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Hospital Overdose Prevention Effort (HOPE) Kits for Pregnant and Parenting Patients

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Background

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Statistics�Wisconsin

WISH: Opioid Module | Wisconsin Department of Health Services

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Maternal Mortality

Pregnancy-associated death: a death during or within one year of pregnancy, regardless of the cause.

 

Top causes of pregnancy-related death:

  • 2020-2021:
    • Mental Health Conditions (37%)              
    • Cardiovascular Conditions (16%)
    • Infection (14%)
  • 2016-2017:
    • Mental Health Conditions (52%)
    • Hemorrhage - excludes aneurysms and cerebrovascular accidents or strokes (12%)
    • Cardiomyopathy (9%)

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95% of pregnancy-related deaths in 2020-2021 were preventable

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One in three pregnancy-related deaths in 2020-2021 were due to an overdose

Source: Wisconsin Maternal Mortality Review

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HOPE Kits

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Hospital Overdose Prevention Effort (HOPE) Kits

  • Contents:
    • Fentanyl test strips + instructions
    • Narcan + instructions
    • CPR face mask
    • Connections to Peer Recovery Coach, local sterile syringe program

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Ordering

  1. Manage orders → overdose response panel
  2. Nurse will see orders to offer a Recovery Coach and provide HOPE kit supplies and Education as completable tasks in the Narrator

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Ordering

3. Take Home Naloxone will be documented on the MAR with an Action of “ED Take Home MED”

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4. The Naloxone will display as a Take Home medication on the AVS

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Place patient information label on box prior to dispensing. This replaces the pharmacy label. There is no bar code to scan and medication will appear in the MAR as “hospital dispense”

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Patient identified as candidate for HOPE Kit

Provider or nurse orders "Overdose Response Program"

RPh verifies order

Nurse removes Hope Kit from Omnicell "Naloxone Nasal Unit ES” Only 2 boxes/kit

Nurse labels naloxone box

Nurse dispenses kit and counsels with discharge instructions/Places discharge smartphrase

RPh available to answer any questions patient may have

WORKFLOW

*Kits ordered by pharmacy buyer and stocked in Omnicell by central pharmacy technicians – for both OB and ED supply

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Training

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Training

Naloxone Training for Nurses and Providers: https://www.obgyn.wisc.edu/adams-research-page/home

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THANK YOU!

�- The HOPE Kit Team