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programming, the prescriber has received additional training and makes the flnal decision <br />as well as the treatment plan they will take while prescribing the appropriate medications. <br />The prescriber is also available 24/7 by phone if nursing staff or jail staff have any questions <br />or concerns. The prescriber we currently have has done a lot of research and received help <br />from others in the same fleld to ensure that what he is doing is best practice and <br />successful. <br />There are two MOUD Nurse positions. The flrst is a full-time position that works 40 hours a <br />week. They are responsible for the ordering, stocking, inventorying, and dispensing <br />medications every day they are here. The nurse also triages requests to be put on MOUD <br />programming, collecting previous medical records if necessary, communicating with <br />SUDPs (Substance Use Disorder Professional) in the community, educating the clients <br />including the use of naloxone we provide at release and other harm reduction tips, as well <br />as setting up follow up community visits for the client upon release. This nurse also plays <br />an important role in evaluating, assessing, appropriately treating and monitoring those who <br />are on withdrawal protocols in the facility. The additional Nurse labeled “.4FTE” is for an <br />additional MOUD Nurse on weekends, or 16 hours. This nurse is an additional piece to <br />continuity of care and performs the same duties as the MOUD nurse with some minor <br />differences in the medication control and ordering. Other than that, the weekend nurse <br />performs all the same duties as the full-time MOUD Nurse and keeps jail staff from having <br />to handle narcotics. <br />The swing shift nurse is another 40 hour a week shift that we added in 2025 because we <br />saw a gap in care between the dayshift nurses leaving and the time they return. These <br />nurses have added another layer of protection allowing for further assessment and follow <br />up for fresh intakes that may begin to suffer from some type of withdrawals, as well as <br />monitor other medical issues in the facility that before would fall on jail staff who are not <br />medical professionals. Ideally the facility would like another .4-hour swing shift nurse for <br />weekends, but right now the jail is simply asking to keep this one to further assist with the <br />ongoing and increasing medical care needed for those incarcerated and who suffer from <br />any type of substance abuse. They also assist with triaging, assessing, evaluating, treating, <br />and dispensing medications when they are on duty. <br />Two budget requests are for MOUD Training/Education and Management/Administrative <br />Overhead. These are not uncommon in jail medical contracts, or most contracts, because <br />there is a cost to doing business including continued education and management of <br />contracted positions in jails. The requests for the Training/Education allows our MOUD <br />nurses and Prescriber to attend trainings or conferences that help them learn about new <br />trends, things to be aware of, different medication or treatment, as well as best practices