Harbor:Opiate Withdrawal/MAT/BUP - Revision history

Andreawu: /* Patient MAT/Buprenorphine Follow Up Options */

2022-12-27T19:22:44Z

Patient MAT/Buprenorphine Follow Up Options

← Older revision		Revision as of 19:22, 27 December 2022
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	(424) 306-4546		(424) 306-4546
	\|\| '''ED provider to submit PVCC/CCC form"'''		\|\| '''ED provider to submit PVCC/CCC form"'''
	'''Depart --> ED Post Visit Plan --> CCC-HAR --> free text in the "for Referral" box'''. No longer taking walk-ins. For questions, please message Chris O. Brown, MD via ORCHID/Outlook		'''Depart --> ED Post Visit Plan --> CCC-HAR --> free text in the "for Referral" box'''. No longer taking walk-ins, clerk does NOT book appt. For questions, please message Chris O. Brown, MD via ORCHID/Outlook
	\|-		\|-
	\| DHS Empaneled to Fam Med or DHS Eligible \|\| Lomita Fam Med Clinic		\| DHS Empaneled to Fam Med or DHS Eligible \|\| Lomita Fam Med Clinic

Bchap23: /* Patient MAT/Buprenorphine Follow Up Options */

2022-10-25T23:49:02Z

Patient MAT/Buprenorphine Follow Up Options

← Older revision		Revision as of 23:49, 25 October 2022
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	Torrance, CA 90502<br/>		Torrance, CA 90502<br/>
	(424) 306-4546		(424) 306-4546
	\|\| '''ED provider to submit PVCC/CCC form"'''		\|\| '''ED provider to submit PVCC/CCC form"'''
	No longer taking walk-ins		'''Depart --> ED Post Visit Plan --> CCC-HAR --> free text in the "for Referral" box'''. No longer taking walk-ins. For questions, please message Chris O. Brown, MD via ORCHID/Outlook
	For questions, please message Chris O. Brown, MD via ORCHID/Outlook
	\|-		\|-
	\| DHS Empaneled to Fam Med or DHS Eligible \|\| Lomita Fam Med Clinic		\| DHS Empaneled to Fam Med or DHS Eligible \|\| Lomita Fam Med Clinic

Andreawu: /* Patient MAT/Buprenorphine Follow Up Options */

2022-10-19T22:23:41Z

Patient MAT/Buprenorphine Follow Up Options

← Older revision		Revision as of 22:23, 19 October 2022
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	Torrance, CA 90502<br/>		Torrance, CA 90502<br/>
	(424) 306-4546		(424) 306-4546
	\|\| '''ED provider to submit PVCC/CCC form"''' or		\|\| '''ED provider to submit PVCC/CCC form"'''
	~~'''Walk~~-~~In: Monday AM or Thursday AM'''<br/>~~		No longer taking walk-ins
	For questions, please message Chris O. Brown, MD via ORCHID/Outlook		For questions, please message Chris O. Brown, MD via ORCHID/Outlook
	\|-		\|-

Andreawu at 18:07, 9 June 2022

2022-06-09T18:07:40Z

← Older revision		Revision as of 18:07, 9 June 2022
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	**** Mon-Thur 8a-4p p0990 or call (310) 697-6030		**** Mon-Thur 8a-4p p0990 or call (310) 697-6030
	**** Message Center: Yvettte Cerna		**** Message Center: Yvettte Cerna
			****If afterhours, MAT team will call patient for follow up
	****Flyer: [[:Media:FM MAT Consult Service.pdf\|FM MAT Consult Service.pdf]]		****Flyer: [[:Media:FM MAT Consult Service.pdf\|FM MAT Consult Service.pdf]]
	** '''MAT Provider Consult Line'''		** '''MAT Provider Consult Line'''

