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Opioid Safety

States have responded to the opioid crisis by empowering pharmacists to dispense naloxone following assessment criteria defined by a standing order issued by a state health director. Naloxone is a prescription medicine that reverses the effects of opioids. Naloxone saves lives by acting quickly to stop the potentially deadly effect of opioid overexposure on breathing rate.  Naloxone saves lives by acting quickly to stop the potentially deadly effect of opioid overexposure on breathing rate.

Project Overview:

The project will engage a small group of pharmacy champions for opioid safety to support each other in implementing an efficient process to increase communication with patients on opioid risk, identify potentially risky opioid use patterns and provide naloxone when appropriate.  Interested pharmacies can participate for free and benefit from 4 hours of opioid safety continuing education, printed naloxone dispensing resources kit and monthly coaching support.


Schedule of Calls

Pilot Collaborative (February 2018)

Second Collaborative (May 2018)

Third Collaborative (August 2018)


Opioid Safety at the Pharmacy Learning Modules 

Module 1: Your Quality Improvement Team

Learning Session 1 Slides   |   Learning Session 1 Recording 

Team Assignment 1 | Team Assignment 2 | Monthly Call Slides


Module 2: Opioid Risks and the Population of Focus

Learning Session 2 Slides   |   Learning Session 2 Recording

Team Assignment 3 | Team Assignment 4 | Monthly Call Slides


Module 3: SMART Goals and Measuring Performance

Learning Session 3 Slides   |   Learning Session 3 Recording 

Team Assignment 5 | Team Assignment 6 | Monthly Call Slides


Module 4: The Plan Do Study Act Cycle

Learning Session 4 Slides   |   Learning Session 4 Recording

Team Assignment 7 | Monthly Call Slides


Module 5: Communicating Opioid Risk and Naloxone Recommendations  

Learning 5: Patient Counseling: How to Start the Conversation  | Monthly Call Slides


Module 6: The Root Cause Analysis and Prioritizing Change

Learning Session 6 Slides | Learning Session 6 Recording

Team Assignment 8 (Blank Worksheet) | Team Assignment 8 | Monthly Call Slides


Module 7: Displaying Performance Data

Learning Session 7 Slides | Learning Session 7 Recording

Team Assignment 9 | Team Assignment 9a | Monthly Call Slides


Module 8: Opioid Risk Screening Tools

Team Assignment 10 |  Monthly Call Slides  


Module 9: Telling your Story

Team Assignment 11 | Monthly Call Slides 


Module 10: Sustaining and Spreading Impact

Monthly Call Slides 



Opioid Safety Resources

Naloxone Standing Order and Product Information

GA Naloxone Standing Order Rx Template

NC Naloxone Standing Order Rx Template

Naloxone Beyond Use Date Guidance

GA Naloxone Standing Order

NC Naloxone Standing Order

NC Good Samaritan Law 

Naloxone Training Pamphlet - All Formulations

Narcan Nasal Spray - Quick Start Guide

Evzio Instructions for Use

Naloxone Formulation Product Chart


Guidelines and Clinical Resources

Medicare Part D Opioid Policy Tip Sheet

Medicare Part D Opioid Policy Myth vs Fact

CPNP Naloxone Access Practical Guide for Pharmacists

How acute pain leads to chronic opioid use

Pain, Enjoyment and General Activity (PEG) Scale

CDC Guideline for Prescribing Opioids for Chronic Pain

CDC Opioid Guidelines at Glance

SAMHSA Opioid Overdose Prevention Toolkit

CDC Opioid Fact Sheet

CDC Assessing Benefits and Harms of Opioid Therapy

Georgia PDMP Overview and Patient Search Demo

Opioid Risk Tool


Opioid Care Coordination Resources 

Medicare Part D Opioid Limits FAQs for Pharmacists

Writing Letters to Prescribers

Sample Letters to Prescribers 

Naloxone Policy and Procedure Guide 

Naloxone Policy and Procedures - Blank 

Naloxone Quick Reference - Guide 

Naloxone Quick Reference - Blank 

CMS Provider Letter: Reducing Opioid Misuse


Patient Family and Caregiver Resources

3 Steps to Save a Life - App, Training Video and Resources

Project Lazarus Naloxone Training and Resources

The Story of Jack Fishman: Naloxone’s Inventor

CDC Opioid Safety Materials for Patients

Alliant Quality: Do’s and Dont's of Pain Medicines

CDC/AHA Patient Opioid Fact Sheet

CDC Promoting Safer and More Effective Pain Management 

Opioid Overdose Prevention and Response Card

CDC Preventing on Opioid Overdose

NC Harm Reduction Coalition - Overdose Prevention and Survival

Naloxone Guide for Patients and Caregivers


Community Resources

Telling Your Pharmacy's Opioid Success Story

NC Opioid Overdose Data

Allied Against Opioid Abuse Promoting Naloxone Toolkit

GA Substance Abuse Research Alliance Scorecard

GA Prescription Drop Box Sites

NC Harm Reduction Coalition - How to Use Naloxone 

NC Harm Reduction Coalition - Naloxone Myths and Facts

NC Prescription Drop Box Sites

New Hanover Regional Medical Center - Our Community Link

NC Opioid Action Plan

GA Opioid Strategic Plan

Community Naloxone Dispensing (GA)

Community Naloxone Dispensing (NC)



Free Continuing Pharmacy Education

CDC Opioid Training Modules

Patient Counseling: How to Start the Conversation

Overview of Chronic Pain and Addiction

(NC) The STOP Act, NC CSRS and the Role of the Pharmacist 

Treatment of Opioid Use Disorders

(NC) Needle Exchange Programs

Interactive Video: Pathways to Safer Opioid Use


For more information contact:

Michael Crooks, PharmD.

Pharmacy Interventions, Technical Lead


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