The first Action Period for LOUD in the ED kicked off with a 3.5 hour learning session on October 6, 2020! This page includes presentations, slides and activities specific to Action Period 1.
Learning Session 1 Recordings & Presentation Slides
Learning Session 1: People-Centred Care
Reija Jean & Guy Felicella
Coaching Call: Clinical Case Studies
Presenters: Dr. Andrew Kestler & Emma Garrod
Coaching Call: Pharmacy & Microdosing
Presenters: Cindy San & Katherin Badke
Tools & Resources
PPO Examples
Interior Health Buprenorphine-Naloxone Initiation
Interior Health Buprenorphine-Naloxone Initiation Sample clinical order set for Buprenorphine-Naloxone provided by Interior Health Authority.
Island Health Buprenorphine-Naloxone (Suboxone®) Induction Orders
Sample clinical order set for Buprenorphine-Naloxone provided by Island Health Authority.
OTHER RESOURCES
Patient Information: ER Suboxone Self Start Instructions
Two-page document from Island Health Authority outlining patient instructions for dosing up to eight (8) 2mg Suboxone tablets dispensed from the ER.
Take Home Suboxone® (buprenorphine-naloxone)
Document from Fraser Health Authority outlining patient steps for taking Suboxone®, tracking their own withdrawal, and OAT clinic information.
Buprenorphine use in the Emergency Department (BUPE) Tool
Bedside tool for using buprenorphine. Developed by the American College of Emergency Physicians and available as a phone app. NOTE: This is an American resource that uses induction protocols and COWS initiation that deviate from recommended practice in BC.
ED Initiated Buprenorphine & Referral to Treatment
A brief guide for ED Practitioners from the Yale School of Medicine.
Internet Book of Critical Care: Buprenorphine & Opioid Use Disorder
Online textbook section by Josh Farkas, associate professor of Pulmonary and Critical Care Medicine at the University of Vermont.
Management of Opioid Use Disorder in the Emergency Department
White paper from the American Academy of Emergency Medicine that aims to provide evidence-based recommendations for providers in acute care setting managing patients who use opioids.
The California Bridge Model
This website is full of information outlining the California Bridge program which aims to improve care for people with substance use disorders.
