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Thus, an appointment to the non-salaried faculty does not trigger the limited liability of section The patient care decisions and the care and treatment provided by non-salaried faculty members are outside the course and scope of UCF appointment. PERSONNEL FILES Personnel files of core faculty members shall contain all official papers concerning appointments including an up-to-date curriculum vitae and a copy of the terminal degree , recommendations, promotions, evaluations, and other matters concerning the professional activities of the faculty member.

These files are open for inspection to the faculty member and to authorized administrative personnel. Outside activity or employment which interferes with faculty obligations to the university or which represents a conflict of interest are prohibited. In order to comply with the rules and standards governing the code of ethics, the university requires disclosure of potential conflicts of interest and disclosure of outside activity or employment before the activity is undertaken. If activities change during the year, the report should be updated and approved.

If university facilities, equipment, personnel or services are used in this outside activity, permission must be granted approving this use on form AA The required disclosure forms specify the nature of the information to be provided and describe the review and approval process. During the review process, some activities will be permitted, others will be denied, and others may result in a monitoring and management plan to ensure that conflicts do not occur. Reporting requirements and standards of approval for activities are based on the fact that all full- and part-time employees of the University of Central Florida College of Medicine are subject to the provisions of Part III of Chapter of the Florida Statutes that describes a code of ethics for public officers and employees.

In particular, Section The COM greatly values its Industry partners and works openly in collaboration with these partners and vendors to promote positive, productive, and ethical relationships. During this initial treatment, it is extremely important that you stop using all substances of abuse.

While in the initial treatment and early stabilization phases, we ask that you see your counselor and attend group weekly. It is important that you dose everyday to maintain your Methadone blood levels and prevent withdrawal symptoms. Dose Increases Clients who have already reached a level of 80mg must first inform their primary counselor that they desire an increase. After the counselor has written the request, the program physician will make a decision and you will be informed of his decision. A blood Methadone level may be drawn to determine the need for an increase.

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Methadone levels are drawn after a client reaches mg and then anytime a dose has increased by 10mg. Any client on mg or higher must have a Methadone level drawn every year during their physical exam this is done on an individual basis and there is a financial charge to the client. Your request is reviewed by the program physician and you will be informed of his decision.

ADS will not dose you against your will; you have the right to refuse medication. We reserve the right to refuse to dose any client who appears intoxicated or high, and you will be asked to surrender your car keys. Failure to comply will result in police notification. The fee covers the photocopying of documents, the faxing of information and any telephone consultations. These arrangements must be made at least three 3 days in advance for clinics within the state and five 5 days in advance for out-of-state travel.

Approval will be based upon the criteria of the visiting program. If the client fails to travel, there will be no refunds for the fees charged for making the arrangements. A travel arrangement within the first 30 days of treatment is prohibited with the exception of a medical emergency, or death of an immediate family member documentation is required.

It should also be noted that clients who request guest dosing at a clinic that provides a Sunday take-home dose, must meet ALL criteria to receive a take-home financial balance alone would not apply. Guest dosing is not permissible for more than 13 consecutive days. The diversion control plan is reviewed annually by the program sponsor and amended based upon input from the person served, staff and community.

All pertinent demographic information and identifying characteristics will be entered in the computer. The State Methadone Authority will periodically extract this data from the system as part of the central registry. The client must sign a consent form to permit permission to notify treatment programs within the state of NC that this client is enrolled in our program. The client must also sign the consent for the Central Registry. Periodically ADS will contact other treatment programs to verify enrollment. Call—In Bottle Checks Clients with unsupervised dosing privileges take-homes will be called periodically during the course of their treatment by the program nurse and asked to physically bring in all medications, all take-home bottles and to submit a urine sample for drug screening.

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When the client is called by the program staff, the client must present the unsupervised doses to the nurse within 24 hours. The nurse will inspect the integrity of the Methadone and count the number of dosing bottles. Failure to come to the clinic within those 24 hours when called will result in the loss of take-home privileges.

