Nurse practitioners in B.C. can now prescribe opioid substitutes

Minister of Mental Health and Addictions announced changes at UVic’s School of Nursing

Nurse practitioners in B.C. will now be able to prescribe opioid substitute medications to those experiencing addiction, the province announced Wednesday.

Minister of Mental Health and Addictions, Judy Darcy, said the expansion is about providing more tools for those on the front lines of the escalating crisis, when addressing health professionals and nursing students at the University of Victoria.

“This change is critically important and the reason is pretty basic. You need to be alive in order to have a pathway to recovery,” Darcy said.

On Feb. 14, the College of Registered Nurses of British Columbia expanded prescribing standards to allow nurse practitioners to prescribe medications like injectable hydromorphone, buprenorphine-naloxone and methadone.

“Let’s call it what it is– safe alternatives to the poisonous street drugs that are taking so many lives,” Darcy said, adding the crisis is now claiming an average of four lives a day in the province.

In the seven months preceding that change, the number of physicians providing opioid substitution therapy increased 60 per cent and the number of new patients receiving such care increased 126 per cent.

Nurse practitioners will undergo training from the B.C. Centre on Substance Abuse in order to ensure compassionate, holistic care is provided, Darcy said, and the ministry – created in 2017 – will continue to consult nurses as it develops its strategy for mental health and addictions.

This includes consideration of other social factors impacting addiction such as housing, poverty, and challenges facing youth aging out of care. The province is also partnering with the First Nations Health Authority; Indigenous people face rates of addiction that are three times higher than the non-Indigenous population.

“If we’re going to build a better system, we really need all hands on deck,” the minister said.

In a round table setting, nurse practitioners joined students from UVic’s nursing program, as well as staff from Insite in Vancouver to pose questions directly to the minister.

Sarah Jesshope, a second year student nurse practitioner asked how the changes will align with the ministry’s new mandate to increase access to primary care, a significant struggle for those with mental illness and addiction.

“They’re integrally linked,” Darcy said. “Nurse practitioners are absolutely vital in primary care. Among other reasons, being able to take the time and really deal with all aspects of a person’s health.”

Hundreds of thousands of British Columbians don’t have access to a family doctor, and don’t necessarily know that what they really need is a nurse practitioner, she added.

Nurse practitioners are working on the front lines, Jesshope said, adding these changes will increase access to care across the board.

“As a student we work in many different areas of health care, that can include acute care, emergency. We work with all age groups, but yes the opioid crisis is affecting every platform, every family,” she said.

The federal government has also taken a nod from B.C.’s guidelines and effective May 19, 2018, prescribers will no longer require an exemption to prescribe substitute medications beyond a hospital setting.

“Our goal as a ministry is to get to a place where people living with mental illness and addiction are treated with the same dignity and the same respect and have access to the same quality of care as people living with any other ailment,” Darcy said.

kristyn.anthony@vicnews.com

Just Posted

Nanaimo temporary supportive housing sites won’t be labelled nuisance properties

Coun. Sheryl Armstrong’s motion for a staff report on the topic rejected at council meeting

Nanaimo council votes on what could be city’s first legal marijuana store

Council passes first two readings of rezoning application for the Bud Barn at 111 Nicol St.

International Guitar Night comes to Nanaimo’s Port Theatre this week

Italian, French and Turkish guitarists will perform solo and as a group

Home care complaints up 45% on Vancouver Island

Number of home care hours delivered down 6%, complaints up 45 %

VIDEO: Here’s what the B.C. legislature officers are accused of buying

Personal trips, purchases, alcohol and more laid out in 76-page report by Plecas

Why would the B.C. legislature need a firewood splitter?

First sign of police involvement in investigation of top managers

New Canada Food Guide nixes portion sizes, promotes plant-based proteins

Guide no longer lists milk and dairy products as a distinct food group

Judge annuls hairdresser’s forced marriage to boss’ relative

Woman was told she’d be fired if she didn’t marry boss’s Indian relative so he could immigrate here

Liberals look to make home-buying more affordable for millennials: Morneau

Housing is expected to be a prominent campaign issue ahead of October’s federal election

Cannabis-carrying border crossers could be hit with fines under coming system

Penalties are slated to be in place some time next year

Man accused of threatening to kill ‘as many girls as I see’

Christopher W. Cleary wrote he was angry because he’d never had a girlfriend and wanted to ‘make it right’ with a mass shooting

Canadian talent abound on newly revamped Vancouver Whitecaps squad

Lineup is full of new faces after the organization parted ways with 18 players over the off-season

Most Read