Opioid Antagonist Administration is the hands-on naloxone training Minnesota requires before a staff person has direct contact with anyone served by the program. Under Minn. Stat. 245A.242, subd. 2, the license holder must maintain an on-site supply of opiate antagonists (as defined in Minn. Stat. 604A.04, subd. 1), hold a written standing order protocol from a licensed physician, advanced practice registered nurse, or physician assistant, and require staff to be trained in the SPECIFIC mode of administration used at the program — intranasal, intramuscular, or both — before direct contact as defined in Minn. Stat. 245C.02, subd. 11. Programs covered by 245A.242, subd. 1: SUD treatment programs licensed under Minn. Stat. ch. 245G; children's residential SUD facilities under Minn. Rules 2960.0010–2960.0220 and 2960.0430–2960.0490; detoxification programs under Minn. Rules 9530.6510–9530.6590; withdrawal management programs under Minn. Stat. ch. 245F; and intensive residential treatment services or residential crisis stabilization under Minn. Stat. ch. 245I and 245I.23. The course teaches what naloxone does and does not reverse, how long it lasts, how to recognize an opioid overdose, step-by-step administration in both the intranasal and intramuscular modes, the full response sequence (check, call 911, give, support breathing, repeat, monitor), precipitated withdrawal after reversal, Minnesota's good-faith and Good Samaritan protections, and the program's supply, standing order, restocking, and documentation duties. The statute also confirms that emergency opiate antagonists need not be locked, that staff and adult clients may carry them, and that any knowledgeable trainer may deliver this training — a registered nurse or accredited institution is NOT required. AGENCY INSERT — REQUIRED: Because the statute ties training to the specific mode of administration used at your program, the course contains a dedicated agency insert slide and matching fillable page in the Participant Guide for the program's mode and product, every storage location, the prescriber and date of the written standing order, and the trainer responsible for the hands-on return demonstration. The requirement is not met by generic naloxone content alone. NOTE — this course is SEPARATE from HIV minimum standards training. Minn. Stat. 245A.19 (course HIV-01) covers opioid overdose prevention conceptually as one of six DHS-mandated HIV topics; it does not satisfy 245A.242. Conversely, OAT-01 does not satisfy the annual HIV training requirement. Both are required. VERIFY BEFORE PUBLISH: Minn. Stat. 245A.242, subd. 2 was amended by 2026 c 121, art. 4, s. 11. Confirm the amended text and effective date at revisor.mn.gov before releasing this course.
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