Refusal to return to the clinic with take-home bottles is considered diversion of Methadone and will result in notification to the State Methadone Authority. The program nurse will call you and ask you to bring all medications in to the clinic and submit a urine sample. You will have 24 hours to present to the clinic to submit the requested specimen. This sample is in addition to the random sample taken on a monthly basis while you are in treatment.

The results will be documented in your medical record. Should you fail to present within the designated 24 hour time frame, the medical or clinical staff will mandate that you attend the next scheduled NRC meeting. Review of Serum Methadone Levels To ensure safety and accuracy when medicating clients with Methadone, the program physician will periodically order serum blood levels.

When you are asked to submit a blood level for testing, we ask that you submit for testing before dosing for that day. If your results are above the therapeutic range, the program physician will order a decrease in your dosage. If you are below the therapeutic range, the program physician will order an increase in your current dosage. Whenever your current dosage is above mg or more, the physician will order a serum Methadone level. Dispensing Do not bring drinking utensils, beverages or any other portable containers into the dispensing area.

Children and family members or other guest must wait in the lobby until you are finished with dosing. After you drink your dose, you must speak to the nurse to ensure that you have swallowed your medication. We then ask that you leave the dispensing area to take care of any other clinic business.

When necessary, ADS will discuss the results with other providers for proper management of your care. Voluntary Taper Voluntary taper refers to a medically supervised, gradual reduction or tapering of your dose over time to eliminate physical dependence on Methadone. This is voluntary, something you ask for, and it is done at a rate that can be well tolerated by you. Women are required to submit a urine specimen before beginning a taper to determine if they are pregnant and every quarter during the taper.

Failure to abide by program policies may result in discharge from treatment. Internal Review Team Decision — recommendation upheld through appeal process. Failure to get Annual Physical — annual physical exam was not completed within 14 days of notification that it was due. The program physician will decide if the client should be immediately discharged from the program or whether some other action should be taken. Unless there is a compelling medical condition requiring an extended detox period determined by the program physician , the following taper schedule will apply :.

If the decision is to discharge the client from the program and to initiate withdrawal from Methadone, the client will be notified prior to the first decrease in dose by a written recommendation form.

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Any contract violation Providing false information or false urines Obtaining a prescription from an outside physician without notifying staff Failure to submit medications to medical Missed appointments for clients requiring only 2 contacts per month Following utilization of one time late dosing exception. There are certain situations which pose a threat to the safety and well-being of individuals within the treatment facility. In the event a violation occurs, staff will take immediate action towards discharge and to secure the safety of staff and other clients i.

There is no appeal for any Fundamental Rule violation that results in immediate discharge. Any violent act or aggressive behavior toward another person or that result in the destruction of property hitting, kicking, punching, throwing things, grabbing, slapping, pushing, physically threatening someone, etc.

Any violent act that is committed may also result in notification of law enforcement. Weapons of any kind knives, firearms, or any other objects for which the intended purpose is to cause bodily harm are not permitted on the premises at any time, under any circumstance.

Any suspicion or observation of drug dealing on the premises, including the diverting or selling of Methadone and any other medications. Drug dealing violation may also result in notification of law enforcement. Unacceptable Behaviors The following behaviors are unacceptable and all violations will be staffed and can result in consequences, up to and including, discharge from the program. Any crime committed will result in notification to law enforcement. This includes, but is not limited to: Harassment based on sex, race, religion, physical or mental limitations, age, sexual preference, socioeconomic status, etc.

Sexual harassment, which is any unwelcome sexual advances, requests for sexual favors, or other verbal or physical conduct of a sexual nature. Abusive or profane language towards the staff or other clients. All medications should be in their original containers. Do not discuss with anyone who you see in group or at the ADS clinic. The premises includes: the building, outbuilding, landscaped areas, and all parking areas.

Law enforcement will be notified in the event someone leaves the premises under the influence and is driving a motor vehicle. ADS recognizes that the use of Tobacco products adversely affects the health of its consumers. We also recognize that Nicotine is a chemical with highly addictive properties. Research has shown that individuals entering treatment for chemical dependency will actually achieve greater success in abstinence from other chemicals of abuse Cocaine, Heroin, Alcohol, etc when also abstaining from Nicotine as well. ADS will not monitor the use of Tobacco products, but staff will provide education on the benefits of abstaining from these products.

