First responders

Law enforcement and emergency medical services are front-line overdose responders.

Law enforcement naloxone in WA State

In an effort to reduce overdose deaths, many law enforcement agencies are training their officers how to recognize an opioid overdose and to administer naloxone, the medication to reverse an opioid overdose.

In WA State, licensed physicians can prescribe and dispense naloxone to law enforcement agencies. Law enforcement agencies and their officers acting in good faith and with reasonable care are immune from criminal and civil liability for possessing, storing, distributing, or administering naloxone.

This is a current list of law enforcement naloxone programs in WA State (see also National list)

To add your unit to this list, please email info@stopoverdose.org.

Tribes

  • Lummi
  • Muckleshoot
  • Nooksack
  • Port Gamble S’Klallam
  • Puyallup
  • Skokomish
  • Squaxin Island
  • Stillaguamish
  • Suquamish
  • Swinomish
  • Tulalip

Washington State

  • Washington State Patrol

Adams County

  • Adams County Sheriffs
  • Othello PD
  • Ritzville PD

Benton County

  • Benton County Sheriffs
  • Richland PD

Chelan County

  • Chelan County Sheriffs
  • Wenatchee PD

Clallam County

  • Clallam County Sheriffs
  • Port Angeles PD

Clark County

  • Battle Ground PD
  • Clark County Sheriffs

Cowlitz County

  • Cowlitz County Sheriffs
  • Longview PD

Douglas County

  • Douglas County Sheriffs
  • East Wenatchee PD

Franklin County

  • Franklin County Sheriffs
  • Pasco PD

Grant County

  • Bureau of Reclamation
  • Ephrata PD
  • Grand Coulee PD
  • Grant County Sheriffs
  • Mattawa PD
  • Moses Lake PD
  • Quincy PD
  • Royal City PD
  • Soap Lake PD
  • Warden PD

Grays Harbor

  • Grays Harbor County Sheriff
  • Montesano PD

Island County

  • Langely PD

King County

  • Algona PD
  • Auburn PD
  • Black Diamond PD
  • Bothell PD
  • Burien PD
  • Kent PD
  • King County Sheriffs and Transit Police
  • Lake Forest Park PD
  • Issaquah PD
  • Medina PD
  • Normandy Park PD
  • Pacific PD (also serves Pierce County)
  • Redmond PD
  • Renton PD
  • Seattle PD (bicycle officers)

Kitsap County

  • Bainbridge PD
  • Bremerton PD
  • Kitsap Sheriffs
  • Poulsbo PD

Lewis County

  • Chehalis PD
  • Centralia PD
  • Lewis County Sheriffs
  • Morton PD

Lincoln County

  • Lincoln County Sheriffs

Mason County

  • Mason County Sheriffs
  • Shelton PD

Pacific County

  • Pacific County Sheriffs
  • Raymond PD
  • South Bend PD

Pierce County

  • Pierce County Sheriffs
  • Sumner PD
  • Tacoma PD

Skagit County

  • Anacortes PD
  • Skagit County Sheriffs (East County)

Snohomish County

  • Arlington PD
  • Bothell PD
  • Brier PD
  • Edmonds PD
  • Everett PD
  • Granite Falls PD
  • Lake Stevens PD
  • Lynnwood PD
  • Marysville PD
  • Monroe PD
  • Mountlake Terrace PD
  • Mill Creek PD
  • Mukilteo PD
  • Snohomish County Sheriffs

Spokane County

  • Spokane County Sheriffs
  • Spokane PD (EMT-trained officers)

Thurston County

  • Evergreen College PD
  • Lacey PD
  • Olympia PD
  • Tumwater PD

Walla Walla County

  • Walla Walla County Sheriffs
  • Walla Walla PD
  • College Place PD

Whatcom County

  • Whatcom County Sheriffs
  • Ferndale PD
  • Blaine PD

Whitman County

  • Pullman Police Department

Yakima County

  • Yakima County Sheriffs

 

Implementing a naloxone program

These are useful resources for law enforcement administrators who are considering or implementing naloxone programs for their officers.

General information and tools

Sample protocols

 Port Angeles Police Department

 Snohomish County Sheriff’s Office

Training materials

** NEW**  Washington State Law Enforcement Overdose Response and Naloxone Training
  Trainer Guide
  Training slides

 Seattle Police Department officer training presentation on naloxone and the Good Samaritan law

Opioid overdose and naloxone training guide for law enforcement

Law Enforcement training video from NARCAN® Nasal Spray

Seattle Police Department training video on the Good Samaritan Overdose Laws and naloxone.

 

 

 

 

 

Forms

WA State laws

  • RCW 4.24.300  Immunity from liability for certain types of medical care (general public)
  • RCW 69.41.095 “Naloxone Law” – distribution, possession and administration of naloxone among laypersons, first responder/law enforcement immunity
  • RCW 69.50.315  “Good Samaritan Overdose Law” – immunity from drug possession prosecution in drug-related overdoses

 

Other law enforcement approaches

Law enforcement units in WA State and around the country are deploying new approaches to address the opioid crisis and help people exit the cycle of addiction, criminal activity, and overdose. These approaches include partnerships with drug treatment, housing, and other social service providers to provide more comprehensive crisis intervention, facilitate entry into drug treatment, and provide social services following an overdose.

Below are some examples of program models being implemented by law enforcement in Washington and other states.

  • Snohomish County Office of Neighborhoods embeds social workers with law enforcement for homeless outreach.
  • Everett Police Community Outreach and Enforcement Team works with community partners on addiction outreach and service referrals as alternatives to arrest and incarceration (part of the national PAARI model).
  • King County Law Enforcement Assisted Diversion (LEAD) is a pre-booking diversion pilot program that allows law enforcement officers to redirect low-level offenders engaged in drug or prostitution activity to community-based services, instead of jail and prosecution.
  • Police-Assisted Addiction and Recovery Initiative (PAARI) is a model of police-community partnerships for outreach, education, and connections to social service support. Several WA State law enforcement units are part of the national PAARI network.
  • Colerain, OH Quick Response Teams team up police, paramedics and addiction counselors to provide medical response, crisis intervention and referrals for drug treatment and other social services at or shortly after an overdose.
  • Gloucester, MA ANGEL program encourages people with opioid addiction to come to police stations for help getting into drug treatment.

 

Emergency medical services    

In WA State, advanced life support (paramedics) carry and administer naloxone as part of their standard overdose response protocols.

In 2015 the WA State Department of Health passed new rules to permit basic life support/emergency medical technicians to also carry and administer naloxone at the discretion of Medical Program Directors (MPD). MPDs who choose to use naloxone in their area may use the protocol and materials approved by the Washington State Department of Health.
DOH protocol for Emergency Medical Technicians

Naloxone Administration Form, Skagit County Emergency Medical Services

EMS Naloxone “Leave Behind” Programs

In January 2018, Tacoma Fire Department launched WA State’s first EMS naloxone “leave-behind” program in which paramedics offer a free naloxone kit at the response scene to a patient who was revived from an opioid overdose. The kit contains two doses of nasal naloxone, use instructions, and referral information for treatment or follow-up care. In addition, TFD paramedics offer a referral to their department’s community paramedicine program that can help opioid patients navigate their way through the local healthcare and treatment system.

Read Tacoma Fire Department’s press release.

 

Watch Tacoma Fire Department’s staff training video.

For more information about EMS leave-behind programs in WA State, email info@stopoverdose.org.

 

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