The following training protocols were developed in response to legislation that passed and was codified in ORS 433.800 through 433.830. The purpose of these statutes are to provide a means to allow certain individuals when a licensed health care professional is not immediately available to administer lifesaving treatment.
Trainers may utilize the training material below and copy as needed.
NOTE: Please reference the administrative rule links which identifies who is eligible to provide training.
Treatment of Students with Adrenal Crisis Training Protocol
Treatment of Students with Adrenal Crisis PowerPoint
ORS 433.800 to 433.830
OAR 333-055-0000 to 333-055-0035
Adrenal Insufficiency Training for Health Care Professionals
The OHA Treatment of Severe Allergic Reaction training protocol
is intended for lay persons wanting the knowledge to be able to recognize when
someone is suffering from anaphylaxis and to administer epinephrine via an
autoinjector that they are authorized to carry. They must attend a classroom
based course, taught by a registered nurse, paramedic, nurse practitioner or
physician. Upon completion of this course, participants will be issued a
Statement of Completion card, signed by the instructor. If the
participants want to obtain an epinephrine autoinjector from a pharmacy, they
need to have the back of the Statement of Completion card, which is the
prescription, signed by a nurse practitioner or physician. Pharmacists are
instructed to look for these yellow cards and only these cards when filling the
prescriptions. Please note, persons trained in this course attempting to obtain epinephrine from the pharmacy are responsible for all costs associated with the medication. (EXAMPLE
1 PDF) (EXAMPLE 2 PDF)
Many online or first aid courses teach people how to assist
someone in administering their own, prescribed epinephrine when they have been
diagnosed with anaphylaxis. These trainings are NOT equivalent to
the training required by Oregon Administrative Rules (OAR 333-055-0000 to
If people are looking for someone to teach this
particular course (all teaching materials are available online at the link
provided), we suggest they contact their local public health authority, clinic
or hospital. Depending on available resources, these entities may provide the
course. One organization offering this course is: EMT Associates.
Epinephrine Training Protocol
Epinephrine Training PowerPoint
ORS 433.800 - 433.830
NOTE: Given the current shortage of EpiPen®s,
the FDA has extended the expiration date for specific lots of EpiPen®s.
Please select the following link for additional information: FDA - Drug Shortages
The following training protocol related to opiate overdose was developed In response to ORS 689.681. Opiate overdose requiring lifesaving treatment occurs in a wide variety of settings and circumstances, creating a need for training a variety of overdose responders. In recognition of this need, Oregon law authorizes a wide range of organizations to provide training on lifesaving treatments for opiate overdose, including public health authorities and organizations and other appropriate entities that provide services to individuals who take opiates.
Opiate Overdose Treatment: Naloxone Training Protocol
Naloxone Training Statement of Completion
OAR 333-055-0100 to 333-055-0115
Naloxone Rescue for Opioid Overdose (website)
Multnomah County Sheriff's Office naloxone training
Injectable Naloxone training video (Multnomah County Health Dept.)
Nasal Naloxone training video (Multnomah County Health Dept.)
Using Adapt Nasal Narcan to Reverse Opiate Overdose (Multnomah County Health Dept.)
Using the Evzio Auto Injector to Reverse Opiate Overdose (Multnomah County Health Dept.)