November 07, 2018

Overdose Response at the Hospital

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Most of the time when they come in as an
overdose, EMS has given them Narcan

in the field. Other times they bring them
in and they're not necessarily responsive

to this and it will take multiple doses,
particularly when we get these new batches

of heroin in town that are laced with
Fentanyl or other much more

potent narcotics. The largest
thing that we do is responsible

prescribing practices. Currently,
with the State Database for Controlled

Substances it makes it much easier to see
if a patient has been prescribed opioids

before, if they're on them
chronically, if they've been

doctor shopping. It's just trying not to
feed into the epidemic anymore because a

lot of these people that end up being
addicts, they were prescribed something

very legitimately at one time.
We are very fortunate,

we are linked in with Corbin Psychiatric
Facility. They do a lot of treatment so

normally what happens is
is we do a medical screening.

We try to ensure that they
are healthy enough

to actually go into rehab and
don't have other comorbidities.

And then we consult our Behavioral
Health Department, we have a liaison

that comes in, interviews the
patient, interviews the family,

and determine if they are suitable for the
facility in Corbin. So we are very

fortunate to have behavioral health here.
We are committed to our community,

mostly as a resource for people that are
looking for help. I mean our job is in the

acute phase, trying to actually
save someone's loved one,

but at the same time the bulk of
the good we can do is with people

who are actually looking for help.

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Baptist Health Richmond: Overdose Response at the Hospital

Baptist Health Richmond follows responsible prescribing practices when treating an overdose. Learn what happens when you go to the hospital for an overdose and the hospital protocol from Baptist Health.

Overdose Response at the Hospital HealthTalks Transcript

Paul Turley, MD
Most of the time when they come in as an overdose, EMS has given them Narcan in the field. Other times, they bring them in, and they’re not necessarily responsive and they’ll take multiple doses, particularly when we get these new batches of heroin in town that a relation with fentanyl or other much more potent narcotics.

That largest thing that we do is responsible prescribing practices. Currently, with the state database for controlled substances, it makes it much easier to see if a patient has been prescribed opioids before, if they’re on them chronically, if they’ve been doctor shopping. We’re just trying not to feed into the epidemic anymore, because a lot of the people who end up being addicts, they were prescribed something very legitimately at one time.

We’re very fortunate. We are linked in with a Corbin psychiatric facility. They do a lot of treatment. Normally what happens is we do a medical screening. We try to ensure that they are healthy enough to actually go into rehab and don’t have other comorbidities. Then we consult our Behavioral Health department. We have a liaison who comes in, interviews the patient, interviews the family, and determines if they’re suitable for the facility in Corbin. We’re very fortunate to have Behavioral Health here.

We are committed to our community, mostly as a resource for people who are looking for help. Our job is in the acute phase, trying to actually save someone’s loved one. At the same time, the bulk of the good we can do is with people who are actually looking for help.

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