20:78:06:01.  Definitions. Terms used in this chapter mean:

          (1)  "Board," the South Dakota Board of Medical and Osteopathic Examiners;

          (2)  "First responder training," a training program that meets the criteria established by the board in § 20:78:06:02;

          (3)  "Protocols," a standardized plan for medical procedures or administration of nasal or auto-injector medications;

          (4)  "Opioid overdose," a medical condition that causes depressed consciousness and mental functioning, decreased movement, depressed respiratory function, and the impairment of vital functions as a result of ingesting opioids in any amount larger than can be physically tolerated;

          (5)  "Standing order," an ongoing authorization for a first responder to obtain, possess, and administer opioid antagonists.

          Source: 42 SDR 98, effective January 7, 2016.

          General Authority: SDCL 34-20A-102

          Law Implemented: SDCL 34-20A-100

          20:78:06:02.  Criteria for training a first responder. Training programs shall meet the following criteria:

          Each first responder training program shall include:

          (1)  The signs and symptoms of an opioid overdose;

          (2)  The protocols and procedures for administration of an opioid antagonist;

          (3)  The signs and symptoms of an adverse reaction to an opioid antagonist;

          (4)  The protocols and procedures to stabilize the patient if an adverse response occurs;

          (5)  Opioid antagonist duration;

          (6)  The protocols and procedures for monitoring the suspected opioid overdose victim and re-administration of opioid antagonist if necessary for the safety and security of the suspected overdose victim;

          (7)  The procedures for storage, transport, and security of the opioid antagonist; and

          (8) The method of opioid antagonist administration being taught.

          Each first responder training program shall be overseen by a physician licensed pursuant to SDCL chapter 36-4. The employer of a first responder may provide the training for a first responder if the training meets each requirement listed in this section.

          A first responder trained to possess and administer opioid antagonists must complete a first responder training program at least every three years.

          Source: 42 SDR 98, effective January 7, 2016.

          General Authority: SDCL 34-20A-102

          Law Implemented: SDCL 34-20A-101

          20:78:06:03.  Standing order. A physician licensed under SDCL chapter 36-4 may issue a standing order to a first responder authorizing a prescription for the possession of an opioid antagonist. The standing order:

          (l)  Authorizes a first responder who has completed a first responder training program to possess and administer opioid antagonists;

          (2)  Shall specify the method of opioid antagonist administration that is compatible with the education and training of the person administering the antagonist; and

          (3)  Shall be kept on file by the first responder, the issuing physician, and the first responder's employer.

          The standing order expires three years after the date it is issued.

          Source: 42 SDR 98, effective January 7, 2016.

          General Authority: SDCL 34-20A-102

          Law Implemented: SDCL 34-20A-98

          20:78:06:04.  Protocols. The issuing physician and the first responder shall each maintain one copy of the issuing physicians' written protocol.

          Source: 42 SDR 98, effective January 7, 2016.

          General Authority: SDCL 34-20A-102

          Law Implemented: SDCL 34-20A-101