Template:Harbor Opiate Withdrawal/MAT/BUP: Difference between revisions
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===[[Harbor:Opiate Withdrawal/MAT/BUP|MAT/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" | ||
| Line 9: | Line 9: | ||
* 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 | ||
'''Consult 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''' | ||
'''Narcan Distribution from ED''' | '''Narcan Distribution from ED''' | ||
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**(213) 288-9090 | **(213) 288-9090 | ||
**8a-12a, 7 days per week | **8a-12a, 7 days per week | ||
*[[:File:MAT Consultation Line.pdf]] | *Flier: [[:File:MAT Consultation Line.pdf|Mat Consult Line.pdf]] | ||
====BUP/MAT Treatment and Discharge Pathway [[:File:Bup_Protocol_Harbor.pdf]] | ====BUP/MAT Treatment and Discharge Pathway==== | ||
*[[:File:Bup_Protocol_Harbor.pdf|Harbor Bup Protocol.pdf]] | |||
====Patient Discharge Handout | ====Patient Discharge Handout==== | ||
*[[:File:Harbor_Bup_Start_Instructions.pdf|Bup Start Instructions.pdf]] | |||
====BUP Home Initiation [[:File:Bup home Initiation.pdf]] | ====BUP Home Initiation==== | ||
*[[:File:Bup home Initiation.pdf|Bup Home Start.pdf]] | |||
====Patient MAT/Buprenorphine Follow Up Options==== | ====Patient MAT/Buprenorphine Follow Up Options==== | ||
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1000 W. Carson St<br/> | 1000 W. Carson St<br/> | ||
Torrance, CA 90502<br/> | Torrance, CA 90502<br/> | ||
(424) 306- | (424) 306-4546 | ||
|| ''' | || '''Schedule as "HAR PC MAT New"''' or | ||
'''Walk-In: Monday AM or Thursday AM''' | '''Walk-In: Monday AM or Thursday AM'''<br/> | ||
For questions, please message Chris O. Brown, MD via ORCHID/Outlook | |||
|- | |- | ||
| DHS Empaneled and DHS Eligible || Lomita Clinic | | DHS Empaneled and DHS Eligible || Lomita Clinic | ||
1430 W Lomita Blvd, 2nd | 1430 W Lomita Blvd, 2nd Fl<br/> | ||
Harbor City, CA 90710 | Harbor City, CA 90710<br/> | ||
(310) 602-2600<br/> | |||
(424) 306-4193 - SUD Counselor | |||
|| '''Walk-In: Tuesday AM or Friday AM''' | || '''Walk-In: Tuesday AM or Friday AM''' | ||
For | For questions, please message Gloria Sanchez, MD via ORCHID/Outlook | ||
|- | |- | ||
| DHS Empaneled, DHS Eligible, MyHealthLA, Uninsured (No OOP) || LAC+USC | | DHS Empaneled, DHS Eligible, MyHealthLA, Uninsured (No OOP) || LAC+USC Urgent Care | ||
2051 Marengo St, 2nd Floor<br/> | 2051 Marengo St, 2nd Floor<br/> | ||
Los Angeles, CA 90033<br/> | Los Angeles, CA 90033<br/> | ||
(323) 409-1000 | (323) 409-1000 | ||
|| Walk-In: | || Walk-In: | ||
Tuesday | Tuesday-Thursday & Saturday<br/> | ||
8am-7pm | |||
|- | |- | ||
Latest revision as of 01:53, 28 June 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
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!
MAT Provider Consultation Line
- DHS on-call providers available to help initiate MAT for patients with alcohol and/or opioid use disorder
- (213) 288-9090
- 8a-12a, 7 days per week
- Flier: Mat Consult Line.pdf
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 Fl |
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