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Taking Steps to Reduce Opioid Use in the ED

Opioid use is on the rise in the United States, especially in Emergency Departments. But the CDC and Washington State have each come up with guidelines that will help reduce opioid use and curb this growing epidemic. Dr. Jesse Pines reviews these guidelines and offers some real-world examples of how you can implement them in your organization.

Moderated by:
Jesse M. Pines, MD, MBA, MSCE
Director, Center for Healthcare Innovation and Policy Research, Professor of Emergency Medicine and Health Policy, The George Washington University
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Presentations
Jesse M. Pines, MD, MBA, MSCE
Director, Center for Healthcare Innovation and Policy Research, Professor of Emergency Medicine and Health Policy, The George Washington University
(288)
169 Comments, last 8 hours ago
Jesse M. Pines, MD, MBA, MSCE
Director, Center for Healthcare Innovation and Policy Research, Professor of Emergency Medicine and Health Policy, The George Washington University
(167)
20 Comments, last 1 day ago
Jesse M. Pines, MD, MBA, MSCE
Director, Center for Healthcare Innovation and Policy Research, Professor of Emergency Medicine and Health Policy, The George Washington University
(138)
26 Comments, last 3 days ago
Latest Comments
"This was an exceptional, well-organized succinct presentation entitled an “Reducing Opioid Use in the Emergency Department.”  Your experience in handling drug seekers in the ED setting was systematically examined and expounded upon with current UTD information regarding statewide drug programs and CDC guidelines.  You methodically provided vital information that would equip medical personnel with an appropriate plan of action with the necessary skills, tools for guidance to ascertain pertinent information crucial to obtaining prior to prescribing any type of controlled substance.  These guidelines/systems will help provide PCPs a sense of expertise and not adding to the horrible drug epidemic in this country today.

I do feel that prescribing 30 pills in the ER setting to too much.  We only prescribed enough to get the pt through the night during the week days. On the week-ends and holidays only enough to get the pt through until their PCP’s office is open.

QUESTION:

What are your thoughts on the State of Missouri’s resistance toward implementing drug monitored program?

I feel the federal gov’t should mandate a nation wide drug monitoring program which would allow ER, Urgent Care Centers and physicians in general to have this vital information as needed.

Thanks,

Valerie"
Valerie Ting, APRN-BC
Nurse Practitioner, Comprehensive Health Center
169 Comments, last 8 hours ago
"Since I am not working in the ER at this time, I am sure that many policies and procedures have changed over the years.  However, many times we are unsure as to when the pt actually had his last dose of their medications i.e. Hdromorphone in this case history.

QUESTION:

So, wouldn't it be potentially dangerous to administer Ketamine due to the risk of causing increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating?

 

Thanks,

Valerie"
Valerie Ting, APRN-BC
Nurse Practitioner, Comprehensive Health Center
26 Comments, last 3 days ago
 
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