UTMB Resources for Substance Use Disorder Treatment Program
For <strong>ALL</strong> <strong>patient referrals and questions</strong> about our program, <strong>email <a href="mailto:sud@utmb.edu">sud@utmb.edu</a></strong> </p>
<a href="mailto:sud@utmb.edu">
Email
</a>
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Important!
<h2>Buprenorphine-Naloxone Requirement to ERX in UTMB Epic:</h2>
<h2 contenteditable="true" data-elementor-setting-key="title" data-pen-placeholder="Type Here...">Must add the following phrase in the notes section of the prescription: NADEAN:N/A</h2>
<h2>Protocol</h2>
<p>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.</p>
<iframe title="SUD _ OUD in ED Flowsheet 1_5_2024" style="width: 1000px!important;height: 500px;; max-width:100%; display: inline-block" src="https://stvhopeclinics.org/wp-admin/admin-ajax.php?action=get_viewer&file=https%3A%2F%2Fstvhopeclinics.org%2Fwp-content%2Fuploads%2F2024%2F01%2FSUD-_-OUD-in-ED-Flowsheet-1_5_2024.pdf#key=dGhlbWVNb2RlPWRlZmF1bHQmdG9vbGJhcj10cnVlJnBvc2l0aW9uPXRvcCZwcmVzZW50YXRpb249ZmFsc2UmZG93bmxvYWQ9eWVzJmNvcHlfdGV4dD15ZXMmYWRkX3RleHQ9ZmFsc2UmZHJhdz15ZXMmcGRmX3JvdGF0aW9uPWZhbHNlJnBkZl9kZXRhaWxzPWZhbHNl&zoom=page-width" data-emid="embedpress-pdf-22e5e58" https://stvhopeclinics.org/wp-content/uploads/2024/01/SUD-_-OUD-in-ED-Flowsheet-1_5_2024.pdf="" frameborder="0"></iframe>
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PDF
</a>
<h5>The files referenced in the flowsheet are included in the links below:</h5>
<h2>Resources</h2>
<img width="273" height="273" src="https://stvhopeclinics.org/wp-content/uploads/2024/01/healthcare-07.png" alt="" srcset="https://i0.wp.com/stvhopeclinics.org/wp-content/uploads/2024/01/healthcare-07.png?w=273&ssl=1 273w, https://i0.wp.com/stvhopeclinics.org/wp-content/uploads/2024/01/healthcare-07.png?resize=150%2C150&ssl=1 150w" sizes="(max-width: 273px) 100vw, 273px" />
<h3><a href="https://nam11.safelinks.protection.outlook.com/ap/b-59584e83/?url=https%3A%2F%2F1drv.ms%2Fb%2Fs!AikUeUnjbe75gthqLxX-vxneZfhT0g%3Fe%3DlvbPLy&data=05%7C02%7Cjequicen%40UTMB.EDU%7Cb7411fd616444ed4673608dc0da31e84%7C7bef256d85db4526a72d31aea2546852%7C0%7C0%7C638400241455766068%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=JPlEyY2onbSbT%2BVbQtomfuNfpsQFFK6SBWVH8TP7f4s%3D&reserved=0">DSM 5 OUD Checklist</a></h3>
<ul style="font-weight: 400;"><li><a href="https://nam11.safelinks.protection.outlook.com/ap/b-59584e83/?url=https%3A%2F%2F1drv.ms%2Fb%2Fs!AikUeUnjbe75gthqLxX-vxneZfhT0g%3Fe%3DlvbPLy&data=05%7C02%7Cjequicen%40UTMB.EDU%7Cb7411fd616444ed4673608dc0da31e84%7C7bef256d85db4526a72d31aea2546852%7C0%7C0%7C638400241455766068%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=JPlEyY2onbSbT%2BVbQtomfuNfpsQFFK6SBWVH8TP7f4s%3D&reserved=0">DSM-5_OUD_Checklist.pdf</a></li></ul>
<img width="273" height="272" src="https://stvhopeclinics.org/wp-content/uploads/2024/01/healthcare-19.png" alt="" srcset="https://i0.wp.com/stvhopeclinics.org/wp-content/uploads/2024/01/healthcare-19.png?w=273&ssl=1 273w, https://i0.wp.com/stvhopeclinics.org/wp-content/uploads/2024/01/healthcare-19.png?resize=150%2C150&ssl=1 150w" sizes="(max-width: 273px) 100vw, 273px" />
