Search found 74 matches

by MChaplin
Fri Oct 14, 2016 7:21 am
Forum: Clinical Use of Buprenorphine
Topic: Induction Advice
Replies: 6
Views:

i don't use zubsolv but i think you are correct- i haven't seen cows go up but i have seen them stay the same and i always ask patients how they would have felt if they hadn't taken anything- most readily agree that they would be much more sick if they hadn't taken buprenorphine..... however the fac...
by MChaplin
Thu Sep 08, 2016 1:26 pm
Forum: Clinical Use of Buprenorphine
Topic: It happened
Replies: 10
Views:

they issued be a new DEA certificate that has the number 275 on it.....
by MChaplin
Thu Sep 08, 2016 1:26 pm
Forum: Clinical Use of Buprenorphine
Topic: It happened
Replies: 10
Views:

me too
by MChaplin
Mon Aug 08, 2016 2:26 pm
Forum: Clinical Use of Buprenorphine
Topic: Latest info from CSAT on the new limit
Replies: 1
Views:

I attended the ASAM webinar on this- it is not going to be as easy to go from 100 to 275 as it was to go from 30-100. Yes the requirements aren't that bad, BUT there are also some stipulations that everyone, whether in a "qualified" practice setting or not, will have to follow. I actually submitted ...
by MChaplin
Mon Aug 08, 2016 2:26 pm
Forum: Clinical Use of Buprenorphine
Topic: Latest info from CSAT on the new limit
Replies: 1
Views:

in case anyone is not aware, the application to increase the limit to 275 is now available at the link in Dr Passer's original post above. SAMMSHA has 45 days to determine approval once the application has been submitted. as expected, you do have to stipulate that you have 24/7 back-up, that you wil...
by MChaplin
Tue Aug 02, 2016 5:35 pm
Forum: Clinical Use of Buprenorphine
Topic: Webinar for new rules
Replies: 0
Views:

i just completed the webinar- summarized the final rule- nothing new there except clarification- to get to 275 you have to EITHER have board certification in addiction OR practice in a qulaified setting AND you will then fill out an application - you will have to attest to ALL of the following- 1. y...
by MChaplin
Tue Aug 02, 2016 5:51 am
Forum: Clinical Use of Buprenorphine
Topic: 'Practice Pathway to Certification' ASAM
Replies: 8
Views:

My understanding is that the intent of the American Board of Preventive Medicine is to continue to allow folks to be certified without a fellowship just as ABAM had done for the 2018 testing year...so you can expect something similar to what ABAM certification required- documentation of specialty bo...
by MChaplin
Wed Jul 20, 2016 12:08 pm
Forum: Clinical Use of Buprenorphine
Topic: Alcohol Testing
Replies: 4
Views:

we test- and like Bruni- a positive test leads to a conversation- never to immediate discharge- we also have an onsite breathalyzer so if we think someone is intoxicated we can test- if they test positive they are asked to leave and if we feel they are unsafe to leave we call 911 and have them broug...
by MChaplin
Fri Jul 15, 2016 9:18 am
Forum: Clinical Use of Buprenorphine
Topic: CARA PASSES SENATE
Replies: 9
Views:

APRN's are no longer subject to any MD supervision in Connecticut- so once they complete the 24hour training to obtain the waiver, they will prescribe buprenorphine just as MD's do. I am not sure why this would cause pill-mills- presumably they will be limited to 30 then 100 and since there is no fe...
by MChaplin
Fri Jul 15, 2016 9:18 am
Forum: Clinical Use of Buprenorphine
Topic: CARA PASSES SENATE
Replies: 9
Views:

Nurses and PA s will have to take a 24 hour training course- docs still only need the 8 hour one. So there are restrictions on both groups and docs have less.

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