• Clin Nurse Spec · May 2020

    A Clinical Nurse Specialist-Led Emergency Department Naloxone Distribution Program.

    • Stephanie C Mullennix, Jackeline Iseler, Gregory M Kwiatkowski, Lisa McCann-Spry, Jeffrey Skinner, Nicholas Kuhl, Eric Keith VanDePol, and Cara Anne Poland.
    • Author Affiliations: Clinical Nurse Specialist (Ms Mullennix), Spectrum Health, Grand Rapids, Michigan; Director of the Clinical Nurse Specialist Program (Dr Iseler), Michigan State University College of Nursing; Clinical Pharmacy Lead - Emergency Medicine (Dr Kwiatkowski), Spectrum Health; Orthopaedic Clinical Nurse Specialist (Ms McCann-Spry), Spectrum Health; Nurse Manager (Mr Skinner), Spectrum Health; Executive Emergency Medicine Medical Director (Dr Kuhl), Spectrum Health; Emergency Medicine Physician (Dr VanDePol), Spectrum Health; and Addiction Medicine Medical Director (Dr Poland), Spectrum Health, Grand Rapids, Michigan.
    • Clin Nurse Spec. 2020 May 1; 34 (3): 116-123.

    PurposeThis article describes the implementation of a clinical nurse specialist-led emergency department overdose education and naloxone distribution program. The program's purpose is to increase naloxone availability to reduce opiate overdose mortality rates within the local community.Description Of ProgramThe program distributes naloxone kits to patients in the emergency department after an opioid overdose. The kits are designed to help recipients prevent, recognize, and respond to an opioid overdose.OutcomeThe program, which includes naloxone take-home kits and clinical guidelines outlining a standard of care for naloxone distribution and coprescribing, was successfully implemented across 11 emergency departments within an integrated health system. More than 250 kits were dispensed within the first year of program implementation along with an online patient education video that received more than 1600 views. In 2017, the county reported an opioid-related overdose death rate of 16.5 (per 100 000 residents). From January 2018 to June 2019, the opioid-related death rate per 100 000 residents was reported at 9.6.ConclusionAlthough emergency department naloxone distribution programs are feasible in the acute care setting, it was critical for clinical nurse specialists to enlist an interdisciplinary team and engage executive leadership to ensure program success. For others considering such a program, early consideration should be given to determining financial support and evaluating the compliance and regulatory aspects of dispensing medications from emergency settings.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…