Submittal to the Board of Supervisors County of Riverside; State of California Item:3.12

The availability of Narcan has assisted law enforcement and the public to assist suspected opioid overdoses and to have a tretter chance of survival. Response to Grand Jury Finding #2: Respondent agrees with finding. Department comments: The Riverside County Emergency Medical Services Agency (REMSA) supports all law enforcement agencies in the county with haining on the use of Narcan pursuant to the California Code of Regulations, Title 22, Chapler '1 .5. County departments and agencies, such as RUHS Medical Center, Behavioral Health, and Public Health, provide Narcan to law enforcement agencies and clients through various Naloxone (Narcan) Distribution Programs (NDP). REMSA also implemented the "Leave Behind Narcan" 'l Policy, which allows 9'1 medical providers to supply Narcan kits to families and friends at the scene of overdose emergencies. Reported law enforcement and bystander Naloxone usage for suspected opioid overdose has also increased. When comparing 2022 lo 2023 data, the number of patients who received Naloxone from law enforcement increased by 20 percent, and the number of patients who received Naloxone from bystanders increased by 35 percent. Grand Jury Finding #3:

There is a lack of guidance regarding what data should be tracked by law enforcement and other first responders when administering Narcan. Response to Grand Jury Finding #3: Respondent disagrees partially with the finding. Department comments: REMSA protocols establish strict documentation and reporting standards on the use of Narcan, and all other medications, administered by all providers in the organized countywide Emergency Medical Services (EMS) system. This data dashboard is available to the public on the REMSA website. Current law authorizes the administration of Narcan by non-EMS first responders (e.9. law enforcement, park ranges, and lifeguards). While the law outlines training standards and encourage wide availability of Narcan, non-EMS first responders are not required to document and report Narcan usage to the county. GRAND JURY RECOMMENDATI ONS: Grand Jury Recommendation #1: Rl: A comprehensive method should be created to collect pertinent Narcan data on a monthly basis from all emergency responders and/or medical providers. This data should include the number of incidents, dosages b1, incidents, number of lives saved, and number of fatalities. Response to Grand Jury #1: