Buprenorphine-Naloxone Requirement to ERX in UTMB Epic:
Must add the following phrase in the notes section of the prescription: NADEAN:N/A
Protocol
The document below outlines our comprehensive protocol for addressing Substance Use Disorder (SUD) and Opiate Use Disorder (OUD) in the emergency department. It starts with identifying patients with OUD using the DSM5 checklist and assessing withdrawal symptoms using the Clinical Opiate Withdrawal Scale (COWS). The treatment plan includes initiating buprenorphine, managing withdrawal symptoms, and guidelines for prescribing medication. The protocol emphasizes patient education, offering detailed handouts, and ensuring a smooth referral process for ongoing treatment, taking into account patients’ insurance status.
Please review the flyer and YouTube video with your patients
Expert Assistance with SUD Evaluation and Management is a phone call away
National Clinician Consultation Center (NCCC) Substance Use Warmline
M – F 8 am – 7 pm Central Time
Voicemail 24 hours, 7 days (855) 300-3595
The NCCC offers free and confidential clinician-to-clinician telephone consultation focusing on substance use evaluation and management for primary care clinicians through the Substance Use Warmline at (855) 300-3595. Consultation is available Monday through Friday, between 8 a.m. and 7 p.m. CT, from addiction medicine-certified physicians, clinical pharmacists, and nurses with special expertise in pharmacotherapy options for opioid use. Voicemail is available 24-hours a day.