Category: Federal Forum Posters
Purpose: In 2017, the Department of Health and Human Services declared the opioid epidemic a public health emergency and announced the 5-Point Strategy to Combat the Opioid Crisis. To combat the increase of opioid related misuse, Lawton Indian Hospital created a collaborative practice agreement for pharmacists to dispense naloxone to high risk patients. The purpose of this study is to create a pharmacy-initiated program to identify patients at high risk for opioid overdose and provide them naloxone for overdose reversal.
Methods: This study will start with a retrospective, single-center, monthly chart review from July 1, 2018 to December 31, 2018 using the Lawton Indian Hospital’s opioid oversight committee report. Using this report, pharmacists will identify high risk patients who met study inclusion criteria including opioid dose greater than 50 Morphine Milligram Equivalents (MME) per day, long-term duration of opioid treatment (greater than 3 months), concurrent use of a benzodiazepine, current poly-opioid use, and elderly patients (greater than 65 years old) who were prescribed opioids for the previous month. After being identified as high risk, the patients’ records will be flagged with a Naloxone Co-Prescribing Service consult. Prior to dispensing, pharmacists will provide patients with education on each opioid prescription and its effect, other sedative agents, harm reduction for family members, overdose prevention strategies, and rescue plan and naloxone administration. Pharmacists will follow-up with patients via telephone to assess each patient’s knowledge and usage of naloxone. A standard questionnaire will assess patients’ knowledge of naloxone’s indication and proper administration. The number of patients flagged with a Naloxone Co-Prescribing Service consult, number of patients provided with naloxone, and number of patients contacted during follow-up will be recorded for data analysis.
Results: Not applicable
Conclusion: Not applicable
Miaka Huynh– Pharmacy Resident, Lawton Indian Hospital, Lawton, OK