Potent Potables 2.0
What types of people are you able to receive verbal confirmation of dose from?
Medical and pharmacy staff
Lost or stolen doses will be replaced as daily dispensed at your community pharmacy.
What is the Case Manager's responsibility in the admission protocol?
Check-in with the client within 1 week of their admission.
What measures do we use to determine the stability of a client prior to increasing dispensing frequency of all medication?
Stable housing, pharmacy reports, UDS results, adherence to treatment, keeping doctor appointments
When are UDS results no longer valid?
after 10 minutes
Outside of OAT, name 3 medications Direction 180 doctors may prescribe.
antibiotics, testosterone, clonidine, temporary pain relief
You can expect to hear from your case manager within 5-7 business days.
Client appeal request form
Who acts as temporary Case Manager to a host client? Why?
No one - Clients should not be considered hosts if staying in the area for longer than 30 days.
A client prescribed BUP is changed to DWI, how do they return to a dispensed interval?
2 random UDS in a 4 week period, and then reassessed.
How long should the test strips be submerged into the sample?
10-15 seconds
How long must a client be iced prior to their LAIB injection?
Ice is a choice.
You will complete 6 random UDS per year with 48-hour notice to present to the clinic.
methadone dispensing frequency agreement.
Name 3 ways to proactively maintain safety of staff and clients.
Wearing a fob, closed door, location of panic button, NCVI/TIC training, team approach, emergency preparedness plan
Name 2 instance why clients may not be approved for BUP dispensed doses.
Not able to safely store medication - not taking medication daily
If a client is unreachable or not returning contact with us regarding an unexpected UDS result, what is Direction 180's response?
Dispensing frequency will be changed to daily witnessed at the pharmacy until contact is made
How many consecutive days must a client miss for each medication before their prescription is altered?
Methadone and SROM 4 missed days
Buprenorphine 6 missed days
LAIB 42 days (officially)
Round, Oval, Square
Unknown substance left behind form
What is the protocol when a pharmacy provides a list of clients they wish to give a dose to take home due to expectant closure during severe weather events?
Case manager should hold mini teams to assess each of their client's stability and safety. Case Manager will inform the pharmacy of the decision for each client.
What is considered an unexpected UDS result that can result in a client returning to DWI when prescribed methadone?
positive for fentanyl, methamphetamine, and unprescribed benzos.
When does Direction 180 provide UDS results without consent?
A chart is subpoenaed, Duty to report to CPS
What is the Christmas criteria for clients who wish to receive SROM carries?
Pharmacy must be closed, and no alternate pharmacy available. 2 months of random UDS, stable housing, no reports of diversions, and proof of lockbox.
If prescribed SROM, and the clinic received reports of diversion from your pharmacy, you could be transitioned to another form of OAT medication.
Partnership agreement
Name the steps taken if a violent act should occur on the premises during clinic hours.
Press panic button/fob, use de-escalation techniques, closed office doors, waiting room - get clients out discretely out the front door, keep clients contained in the program room.
Travel doses are often requested by those who do not meet criteria for dispensing intervals. What information does the Case Manager need for the team to allow for short term travel doses?
Pharmacy reports, UDS results, adherence to treatment, destination, confirmation of travel, length of stay, housing, proof of lockbox
How do you update a client's UDS result if confirmatory testing shows differing results?
Change the result in the client's UDS record, and document 'as per confirmatory testing' in the blank line next to the result being changed. Complete a progress note in the client's chart to identify the change, ensure a copy of the lab results are in the client's chart.