K-12 Education Resources

Administration of Opioid Antagonist in School

Schools/Districts should read the Opioid Guidance for a complete explanation of the options and requirements.

District boards of education and school governing bodies should develop policies consistent with the laws and regulations of New York State prior to participation in an opioid overdose prevention program and providing an opioid antagonist in a school.

Note: Education Law permits NYS school districts, boards of cooperative educational services, county vocational education and extension boards, charter schools, and non-public schools to participate in NYSDOH opioid overdose prevention programs.

Options for Administration of an Opioid Antagonist	Order Issued By	Opioid Antagonist	Volunteer School Personnel Required Training	Volunteer School Personnel Administration of an Opioid Antagonist	Notification, Reporting, Documentation
Option 1	School/district registers with the NYSDOH to operate as a registered OOPP.	Clinical Director * The school's/district's Director of School Health Services (a.k.a., medical director) may act as the Clinical Direct for the school's/district's OOPP	Naloxone free from NYSDOH	NYSDOH-NYSED approved training webinar	May administer to students or staff on-site at school who exhibit signs of overdose	Report to Clinical & Program Director who reports to NYSDOH and provides the Quarterly Documentation Reports to NYSDOH Report to administrator Documentation of Naloxone Administration per school policy.
Option 2	School/district only allows registered professional nurses (RN) to execute a non-patient specific order & protocol for administering opioid related overdoes treatment.	School/District Medical Director or Physician or Nurse Practitioner (NP)	School is responsible for purchasing opioid antagonist	Not applicable	Not applicable	Report to Prescriber Report to administrator Documentation of Opioid Antagonist Administration as required by regulations.
Option 3	School/district participates with a NYSDOH registered OOPP operated by another organization (i.e., local health department or other community-based provider).	Clinical Director* (physician or NP) of a NYSDOH Registered OOPP	Naloxone free from NYSDOH via the OOPP	NYSDOH-NYSED approved training webinar Note: may also be required to take the training provided by the Registered OOPP	May administer to students or staff on-site at school who exhibit signs of overdose	Report to Clinical & Program Director who reports to NYSDOH and provides the Quarterly Documentation Reports to NYSDOH Report to administrator Documentation of Naloxone Administration per school policy

Options for Administration of an Opioid Antagonist

Order Issued By

Opioid Antagonist

Volunteer School Personnel Required Training

Volunteer School Personnel Administration of an Opioid Antagonist

Notification, Reporting, Documentation

Option 1

School/district registers with the NYSDOH to operate as a registered OOPP.

Clinical Director *

The school's/district's Director of School Health Services (a.k.a., medical director) may act as the Clinical Direct for the school's/district's OOPP

Naloxone free from NYSDOH

NYSDOH-NYSED approved training webinar

May administer to students or staff on-site at school who exhibit signs of overdose

Report to Clinical & Program Director who reports to NYSDOH and provides the Quarterly Documentation Reports to NYSDOH

Report to administrator

Documentation of Naloxone Administration per school policy.

Option 2

School/district only allows registered professional nurses (RN) to execute a non-patient specific order & protocol for administering opioid related overdoes treatment.

School/District Medical Director

or

Physician

or

Nurse Practitioner (NP)

School is responsible for purchasing opioid antagonist

Not applicable

Report to Prescriber

Report to administrator

Documentation of Opioid Antagonist Administration as required by regulations.

Option 3

School/district participates with a NYSDOH registered OOPP operated by another organization (i.e., local health department or other community-based provider).

Clinical Director* (physician or NP) of a NYSDOH Registered OOPP

Naloxone free from NYSDOH via the OOPP

NYSDOH-NYSED approved training webinar

Note: may also be required to take the training provided by the Registered OOPP

May administer to students or staff on-site at school who exhibit signs of overdose

Report to Clinical & Program Director who reports to NYSDOH and provides the Quarterly Documentation Reports to NYSDOH

Report to administrator

Documentation of Naloxone Administration per school policy

* RNs can only administer an opioid antagonist pursuant to a valid non-patient specific order meeting the requirements in NYS Nursing: Laws, Rules & Regulations: Part 64 (nysed.gov), issued by a NYS licensed physician or NP. An RN may assign trained Licensed Practical Nurses (LPNs) to administer under direction of the on-site RN, or the LPN may be trained to administer as a school personnel under the school's/district's OOPP.

Health Supplies | School Health

Contact

Changed

10/08/2025 - 10:07 am

Administration of Opioid Antagonist in School

Opioid Overdose Prevention Resources for School Settings

Order Harm Reduction Supplies

Contact