Emergency Department Resources
RESOURCES TO BUILD A BRIDGE PROGRAM IN THE Emergency DEPARTMENT
WAITING ROOM SIGNAGE - Awareness that treatment for acute withdrawal is available can allow patients to be honest about their illness
Safer Prescribing from the ED
Between 1997 and 2007 the use of prescription opioids more than quadrupled. Similarly, drug overdose deaths significantly increased for the 11th consecutive year in 2010. Although emergency physicians manage 28% of all acute care visits in the United States, only 5% of all opioid prescriptions are written by emergency physicians. As leaders in health care we are empowered do our part in reversing this alarming public health trend.
California ACEP has endorsed and is promoting the following safe prescribing guidelines that were updated in October 2018 and supported by numerous partners.
HOW TO START A BRIDGE PROGRAM IN THE ED
1. Talk with your pharmacy director to be sure that buprenorphine is on the hospital formulary.
2. Develop a connection and with an outpatient facility who can receive patients referred from the ED.
3. Train nurses and doctors how to assess opioid withdrawal severity and how to dose buprenorphine.
4. Create or adapt a simple guide for providers for use in the clinical areas for real-time consultation.
5. If possible, bring in a substance use navigator to help patients transition to outpatient care.
6. Obtain patient education materials from outpatient partners that describe how to access their buprenorphine treatment services.