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ERs can be 24/7/365 entry point for OUD tx:my first ever thread
ERs can be 24/7/365 entry point for OUD tx:my first ever thread
https://www.acmt.net/mtf/_Library/docs/NEJM.pdf
-you need an ER provider champion
-can be doc/NP/PA
-anyone with compassion for this population of pts
-you need an ER provider champion
-can be doc/NP/PA
-anyone with compassion for this population of pts
-encourage providers to get x-waiver training
-it's easy, virtual, does NOT expire
-ten chances to get free waiver training this fall
- https://www.acep.org/ed-x-waiver/
-it's easy, virtual, does NOT expire
-ten chances to get free waiver training this fall
- https://www.acep.org/ed-x-waiver/
-want one of these?
-then complete waiver training this fall!
-then complete waiver training this fall!
-send providers a few articles that support your enthusiasm for ED MOUD (there are many!!)
-roll with resistance from the group
-roll with resistance from the group
-team up with a few nurses and techs who share your interest
-get your hospital pharmacy to stock buprenorphine-they probably already do
-start giving bupe in the ER (or home induction)
-show colleagues how easy it is......
-celebrate patient response to your group
-start giving bupe in the ER (or home induction)
-show colleagues how easy it is......
-celebrate patient response to your group
-discharge with several days of bupe (we do 5 days)
-allows for logistics of follow up to be ironed out
-follow up very important!
-where do patients follow up?
-build relationships with local providers
-allows for logistics of follow up to be ironed out
-follow up very important!
-where do patients follow up?
-build relationships with local providers
-engage your favorite social worker and case manager as well
-your quality dept loves this too....fewer return visits! decreased length of stay! higher pt satisfaction! less cost!
-these people will help you! for sure!
-your quality dept loves this too....fewer return visits! decreased length of stay! higher pt satisfaction! less cost!
-these people will help you! for sure!
-what if you don't have outpatient follow up options?
-do you have any star primary care docs? docs who don't shy away from things? compassion for this pt population?
-these docs can be recruited
-do you have any star primary care docs? docs who don't shy away from things? compassion for this pt population?
-these docs can be recruited
-do you have FQHCs in your area?
-these clinics do great work. might even be doing MOUD now
-they're not doing it? ask why.
-there is grant money available to them to start MOUD programs
@ATTCnetwork @samhsagov @FOREfdn
-these clinics do great work. might even be doing MOUD now
-they're not doing it? ask why.
-there is grant money available to them to start MOUD programs
@ATTCnetwork @samhsagov @FOREfdn
-do you have a FP or IM residency clinic? psych?
-residency directors need to get on board with this
-OUD is a chronic medical problem-plain and simple
-telemedicine stepping in for MOUD as well....check your area
-residency directors need to get on board with this
-OUD is a chronic medical problem-plain and simple
-telemedicine stepping in for MOUD as well....check your area
-many resources are out there to help you every step of the way!
- @ASAMorg @IRETApgh @ED_BRIDGE_org @ACEPNow
@YaleADM
-Emergency Departments Everywhere....let's do this....People with Opioid Use Disorder get better!!! Let's start treatment in the ED!
- @ASAMorg @IRETApgh @ED_BRIDGE_org @ACEPNow
@YaleADM
-Emergency Departments Everywhere....let's do this....People with Opioid Use Disorder get better!!! Let's start treatment in the ED!
