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Training on Lifesaving Treatment Protocols

Training Materials

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.


Adrenal Crisis

Treatment of Students with Adrenal Crisis Training Protocol

Treatment of Students with Adrenal Crisis PowerPoint

ORS 433.800 - 433.830

OAR 333-055-0000 - 333-055-0035

Training Video

YouTubeiconsmallAdrenal Insufficiency Training for Health Care Professionals


Allergic Reaction

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 - 333-055-0035).

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.

PDF iconEpinephrine 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 - EpiPen® 


Opiate Overdose

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.

PDF iconOpiate Overdose Treatment: Naloxone Training Protocol

PDF iconNaloxone Training Statement of Completion

ORS 689.681

OAR 333-055-0100 - 333-055-0115

Naloxone Rescue for Opioid Overdose (website)

Training Videos

Multnomah County Sheriff's Office naloxone training

YouTubeiconsmallInjectable Naloxone training video (Multnomah County Health Dept.)

YouTubeiconsmallNasal Naloxone training video (Multnomah County Health Dept.)

YouTubeiconsmallUsing Adapt Nasal Narcan to Reverse Opiate Overdose (Multnomah County Health Dept.)

YouTubeiconsmallUsing the Evzio Auto Injector to Reverse Opiate Overdose (Multnomah County Health Dept.)

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