Employers can help save a life if one of their workers is showing signs of an opioid overdose, according to guidance released in September by the Occupational Safety and Health Administration.

Signs of an overdose may include slow or stopped breathing, blue lips, unresponsiveness and pinpoint pupils, according to OSHA. A gurgling or snoring sound is a red flag that the individual is at risk, as is stupor, cold and clammy skin, coma or respiratory failure.

“Managers, supervisors and employees should know what to do if someone experiences an overdose at work,” the guidance said. “Training and education can prepare workers and the community on how to prepare and respond to opioids in the workplace. Having opioid overdose reversal medications on hand can save lives.”

Medications such as naloxone and nalmefene can help while waiting for paramedics to arrive. OSHA’s guidance provides resources for training employers on administering the medications. While they work quickly, the medications are temporary.

“It’s important to call 911 if you administer these medications to anyone,” according to OSHA. “It may be necessary to administer an additional dose if the medication wears off while waiting for emergency responders.”

Some naloxone sprays are available without a prescription at pharmacies and other retail outlets. Other naloxone and nalmefene products require a prescription and may be available through state-specific mechanisms.

There are several ways that employers can get naloxone for their workplace, according to OSHA. They can work with wholesale pharmaceutical distributors for bulk orders, while many states have standing orders that allow pharmacies to dispense prescription naloxone in bulk. Some group purchasing organizations may offer naloxone at discounted rates for businesses and some pharmaceutical manufacturers offer special programs for employers.

In addition, many local and state health departments distribute naloxone at low or no cost. Employers can partner with their local health department for supply.

In the workplace, employers should keep naloxone in visible, easy-to-reach locations, such as with automated external defibrillators and first aid kits. Larger workplaces may want to keep multiple kits in different areas. Clear signs can also help people quickly find the medicine in an emergency.

Throughout an emergency, OSHA reminds employers to approach overdose situations “with care and professionalism” and to “treat people with respect.” After an affected worker receives subsequent care by emergency services, employers should link them to ongoing care.

“Getting connected to treatment and ongoing support after an overdose can help people get on a path to recovery and reduce the chance of another overdose,” accordioning to OSHA.