Harbor:Opiate Withdrawal/MAT/BUP: Difference between revisions
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*** Qualifying patients | *** Qualifying patients | ||
**** Active withdrawal or post-overdose: start buprenorphine in ED via buprenorphine protocol | **** Active withdrawal or post-overdose: start buprenorphine in ED via buprenorphine protocol | ||
**** Not in active withdrawal but with opioid use disorder: | **** 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 | **** 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 | **** 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 | ||
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**** Mon-Thur 8a-4p p0990 or call (310) 697-6030 | **** Mon-Thur 8a-4p p0990 or call (310) 697-6030 | ||
**** Message Center: Yvettte Cerna | **** Message Center: Yvettte Cerna | ||
**** | ****Flyer: [[:File:FM MAT Consult Service.pdf|FM MAT Consult Service.pdf]] | ||
** '''MAT Provider Consult Line''' | ** '''MAT Provider Consult Line''' | ||
***DHS on-call providers available to help initiate MAT for patients with alcohol and/or opioid use disorder | ***DHS on-call providers available to help initiate MAT for patients with alcohol and/or opioid use disorder | ||
****(213) 288-9090 | ****(213) 288-9090 | ||
****8a-MN, 7 days per week | ****8a-MN, 7 days per week | ||
**** | ****Flyer: [[:File:MAT Consultation Line.pdf|Mat Consult Line.pdf]] | ||
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* [https://www.bing.com/videos/search?q=Narcan+adapt+how+to+use&&view=detail&mid=3FE0F53C308009BA8ADF3FE0F53C308009BA8ADF&&FORM=VRDGAR&ru=%2Fvideos%2Fsearch%3Fq%3DNarcan%2Badapt%2Bhow%2Bto%2Buse%26FORM%3DHDRSC4 How to use intranasal narcan] | * [https://www.bing.com/videos/search?q=Narcan+adapt+how+to+use&&view=detail&mid=3FE0F53C308009BA8ADF3FE0F53C308009BA8ADF&&FORM=VRDGAR&ru=%2Fvideos%2Fsearch%3Fq%3DNarcan%2Badapt%2Bhow%2Bto%2Buse%26FORM%3DHDRSC4 How to use intranasal narcan] | ||
*Faculty/Resident Sponsors: Wu/Golden (2021) | *Faculty/Resident Sponsors: Wu/Golden (2021) | ||
Revision as of 06:18, 5 March 2022
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-Thur 8a-4p p0990 or call (310) 697-6030
- Message Center: Yvettte Cerna
- Flyer: FM MAT Consult Service.pdf
- 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
- Flyer: 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
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
- How to use intranasal narcan
- Faculty/Resident Sponsors: Wu/Golden (2021)
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