOLS FOR DISTRIBUTION OF NALOXONE 1. To help with tracking at each partner organization, it is required that the Recipient Organization has an internal staff member act as the designated Naloxone Liaison. This individual will take on the role of tracking naloxone distribution and use and employee training within their organization. If the Naloxone Liaison leaves the partner organization or assumes a new position, it will be their responsibility or the responsibility of their supervisor to select a new liaison,train them, and inform the contact at SHD so operations can continue smoothly. 2. The Naloxone Liaison must maintain an up-to-date roster including all employees that carry naloxone,the dose number of the naloxone assigned to each individual, its expiration date, and its lot number. This roster must also include the dose number, expiration date and lot number of reserve replacement kits in their possession. It is the responsibility of the Naloxone Liaison to track this information on the roster for each dose as it is given out to each employee. The Naloxone Liaison is also responsible for maintaining an accurate roster as new staff members are administered kits, and as members leave the organization and turn in their kits to be reassigned(if the dose is not nearing its expiration date). Additionally,the Naloxone Liaison should update the roster when doses are used or expired and are replaced with reserve doses. The Naloxone Liaison must provide this up-to-date information to SHD every quarter, even if no changes occurred during that period. 3. The Naloxone Liaison will separately track when naloxone doses have been used to reverse an overdose. For each overdose incident, SHD will ask for the name of the officer who administered the naloxone, the date of administration, the case number,the number of police department doses used in the incident, and if the use of naloxone resulted in the reversal of an overdose or not. This information will be requested quarterly. 4. After the naloxone is delivered to the Recipient Organization, it should be stored at between 59°F to 77°F.Naloxone nasal spray may be stored for short periods up to 104°F. Do not store naloxone nasal spray in a car on hot summer days. Do not freeze or leave naloxone nasal spray in a car during the winter. Naloxone nasal spray may not be as effective if it is not stored properly. If naloxone nasal spray gets frozen or is stored at 104°F for long periods of time, it should be replaced. Only discard the naloxone nasal spray once you have a replacement, as it is better to use improperly stored naloxone than not have any naloxone at all. 5. Recipient Organization agrees to return and release all doses of naloxone four months within their expiration date to SHD for redistribution into the community. It is understood and agreed that Snohomish Health District may in its discretion redistribute the unexpired doses to other agencies for use. NOTICE: The naloxone that is purchased by the Snohomish Health District on behalf of cities and towns expires 36 months after its manufacturing date. As a significant number of naloxone doses purchased for this program go unused during the duration they are in the possession of first responders, the Snohomish Health District has created a community-based redistribution program for doses within four months of their expiration date. The naloxone doses your city or