Naloxone Administration by Partner Organizations

Use this section to report information on the naloxone administrations reported during this reporting period by each of the partner organizations receiving naloxone or naloxone training from this grant. Please note: if you are reporting for a grant other than the PDO/Naloxone Distribution Grant, all references to "naloxone" should be considered "opioid overdose reversal drugs".

Ideally, you will report all administration events reported by partner organizations including those using kits paid for by this grant and those using kits paid for by other funding sources. However, if you are not able to report events using kits paid for by other sources, you will be able to report just those using kits paid for with grant funds.

You will first select the high-need community for which you are reporting; once you select a community, the partner organizations specific to that community (entered in the Administration > Partner Organizations section) will appear in a dropdown list, and you will report naloxone administration data provided to you by each relevant partner organization.

Naloxone Administration by Partner Organizations

High-Need Community: {{naloxoneAdministrationByPartnerOrganizationModel.highNeedCommunity.description}}

Partner Organization: {{naloxoneAdministrationByPartnerOrganizationModel.partnerOrganization.description}}

Edit

Question or Description	Answer or Response
Total number of administration events	{{naloxoneAdministrationByPartnerOrganizationModel.totalNumberOfAdministrativeEvents}}
Are you reporting all administration events reported by this organization or only events using a kit paid for by this grant?	{{naloxoneAdministrationByPartnerOrganizationModel.reportingAllEventsOrOnlyEventsUsingAKitPaidByGrant.description}}
Approximately what percentage of this organization’s kits were paid for using funds from this grant?	{{naloxoneAdministrationByPartnerOrganizationModel.percentageOfKitsPaidForUsingFundsFromGrant}}
Type of kit administered. Of the total administration events, how many were:
Type of Kit	Number of Administrations
{{naloxoneKitType.description}}	{{naloxoneAdministrationByPartnerOrganizationModel.typeOfKitsAdministered[$index].count}}
Other kits: {{naloxoneAdministrationByPartnerOrganizationModel.typeOfKitAdministeredFirstOtherDescription}}	{{naloxoneAdministrationByPartnerOrganizationModel.typeOfKitAdministeredFirstOther}}
Other kits: {{naloxoneAdministrationByPartnerOrganizationModel.typeOfKitAdministeredSecondOtherDescription}}	{{naloxoneAdministrationByPartnerOrganizationModel.typeOfKitAdministeredSecondOther}}
Single or Multiple Dose. Of the total administration events, how many consisted of:
Type of Dosage	Number of Administrations
{{naloxoneDosageType.description}}	{{naloxoneAdministrationByPartnerOrganizationModel.dosagesAdministered[$index].count}}
Location of administration. Of the total administration events, how many were administered…
Type of Location	Number of Administrations
{{naloxoneAdministrationLocationType.description}}	{{naloxoneAdministrationByPartnerOrganizationModel.locationsAdministered[$index].count}}
Other: {{naloxoneAdministrationByPartnerOrganizationModel.locationsAdministeredFirstOtherDescription}}	{{naloxoneAdministrationByPartnerOrganizationModel.locationsAdministeredFirstOther}}
Other: {{naloxoneAdministrationByPartnerOrganizationModel.locationsAdministeredSecondOtherDescription}}	{{naloxoneAdministrationByPartnerOrganizationModel.locationsAdministeredSecondOther}}
Outcome of administration event. Of the total administration events, how many had the following outcome:
Type of Outcome	Number of Administrations
{{naloxoneAdministrationOutcomeType.description}}	{{naloxoneAdministrationByPartnerOrganizationModel.administrationOutcomes[$index].count}}
Information about your administration data collection/management tool and any additional information	{{naloxoneAdministrationByPartnerOrganizationModel.informationAboutDistributionDataCollectionManagementToolDescription}}

Click "+ Add Naloxone Administration by Partner Organizations" button to add a record

Naloxone Administration by Partner Organizations

In the SPARS data collection system, the grantee must enter the data in this section for each partner organization reported in the Administration Section by clicking on each community and partner organization below.

High-Need Community*

Partner Organization*

Are you reporting all administration events reported by this organization or only events using a kit paid for by this grant?

Approximately what percentage of this organization’s kits were paid for using funds from this grant?

Total number of administration events

Type of kit administered. Of the total administration events, how many were:

Type of Kit	Number of Administrations
{{naloxoneKit.description}}
Other (Specify) Other Description First	Other Count First
Other (Specify) Other Description Second	Other Count Second

Single or Multiple Dose. Of the total administration events, how many consisted of:

Type of Dosage	Number of Administrations
{{naloxoneDosageType.description}}

Location of administration. Of the total administration events, how many were administered…

Type of Location	Number of Administrations
{{naloxoneAdministrationLocationType.description}}
Other (Specify) Other Description First	Other Count First
Other (Specify) Other Description Second	Other Count Second

Outcome of administration event. Of the total administration events, how many had the following outcome:

Type of Outcome	Number of Administrations
{{naloxoneAdministrationOutcomeType.description}}

Please provide information about the data collection/management tool(s) or system(s) you are using to track administration and any additional information that would be useful in understanding the data you have provided.

Information about your administration data collection/management tool and any additional information