Harbor:Opiate Withdrawal/MAT/BUP

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!