Harbor:Opiate Withdrawal/MAT/BUP: Difference between revisions

Revision as of 18:30, 31 May 2022

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 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 PCP at Harbor: message PCP 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
If patient is empaneled to Fam Med, then consult FM MAT (see below) to get referral into FAM MAT clinic.

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)

Insurance	Clinic	Hours
DHS Empaneled and DHS Eligible (not Harbor Family Medicine)	Primary Care & Diagnostic Center (PCDC) - Basement Clinic C 1000 W Carson St Torrance, CA 90502 (424) 306-4546	Schedule as "HAR PC MAT New" or Walk-In: Monday AM or Thursday AM For questions, please message Chris O. Brown, MD via ORCHID/Outlook
DHS Empaneled and DHS Eligible	Lomita Clinic 1430 W Lomita Blvd, 2nd Floor Harbor City, CA 90710 (310) 602-2600 (424) 306-4193 - SUD Counselor	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 Los Angeles, CA 90033 (323) 409-1000	Walk-In: Tuesday-Thursday & Saturday 8am-7pm
All Patients	Tarzana Treatment Center 5190 Atlantic Blvd Long Beach, CA 90805 (818) 654-3933	Walk-In: 24/7

All patients can call the Substance Abuse Service Hotline 24/7 for more help (844) 804-7500

@@ Line 7: / Line 7: @@
 **** Patients with chronic pain and opioid dependence with PCP at Harbor: message PCP 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
+* If patient is empaneled to Fam Med, then consult FM MAT (see below) to get referral into FAM MAT clinic.
 * Additional resources:
-** '''FM MAT Inpatient Consult Service'''
+** '''FM MAT Inpatient Consult Service''' - opiate and meth use (excludes isolated EtOH use)
 *** For patients 16y/o and older
 **** Mon-Thur 8a-4p p0990 or call (310) 697-6030