This manual was created for providers working in residential community-based withdrawal management services (WMS) to standardize care, improve documentation and information sharing, and provide quick access to relevant information. You can download the entire manual or the individual documents (see below).
Introduction to the WMS manual
Intake
Intake
Pre-arrival screening tool
Intake
Client risk assessment on arrival
Intake
Medical intake form
General
Consent to release personal health information
Treatment
Treatment
Clinical pathway for management of alcohol withdrawal
Treatment
Order set for alcohol withdrawal
Treatment
Clinical pathway for management of opioid withdrawal
Treatment
Order set for opioid withdrawal
Treatment
Declining opioid agonist therapy
Treatment
Management of stimulant use
Treatment
Management of benzodiazepine use
Treatment
Management of cannabis use
Treatment
Medical directive for point-of-care testing
Treatment
Special considerations
Emergency department
Emergency Department
Transfer from withdrawal management to emergency department
Emergency Department
Transfer from emergency department to withdrawal management
Discharge
Discharge
Gabapentin discharge information for primary care
Discharge
Acamprosate discharge information for primary care
Discharge
Depot buprenorphine discharge information for primary care
Discharge
Naltrexone discharge information for primary care
Discharge
Acknowledgment of tolerance loss
Sample Policies
Sample Policies
Sample medication policy
Sample Policies
Sample cannabis policy
Sample Policies
Sample nicotine replacement therapy policy
Scales
Scales
Subjective opioid withdrawal scale
Scales
Level of agitation scale
Point-of-Care Tools
Clinical Institute Withdrawal Assessment for Alcohol, Revised (CIWA-Ar) Scale
Authors
Katie Dunham BSc, BScN, MN, NP-PHC
Mareena Mathew NP-Adult
Karan Cheema BScN, MN, NP-PHC
Melanie Vandewiel MN, NP-PHC
Laura Jones BSc, BScN, MN, NP-Adult
Kristine Rivest BScInf, MScN, NP-PHC
Jared Bonis BscN, MScN, TITC-CT, NP-PHC
Meldon Kahan MD, CCFP, FRCPC
Jennifer Wyman MD, FCFP, DABAM, MPH
Reviewers
Rachel Alexander, Peer Advisor, META:PHI
Cassel Busse RN, PhD
Jarel Calumpang RN, BScN, MN
Christina Henry RN, BScN, BA
Nina Kovacic BA, MSW
Larry Nijmeh MD, CCFP(EM) FCFP
Robyn Nocilla BScN, MSc, NP-PHC
Rose Patterson BscN, MN, NP-PHC
Josh Richardson RP, RPN, PNC, BA-Hons
Rosanra (Rosie) Yoon MN, NP-Adult
Maria Zhang RPh, BScPhm, PharmD, MSc
Design
Brent Logan
