MANUAL:
|MANUAL: | |Regional (Clinton Twp & Warren Campuses) |PAGE |
| |Trauma Services |Clinton Twp Campus |1 |
| | |Warren Campus |OF |
| | |Department Specific |2 |
| | |Department Specific, Relates to System Wide Policy # ___________| |
|SECTION: | | | |
| |Clinical | | |
|POLICY NUMBER: | | | |
| |
|DATE OF ORIGIN: | |REFERENCES: |
| |09/01/10 | |
| | |“Resources for Optimal Care of the Injured Patient 2006” |
|LAST REVIEW/ REVISION: |03/21/14 | |
|SUPERSEDES POLICY #: |None | |
| DATED: |None | |
| |
| |
|Screening Brief Intervention & Referral to Treatment (SBIRT) Guideline |
I. Scope:
Provide recommendations for the assessment and care management of individuals who are at increased risk for traumatic injury due to hazardous alcohol consumption.
II. Purpose:
Reduce traumatic injury recidivism through implementation of consistent identification and counseling strategies for admitted injured patients at risk for recurrent alcohol related hospitalizations.
III. General Provisions:
The Trauma Service at Henry Ford Macomb Hospitals shall champion the practice outlined below:
Any one of the following will trigger the start of SBIRT process:
▪ Positive notation in “ETOH” on Trauma Flow Sheet
▪ Positive Blood Alcohol Content (BAC) = BAC > 0.08g/dl
▪ Positive notation for drinking under Social History in nursing record
A. Successful completion of SBIRT comprises of the following elements:
▪ Complete Alcohol Use Disorders Identification Test (AUDIT) Form
▪ Provide the appropriate intervention based upon tabulated score
▪ Consult ancillary services as indicated by AUDIT Score
▪ Document all intervention and assure trauma attending sign off
B. The following scores require intervention. Suitable management is defined below:
Adult men under age of 66 years: 8 or above
All adult women; men over 65: 7 or above
Adolescents under age 18: 4 or above
The maximum total: 40
▪ Scores between 8 and 15: Simple advice focused on the reduction of hazardous drinking
▪ Scores between 16 and 19: Brief counseling and continued monitoring, completion of Drinking Changes Agreement if applicable
▪ Over 20: Further diagnostic evaluation for alcohol dependence, completion of Drinking Changes Agreement if applicable
Note: Drinking Changes Agreement must be copied with original provided to patient and copy placed in patient chart.
C. Consultations will be required for patients scoring 20 or above:
▪ Psychologist
▪ Social Worker
E. Reporting:
The American College of Surgeons Committee on Trauma (ACS-COT) recommends that all trauma patients be screened for alcohol disorders. It is our standard to screen 100% of injured patients in order to determine our success in decreasing recidivism. Monthly analysis will be completed to determine compliance and success of program goals.
▪ Number of screened patients
▪ Percent of screened patients who received an intervention
▪ Percent of screened patients who were referred to Psych/Social Work for consult
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