Cedars-Sinai Medical Center

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A BI-WEEKLY PUBLICATION FROM THE CEDARS-SINAI CHIEF OF STAFF June 15, 2018 | Archived Issues

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Letter From Chief of Staff: New Opioid Protocol

Due to a critical nationwide shortage of injectable opioids, Cedars-Sinai will implement the following protocol immediately: Pharmacists will automatically substitute PRN orders for IV Dilaudid and IV morphine with PO oxycodone, if a patient tolerates oral medications.

In addition, we need your cooperation to adhere to the following best practices:

  • Order oral opioids (and benzodiazepines) as soon as patients can tolerate them (please see PDF conversion table for reference)
  • Consider multimodal analgesia (e.g., oral acetaminophen, celecoxib, meloxicam, ketorolac), and/or topical products such as lidocaine patch and capsaicin
  • As always, the pain management service is available for consultation and support

We are actively trying to obtain additional IV opioids from manufacturers and distributors, and working through our legislative channels.

If you have any questions or concerns, please contact: 

Rita Shane, PharmD, at Rita.Shane@cshs.org or at 310-423-5611, or Hai Tran, PharmD, at Hai.Tran@cshs.org or at 310-423-5630.

Clement C. Yang, MD
Chief of Staff

Opioid Conversion Table (PDF)