Date of Degree

12-2023

Document Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)

Program

Nursing

Advisor

Christina M. Hernandez

Abstract

Military service members incur combat and noncombat related injuries which may lead to acute or chronic pain. Treatment of these conditions with opioids may place them at risk for opioid use disorder (OUD). Opioid related overdoses among the military community increased by 50% from 2010 to 2019. The Sole Provider Program (SPP) is recommended to address the risks of OUD among Veterans receiving care at military installations. The goal of this evidence-based project was to ensure that all persons who receive opioid prescriptions at a military facility were evaluated for inclusion into a SPP and prescribed naloxone. Objectives included: 1) Develop policy to outline the SPP program and staff/provider roles. 2) Use the Analyze Prescription Monitoring Program Utilizer Report to identify patients who meet SPP criteria. 3) Develop educational materials and educate clinic staff and providers on the SPP. 4) Educate patients on SPP, pain management and naloxone use. The Plan Do Study Act model was used to implement the evidence-based quality improvement project. Project outcomes are as follows: 1) SPP policy approved at all levels. 2) 43 patients alerted as high risk for OUD, 11 recommended for SPP, 19 required naloxone prescriptions. 3) Patient educational materials developed and approved. 4) 45% of providers trained, education adopted and uploaded to virtual platform for mandatory completion. Advanced Practice Registered Nurses manage and prescribe opioids in the military setting and should play a key role in development and implementation of the SPP.

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