- Joined
- May 25, 2011
- Messages
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Wow, I guess I will will be done Rx controlled substances Jan 1. Who has time for this crap in a busy ED? Just like politicians, use a cannon to kill a mouse. Heroin use/OD is about to go through the roof!
Maybe the cartels have a good lobbying firm
Here is a summary of the new law that goes into effect Jan 1 2018 emailed from a state ACEP rep.
Prior to prescribing, in order to determine the appropriateness of the prescription, every practitioner must consider 16 factors (and document) including any evidence that the patient is chronically using opioids, misusing, abusing, illegally using or addicted to any drug or failing to comply with the instructions of the practitioner and others.
Before issuing an initial prescription for the treatment of pain, the practitioner must:
1. Perform an H&P
2. Obtain (or make a good faith effort to obtain) medical records from ANY other provider who has provided care to that patient and document this effort in the chart and the conclusions drawn from the review
3. Assess the mental health and risk of abuse of the patient
4 Document the reasons for prescribing a controlled substance instead of an alternative
5 Have a horrifically detailed INFORMED CONSENT signed by the patient
6 The prescriber will not issue more than one additional prescription unless they meet with the patient again and re evaluate the treatment plan.
7 The prescriber must review the PMP (this we are already mandated to do)
And if a prescription has already been prescribed for a certain controlled substance, the practitioner may not prescribe that controlled substance.
The prescription itself must include multiple items including:
ICD-10 diagnosis
The fewest number if days in which the pills can be consumed
** Each state in which the patient has resided or filled a prescription for a controlled substance.
There are further requirements for prescriptions lasting 30 days or longer or 90 days or longer.
Discovered information will be reported to law enforcement or the licensing board.
Failure to comply may result in licensure discipline and/or suspension of the authority to prescribe controlled substances.
Sent from my iPhone using Tapatalk
Maybe the cartels have a good lobbying firm
Here is a summary of the new law that goes into effect Jan 1 2018 emailed from a state ACEP rep.
Prior to prescribing, in order to determine the appropriateness of the prescription, every practitioner must consider 16 factors (and document) including any evidence that the patient is chronically using opioids, misusing, abusing, illegally using or addicted to any drug or failing to comply with the instructions of the practitioner and others.
Before issuing an initial prescription for the treatment of pain, the practitioner must:
1. Perform an H&P
2. Obtain (or make a good faith effort to obtain) medical records from ANY other provider who has provided care to that patient and document this effort in the chart and the conclusions drawn from the review
3. Assess the mental health and risk of abuse of the patient
4 Document the reasons for prescribing a controlled substance instead of an alternative
5 Have a horrifically detailed INFORMED CONSENT signed by the patient
6 The prescriber will not issue more than one additional prescription unless they meet with the patient again and re evaluate the treatment plan.
7 The prescriber must review the PMP (this we are already mandated to do)
And if a prescription has already been prescribed for a certain controlled substance, the practitioner may not prescribe that controlled substance.
The prescription itself must include multiple items including:
ICD-10 diagnosis
The fewest number if days in which the pills can be consumed
** Each state in which the patient has resided or filled a prescription for a controlled substance.
There are further requirements for prescriptions lasting 30 days or longer or 90 days or longer.
Discovered information will be reported to law enforcement or the licensing board.
Failure to comply may result in licensure discipline and/or suspension of the authority to prescribe controlled substances.
Sent from my iPhone using Tapatalk