J Pain Palliat Care Pharmacother. 2022 Dec;36(4):208-215. doi: 10.1080/15360288.2022.2113595. Epub 2022 Aug 23.
Opioid overdose remains a significant public health issue in the United States and is the leading cause of accidental death. Naloxone has become increasingly accessible, with greater emphasis placed by health systems and pharmacies on distribution of the safety tool. While the utility of pharmacists in advancing this work is clear, there is limited research on the success of integrating pharmacy students into a naloxone outreach program. The purpose of this project was to implement and evaluate the success of integrating pharmacy student interns into a naloxone telephone outreach service for Veteran patients at risk for opioid overdose. A telephone outreach protocol was developed and reviewed by Clinical Pharmacist Practitioners (CPPs) at the site. Pharmacy student interns were trained to complete naloxone outreach calls, which were supervised by a CPP. In the first three months, 160 patients were identified for outreach based on prescription opioid risk factors. Of the 118 reached by telephone, 92 (78.0%) accepted naloxone and 26 (22.0%) declined. In total, 150 (93.8%) patients received naloxone education via either telephone discussion or letter. Integrating supervised pharmacy student interns into a naloxone telephone outreach service was feasible for interns and CPPs and resulted in a high naloxone acceptance rate.
在美国，阿片类药物过量仍然是一个严重的公共卫生问题，也是意外死亡的主要原因。纳洛酮的可及性越来越高，卫生系统和药店更加重视分发这种安全工具。虽然药剂师在推进这项工作中的作用是明确的，但将药学学生纳入纳洛酮外展计划的成功研究有限。本项目的目的是实施并评估将药学学生实习生纳入退伍军人阿片类药物过量风险患者纳洛酮电话外展服务的成功。电话外展方案由现场的临床药师从业者 (CPP) 制定和审查。药学学生实习生接受了完成纳洛酮外展电话的培训，由 CPP 监督。在前三个月，根据处方阿片类药物风险因素，确定了 160 名患者进行外展。通过电话联系到的 118 人中，92 人（78.0%）接受了纳洛酮，26 人（22.0%）拒绝了。总共，通过电话讨论或信件，有 150 名（93.8%）患者接受了纳洛酮教育。将监督下的药学学生实习生纳入纳洛酮电话外展服务对实习生和 CPP 来说是可行的，并且导致了高纳洛酮接受率。
