Most nights are quiet. When something does go wrong, the first minute matters most. This section covers emergencies and incidents (2.1) and overdose response with Narcan (2.2).
If someone's life is in danger, call 911 first. Then call the on-call staff member.
911
Someone is not breathing, can't be woken, is seriously hurt, or is in physical danger. Fire. Wielding a weapon.
On-call
Your first call for everything else. Staff will give you the on-call person before your shift.
2.1 · stay safe
You are not security.
Keep your distance, keep exits clear, and step away from danger. Getting help is the job.
2.1 · write it down
Document while it's fresh.
What happened, when, who was involved, and what you did. Facts, not opinions.
2.1 · after an incident
Ambulance and other emergency services are rare.
On-call staff handle follow-up with guests and partners. Please check in with staff about what you saw, and with yourself about how you're doing. Talk it through with staff, not with other guests or on social media.
2.2 · overdose response & narcan
Know the signs of an opioid overdose
Any one of these is enough to act.
Won't wake up or respond
Slow, shallow, or no breathing
Gurgling or snoring sounds
Blue or gray lips or fingertips
Very small pupils
1
Narcan requires medical follow-up
Right away
If another volunteer is with you, one calls while the other gets the Narcan.
Video
say something like
"Someone is unresponsive and not breathing at [center address]."
2
Give Narcan
One spray
One spray into one nostril. If she does not respond in 2 to 3 minutes, give a second dose in the other nostril.
3
Stay with her and call on-call
Until help arrives
If she is breathing, roll her onto her side. Stay with her until emergency responders take over, then call the on-call staff member.
Good to know: Narcan only reverses opioids, and it won't harm someone who isn't having an opioid overdose. It can wear off before the drugs do, so she still needs medical care even if she wakes up. Before your first shift, ask staff where the Narcan is kept at the site.
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🪞 Trauma Reflection
Get curious
If something went wrong at 3 a.m. tonight, would you know the site address to give out? Where would you find it?
How do you usually react in a crisis: freeze, rush, or take charge? What would help you slow down enough to make the call?
Have you ever held or used Narcan? What questions would you want answered before you have to?
