 Hi I'm Jess I'm the clinical nurse manager for DePaul. We film this overdose management and naloxone administration video with the help of our staff, our service users and our volunteers to help build confidence in managing these situations in their services. This first scene demonstrates what to do if you find somebody who may be under the influence of substances who's unresponsive and not breathing. When a person is not breathing and requires CPR the AED is needed. One person should open, turn on the AED and attach the pads as soon as it arrives on the scene while the other person is checking for breathing, giving breaths or starting compressions. To use naloxone check the expiration date. Remove the clear film wrapping by twisting the outer plastic box as shown and removing the seal. Open the box which contains one syringe of naloxone and two needles. Remove the instructions and place them beside you. Check that the needle's seal isn't broken and open the needle by pushing the blue top through the paper backing. Remove the rubber cap of the naloxone syringe and attach the needle in a twisting motion. Hold the naloxone firmly at the barrel and at the tip of the needle sheath. Remove the needle sheath being careful to keep your fingers away. Administer one dose of naloxone in the largest part of the leg at a 90 degree angle holding the device like a pen or a dart. Inject the naloxone slowly into the first black line. Place the used naloxone back into the yellow tray being careful not to touch off anything. Take over compressions from your partner after administering naloxone. Continue compressions for another one cycle of CPR, 30 compressions to two breaths. Administer a second dose of naloxone after three cycles of CPR. Repeat these steps until the person wakes up or help arrives. This next scene demonstrates what you to do if you happen to find somebody who's unresponsive but is still breathing. You're okay. Can you hear me? Marika. Hi, it's Jess. I'm just doing the checks here. I'm in room three. Marika's not responding. Can you call in Anna? Let's bring the naloxone and the AED please. Can you hear me? Oh, yes, I have the AED. I'm the naloxone here for you. She's good. She's breathing. Can you get over to the other side there? Yeah. Put her into the recovery position there and on your side. Is her head okay there? Okay, great. Just pop up there for me. Is she breathing there okay? Yeah, she's still breathing. It's okay, Marika. You just got a shot of naloxone there. You're going to be waking up shortly, okay? Abulance is on the way. You all right, love? Okay. Can you hear me? Can you hear me, love? Her breathing's okay there, yeah? It's been about two or three minutes there. Yeah, you grab another naloxone there, yeah? Just there where I gave it there. Just be careful, okay? Just mind your fingers there, yeah? Marika, you okay, love? It's Jess. You all right? Yeah. You've just had a dose of naloxone there, okay? You weren't breathing very well, so the ambulance is on the way. You okay? Yeah, they'll be here shortly, all right? It's important after any situation involving an overdose to debrief with your team and other service users that may have witnessed the incident. It's important to notify your management or on call as soon as possible and complete the incident report. Thank you to the office now, okay? John, can we grab Marika and click a cup of tea for me? Okay, I'll do it. Right, come on over here. Let's eat there. Perfect. How are you doing? Good, how are you doing? Okay, grand. Quinn, would you do me a favor and just grab the flash cards for me? Yeah. Yeah, perfect. All right, we're glad that you're safe. Don't be worried, okay? So maybe we'll get you a cup of tea and maybe make sure that we have a chat in the morning just to make sure that we go through a few things to make it safe. How are you feeling now? Better. Okay, good. But we'll check in with you a little bit later on and we'll just see if there's anything that we can do, okay? Just wanted to let you know, I don't know if you remember, but we used the naloxone on you last night, okay? So you weren't breathing very well. I'm not sure which you'd take it about, but we're really worried about you. So we called the ambulance, but we got this into you really quickly. So it would be good maybe tomorrow if we could talk about how you could carry this around on you so that if that happens again that we can make sure that we can always keep you safe, okay? Thanks a million. Thank you. Great. You've now seen two videos demonstrating the use of naloxone, one where a person's not breathing and one where a person's unresponsive but is still breathing. It's important that when a service user returns after overdosing that we provide an overdose prevention intervention. This might be keeping somebody on high-risk checks or referring them to another health care provider or using your naloxone champions on site to promote personal naloxone kids. It's important to know that not every overdose happens immediately after taking a substance. Overdoses can happen over a long period of time and they can be what we call slow burners. The most important thing you can do if you find someone unresponsive is call for help. After that, use naloxone. Naloxone can save lives. When in doubt, give it out.