Andreawu: /* Patient MAT/Buprenorphine Follow Up Options */

2022-05-31T19:36:10Z

Patient MAT/Buprenorphine Follow Up Options

← Older revision		Revision as of 19:36, 31 May 2022
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	! Insurance !! Clinic !! Hours		! Insurance !! Clinic !! Hours
	\|-		\|-
	\| DHS Empaneled ~~and~~ DHS Eligible ~~(Internal Medicine)~~ \|\| Primary Care & Diagnostic Center (PCDC) - Basement Clinic C		\| DHS Empaneled to Internal Med or DHS Eligible \|\| Primary Care & Diagnostic Center (PCDC) - Basement Clinic C
	1000 W Carson St<br/>		1000 W Carson St<br/>
	Torrance, CA 90502<br/>		Torrance, CA 90502<br/>
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	For questions, please message Chris O. Brown, MD via ORCHID/Outlook		For questions, please message Chris O. Brown, MD via ORCHID/Outlook
	\|-		\|-
	\| DHS Empaneled ~~and~~ DHS Eligible \|\| Lomita Fam Med Clinic		\| DHS Empaneled to Fam Med or DHS Eligible \|\| Lomita Fam Med Clinic
	1430 W Lomita Blvd, 2nd Floor<br/>		1430 W Lomita Blvd, 2nd Floor<br/>
	Harbor City, CA 90710<br/>		Harbor City, CA 90710<br/>
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	* [https://www.bing.com/videos/search?q=Narcan+adapt+how+to+use&&view=detail&mid=3FE0F53C308009BA8ADF3FE0F53C308009BA8ADF&&FORM=VRDGAR&ru=%2Fvideos%2Fsearch%3Fq%3DNarcan%2Badapt%2Bhow%2Bto%2Buse%26FORM%3DHDRSC4 How to use intranasal narcan]		* [https://www.bing.com/videos/search?q=Narcan+adapt+how+to+use&&view=detail&mid=3FE0F53C308009BA8ADF3FE0F53C308009BA8ADF&&FORM=VRDGAR&ru=%2Fvideos%2Fsearch%3Fq%3DNarcan%2Badapt%2Bhow%2Bto%2Buse%26FORM%3DHDRSC4 How to use intranasal narcan]
	*Faculty/Resident Sponsors: Wu/Golden (2021)		*Faculty/Resident Sponsors: Wu/Golden (2021)


	====BUP/MAT Treatment and Discharge Pathway====		====BUP/MAT Treatment and Discharge Pathway====

Andreawu: /* MAT/BUP/Opiate Withdrawal */

2022-05-31T19:34:36Z

MAT/BUP/Opiate Withdrawal

@@ Line 1: / Line 1: @@
 ===[[Harbor:Opiate Withdrawal/MAT/BUP|MAT/BUP/Opiate Withdrawal]]===
 * Please refer all '''DHS unempaneled 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"'''
@@ Line 8: / Line 47: @@
 * '''Empaneled to Lomita/Fam Med''', then message/consult FM MAT (see below) to get referral into FAM MAT clinic.
 * 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
 * Additional resources:
@@ Line 41: / Line 79: @@
 ====BUP Home Initiation====
 *[[:Media:Bup home Initiation.pdf|Bup Home Start.pdf]]
 ==See Also==

Andreawu: /* MAT/BUP/Opiate Withdrawal */

2022-05-31T19:31:52Z

MAT/BUP/Opiate Withdrawal

← Older revision		Revision as of 19:31, 31 May 2022
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	**** Not in active withdrawal but with opioid use disorder: Rx for home start using home initiation protocol		**** Not in active withdrawal but with opioid use disorder: Rx for home start using home initiation protocol
	* '''Empaneled patients:''' Patients with chronic pain and opioid dependence, message PCP to refer patients into a MAT clinic, AND CC Christopher Brown AND Gloria Sanchez to link patient to Harbor SUD clinics		* '''Empaneled patients:''' Patients with chronic pain and opioid dependence, message PCP to refer patients into a MAT clinic, AND CC Christopher Brown AND Gloria Sanchez to link patient to Harbor SUD clinics
	* ~~If patient is~~ '''~~empaneled~~ to Lomita/Fam Med''', then consult FM MAT (see below) to get referral into FAM MAT clinic.		* '''Empaneled to Lomita/Fam Med''', then message/consult FM MAT (see below) to get referral into FAM MAT clinic.
	* 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

