Harbor:Opiate Withdrawal/MAT/BUP: Difference between revisions
Jscottgeorge (talk | contribs) |
|||
| Line 1: | Line 1: | ||
===[[Harbor:Opiate Withdrawal/MAT/BUP|MAT/BUP/Opiate Withdrawal]]=== | ===[[Harbor:Opiate Withdrawal/MAT/BUP|MAT/BUP/Opiate Withdrawal]]=== | ||
* Please refer all DHS patients with substance use disorder (SUD) started on medication assisted treatment (MAT) to PVCC/CCC – Har for enrollment in Dr. Brown's addiction clinic | * Please refer all '''DHS patients with substance use disorder''' (SUD) started on medication assisted treatment (MAT) to '''PVCC/CCC – Har for enrollment in Dr. Brown's addiction clinic''' | ||
** In the "For referral, specify need" box: "MAT for opiate/alcohol dependency" | ** In the "For referral, specify need" box: '''"MAT for opiate/alcohol dependency"''' | ||
*** Qualifying patients | |||
**** Active withdrawal or post-overdose: start buprenorphine in ED via buprenorphine protocol | |||
**** Not in active withdrawal but with opioid use disorder: rx for home start using home initiation protocol | |||
**** Patients with chronic pain and opioid dependence with PMD at Harbor: message PMD AND Christopher Brown AND Gloria Sanchez to link patient to Harbor SUD clinics | |||
**** For pregnant patients - once the primary complaint is addressed (or if primary complaint is pregnant and opiate use disorder/withdrawal), if patient has confirmed IUP please send to OB triage for initiation of Suboxone during pregnancy | |||
* Additional resources: | |||
** '''FM MAT Inpatient Consult Service''' | |||
*** For patients 16y/o and older | |||
**** Mon - Thurs 8a-4p x64398 | |||
**** call 31x-697-6030 | |||
**** Message Center: Yvettte Cerna | |||
** '''MAT Provider Consult Line''' | |||
***DHS on-call providers available to help initiate MAT for patients with alcohol and/or opioid use disorder | |||
****(213) 288-9090 | |||
****8a-MN, 7 days per week | |||
****Flier: [[:File:MAT Consultation Line.pdf|Mat Consult Line.pdf]] | |||
'''Consult [[Harbor:Whole person care|Whole Person Care]] for ALL patients started on or prescribed buprenorphine in the ED''' | '''Consult [[Harbor:Whole person care|Whole Person Care]] for ALL patients started on or prescribed buprenorphine in the ED''' | ||
| Line 19: | Line 31: | ||
*Thank you for helping! | *Thank you for helping! | ||
====BUP/MAT Treatment and Discharge Pathway==== | ====BUP/MAT Treatment and Discharge Pathway==== | ||
Revision as of 21:06, 3 November 2021
MAT/BUP/Opiate Withdrawal
- Please refer all DHS patients with substance use disorder (SUD) started on medication assisted treatment (MAT) to PVCC/CCC – Har for enrollment in Dr. Brown's addiction clinic
- In the "For referral, specify need" box: "MAT for opiate/alcohol dependency"
- Qualifying patients
- Active withdrawal or post-overdose: start buprenorphine in ED via buprenorphine protocol
- Not in active withdrawal but with opioid use disorder: rx for home start using home initiation protocol
- Patients with chronic pain and opioid dependence with PMD at Harbor: message PMD AND Christopher Brown AND Gloria Sanchez to link patient to Harbor SUD clinics
- For pregnant patients - once the primary complaint is addressed (or if primary complaint is pregnant and opiate use disorder/withdrawal), if patient has confirmed IUP please send to OB triage for initiation of Suboxone during pregnancy
- Qualifying patients
- In the "For referral, specify need" box: "MAT for opiate/alcohol dependency"
- Additional resources:
- FM MAT Inpatient Consult Service
- For patients 16y/o and older
- Mon - Thurs 8a-4p x64398
- call 31x-697-6030
- Message Center: Yvettte Cerna
- For patients 16y/o and older
- MAT Provider Consult Line
- DHS on-call providers available to help initiate MAT for patients with alcohol and/or opioid use disorder
- (213) 288-9090
- 8a-MN, 7 days per week
- Flier: Mat Consult Line.pdf
- DHS on-call providers available to help initiate MAT for patients with alcohol and/or opioid use disorder
- FM MAT Inpatient Consult Service
Consult Whole Person Care for ALL patients started on or prescribed buprenorphine in the ED
Narcan Distribution from ED
- Available for any patients that meet criteria for Narcan distribution and would benefit from distribution
- In Code White cabinet in purple doc box, next to the adult airway cabinet, requires key from either senior resident phones or either attending phones
- Please initial to log the distribution on the clipboard attached, no PHI is required
- All patients distributed Narcan also need it prescribed to the pharmacy for tracking purposes
- Please document as you otherwise would for prescribing Narcan, with the addition of .ednaloxonegiven in your note, which can soon be replaced by .naloxoneEDdistribution
- Thank you for helping!
BUP/MAT Treatment and Discharge Pathway
Patient Discharge Handout
BUP Home Initiation
Patient MAT/Buprenorphine Follow Up Options
| Insurance | Clinic | Hours |
|---|---|---|
| DHS Empaneled and DHS Eligible (not Harbor Family Medicine) | Primary Care & Diagnostic Center (PCDC) - Basement Clinic C
1000 W Carson St |
Schedule as "HAR PC MAT New" or
Walk-In: Monday AM or Thursday AM |
| DHS Empaneled and DHS Eligible | Lomita Clinic
1430 W Lomita Blvd, 2nd Floor |
Walk-In: Tuesday AM or Friday AM
For questions, please message Gloria Sanchez, MD via ORCHID/Outlook |
| DHS Empaneled, DHS Eligible, MyHealthLA, Uninsured (No OOP) | LAC+USC Urgent Care
2051 Marengo St, 2nd Floor |
Walk-In:
Tuesday-Thursday & Saturday |
| All Patients | Tarzana Treatment Center
5190 Atlantic Blvd |
Walk-In:
24/7 |
All patients can call the Substance Abuse Service Hotline 24/7 for more help (844) 804-7500