Syringe Trade & Education Program, known as STEP TN, is a harm reduction and education program for injection drug users developed by Cempa Community Care. STEP TN is designed to reduce the spread of HIV, Hepatitis C, and other blood-born infections, as well as, provide safe disposal of needles and syringes.

STEP TN Promotes Health & Safety

Naloxone Kits

Naloxone can be used to reverse an opioid overdose. When someone overdoses on opioids, their breathing slows or stops completely. If naloxone is used immediately, it can help them breathe normal and regain consciousness. Naloxone, in the form of a nasal spray, will be provided to participants during their first visit to STEP TN.

STEP TN Staff trains each program participant how to recognize an opioid overdose and how to use the nasal spray naloxone kit.

Emergency Response for Opioid Overdose

  1. Assess the scene.

    1. Determine if the person has stopped breathing, if their skin is turning blue or ashy, if their skin is cold or clammy, or if they are making gurgling or choking sounds.

    2. Call their name, ask them loudly if they can hear you.

    3.  If no response, rub your knuckles into their breastbone for 5 to 30 seconds.

  2. Call 911.

    1. If you are with someone who has overdosed, call 911 immediately.  Tell them you are with someone who has stopped breathing.

  3. Administer nasal naloxone.

    1. Remove blister pack from box

    2. Insert long end all the way up nostril, then hit plunger to dispense.

    3. Switch nostrils and repeat if the individual is still not conscious.

  4. Check for breathing. 

  5. Give rescue breaths or do CPR if you have been trained.

    1. Oxygen can keep a person alive even if you don’t have naloxone.

    2. Stay with the person. Naloxone can wear off in 30 to 90 minutes and a person can re-enter a state of overdose if there are enough opioids in their system.

    3. When the person wakes up, explain what happened.

    4. If you need to leave, turn the person on their side to prevent choking.

    5. Be aware that when people wake up, they may be disoriented, scared, or feel sick.

Locations & Hours

STEP TN Chattanooga @ The Impact Hub

4001 Rossville Blvd | Chattanooga, TN 37407

423.834.7374

STEP TN Exchange Services

Monday – Thursday 8:00 AM – 5:00 PM*

Friday 8:00 AM – 2:00 PM

STEP TN Services are closed daily from 11:30 AM – 12:00 PM.

*Exchanges only with Testing Services Monday – Thursday until 12:00 PM.

STEP TN Rural Outreach

Better Living Center

407 New Englewood Rd | Athens, TN 37303

Tuesdays 10:00am – 3:00pm

For questions and program information please call 423.834.7374.

ETSU ID Clinic

615 N. State of Franklin Road | Johnson City, TN 37604

 423-930-8337 ext. 136 or 117

Tuesdays 1:00pm to 4:00pm

Participants are welcome to call ahead for alternative options for services and testing

Cempa Community Care

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