Clinical Tracks 1 Pain Management Hydrocodone Lara Offenburger

Clinical Tracks 1 Pain Management- Hydrocodone Lara Offenburger PA-C No Disclosures ©AAHCM

CHALLENGES � Inability to see specialists � Tolerance � Liability/Documentation Issues � Diversion � Logistical challenges of Triplicate medication ©AAHCM

Tolerance/Use of specialists � Team up with Pain Management Specialists if possible � Educate yourself on transportation options for the insurance plans in your area � Use of longer acting opiates with short acting for breakthrough pain � Always consider alternative therapy choices and document why/why not appropriate ©AAHCM

Clinician Train Thyself � Liability and Documentation issues � Use a Pain Management Model � Monthly visits- Be Safe! � Utilize state prescription drug trackinghttp: //www. pdmpassist. org/content/stateprofiles � Know your state medical board’s documentation guidelines � SAFE opiate prescribing CME ©AAHCM

Diversion � Pain Management Model- random regular UDS/buccal swabs for tox � Utilize DPS reports � Have policies regarding early refills � Have policies for “stolen” medications � Opiate contract with patients ©AAHCM

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Logistics � Internal tracking with mailed rx � Central Delivery Pharmacy � Blister packs to monitor usage Appt Dates prior to refills for pill counts � Mobile lab for UDS/buccal swabs � Educate on yourself on false positives on tox � Utilize Home Health Skilled nursing to obtain specimens on patients with indwelling or suprapubic catheters ©AAHCM

Conclusion �Give Good Patient Care �Protect Your License �Educate �Be SAFEStrategies, Assessment, Fundamentals, Education ©AAHCM