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programming, the prescriber has received additionat training and makes the finat decision as wet[ as the treatment ptan they witt take whil.e prescribing the appropriate medications. The prescriber is atso avaita ble 2417 by phone if nursing staff or jait staff have any questions or concerns. The prescriber we currentl,y have has done a lot of research and received hel'p f rom others in the same fiel.d to ensure that what he is doing is best practice and successfut. There are two MOUD Nurse positions. The first is a futt-time position that works 40 hours a week. They are responsibte for the ordering, stocking, inventorying, and dispensing medications every day they are here. The nurse atso triages requests to be put on MOUD programming, cottecting previous medicat records if necessary, communicatingwith SUDPs (Substance Use Disorder Professional,) in the community, educating the clients incl,uding the use of naloxone we provide at retease and other harm reduction tips, as wetl as setting up fol,tow up community visits for the ctient upon retease. This nurse atso ptays an important role in evatuating, assessing, appropriatety treating and monitoring those who are on withdrawat protocots in the facil,ity. The additionaI Nurse tabeted ".AFTE" is for an additionaL MOUD Nurse on weekends, or 16 hours. This nurse is an additional piece to continuity of care and performs the same duties as the MOUD nurse with some minor differences in the medication control and ordering. Other than that, the weekend nurse performs att the same duties as the futt-time MOUD Nurse and keeps jait staff from having to handte narcotics. The swing shift nurse is another 40 hour a week shift that we added in 2025 because we saw a gap in care between the dayshift nurses Leaving and the time they return. These nurses have added another tayer of protection attowing for further assessment and fottow up for fresh intakes that may begin to suffer from some type of withdrawats, as wetl as monitor other medicat issues in the facitity that before woutd fatt on jait staff who are not medicat professionats. ldeatty the facitity woutd [ike another .4-hour swing shift nurse for weekends, but right now the jait is simpty asking to keep this one to further assist with the ongoing and increasing medical care needed for those incarcerated and who suffer from any type of substance abuse. They atso assist with triaging, assessing, evatuating, treating, and dispensing medications when they are on duty. Two budget requests are for MOUD Training/Education and Management/Administrative Overhead. These are not uncommon in jail, medical contracts, or most contracts, because there is a cost to doing business incl,uding continued education and management of contracted positions in jaits. The requests for the Training/Education altows our MOUD nurses and Prescriber to attend trainings or conferences that hetp them learn about new trends, things to be aware of, different medication or treatment, as wetl as best practices