OVERDOSE SOLUTIONS 2013

SAFE LANDINGAN ACOPC INITIATIVE

Tami Slain, RN

Safe Landing2013 Report

Tami Slain, RNAllegheny General Hospital

Emergency Department Nurse Educator

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SBIRT for a Safe Landing

Identifying patients whose substance use puts them at increased risk for harm, including overdose.

Exploring the consequences of substance use with patients with the intent to strengthen the patient’s own motivation and commitment to positive behavior change.

Actively Assisting patients with linkages to recovery support or access to specialty care when more extensive treatment is most beneficial.

Screening

Brief Intervention

Referral to

Treatment

Safe Landing 2013 Statistics

2013

Total ED Visits 27,254

18+, Triaged & Pre-Screened 22,500 83% of Patients Pre-Screened

Positive Pre-Screens 2,077 9% Pre-Screened Positive

Hx Overdose 224 11% Positive OD Hx

Patients Assessed 1,060 51% of Positive Pre-Screens

Brief Interventions 666 63% of Assessed Patients had BI

“Referrals” 26 4% of BI result in Referral Rec.

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SBIRT STEP 1Prescreen Questions 5

SBIRT STEP 2Assessment Questions 6

SBIRT STEP 3Brief Intervention 7

SBIRT STEP 4Referral Partners 8

Re:solve

888-796-8226

Pyramid 888-694-9996

POWER 412-243-8722

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Moving Forward 2013

Referral Linkages• Increasing awareness and connections with

community treatment and recovery support

providers

• POWER and Pyramid intake officers embedded in

Emergency Department two days a week (Pilot

program – August-September-October 2013)

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Moving Forward 2013

Staff Education• Additional Assessment and BI Skill Training for ED

Nursing and Medic Staff (Jan-Feb 2013)

• ED resident training

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Moving Forward 2013

Social Services Staff• Incorporating Social Services staff to support nursing

staff with Safe Landing Processes: ASSIST, Brief

Intervention, Referral to Treatment

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Moving Forward 2013

Overdose Reduction• Enhance overdose prevention education for patients

• Naloxone prescribing

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Thank you13

For more information, please contact:

Allegheny General HospitalTami Slain, RNArvind Venkat, MD

University of Pittsburgh School of PharmacyJanice L. Pringle, PhDSherry Rickard-Aasen