“OVERDOSE PREVENTION AND RESPONSE TRAINING” (A103) Videoconference Webcast Original Broadcast Date: February 25, 2015 Quiz for General CEUs, Act 48, CADC, CPRP, NBCC, PCHA, Psychologist, and Social Work/LPC/LMFT Continuing Education Credit (2.0 credit hours) DIRECTIONS: Complete this test after viewing the videoconference webcast listed above. In order for Western Psychiatric Institute and Clinic to record that you completed the training, please complete this test and the Application/Validation for Continuing Education Credit (CEU) on the next page. Please note: A passing score of 80% or above is required to receive CEUs. After finishing, sign as indicated on the second page and return both forms by mail to: Mary Beth Papciak WPIC/OERP 3811 O’Hara Street Champion Commons, Third Floor Pittsburgh, PA 15213 TRUE/FALSE – Please indicate whether the statement below is True or False. 1. Communities that have implemented community-based naloxone programs have seen a reduction in heroin overdose deaths when compared to communities that do not have naloxone programs. A. True 2. B. False Safer Injection Facilities have been associated with an increase in fatal overdose deaths. A. True 3. B. False Naloxone is a controlled substance that can only be prescribed by physicians who receive a special certification to do so. A. True 4. B. False A majority of individuals who complete a program of abstinence-based substance use treatment never use drugs again and should therefore not be prescribed naloxone as it would be a waste of money. A. True B. False MULTIPLE CHOICE – Please choose the BEST answer. 5. Which of the following has been correlated with a reduction in overdose deaths? A. Prescription Drug Monitoring Programs. B. Opioid Replacement Therapy. C. Abstinence-based treatment programs. D. Incarceration. Western Psychiatric Institute and Clinic is part of UPMC Presbyterian Shadyside 6. Pennsylvania Act 139 contains the following provisions: A. Allows prescribers to prescribe naloxone to someone who might witness an opioid overdose. B. Only allows trained first responders to administer naloxone. C. Requires a specific training regimen in order to qualify as a Good Samaritan. 7. D. Requires those present at the scene of an overdose to administer hands only CPR. Pennsylvania Act 139: A. Provides immunity from civil, criminal or licensure sanctions to those who prescribe naloxone unless they act with malice or negligence. B. Allows prescription of naloxone by standing order. C. Provides legal immunity for ordinary individuals who administer naloxone to someone they believe to be suffering from opioid overdose. 8. D. All of the above. Naloxone is effective in reversing overdose associated with: A. Methamphetamine. B. All types of Benzodiazepines. C. All types of opioids. 9. D. Only heroin. Which of the following is NOT recommended in an opioid overdose: A. Calling 911. B. Administering Rescue Breathing. C. Placing the person in a tub of ice water. 10. D. Administering naloxone. Which of the following would be an appropriate place to dispense naloxone: A. Substance Use Treatment programs. B. Jails. C. Needle Exchange Programs. D. Family Medical Centers. 11. E. All of the above. Naloxone is used to: A. Reduce symptoms of opioid withdrawal. B. Block the effects of opioids and restore breathing for 30-90 minutes. C. Reduce the desire to use opioids in individuals. 12. D. Reverse the effect of stimulants like cocaine or methamphetamine. In the past 20 years, naloxone has been documented to be successfully administered by the following number of lay people in the U.S. A. Between 2,000 – 5,000 people. B. Between 5,000 – 8,000 people. C. Between 8,000 – 11,000 people. D. Over 20,000 people. For information on our upcoming programs visit our web site at: http://www.wpic.pitt.edu/oerp “OVERDOSE PREVENTION AND RESPONSE TRAINING” (A103) Videoconference Webcast Original Broadcast Date: February 25, 2015 APPLICATION/VALIDATION SHEET FOR CONTINUING EDUCATION CREDIT FOR General CEUs, Act 48, CADC, CPRP, NBCC, PCHA, Psychologists, and Social Work/LPC/LMFT (2.0 CREDIT HOURS) INSTRUCTIONS: In order for Western Psychiatric Institute and Clinic to record the credit you earn by viewing this program, we request that you follow the directions below: 1. Print your name, address, and social security number clearly below. 2. Sign the statement affirming your attendance at the session. 3. Return with payment to: Mary Beth Papciak WPIC/OERP 3811 O’Hara Street Champion Commons, Third Floor Pittsburgh, PA 15213 I hereby affirm that I viewed the videoconference webcast indicated above: Signature Date Completed PLEASE PRINT CLEARLY: Social Security Number (last five digits only) Mailing Address Name City Phone # Email address State Zip Code TYPE OF CREDIT: Please Indicate Your Certification Needs Act 48: Educators (please complete Act 48 packet) CADC: Certified Alcohol and Drug Counselor CEU: General Continuing Education Credit CPRP: Certified Psychiatric Rehabilitation Practitioners NCC: National Certified Counselors PCHA: Personal Care Home Administrators Psychologist SW/LPC/LMFT: Social Work (LCSW, MSW) PAYMENT ENCLOSED: $30 for Act 48, CADC, CEU, CPRP, NBCC, PCHA, Psychologist, or Social Work credit PAYMENT TYPE: Check #_______________ (Check payable to OERP/WPIC) Credit Card # (____________________________________ Expiration Date: ________ID#:________ Type of Credit Card: ______________________Signature___________________________________ UPMC Account Transfer: Dept. ID: ____________________ Account #________________________ Administrator’s Name__________________ Administrator’s Signature_________________________ Send these two forms to the above address. If your score is 80% or above, you will receive a certificate via mail. If you have any questions, contact Mary Beth Papciak at papciakm@upmc.edu or 412-204-9086. Western Psychiatric Institute and Clinic is part of UPMC Presbyterian Shadyside