<h3><a href="https://www.mdcalc.com/calc/1985/cows-score-opiate-withdrawal">COWS Score for Opiate Withdrawal
Buprenorphine Guides to Care In the ED
- Quick Start
- Precipitated Withdrawal Guide
- After Overdose Reversal
- Pregnant Patients
- Pain Management While on Buprenorphine for Opioid Use Disorder
- Fentanyl FAQs
Home Induction Protocols
- Buprenorphine Initiation, Starting Dose
- Buprenorphine Start, Lower Dose
- Buprenorphine Start, Higher Dose
Adjunctive Medications:
Telemedicine Referrals
At Time of Discharge:
Referrals:
ALL Patients, email sud@utmb.edu +
- Insured Patients: Bicycle Health Referral: https://www.bicyclehealth.com/partners/utmb-health
- Un-Insured Patients: if don’t have adequate transportation to island, refer to BeWell Texas: call 888-85-BeWell (888-852-3935) or https://bewelltexasclinic.org/refer-patient/
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<h3>How to Use Suboxone</h3>
<iframe title="How to Take Suboxone" style="width: 988px!important;height: 600px;; max-width:100%; display: inline-block" src="https://stvhopeclinics.org/wp-admin/admin-ajax.php?action=get_viewer&file=https%3A%2F%2Fstvhopeclinics.org%2Fwp-content%2Fuploads%2F2024%2F01%2FHow-to-Take-Suboxone.pdf#key=dGhlbWVNb2RlPWRlZmF1bHQmdG9vbGJhcj10cnVlJnBvc2l0aW9uPXRvcCZwcmVzZW50YXRpb249dHJ1ZSZkb3dubG9hZD15ZXMmY29weV90ZXh0PXllcyZhZGRfdGV4dD10cnVlJmRyYXc9eWVzJnBkZl9yb3RhdGlvbj10cnVlJnBkZl9kZXRhaWxzPXRydWU=&zoom=page-fit" data-emid="embedpress-pdf-42b1653" https://stvhopeclinics.org/wp-content/uploads/2024/01/How-to-Take-Suboxone.pdf="" frameborder="0"></iframe>
<h2>Please review the flyer and YouTube video with your patients</h2>
<img width="139" height="151" src="https://stvhopeclinics.org/wp-content/uploads/2024/01/Polygon-4.png" alt="" />
<img width="139" height="151" src="https://stvhopeclinics.org/wp-content/uploads/2024/01/Polygon-3.png" alt="" />
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<h2>Expert Assistance with SUD Evaluation and Management is a phone call away</h2>
<ul style="font-weight: 400;"><li>National Clinician Consultation Center (NCCC) Substance Use Warmline</li><li>M - F 8 am - 7 pm Central Time</li><li>Voicemail 24 hours, 7 days (855) 300-3595</li><li>The NCCC offers free and confidential clinician-to-clinician telephone consultation focusing on substance use evaluation and management for primary care clinicians through the <strong>Substance Use Warmline at (855) 300-3595</strong>. 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.</li></ul>
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Review the Presentation
<h2>Program G-SAFE</h2>
<ul>
<li>
Access the entire PPT below
</li>
</ul>
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link
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<h2>Any questions?</h2>
<p>For <strong>ALL</strong> <strong>patient referrals and questions</strong> about our program, <strong>email <a href="mailto:sud@utmb.edu">sud@utmb.edu</a></strong> </p>
<a href="mailto:sud@utmb.edu">
Email
</a>
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