Minnesota Chapter

OPIOID POSITION STATEMENT

CHAPTER MAILING ADDRESS

6 Greenhaven Bay, #289 Faribault, MN 55021 Ph: 507- 8!- 16! Fa": 507# 8!- 1

These guidelines are to provide a general approach in the prescribing of opiates and controlled substances. They are not intended to ta e the place of clinical !udg"ent# $hich should al$ays be utili%ed to provide the "ost appropriate care to "eet the uni&ue needs of each patient. 1# ;1iate- an( /ther 0/ntr/lle( -ub-tan0e- <;;+3= 6/r a0ute 1ain, 0hr/ni0 1ain an( a0ute e"a0erbati/n /6 0hr/ni0 1ain 8ill be 1re-0ribe( in e%er'en0y>a0ute 0are 6a0ilitie- /nly 8hen a11r/1riate ba-e( /n the 1atient- 1re-entin' -y%1t/%-, /verall 0/n(iti/n, 0lini0al e"a%inati/n an( ri-: 6/r a((i0ti/n# F/r a0ute e"a0erbati/n- /6 0hr/ni0 1ain 8e -u''e-t: )/-e- /6 ;;+3 6/r r/utine 0hr/ni0 1ain /r a0ute e"a0erbati/n- /6 0hr/ni0 1ain 8ill ty1i0ally NOT be 'iven in in?e0ti/n <2M /r 2@= 6/r%# Pre-0ri1ti/n- 6/r 0hr/ni0 1ain 8ill ty1i0ally NOT be 1r/vi(e( i6 the 1atient ha( either 1revi/u-ly 1re-ente( 8ith the -a%e 1r/ble% /r re0eive( an ;;+3 1re-0ri1ti/n 6r/% an/ther 1r/vi(er 8ithin the la-t %/nth# 2@ )e%er/l <Me1eri(ine= 6/r a0ute /r 0hr/ni0 1ain i- -tr/n'ly (i-0/ura'e(# 2# ,%er'en0y %e(i0ine 0lini0ian- 8ill n/t r/utinely 1r/vi(e: 4e1la0e%ent 1re-0ri1ti/n- 6/r ;;+3 that are l/-t, (e-tr/ye(, /r -t/len# 4e1la0e%ent (/-e- 6/r 3ub/"/ne, 3ubute" /r Metha(/ne 6/r 1atient- in treat%ent 1r/'ra%-# 7/n'-a0tin' /r 0/ntr/lle(-relea-e /1i/i(- <-u0h a- ;"y+/ntin, 6entanyl 1at0he-, an( %etha(/ne=# Pri/r t/ %a:in' a 6inal (eter%inati/n re'ar(in' 8hether a 1atient 8ill be 1r/vi(e( a 1re-0ri1ti/n 6/r ;;+3, the e%er'en0y 0lini0ian /r 6a0ility: May -ear0h the Minne-/ta Pre-0ri1ti/n M/nit/rin' Pr/'ra% )ataba-e /r -i%ilar (ataba-e that tra0:- nar0/ti0 an( /ther 0/ntr/lle( -ub-tan0e 1re-0ri1ti/n-# htt1:>>888#1%1#1har%a0y#-tate#%n#u 4e-erve- the ri'ht t/ reAue-t a 1h/t/ 2) t/ 0/n6ir% the i(entity /6 the 1atient# 26 n/ 1h/t/ 2) i- available, the e%er'en0y /r /ther a0ute 0are 6a0ility -h/ul( 1h/t/'ra1h the 1atient 6/r in0lu-i/n in the 6a0ility %e(i0al re0/r(# 4e-erve- the ri'ht t/ 1er6/r% a urine (ru' -0reen /r /ther (ru' -0reenin'# ,%er'en0y>a0ute 0are 6a0ilitie- -h/ul( %aintain an u1(ate( li-t /6 0lini0- that 1r/vi(e 1ri%ary 0are an(>/r 1ain %ana'e%ent -ervi0e- 6/r 1atient-, a- nee(e(# ,%er'en0y>a0ute 0are 6a0ilitie- -h/ul( u-e available ele0tr/ni0 %e(i0al re-/ur0e- t/ 0//r(inate the 0are /6 1atient- 8h/ 6reAuently vi-it the 6a0ility, all/8in' in6/r%ati/n e"0han'e bet8een e%er'en0y>a0ute 0are 6a0ilitie- an( /ther 0/%%unity-0are 1r/vi(er-# .y1i0ally, 1re-0ri1ti/n- 6/r ;;+3 -h/ul( be li%ite( t/ a three-(ay -u11ly# M/-t 0/n(iti/n- -een in the e%er'en0y>a0ute 0are 6a0ility -h/ul( re-/lve /r i%1r/ve 8ithin a 6e8 (ay-# +/ntinue( 1ain -h/ul( 1r/%1t re6erral t/ the 1ri%ary 0are 1hy-i0ian /r a11r/1riate -1e0iali-t 6/r re-evaluati/n ,a0h 1atient leavin' the e%er'en0y>a0ute 0are 6a0ility 8ith a 1re-0ri1ti/n 6/r ;;+3 -h/ul( be 1r/vi(e( 8ith in6/r%ati/n <verbal an( > /r 8ritten= ab/ut the a((i0tive nature /6 the-e %e(i0ati/nan( the 1/tential (an'er- /6 %i-u-e /6 the-e %e(i0ati/n-# .hi- in6/r%ati/n %ay be in0lu(e( in the

OFFICERS
$illia% &ee'aar(, M), F*+,P Pre-i(ent .h/%a-$yatt, M), F*+,P Pre-i(ent-,le0t Brent *-1lin, M), F*+,P 2%%e(iate Pa-t Pre-i(ent )avi( Milbran(t, M), F*+,P 3e0retary - .rea-urer

BOARD MEMBERS
Nathan *n(er-/n, M), F*+,P 4al1h 5# Fra-0/ne, M), F*+,P .here-a Gunnar-/n, M), F*+,P 5e66rey &/, M), F*+,P .i%/thy 5/hn-/n, M), F*+,P )avi( 7ar-/n, M), F*+,P )/nal( 7u%, M), F*+,P )avi( Ne-tler, M), F*+,P 7ane Patten, M), F*+,P Gary 3tarr, M), F*+,P *n(re8 9in:el, M), F*+,P

EXECUTIVE DIRECTOR 3hari *u'u-tin

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)i-0har'e 2n-tru0ti/n- /r an/ther &an(/ut# 8# ,%er'en0y>a0ute 0are 6a0ilitie- -h/ul( 1r/vi(e a 1atient han(/ut an(>/r (i-1lay -i'na'e that re6le0t- the ab/ve 'ui(eline- an( 0learly -tate- the 6a0ility 1/-iti/n re'ar(in' the 1re-0ribin' /6 /1i/i(- an( /ther 0/ntr/lle( -ub-tan0e-#i

We want to thank North Memorial Health System for sharing their OOCS document. It serves as the foundation for this document