Template:Harbor Opiate Withdrawal/MAT/BUP: Difference between revisions
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===[[Harbor:Opiate Withdrawal/MAT/BUP|MAT/Opiate Withdrawal/BUP]]=== | ===[[Harbor:Opiate Withdrawal/MAT/BUP|MAT/Opiate Withdrawal/BUP]]=== | ||
* Please refer all DHS patients with substance | * 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 15: | Line 15: | ||
**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 | **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 | **Please initial to log the distribution on the clipboard attached, no PHI is required | ||
*All patients distributed | *All patients distributed Narcan also need it prescribed to the pharmacy for tracking purposes | ||
*Please document as you otherwise would for prescribing | *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! | *Thank you for helping! | ||
Revision as of 14:06, 9 June 2021
MAT/Opiate Withdrawal/BUP
- 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
- File:MAT Consultation Line.pdf
BUP/MAT Treatment and Discharge Pathway File:Bup_Protocol_Harbor_2021-06-07.pdf
Patient Discharge Handout: File:Harbor Bup Start.pdf
BUP Home Initiation File:Bup home Initiation.pdf
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 |
Clerk should schedule under "HAR PC MAT New" or
Walk-In: Monday AM or Thursday AM; for any questions, please message Chris O. Brown, MD via ORCHID/Outlook/HIPPABridge |
| DHS Empaneled and DHS Eligible | Lomita Clinic
1430 W Lomita Blvd, 2nd Flr |
Walk-In: Tuesday AM or Friday AM
For any questions, please message Gloria Sanchez, MD via ORCHID/Outlook/HIPPABridge |
| DHS Empaneled, DHS Eligible, MyHealthLA, Uninsured (No OOP) | LAC+USC Medical Center Urgent Care
2051 Marengo St, 2nd Floor |
Walk-In:
Tuesday – Thursday & Saturday 8am-7pm |
| 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