AHD-CLINICAL-003 — Protocol Library v0.1
Status: DRAFT v0.1 (Medical Director to finalise; refresh per NEXUS clinical evidence research)
Indications Covered
- Alcohol Use Disorder withdrawal
- Opioid Use Disorder withdrawal
- Benzodiazepine Use Disorder withdrawal
- Polysubstance withdrawal
- Stimulant withdrawal (supportive)
Protocol Architecture
Each protocol is structured as:
- Indication
- Inclusion criteria
- Exclusion criteria (cases declined)
- Pre-detox screening
- Day-by-day medication schedule
- Adjunct medications
- IV adjuncts (cross-reference IV Library)
- Vital sign cadence
- Withdrawal scoring (CIWA-Ar / COWS)
- Escalation triggers
- Discharge criteria
- Aftercare recommendations
Source Material
- Medical Director’s clinical training and experience (Pain Medicine + PM&R)
- ASAM National Practice Guidelines
- NIAAA protocols
- The MD Detox Operating Manual reference (adapted, not copied)
- NEXUS clinical evidence research (see AHD-RESEARCH-SYNTHESIS-v1.0)
Governance
- Medical Director authors and signs every protocol
- Director of Nursing reviews and ratifies
- Quarterly review by Medical Director
- Annual audit by external healthcare compliance auditor (Y2)
- Field deviations require written justification within 24 hours