Determine if they are better suited for Rapid Start of Self-Directed StartUniversal algorithm - doesn’t matter what they are using - methadone, fentanyl, black tar... whatever!
Standard ED Start - they are kicking in front of you
To be used for patients who are not actively withdrawing in the ED (recent opioid use)
Unique considerations for patients using fentanyl or who have had complex buprenorphine transitions in the past
You can start Buprenorphine (Bup) Immediately after a suspected opioid overdose has been reversed with naloxone.
Information on buprenorphine for admitted patients
Info on starting long-acting injectable buprenorphine in the emergency department