A THREAD.

Looking for guidance on caring for patients with #OUD on #bupe during #COVID19?

Head to http://bit.ly/MontefioreBupe  for resources!

Together with @TiffanyLuMD & @DrChinazo, we hosted a webinar on Bupe Treatment during COVID & put together the following

#Addictiontwitter
Included
-Bupe Provider Tip Sheet w/ #DEA @samhsagov @ASAMorg guidance
-Bupe Patient Tip Sheet w/ #onlinesupport tools
-Template tip sheets for your clinic
-Telehealth tips
-Regulation updates
-Bupe televisit #EPIC templates
-Mental health resources
-Home Induction Toolkit
Setting the stage:

-PWUD are at ⬆️ risk of exposure to #COVID19 and at ⬆️risk of suffering a poor outcome from this disease

-We should offer #telemedicine as much as possible to promote #socialdistancing while providing ongoing support & access to care & life-saving medication
General pointers:

1. Pick a telemedicine platform, it does NOT have to be #HIPAA compliant & can use #Audio only for NEW BUPE patients during the emergency
2. New methadone patients still require a face-to-face
3. Opt for longer Rxs to ensure access to these LIFE SAVING meds
3. Consider refills for stable patients
4. Consider pausing urine drug screening given risk/benefit of exposing patients and HCWs
5. Engage in #HarmReduction always, ensure #naloxone is accessible! Our patients are⬆️for #overdose and other complications with social isolation.
6. Offer #virtualsupport options in the era of physical distancing.
https://www.samhsa.gov/sites/default/files/virtual-recovery-resources.pdf

Lots to learn with #telemedicine, but excited to be able to offer our patients MORE

@MontefioreNYC now taking new patients for #bupe tx w/ telemedicine. See👇 for how to refer!
You can follow @DrKristineTL.
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