Hi there--
we do sublocade in our clinics (another FQHC in CT). It falls under our basic policy around Long-Acting Injectable medications. We did specific trainings around sublocade as it has a specific injection technique--use the videos available from the manufacturer. We also created EHR templates to ensure the nurses could best track which abdominal quadrant they had done the prior injection in so that they could track the clockwise injection method with every new dose. Our nurses do a relapse prevention visit along with the medication injection to assist in between provider visits every 90 days--so they see the provider, then 2 visits with nursing, and then the next visit back with the provider and so on. We do not store the medication overnight--so, we have 2 models for med delivery: 1) the first is where the pharmacy delivers the doses to our clinic on 1 day per week, and all of the pts receiving it come in for a group (some participate in a BH group), and then our nurses only sign for the doses of the patients who show up for their appt, which with sublocade it is most of them; 2) we have some sites that have pharmacies in the building that are approved as specialty pharmacies and can dispense sublocade. For those sites, the nurse goes to the pharmacy and picks up the med and then will administer it to the pt from there. So, the pharmacy is stocking the controlled substance and not our site. As a part of the visit, the nurse prints out the pharmacy information and reviews it with the patient, and then schedules the next injection.
I am working on updating our policies for it now...but basically, we cover each LAI, and then have a standard process for documenting, educating, monitoring after the injection, coordinating follow-up, etc.
Hope that helps,
Mary
Mary Blankson, DNP, APRN, FNP-C, FAAN
Chief Nursing Officer
Community Health Center, Inc.
675 Main Street,
Middletown, CT, 06457
Cell: (860)227-5432
mary@chc1.com
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Mary Blankson DNP APRN FNP-C FAAN
Community Health Center, Inc.
Middletown CT
(860) 227-5432
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Original Message:
Sent: 11-18-2024 12:08
From: Dana Cassidy
Subject: Sublocade injections
I work for an FQHC that sees a large number of recovery patients. Providers especially in our homeless shelter are asking if RN's in the clinic can administer Sublocade injections. Are there any other clinics that are administering this medication and do they have policies or procedures around it ?
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Dana Cassidy RN
PCHC
Bangor ME
(207) 944-9908
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