Instructor: Emily Caputo

LESSON PLAN
Lesson Title: Narcan Administration
Population Demographics: General Public

Date: November 30, 2015

I. Purpose: The purpose of this lesson is to teach the public how to effectively administer narcan
in the case of an emergency in order to counteract the process of a drug overdose.
II. Objectives:
- The student will be able to identify what an opiate overdose is, as well as relevant
information from the presentation with 80% accuracy and answer the appropriate
questions on the worksheet.
- The student will be able to list in order and comprehend the steps on how to approach
overdoses as taught in the presentation, and order them correctly on the worksheet with
80% accuracy.
- The student will be able to identify contraindications of narcan, as well as how to
administer it from the presentation and video, and record it on the worksheet as well as
answer questions with 80% accuracy.

III. Introduction: Introduce narcan. Pose a series of questions to the class. What is narcan? What
is it used for? Explain overdoses and how they are harmful. Explain to students that they will be
taught how to handle patients who meet the criteria for the use of narcan, where they can obtain
it and how to administer it. Teach students how this can benefit them and the people around
them.

IV. Procedures:
1. Introduce the narcan and background information. Explain what it is, what it does, and
where to obtain it.
2. Briefly explain what occurs during a drug overdose as well as general facts regarding
drugs as a growing problem. What is an opiate overdose?
3. What should you look for on scene? Present bottles, possession of pills, time of ingestion
and vomiting.
4. Go over the 5 steps for how to deal with overdoses.
- Call for help
- Check for signs of overdose
- Support breathing
- Administer narcan
- Monitor response
Response occurs within 3-5 minutes, lasts for 30-90 minutes.

Instructor: Emily Caputo

5. Introduce dos and donts and discuss altered mental status.
6. The goal is to keep patients breathing. If an overdose is suspected, administer 2mg/2mL
of naxalone (Narcan) using a mucosal atomizer device (MAD).
-Teach contraindications
1. Cardiopulmonary arrest
2. Seizure activity
3. Pediatric patients
4. Nasal trauma, obstruction/epistaxis
- Insert MAD into left nostril and administer 1mg/1mL. Repeat in right nostril.
- Prepare for transport and check respiratory rate. If it is lower than 10 breaths a
minute, administer the second dose. For unstable patients, check every 5
minutes.
7. Show a YouTube video as reinforcement to students.
V. Evaluation: Students will be evaluated on their new knowledge of the topic using a worksheet.
The worksheet will consist of various sections, including a fill in the blank section regarding
what an overdose is, as well as relevant information. The next section will include a numbering
exercise where students will be expected to place the steps of dealing with an overdose in correct
order. Last, a multiple-choice section will be used dealing with topics such as contraindications
of narcan, as well as how to administer it. Each student will be expected to complete each section
with 80% accuracy.

VI. Conclusion: Summarize the presentation. Explain to students what they learned, and go over
the main points again. The students will be shown a refreshment of information, and go back
over topics such as overdoses, narcan admin, and the benefits of using it. Use this opportunity to
allow students to ask any questions, and to go back over information they are still unsure about.
Collect feedback from students as to whether this lesson was taught in a way they could gain the
most from it.

VII. Materials:
- Powerpoint slides teaching about overdoses and narcan
- A MAD used to be passed around the classroom in order for students to gain a better
understanding of the device.
- Copies of the worksheet that will be distributed to students in order to test their
knowledge of the topics taught in the lesson

VIII. References:

Instructor: Emily Caputo

Buck, M. (n.d.). Naloxone for the Reversal of Opioid Adverse Effects. Retrieved November 30,
2015, from http://www.medscape.com/viewarticle/441915_4
Narcan | Naloxone | The Opiate Antidote to Save a Life. (n.d.). Retrieved November 30, 2015,
from http://stopoverdoseil.org/narcan.html
Understanding Naloxone. (n.d.). Retrieved November 30, 2015, from
http://harmreduction.org/issues/overdose-prevention/overview/overdosebasics/understanding-naloxone/