X X X Approved staff trainers deliver training and dispense Naloxone kits to participants using the approved training checklist and supplementary resources (e.g. videos), which includes providing one-on-one support/counselling/referrals as needed X X X Approved staff trainers provide follow-up, refills and debrief support for trained participants Logistics Maintain MOU and program policies and O X O O Set up and maintenance (see Appendix C & D) develop new policies as needed relating to program implementation and liability Complete the appropriate X X X Approved staff trainers complete a training checklist, with each documentation. participant new X X X Approved staff trainers complete appropriate follow-up paperwork for each returning participant either Received – OR + any Naloxone Evaluation Given Naloxone Evaluation review of the training content upon refilling their kit. Designated representatives from each agency will collect and submit outcome data according to MOHLTC requirements (see X X X Appendix H) to PPH via email on a quarterly basis, specifically on April 1, July 1, October 1, January 1. Designated POPP Steering Committee representative will complete and submit quarterly reports to MOHLTC data and records securely. X X X Store completed paperwork in a secure, locked cabinet, until it is given to designated staff for input into broader program tracking database Order and store kit materials from X Complete order form and submit (see Appendix G) Ministry of Health & Long-term Care. for Naloxone and kit supplies must be simultaneous X Receive and store Naloxone according to Policy & Procedure in Appendix D Evaluation Conduct post-session process X X O X Print copies of evaluation have available at training evaluation for trainers and general Give to participant to complete information sessions. Collate and completed forms Compile results to be included in Quarterly reports Advocate for a community outcome O X evaluation with community partners
X X X Approved staff trainers deliver training and dispense Naloxone kits to participants using the approved training checklist and supplementary resources (e.g. videos), which includes providing one-on-one support/counselling/referrals as needed X X X Approved staff trainers provide follow-up, refills and debrief support for trained participants Logistics Maintain MOU and program policies and develop new policies as needed relating to program implementation and liability O X O O Set up and maintenance (see Appendix C & D) Complete the appropriate documentation. X X X Approved staff trainers complete a training checklist, with each new participant X X X Approved staff trainers complete appropriate follow-up paperwork for each returning participant – either Received Naloxone Evaluation OR Given Naloxone Evaluation + any review of the training content upon refilling their kit. X X X Designated representatives from each agency will collect and submit outcome data according to MOHLTC requirements (see Appendix H) to PPH via email on a quarterly basis, specifically on April 1, July 1, October 1, January 1. Designated POPP Steering Committee representative will complete and submit quarterly reports to MOHLTC data and records securely. X X X Store completed paperwork in a secure, locked cabinet, until it is given to designated staff for input into broader program tracking database Order and store kit materials from Ministry of Health & Long-term Care. X Complete order form and submit (see Appendix G) for Naloxone and kit supplies must be simultaneous X Receive and store Naloxone according to Policy & Procedure in Appendix D Evaluation Conduct post-session process evaluation for trainers and general information sessions. X X O X Print copies of evaluation have available at training Give to participant to complete Collate and completed forms Compile results to be included in Quarterly reports Advocate for a community outcome evaluation with community partners O X
MOU-Peterborough%20PHU.docx