Jawa Raagini, Luu Thuy, Bachman Melissa, Demers Lindsay
Infectious Disease/Addiction Medicine Fellow, Department of Medicine, Boston Medical Center.
Clinical Pharmacy Specialist-Internal Medicine, Boston Medical Center.
MedEdPORTAL. 2020 Feb 14;16:10892. doi: 10.15766/mep_2374-8265.10892.
Opioid overdose is a growing problem in the US. Often, residents are first responders to community and in-hospital opioid overdoses, and so, hands-on naloxone administration education is necessary. While residents get a brief algorithm on suspected opioid overdose during their mandatory American Heart Association basic life support training, there is a lack of hands-on standardized curricula on how to administer this lifesaving medication.
To fill this gap, we developed a hands-on workshop for medical trainees on how to respond to an opioid overdose. Trainees who completed our workshop left with a first-responder naloxone kit using the Massachusetts statewide open prescription. All attendees were asked to take a voluntary pre- and posttraining survey.
A total of 80 trainees from a variety of specialties and training levels participated in this workshop. We were able to successfully link the pre- and postdata of 29 participants. Trainees were assessed on comfort in administering naloxone as a first responder and in teaching patients how to administer naloxone (via a 5-point Likert scale) and on percentage of time they prescribed naloxone to high-risk patient populations. We saw statistically significant increases in comfort in using naloxone and comfort in teaching patients to administer naloxone.
This innovative curriculum provides an adaptable, short, and effective workshop with hands-on practice for medical trainees at a variety of training levels. The workshop can efficiently train future health care professionals how to approach an opioid overdose.
阿片类药物过量在美国是一个日益严重的问题。通常，居民是社区和医院内阿片类药物过量的第一响应者，因此，进行纳洛酮实际操作给药培训是必要的。虽然居民在参加美国心脏协会强制要求的基础生命支持培训期间会学习到关于疑似阿片类药物过量的简要流程，但缺乏关于如何使用这种救命药物的实际操作标准化课程。
为填补这一空白，我们为医学实习生开发了一个关于如何应对阿片类药物过量的实际操作工作坊。完成我们工作坊的实习生会带着使用马萨诸塞州全州开放处方获得的第一响应者纳洛酮急救包离开。所有参与者都被要求自愿参加培训前和培训后的调查。
共有80名来自不同专业和培训水平的实习生参加了这个工作坊。我们成功地将29名参与者的培训前和培训后数据进行了关联。通过5分制李克特量表对实习生作为第一响应者使用纳洛酮的舒适度、教导患者使用纳洛酮的舒适度以及他们为高危患者群体开具纳洛酮处方的时间百分比进行了评估。我们发现，在使用纳洛酮的舒适度和教导患者使用纳洛酮的舒适度方面有统计学上的显著提高。
这一创新课程为不同培训水平的医学实习生提供了一个具有实际操作练习的适应性强、简短且有效的工作坊。该工作坊能够有效地培训未来的医疗保健专业人员如何应对阿片类药物过量情况。
