From: Zibell-Milsap Lynnda L
Sent: Wednesday, April 08, 2009 12:59 PM
To: Nursing Inpatient Managers; Nursing NEC; Nursing - Masters Prepared CNS
Cc: Williams Andrea L; Rankin Rebecca J
Subject: Final Implementation of Alcohol Related Guideline: Brief Intervention
Hi To All,
Health Link has recently completed the build of the Alcohol Guideline Brief Intervention (BI) screens. Brief Intervention is now available for implementation in the inpatient setting. Several of your unit CNS's attended a presentation on Brief Intervention, including the key elements and Health Link screens.
You will receive or your CNS has received a laminated poster describing the relationship of Alcohol Screening and Brief Intervention, an algorithm, guideline process and screen shots for the implementation of April 15th 2009.
After completing the CAGE, and Consumption Alcohol Screens, a Brief Intervention will be completed if the patient screens positive. (The Screens must be filled out completely for Health Link to score as negative or positive).
The Nurse Clinician is responsible for ensuring a Brief Intervention is completed prior to discharge on all patients with a positive CAGE or Consumption Screen .
If the Nurse Clinician is unable to complete the Brief Intervention, Social Work will be consulted. A Social Worker or in their absence the Case Manager will then complete the Brief Intervention.
If AODA staff have completed an alcohol evaluation, they will complete Brief Intervention on the Health Link screen.
MENUS, a mnemonic created by Christopher Dunn from the University of Texas, Austin is used for ease of documenting the intervention. M = Manage your drinking; E = Eliminate drinking from your life; N = Never Drink & Drive; U = Utterly Nothing; S = Seek Help. Health Facts For You and Tips to Manage Your Drinking are linked to the responses. In the future other patient education materials will be linked to the responses. < /p > < p >
Additionally, there are two IPOCs, at risk drinking behaviors and alcohol withdrawal for your use. Preliminary auditing reflects the need for continued education in completing the screens for consumption and cage. Implementation of the CIWA-AR appears to be, being utilized according to guideline.
Thank you for your support for this guideline. If you have questions, please contact Andrea Williams, (608) 513-7609 or Lynnda Zibell Milsap, (608) 263-7527.
Nursing Practice Guidelines