Home > Clinical guidelines for nursing and midwifery practice in New South Wales: identifying and responding to drug and alcohol issues.

Mental Health and Drug and Alcohol Office. [NSW Department of Health] (2008) Clinical guidelines for nursing and midwifery practice in New South Wales: identifying and responding to drug and alcohol issues. Sydney: NSW Department of Health. 113 p.

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These guidelines provide nurses and midwives with support and a benchmark for quality drug and alcohol use assessment and care in daily practice.

Table of contents:
1 Principles of practice ....................... 7
2 Overview and general guidelines .............. 8
3 Communication and special population groups....11
4 Drug and alcohol use assessment .......... 16
5 Opportunistic intervention ................... 20
6 Managing intoxication ........................ 21
7 Managing overdose ............................ 26
8 Managing withdrawal .......................... 29

9 The drugs .....................................32
9.1 Alcohol
9.2 Opioids (heroin, methadone etc)
9.3 Benzodiazepines (diazepam – valium, oxazepam – serepax etc)
9.4 Psychostimulants (amphetamines – speed, methamphetamines – ice, crystal etc)
9.5 Cannabis
9.6 Tobacco
9.7 Hallucinogens
9.8 Solvents (inhalants, volatile substances)
9.9 Ketamine
9.10 Gamma hydroxybutyrate (GHB)
9.11 Anabolic androgenic steroids (AAS)

10. Pharmacotherapies for dependence ...... 67
10.1 Opioid pharmacotherapies
• Methadone
• Buprenorphine
• Naltrexone
10.2 Alcohol pharmacotherapies
• Acamprosate
• Naltrexone
• Disulfiram

Appendices ............................... 73
Appendix 1. Glasgow Coma Scale
Appendix 2. Clinical Institute Withdrawal Assessment for Alcohol (revised) (CIWA-Ar)
Appendix 3. Alcohol Withdrawal Scale (AWS)
Appendix 4. Clinical Opiate Withdrawal Assessment Scale (COWS)
Appendix 5. Cannabis Withdrawal Assessment Scale
Appendix 6. Street names of drugs
Appendix 7. Drug interactions with methadone
Screening Tools, Handouts .......................... 83
Alcohol use disorders identification test screening instrument (AUDIT)
Drug Quiz — ASSIST (Cannabis)
Drug Quiz — ASSIST (Psychostimulants)
Drug Quiz — ASSIST (Heroin)
Making changes
Minimising harm from alcohol or other drug use


Item Type:Evidence resource
Publication Type:Guideline
Drug Type:New psychoactive substance, Cannabis, Alcohol or other drugs in general, Inhalents and solvents, CNS stimulants, Alcohol, Prescription/Over the counter, Tobacco, Opioid, CNS depressants, Cocaine
Intervention Type:AOD disorder treatment method, AOD prevention, AOD disorder harm reduction, Screening, AOD disorder, AOD disorder drug therapy, Rehabilitation/Recovery, Education and training, Psychosocial treatment method
Source:NSW Department of Health
Date:2008
Pages:113 p.
Publisher:NSW Department of Health
Corporate Creators:Mental Health and Drug and Alcohol Office
Place of Publication:Sydney
EndNote:View
Accession Number:HRB (Electronic Only)
Related URLs:
Subjects:B Drugs and alcohol substances > Drugs and alcohol in general
B Drugs and alcohol substances > Opioids (opiates) > Opioid product > Naltrexone
E Concepts in biomedical areas > Pregnancy
G Health and disease > Drugs and alcohol disorder > Alcohol use > Alcohol intoxication
G Health and disease > Drugs and alcohol disorder > Drug use > Drug intoxication
G Health and disease > Drugs and alcohol disorder > Drug use > Drug intoxication > Drugs and alcohol poisoning (overdose)
HA Screening, identification, and diagnostic method > Medical screening and diagnostic method
HA Screening, identification, and diagnostic method > Psychosocial screening and diagnostic method
HJ Treatment method > Drugs and alcohol disorder treatment method
HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol replacement method (substitution) > Disulfiram therapy
J Health care, prevention and rehabilitation > Identification and screening > Identification and screening for drugs and alcohol use
J Health care, prevention and rehabilitation > Patient care management
J Health care, prevention and rehabilitation > Health care delivery
J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care)
J Health care, prevention and rehabilitation > Health care administration > Health care quality control
N Communication, information and education > Recommendations or guidelines > Practice / clinical guidelines
T Demographic characteristics > Nurse
VA Geographic area > Australia and Oceania > Australia

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