Pinellas County JCC - Narcan Audit

• Conducted on

  Date

• Prepared by

• Access to Narcan is part of the Center's emergency preparedness to improve opioid overdose response, response preparation and harm reduction. This audit ensures the availability of Narcan for emergencies caused by Fentanyl and other opioids.

• Narcan should be stored in accordance with the manufacturer's instructions to avoid extreme cold, heat, and direct sunlight.

• Audit Instructions: If Narcan is not available in an area, then notate it in the "notes section" of the respective building/location. Use the "notes section" to document the expiration date of dosage units beyond two.

Building #1 - Wellness

• How many dosage units are available?

• Expiration date of dosage unit #1

  Date

• Expiration date of dosage #2

  Date

Building #1 - Security (Go Bag)

• How many dosage units are available?

• Expiration date of dosage unit #1

  Date

• Expiration date of dosage unit#2

  Date

Building #2 - Reception

• How many dosage units are available?

• Expiration date of dosage unit #1

  Date

• Expiration date of dosage unit #2

  Date

Building #3 - Reception

• How many dosage units are available?

• Expiration date of dosage unit #1

  Date

• Expiration date of dosage unit #2

  Date

Building #4 - Plumbing Trade

• How many dosage units are available?

• Expiration date of dosage unit #1

  Date

• Expiration date of dosage unit #2

  Date

Building #4 - Electrical Trade

• How many dosage units are available?

• Expiration date of dosage unit #1

  Date

• Expiration date of dosage unit #2

  Date

Building #4 - Carpentry Trade

• How many dosage units are available?

• Expiration date of dosage unit #1

  Date

• Expiration date of dosage unit #2

  Date

Building #5 - Near Kitchen Area

• How many dosage units are available?

• Expiration date of dosage unit #1

  Date

• Expiration date of dosage unit #2

  Date

Building #6 - First Floor RA's Office

• How many dosage units are available?

• Expiration date of dosage unit #1

  Date

• Expiration date of dosage unit #2

  Date

Building #6 - Second Floor RA's Office

• How many dosage units are available?

• Expiration date of dosage unit #1

  Date

• Expiration date of dosage unit #2

  Date

Building #7 - First Floor RA's Office

• How many dosage units are available?

• Expiration date of dosage unit #1

  Date

• Expiration date of dosage unit #2

  Date

Building #8 - Reception

• How many dosage units are available?

• Expiration date of dosage unit #1

  Date

• Expiration date of dosage unit #2

  Date

Additional Information

• Additional Information

Completion

• Audit Completed by:

  Sign