Try to wake them up. Shake them and shout their name. Rub your knuckles hard on the center of their chest. Hold your ear close to their nose, listen and feel for signs of breathing. Look at their lips and fingernails — pale, blue, or gray color is a sign of overdose.

Tell the operator your exact location. Say you are with a person who is not breathing. You do not have to say anything about drugs or medicines at the scene. Tell the operator you are going to give the person naloxone. Follow any instructions you get from the operator.

There are two common types of naloxone. On campus, we distribute nasal spray naloxone, but other locations may have injectable naloxone only. Follow instructions for nasal spray or injectable naloxone - Overdose Response Instructions (PDF)

Someone who has overdosed needs oxygen. Naloxone may take a few minutes to start working. Check again to see if they are breathing. If you can't hear them breathe or their breath sounds shallow, provide rescue breaths. Follow instructions of 9-1-1 operator until help arrives.

Wait about 3 minutes for naloxone to take effect.

If the person has not responded after 3 minutes, give a second dose.

Stay with the person until help arrives. Remember, the Good Samaritan Law (RCW 69.50.315) offers protections when you call Security Services or 9-1-1 for an overdose.

If the person starts breathing on their own, but they do not wake up, roll them on their side to a recovery position.

When the person wakes up, they may have opioid withdrawal symptoms such as chills, nausea, and muscle aches.

They may not remember what happened. They may be scared, nervous, or restless. Keep them calm until help arrives. Try to stop them from taking more drugs.