TY  - BOOK
AU  - Mechling, Brandy
AU  - Ahern, Nancy
AU  - Palumbo, Ruthanne
AU  - Bebawy, Amany
AU  - Zumpe, Rebecca
TI  - Emergency department-initiated interventions for illicit drug overdose: An integrative review of best practices 
SN  - 0279-3695
PY  - 2023///
CY  - Thorofare, NJ
PB  - Slack Inc.
KW  - Substance use disorder
KW  - Emergency departments
N1  - Abstract:

More than 20 million people in the United States have a substance use disorder (SUD), increasing their risk for overdose (OD). Patients arriving to emergency departments (EDs) with OD typically require lifesaving interventions, but inconsistencies exist regarding further intervention and discharge instructions. The purpose of the current integrative review was to determine best care practices for patients presenting to EDs with an illicit drug OD. A literature search included the databases PubMed, EBSCHO Host, ProQuest Health and medicine, and google scholar. Thirty five articles outlined interventions for SUD/OD initiated in EDs; most for opioid OD. Best practice intervention components included psychiatric evaluations, SUD screening tools, buprenorphine initiation, naxolone distribution and training, OD prevention education, referrals to medication-assisted treatment, and harm reduction strategies. Barriers to implementation included legislation, insurance/costs, community resource availability, staffing, training, and potential stigma. With myriad approaches, nurses with SUD care experience can advocate for instituting best practices for patients in the ED and upon discharge
ER  -