POPS
In this section, you will find:
1) Suboxone Management Info/Tutorial
2) Chest Trauma Algorithm During the First 48 Hours
3) POPS Ordering in CST
4) Setting up your POPS List in CST
5) Discontinuing Epidural in CST
6) POPS Work Flow in CST + App for Common Tasks
7) POPS Weekend Billing Sheet
8) Management of Motor Blocks in Epidurals
Suboxone Management
Current VCH Management Plan As Discussed with CPAS (Info as of Nov 2020)
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Outpatient Surgery
Patients for OUTPATIENT surgery should remain on their usual dose and additional agonists may be required perioperatively.
Inpatient Surgery
Hold the suboxone dose the day of the surgery regardless of dose and a consult to CPAS should be made. Again, additional opioid agonists may be required and multimodal and regional techniques would be beneficial. CPAS will see these patients postop and initiate agonist microdosing to help these patients start back on their suboxone before discharge.
Occasionally we see patients on Naltrexone as well. CPAS recommends that patients taking doses less than 25 mg/d hold their dose the day of surgery and patients greater than 25 mg/d should hold their dose 2 days prior to the day of surgery.
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(Suboxone PDF below is for background info and may not align with above plan)
Chest Trauma Algorithm During the First 48 Hours
POPS Ordering in CST
Setting up your POPS List in CST
Discontinuing Epidural in CST
POPS Work Flow in CST
POPS Work Flow in CST - APP for Common Tasks
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POPS Weekend Billing Sheet
Management of Motor Blocks in Epidurals