McCambridge, Matthew, MD, MS, FACP, FCCP

Rosentel, Joshua, BSn, RN

Schopf, Sarah, RN, MSN, MBA, CMSRN, CPHQ

Shane, Tanner

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksResearch Scholars Poster PresentationUnused Opioids After Joint ReplacementSurgeries: 72,146 Untaken Pills at Large in ourCommunityTanner ShaneTanner.Shane@lvhn.orgJoshua Rosentel BSn, RNLehigh Valley Health Network, Joshua.Rosentel@lvhn.orgSarah Schopf RN, MSN, MBA, CMSRN, CPHQLehigh Valley Health Network, Sarah_A.Schopf@lvhn.orgMatthew McCambridge MD, MS, FACP, FCCPLehigh Valley Health Network, Matthew.Mccambridge@lvhn.orgFollow this and additional works at: https://scholarlyworks.lvhn.org/research-scholars-postersThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtShane, T. Rosentel, J. Schopf, S. McCambridge, M. (2019, August). Unused Opioids After Joint Replacement Surgeries: 72,146 UntakenPills at Large in our Community. Poster Presented at: LVHN Research Scholar Program Poster Session, Lehigh Valley Health Network,Allentown, PA.Lehigh Valley Health Network, Allentown, Pennsylvania• In 2016, there were 42,000 opioid related overdose deaths, 16,800 of which were from a prescription opioid1• Currently, more than 11 million people are misusing prescription opioids and at least 2.1 million have an opioid use disorder2• This study set out to investigate opioid usage in the Orthopedic Surgery department of LVHNReferences:1. U.S Department of Health and Human Services. The Opioid Epidemic By the Numbers. https://www.hhs.gov/opioids/about-the-epidemic/index.html. Updated January 2019. Accessed July 23rd 2019.2. National Survey on Drug Use and Health. https://nsduhweb.rti.org/respweb/homepage.cfm. Accessed July 25th 2019. • Among the 51 patients; 2,659 opioids were prescribed, 1,188 pills were taken, and 1,471 pills were not taken• For each type of surgery, on average, patients took less than half of their pills• Extrapolating this study to FY19, 72,146 opioids would be prescribed and not taken,  for THA and TKA patients alone • This study showed there to be a concerning amount of pills not taken by patients • While there have been great strides in reducing the usage of opioid drugs in the Network, there is still room for improvement• “Weaning Sets”, which will send patients home with a smaller amount of medications, should be utilized more often• Possible limitations of this study include response bias and the small sample size • 51 patients who underwent orthopedic surgeries were identified, and data was collected on the patients demographics, type of surgery, and number of opioids they received • Transition of Care (TOC) nurses followed up with the patients in at least 3 waves of phone calls at; 1 day post-op, 2-3 weeks post op, and 5-7 weeks post-op• During these calls, once the patients stated that they were finished taking their medication, data was recorded on how many pills each patient said they took• Victoria Chestnut, MSN, MBA, RN, CCCTM• Alisa Matthews, MSN, RN, CCCTM• Manmeet Thakral, MSN, RN• Carolyn Reinhart, BSN, RN, CMSRN• Donna Kalp, BSN, RN, CMSRN• Kelly Fitzpatrick, BSN, RN, CMSRN• Kristen Cannalley, Medical AssistantIntroductionMethods Results DiscussionAcknowledgements Unused Opioids After Joint Replacement Surgeries: 72,146 Untaken Pills at Large in our CommunityTanner Shane; Joshua Rosentel BSN, RN; Sarah Schopf RN, MSN, MBA, CMSRN, CPHQ; Matthew McCambridge MD, MS, FACP, FCCP

Unused Opioids After Joint Replacement Surgeries: 72,146 Untaken Pills at Large in our Community

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1624&context=research-scholars-posters

Unused Opioids After Joint Replacement Surgeries: 72,146 Untaken Pills at Large in our Community

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