Individuals who choose to consume Tobacco products must only do so at the patio area outside of the rear lobby doors. In the event that your counselor plans to recommend changes to your treatment at the next Narcotic Review Committee meeting, you will be informed of the recommended changes and should you disagree, you will be invited to attend the NRC and to voice your concerns. In the event that the NRC recommends any changes to your treatment, you will be informed in writing of the recommendation prior to any changes occurring.

If you do not contact the QI Director within the 7 days, you will give up your right to appeal. If you do not reach the QI Director when you call, you must leave a message so your attempt to contact within the 7 day deadline can be verified. Your counselor can provide you with the contact information. Your level of treatment will not change during this 7 day period, or until the appeal decision is rendered. The QI Director will set up a meeting with you normally within 5 business days.

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You may bring any witnesses, advocates, friends, or family with you to the meeting. Appointments will not be rescheduled unless a written excuse for a legitimate emergency is provided. If you do not show at the designated time, you will give up your right to appeal. The QI Director will notify you or your counselor in writing of the decision within 7 days following the meeting. The decision of the Internal Review Team is final.

Methadone Handbook

In the event the Medical Director determines it is medically dangerous to continue you on Methadone, he will prescribe an appropriate taper and you will be informed of this decision prior to the taper starting. Please note : A reduction or elimination of take-homes is not considered a change in services. Take-homes are a privilege, not a right. This means that if you are having a problem with any of our services, you have the right to state your concern and expect a reasonable, fair, and timely solution to that problem.

Also, you have the right to be free from any pressure which might discourage you from stating your concerns or grievance, and to be free from any retaliation for filing a grievance. If you discuss a problem with the staff providing your services and you are not satisfied with the results, your next step is to file a formal complaint.

In order to file a grievance, tell the staff providing your services, or the program supervisor, that you wish to file a grievance and ask for a Grievance Form, which should be located at the front desk. If you have any trouble completing the form, ask a staff person, family member, friend, or advocate to help you. Or, if necessary, you may give your grievance orally to a staff person, who will fill out the form for you. If you are still not satisfied with the results, your grievance will be forwarded to the Director of Client Services, who will contact you to discuss your concerns.

If your issue still has not been resolved after meeting with the Director of Client Services, your grievance will then be forwarded to the QI Director. If your grievance involves a potential violation of your rights, the Client Rights Committee may be contacted through the QI Director. The Client Rights Committee will review your complaint, and decide whether or not your case involves a client rights violation. Within 7 days after the Committee reviews your case, you will be notified of the decision in writing.

The decision of the Client Rights Committee is the final decision. If the Client Rights Committee does not find cause to review your case, you will be notified in writing and the decision of the QI Director will be final. An important aspect of your recovery is to accept the financial responsibility of paying your account in a timely manner. We cannot allow clients to maintain outstanding balances. Non-payment of fees will result in loss of take-homes, or possibly administrative action. In order to do this, it is very important that we have input from our clients.

Alan S. Gassman

The Client Advisory Board is designed to allow clients to have a voice in the decisions that directly influence the delivery of services. Membership Eligibility There shall be a Chair person and Co-Chair person that are appointed and serve a 1 year term. The Chair and Co-Chair will then elect up to 3 members to serve on the Board. All members, including the Chair and Co-Chair, must meet the following requirements:. Member Duties As a member of the Client Advisory Board there are specific expectations that are a condition of your membership:.

If you are interested in joining the Client Advisory Board, please let your counselor know and they will be able to assist you in beginning the process of becoming a member. Membership is completely voluntary and does not affect the status of your treatment services. The National Alliance of Methadone Advocates is an organization of Methadone patients, health care professionals, friends, and associates working together for greater public understanding and acceptance of Methadone treatment. For information call Several options are available for effectively treating addiction to prescription and illicit opiates.

The options are drawn from experience and research regarding the treatment of opioid addiction. They include medications such as Buprenorphine or Suboxone. Other treatment modalities include behavioral counseling, acupuncture, and residential treatment. In addition, a useful precursor to long-term treatment of opioid addiction is detoxification. Detoxification, in itself, is not treatment for opioid addiction.

