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What you need to know as an employer
Did you know that in June, Ontario became the first jurisdiction in North America to mandate that some employers provide a naloxone kit in the workplace? Read more here.
If you have questions about what this means for you as an employer, below we’ve summarized what naloxone is, which employers are legally required to provide it, how we’ve implemented it in our workplace and more.
We’ve also included a series of links to further resources and useful information.
Naloxone (pronounced “na-LOX-own”) is a potentially life-saving medication that can temporarily reverse an opioid overdose, restore breathing within two to five minutes, and allow time for medical help to arrive.
It is administered either as a nasal spray or an injection into a muscle. Naloxone is safe for all ages. It works only if you have opioids in your system and is safe to keep on hand because it cannot be improperly used and does not create dependence.
By adding a naloxone kit to your emergency response plan, you can boost your ability to protect the health and safety of your workers.
Opioids are drugs that are used primarily to treat pain. Since opioids can also induce euphoria (feeling high), they have the potential to be used improperly.
When people think about problematic opioid use, they often think about illegal opioids, such as heroin or fentanyl. However, problematic use can also occur when people consume a legal, prescribed opioid improperly, such as taking more than is prescribed, taking it at the wrong time, or using an opioid medicine that was not prescribed for you.
Legal opioids are prescribed by a health care professional, most often to treat pain from conditions such as sports injuries, dental procedures, short-term acute pain or long-term chronic pain. They include:
Illegal opioids are any opioids that are made, shared or sold illegally, including:
Note: It is illegal to have opioids without a prescription or to share them with someone—even if you give them away.
Anyone who consumes an opioid drug, whether legal or illegal, can overdose.
Accidental overdose is particularly common with illegal drugs because they can contain dangerous substances like fentanyl, a powerful synthetic opioid that is prescribed to treat severe pain. Fentanyl is 100 times more potent than morphine, which makes the risk of accidental overdose very high, especially since there is no way to know how much fentanyl has been mixed into illegal drugs—you can’t see, smell or taste it—and consuming as little as a few grains of salt worth of fentanyl can kill you.
The opioid crisis has resulted in:
According to the Government of Canada, 94% of opioid overdose deaths happen by accident.
Overdoses can occur anywhere, including at work, and it's not only recreational drug users who are at risk. Anyone who takes prescribed, opioid-based medication for pain management (for example, codeine, oxycodone or morphine etc.) could experience an overdose.
If administered in time, naloxone could save someone’s life.
The legislation mandates that an employer provide a naloxone kit in the workplace when they “become aware, or ought reasonably to be aware, there may be a risk of a worker having an opioid overdose at the workplace."
Read more here: Naloxone in the workplace
Specifically, you must provide a kit and train at least two staff members per workplace to use it only if all three of the following conditions are met (if one or more of these conditions is not met, you’re not legally required to provide a naloxone kit):
The Ontario government supports eligible employers by providing a free nasal spray naloxone kit, along with free training for up to two employees. Many pharmacies also provide free naloxone kits and online training (call ahead to make sure they have kits in stock).
For details on free kits, please see:
If you have a kit, you must ensure that you have at least two staff members trained to administer naloxone, and that these trained staff members work close to the kit, at the location where you have determined there is a risk of an opioid overdose.
The legislation states that employers can provide their own training, hire an external training provider, or include naloxone training as part of another training course such as First Aid.
Training should cover how to recognize an opioid overdose, how to administer naloxone, and the hazards related to administering naloxone. Ideally, you should train two or more people to provide as much coverage as possible.
Ontario’s legislation applies only when the above three conditions are met (i.e., when an at-risk employee is performing work for their employer at the employer’s workplace).
It does not apply when at-risk employees perform their work at other locations or at their home office, nor does it apply when an at-risk contractor is working on your site.
In the case of our candidates on assignment, please see below.
We take the health and safety of our employees and assigned candidates very seriously.
Even though we’re not legally required to provide a naloxone kit in our own workplace (based on our assessment, we do not meet the three conditions listed above), in the interest of the health and safety of our team members, we have placed naloxone kits in each of our offices and trained multiple staff members to use them.
Our primary goal is to ensure a safe, productive working environment for our candidates on assignment.
While this new legislation doesn’t outline the roles and responsibilities of each party when an at-risk contract or temporary worker is placed by a recruitment firm, in general, the Ontario government looks at the health and safety of these candidates on assignment as a shared responsibility between recruitment firms and their client employers.
Therefore, if one of our candidates on assignment voluntarily discloses to us that they are at risk of an opioid overdose, as with all other health and safety concerns, we’ll work with our client to create a safe working environment for the candidate, informing our client of the risk and providing information about naloxone kits and training.
If you have questions about how we help foster the health and safety of our candidates on assignment, please contact us: firstname.lastname@example.org.