Equipment Operation & Maintenance Flashcards

The NARCAN nasal spray device (4 mg/0.1 mL) delivers the dose using a prefilled needleless syringe inserted into a nasal atomizer. After administering one dose in one nostril, the device is empty. To administer a second dose, the responder must:

Answer: Open a second NARCAN nasal spray device and administer it into the other nostril

Each NARCAN nasal spray device contains a single dose; a second device must be used for a subsequent dose, typically in the opposite nostril.

When training community members to use the EVZIO auto-injector (naloxone HCl injection), which patient characteristic requires selecting the thigh rather than the outer thigh for injection?

Answer: Presence of active cellulitis or infection at the outer thigh

Injecting into an area of active skin infection introduces bacteria into deeper tissue; a site free of infection must be selected.

An AED (automated external defibrillator) located in an outpatient addiction treatment facility should have its electrode pads inspected and replaced according to which schedule?

Answer: According to the expiration date printed on the pad packaging

AED electrode pads have a manufacturer-set expiration date after which the gel may dry out and adhesion or conductivity may fail; replacement is required by that date.

During an opioid overdose response with bag-valve-mask (BVM) ventilation, the rescuer notices the chest is not rising with each squeeze. After repositioning the airway, the chest still fails to rise. The next most appropriate step is:

Answer: Check the mask seal and ensure there is no air leak around the face

Failure of chest rise despite correct airway positioning most commonly indicates an inadequate mask seal allowing air to escape rather than enter the lungs.

In a residential addiction treatment facility, the emergency crash cart's defibrillator is found to be non-functional during a weekly check. What is the facility's immediate obligation?

Answer: Remove the crash cart from the floor, replace or repair the defibrillator immediately, and ensure another AED is available in the interim

A non-functional defibrillator must be replaced or repaired at once, and an alternative device must be immediately available to maintain patient safety.

Fentanyl test strips (FTS) are used in harm reduction programs to detect fentanyl in illicit drug supplies. For immunoassay-based FTS to detect fentanyl in a residue sample from drug paraphernalia, the sample must first be:

Answer: Diluted in water and applied to the strip according to the manufacturer's specified ratio

FTS require aqueous dilution of the sample at a specified ratio (e.g., ¼ teaspoon of water) to solubilize fentanyl for detection by the immunoassay.

Personal protective equipment (PPE) recommended for first responders handling a patient with a suspected fentanyl overdose in the field primarily includes:

Answer: Nitrile gloves and, if aerosolization risk exists, an N95 respirator

Nitrile gloves protect against incidental skin contact, and an N95 or higher respirator is added when there is risk of powder aerosolization; full hazmat suits are not required for routine overdose response.