Develop an EBP Standard
Utilizing CURES Report in Triage:
The initial step in this care bundle is to employ a CURES report in drug-seeking patient triage. The CURES report records all California-restricted drug prescriptions and provides real-time medication history. In triage, emergency care personnel may review the CURES report to detect drug-seekers and prevent opiate misuse (Febres-Cordero et al., 2023). This intervention can be implemented by checking all patients’ CURES reports upon arrival in the emergency department and adding stricter monitoring and alternative pain management for those with a history of drug-seeking. Patients’ preferences will be addressed by including them in decision-making and teaching them about utilizing the CURES report for safe and effective pain treatment. Patients may opt out of having their CURES report verified, but this may raise red flags and require additional examination into their drug-seeking history. Clear and honest communication and explanation of the intervention are crucial to gaining patient participation and confidence in the healthcare team.
Multi-disciplinary Team Approach:
A multi-disciplinary team approach may be added to this package of care. This requires coordination between doctors, nurses, social workers, and pharmacists to meet the complicated requirements of drug-seeking patients. Patients may get tailored treatment programs that address chronic pain, drug misuse, and mental health concerns from this team (Klusaritz et al., 2023). Involving patients in treatment planning and considering their pain management objectives will be done. Instead of opioids, a patient may choose non-opioid drugs, physical therapy, or behavioural treatment. The interdisciplinary team may also collaborate with the patient’s family or support system to understand their preferences and give assistance throughout the intervention.
Implications
The adoption of CURES reporting in triage procedures as an endeavour that aims to tackle the drug-seeking behaviour of patients is in line with nursing research as it gives nursing education and experiences an improved outlook. As for the research, this project is beneficial because it will contribute to the literature regarding the importance of using CURES reports as a priority tool for identifying and managing drug-seeking behaviour. Issues related to procedures may also arise where unwilling patients will likely question the acceptability of this intervention in emergency departments, and the study may look into the possible strategies to deal with these problems in future (Gilley, 2022). Moreover, this project will contribute to the corpus of works that talk about techniques for using opiates ethically and promoting interventions to fight drug abuse. This project can help nurse educators teach nursing students and nurses who can seek the information in CURES reports to triage patients and manage drug-used behaviour. It is also a professional experience that gives the multi-disciplinary team a chance to learn and put into practice a multi-disciplinary approach, and it is important to understand the role of patient education in addressing this complexity. Practically, this project may change the way drugs are handled due to the assessment and management of drug-seeking activities in the emergency room (Klusaritz et al., 2023). It can mitigate the costs of uniform misuse of opioids, as well as drug dependence cases. Besides this, the results of this initiative serve as a basis for the recommendation and establishment of rules for the responsible use of opioids in emergency departments. This is an integral aspect of the quality of care patients expect from urgent care facilities.
References
Febres-Cordero, S., Shasanmi-Ellis, R. O., & Sherman, A. D. (2023). Labelled as “drug-seeking”,: nurses use harm reduction philosophy to reflect on mending mutual distrust between healthcare workers and people who use drugs. Frontiers in Public Health, 11, 1277562.
Gilley, E. D. (2022). Genomic Addiction Medicine Case Report: Integrating the Sciences of Addiction and Reward Deficiency Syndrome (RDS), Part 2. J of Addict Dis & Ment Heal, 2(1), 1-10.
Klusaritz, H., Bilger, A., Paterson, E., Summers, C., Barg, F. K., Cronholm, P. F., … & Doubeni, C. A. (2023). Impact of stigma on clinician training for opioid use disorder care: a qualitative study in a primary care learning collaborative. The Annals of Family Medicine, 21(Suppl 2), S31-S38.
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