Andreawu: /* MAT/BUP/Opiate Withdrawal */

2022-05-31T19:31:04Z

MAT/BUP/Opiate Withdrawal

← Older revision		Revision as of 19:31, 31 May 2022
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	===[[Harbor:Opiate Withdrawal/MAT/BUP\|MAT/BUP/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 unempaneled 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"'''		** In the "For referral, specify need" box: '''"MAT for opiate dependency"'''
	*** Qualifying patients		*** Qualifying patients
	**** Active withdrawal or post-overdose: start buprenorphine in ED via buprenorphine protocol		**** 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		**** 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		* '''Empaneled patients:''' Patients with chronic pain and opioid dependence, message PCP to refer patients into a MAT clinic, AND CC 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 Lomita/Fam Med''', then consult FM MAT (see below) to get referral into FAM MAT clinic.
	* If patient is empaneled to Fam Med, then consult FM MAT (see below) to get referral into FAM MAT clinic.		* 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


	* Additional resources:		* Additional resources:

Andreawu at 18:30, 31 May 2022

2022-05-31T18:30:06Z

← Older revision		Revision as of 18:30, 31 May 2022
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	**** 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		**** 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		**** 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:		* 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		*** For patients 16y/o and older
	**** Mon-Thur 8a-4p p0990 or call (310) 697-6030		**** Mon-Thur 8a-4p p0990 or call (310) 697-6030

Jscottgeorge at 23:00, 25 April 2022

2022-04-25T23:00:43Z

← Older revision		Revision as of 23:00, 25 April 2022
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	**** Mon-Thur 8a-4p p0990 or call (310) 697-6030		**** Mon-Thur 8a-4p p0990 or call (310) 697-6030
	**** Message Center: Yvettte Cerna		**** Message Center: Yvettte Cerna
	****Flyer: [[:~~File~~:FM MAT Consult Service.pdf\|FM MAT Consult Service.pdf]]		****Flyer: [[:Media:FM MAT Consult Service.pdf\|FM MAT Consult Service.pdf]]
	** '''MAT Provider Consult Line'''		** '''MAT Provider Consult Line'''
	***DHS on-call providers available to help initiate MAT for patients with alcohol and/or opioid use disorder		***DHS on-call providers available to help initiate MAT for patients with alcohol and/or opioid use disorder
	****(213) 288-9090		****(213) 288-9090
	****8a-MN, 7 days per week		****8a-MN, 7 days per week
	****Flyer: [[:~~File~~:MAT Consultation Line.pdf\|Mat Consult Line.pdf]]		****Flyer: [[:Media:MAT Consultation Line.pdf\|Mat Consult Line.pdf]]


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	====BUP/MAT Treatment and Discharge Pathway====		====BUP/MAT Treatment and Discharge Pathway====
	*[[:~~File~~:Bup_Protocol_Harbor.pdf\|Harbor Bup Protocol.pdf]]		*[[:Media:Bup_Protocol_Harbor.pdf\|Harbor Bup Protocol.pdf]]

	====Patient Discharge Handout====		====Patient Discharge Handout====
	*[[:~~File~~:Harbor_Bup_Start_Instructions.pdf\|Bup Start Instructions.pdf]]		*[[:Media:Harbor_Bup_Start_Instructions.pdf\|Bup Start Instructions.pdf]]

	====BUP Home Initiation====		====BUP Home Initiation====
	*[[:~~File~~:Bup home Initiation.pdf\|Bup Home Start.pdf]]		*[[:Media:Bup home Initiation.pdf\|Bup Home Start.pdf]]

	====Patient MAT/Buprenorphine Follow Up Options====		====Patient MAT/Buprenorphine Follow Up Options====