Medication Assisted Treatment
Trauma Informed Care
Common Comorbidities
Providing Education
Controlling Infection
100
What is medication-assisted treatment?
Medication assisted treatment (MAT) is the use of medications, in combination with behavioral therapies, to provide a whole-patient approach to the treatment of substance use disorders
100
The percentage of mental health clients that have been exposed to trauma
51-98% of mental health clients have been exposed to trauma
100
When primary conditions simultaneously co-occur with substance use disorders, they are referred to as...
Comorbidities
100
This is safety information you provide patients on Vivitrol
wear medical alert identification, do not take opiates, and do not drink alcohol
100
What to do after removing gloves
Wash hands with warm water and soap or hand foam
200
Four outcomes that research has established as benefits of MAT for opiates
increases patient retention, decreases drug use, decreases infectious disease transmission, and decreases criminal activity
200
The goal of the Six Core Strategies
The Six Core Strategies were developed to mitigate conflict and reduce the incidence of seclusion and restraint
200
Name 3 prevalent comorbidities that are important public health concerns for both patients and health care professionals in SAMSHA-supported substance use disorder treatment programs
HIV, AIDs, Viral Hepatitis
200
What you should tell someone who has Hep C and uses alcohol
Need to abstain from alcohol to protect the liver. Alcohol further damages a liver already compromised by Hep C
200
What you do when injured on the job or experience an infection exposure
Notify supervisor immediately, complete an employee injury report (or have someone complete if you are compromised)
300
The amount of time a patient must abstain from methadone before initiating buprenorphine
Buprenorphine treatment may be initiated 36-72 hours after the last methadone dose, but it is advisable to observe for objective signs of withdrawal and not rely only on time lapsed since the last methadone dose
300
“Universal precautions” related to trauma are this
“Universal precautions” means we presume that all patients we serve have a history of traumatic stress
300
There are three major strains of viral hepatitis, which 2 have vaccines available against them
Hepatitis A and B
300
This is what you can discuss regarding household transmission of Hepatitis C virus
Household transmission is rare, but to ensure that it does not happen, the person should not share razors, toothbrushes, nail clippers, or any other item that could be contaminated with blood
300
When is it appropriate to not wear gloves
Any patient contact with intact skin such as when doing vital signs, and passing oral meds. Hands must be washed in between patients
400
An injection that is an opiate antagonist that last one month and how it works
Vivitrol, an opioid antagonist which is given as monthly injection. This med does not give opiates ingested the chance to bind to receptor sites and will eliminate a high
400
Personal Safety Plans must include these three components
Triggers, Early Warning Signs and Calming Strategies
400
The dietary restrictions you should advise your Hep C positive patient to abide by
There are no recommendations suggesting that HCV infected patients should have any dietary restrictions
400
What you should advise a patient interested in curing his/her Hep C
Consult an Infectious Disease Specialist. Many oral treatments are available to treat HCV. If you are an IV drug user, your insurance company may require you to be clean for a specified amount of time before paying for treatment
400
What MDRO stands for, what it is, and the most common type we see in this environment?
Multi-drug resistant organism, an infection that is resistant to multiple drugs, MRSA, methicillin resistant staph aureus
500
Type of MAT appropriate for patients who have been detoxed from opioids and who are being treated for a co-occuring alcohol use disorder
Vivitrol
500
This part of the brain is often hyperactive in those affected by chronic stress and PTSD
The amygdala, which is responsible for perception of emotions, emotional/short-term memory, and the fight-or-flight response
500
Three medications currently available to treat Hep C
Viekira Pak, Harvoni, Sovaldi, interferon, ribavirin, Olysio
500
What to teach if a patient is an IV drug user and does not intend to stop using
Provide referrals to needle exchange programs and info on cleaning needles, teach the patient about the use of Narcan, provide info about the transmission of HIV, HCV and the importance of regular testing
500
How do we practice standard precautions
Using consistent practice for use of personal protective equipment to guard against transmission of microorganisms , regardless of status of patient
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