Your state health department or oversight agency may have an established data collection protocol so that they can evaluate the impact of the naloxone program. A few sample data collections forms can be found below, each of which can be adapted to suit your agency’s needs.

Resources: 

New York Public Safety Naloxone Data Report

Podcast Interview with Dr. Traci Green

Date: 
Oct, 2014
Resource Type: 

In this podcast, BJA Fellow Tara Kunkel discusses the opioid overdose epidemic in the state of Rhode Island with Dr. Traci Green, a researcher at Brown University and Rhode Island Hospital. In the interview, Dr. Green shares the steps that law enforcement agencies in Rhode Island have taken to address the epidemic and explains how – when properly trained – law enforcement can administer Naloxone to save lives when they arrive at the scene of an overdose.

Quincy, MA, Police Department Data Report

Date: 
Jan, 2013
Contributor: 
Resource Type: 

Sample data collection form from Quincy, MA, Police Department to document naloxone use.

Vermont State Police Naloxone Data Report