Recommended Practice

Recognizing Fentanyl Use, and Considerations for Equipping Employees with Naloxone (Narcan)

Abstract

This recommended practice provides information and recommendations to help transit agencies develop materials and policies to help mitigate the use and impact of fentanyl in public transportation.

Document History
Document Number Version Publication Date Publication Related Information
APTA SS-SEM-RP-018-24 Original 01/23/2024 Published Current

Keywords

drug use, fentanyl, naloxone, Narcan

Summary

This recommended practice provides information and recommendations to help transit agencies respond to the growing challenge and public danger of fentanyl use in mass transit. This document provides peer-validated information to help transit agency personnel recognize the use of fentanyl and symptoms associated with opioid overdoses. This document also describes considerations related to equipping transit employees and contractors with Narcan. Transit agencies should consult local public health experts, first responders, legal advisers and other transit partners to develop tailored policies and procedures to best address each jurisdiction’s needs.

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