Rather, its primary objective is to relieve withdrawal symptoms while the client adjusts to being drug free. ADS board members, employees, interns, and volunteers are expected to adhere to the following ethical guidelines:. If you believe that during the course of your treatment an employee has violated any provision of this code, you should immediately report the violation to either the Director of Client Services or the Director of Quality Improvement.

Home Methadone Program Handbook July 10, Thank you again for choosing ADS to help you with your recovery process. The Nature of Opiate Addiction Dependency on opiates is a physical illness, as well as, central nervous system disorder caused by long-term opiate intake. How and Why Methadone Works It is important that you realize that Methadone is a powerful drug used in the treatment of opiate drug addiction. Side Effects Methadone side effects are usually minimal and short-lived.

Shout their name, pinch their ear, or rub your knuckles on their breastbone to arouse them. Keep them awake and call anyway. If the victim cannot be aroused, call immediately. Further stimulation will not help and may cause injury. Do not put the person into a cold bath or shower — they could fall, go into shock, or drown.

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The most important thing to do in the case of an overdose is call !! Sooner rather than later! Methadone Drug Interactions Methadone is a powerful drug and has a number of interactions and side effects that you should know and understand. Medication Policy Please Note : that many drugs can interact with Methadone and can adversely affect your health. Routine Prescriptions and Over-the-Counter Medications : Each time you fill or refill a routinely prescribed medication or purchase an over-the-counter medication, you have 7 days to bring the prescription or over the counter medication to the dispensing nurse to count and submit to the program physician for approval.

Narcotic Pain Medication : Medical studies show that combining narcotic pain medications with Methadone can lead to a potential overdose or death and can also be a trigger for relapse. Stimulants : Medical research has shown that taking stimulant medication for prolonged periods of time can lead to dependence.

Benzodiazepines : Medical research proves combining benzodiazepines and Methadone can cause harmful reactions, including overdose and death. Violations : All violations of the Medication Policy will be staffed by NRC and recommendations for increased levels of care will be evaluated. The following protocol will be utilized for violations involving Benzodiazepines: First positive UDS for unapproved Benz will result in a staffing with NRC and an increase in level of care Second positive UDS for unapproved Benz will result in an automatic suspension by Medical Override.

Admission Criteria Federal guidelines determine whether you are a candidate for Methadone treatment. Acute Care Phase of Treatment Early stabilization: This phase includes the induction phase and may last 6 months. Acute Care Phase of Treatment Long-Term treatment: This phase follows early stabilization and may last for the duration of treatment. Rehabilitative or Medical Maintenance Phase of Treatment Medically supervised withdrawal taper : With continuing care, if, and when, appropriate.

Acute, Rehabilitative, Medical Maintenance or Tapering Phases of Treatment Immediate emergency treatment: provision of Methadone therapy in situations where access to a comprehensive treatment program is not possible. Program Services Individual Counseling Sessions-Clients are expected to meet with their primary counselors at least monthly for a minimum of thirty 30 minutes per session more if clinically indicated. OTP Incentives Program Research has shown that patients that who feel appreciated and rewarded for their efforts and accomplishments, are patients who will continue to behave in a manner that is consistent with strong, healthy recovery.

Urine Testing Clients are required to submit a urine specimen when requested by staff. Pregnancy No drug or medicine is absolutely safe during pregnancy, but Methadone has been taken by many pregnant women and has not been shown to harm infants. General Medical Care Routine medical care is not part of your treatment. Hospitalization If you require hospitalization, your daily dose may be provided to you by the hospital. Psychiatric Care If you need to see the clinic psychiatrist, please coordinate the appointment with your counselor.

Medication Management Each time you fill or refill a routinely prescribed medication or purchase an over-the-counter drug, you have 7 days to bring the prescription or over the counter medication to the dispensing nurse to count and submit to the program physician for approval. Sign in. You could not be signed in. Sign In Forgot password? Don't have an account? Sign in via your Institution Sign in. Purchase Subscription prices and ordering Short-term Access To purchase short term access, please sign in to your Oxford Academic account above.

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