Potpourri
Suboxone is an opioid
TRUE
This person completes the PHQ-9 with the patient at every visit
The nurse
When is a patient too late to enter a GBAT group and will either need to attend the next group or have a nurse visit until the next day? (Answer in minutes)
15 minutes
What is the latest time an intake should be pre scheduled?
NEW MP SCHEDULE 9:40
What are the minimum requirements for a patient to increase to phase 2
- Sedative (Benzo) tapers complete - if applicable
- Be in the program for minimum 4 weeks
- completed required labs
- be on time for visits
Patients may attend individual therapy weekly instead of GBAT, if they prefer
FALSE
This person verifies if a patient has insurance
The Registration Specialist
What is the maximum number of patients in each GBAT group?
15
What is the ideal processing order for the patient during intake when coming from the ASU?
recovery coach from the ASU to registration to nursing to BHC to provider to Care Coord
How often are patients required to have treatment?
1 time weekly
If a patient has moderate to severe cravings for alcohol they can come before 28 days for their injection
FALSE
Who reviews EFORSCE
Nurse, Provider and Pharmacy
Are vivtrol patients required to attend GBAT?
They are not required to, if they choose group instead of tele visits they are welcomed to
Why do we have patients return 3 days after intake for a nursing visit?
PPD read
For "dose check" to make sure that the patient is comfortable, not in withdrawal, vitals are stable
when applicable - confirm a successful home induction (suboxone in urine)
What is the lost or stolen medication policy?
Pt must provide police report, on first complaint - will be on daily dosing until 2 days of correct refill date.
Second complaint pt will be required to go to outside pharmacy at own expense
3rd complaint pt will be tapered or referred to daily dosing clinic or HLC
The Recovery Coaches do the full registration of the patients from the ASU
FALSE
This person completes the BAM (Brief addiction monitor with the patient)
BHC
A patient calls at 2:15 and states that she is on the way and will arrive in 15 minutes for her 2pm GBAT appointment. What do you tell the patient?
A: you are too late for group, you will need to go to the ASU
B: you have only been late once, we will allow it this time
C: Please come, we will have you see the nurse and make sure you have medication for today and reschedule your group time.
D: Ok, see you soon!
Answer: C: Please come, we will have you see the nurse and make sure you have medication for today and reschedule your group time.
What is a SOWS?
Subjective Opiate Withdrawal Scale
used for patients to rate themselves at home for home induction
When is a patients urine drug screen observed?
Random: monthly schedule by last name
Walk-in: (on a different day) early or late for appointment
Clinical suspicion
When a patient calls to reschedule their appointment for 2 days later due to work this is expected and ok, sometimes these things happen, they were responsible and called. The person answering the call should simply reschedule them for requested day/time.
FALSE
What is the primary role of the Recovery Coaches?
To actively support and engage patients at the ASU and during their transition to HCD
Patient arrives at Lewis Center asking for suboxone at 4:32PM and upon review of the chart it is determined that the patient has been discharged from the program 18 days ago. What do you do?
Patient needs to be added to the nurses schedule for triage - must be assessed for safety, medically and behaviorally
Patient will likely be referred to ASU for safe induction depending on outcome of triage.
What staff role is the most important in during the intake process?
EVERYONE! Teamwork makes the dream work :)
Every part of this process affect the patient experience
Upon intake what is the procedure for new patients with a history of controlled substance prescribing?
Patient completes a release with the nurse for any prescriber in the past 3 MONTHS, the nurse contacts prescriber to notify of transfer of care and recommend to discontinue prescribing. Nurse documents.
Nurse reviews no outside controlled prescribing policy with patient
Provider reviews no outside controlled prescribing policy with patient