New Mexico Administrative Code
Title 7 - HEALTH
Chapter 32 - ALCOHOL AND DRUG ABUSE
Part 7 - OVERDOSE PREVENTION AND EDUCATION PROGRAM AUTHORIZATION FOR OPIOID ANTAGONISTS
Section 7.32.7.12 - MINIMUM REQUIREMENTS FOR ENROLLMENT AND RECORD OF USE FORMS
Universal Citation: 7 NM Admin Code 7.32.7.12
Current through Register Vol. 35, No. 18, September 24, 2024
A. The enrollment form shall include at a minimum:
(1) name of
the overdose prevention and education program;
(2) department designated code of the trained
targeted responder; and
(3) the
quantity of the opioid antagonist distributed.
B. The record of use form shall contain at a minimum:
(1) the name of the overdose
prevention and education program recording the report;
(2) the department designated code of the
reporting trained targeted responder;
(3) the quantity of the opioid antagonist
administered, lost, or expired;
(4)
the date or approximate date of the overdose incident, if there is one being
reported;
(5) the disposition of
the person who was administered the opioid antagonist; and
(6) the quantity of the opioid antagonist
distributed.
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