Abstract Information

P-176

Patient-Physician Rewards of Consistent Implementation of a Narcotic (Opiate/Stimulant/Benzodiazepine) Patient Packet [called the NECP©] to Ensure Patient Safety and Education, and Patient/Medical Record Compliance in an Office-Based SCI Practice.


Patient-Physician Rewards of Consistent Implementation of a Narcotic (Opiate/Stimulant/Benzodiazepine) Patient Packet [called the NECP©] to Ensure Patient Safety and Education, and Patient/Medical Record Compliance in an Office-Based SCI Practice.

Maureen D. Miner, MD; Medical Director, South County Pain & Rehab, Inc.

OBJECTIVE:
Consistent use of a packet of material (Narcotic Education and Compliance Packet) shall reconcile outstanding issues, foster ideas for treatment, validate state/federal compliance guidelines, and improve patient satisfaction (knowledge and cooperation) in cases where Schedule or narcotic medications are being used.

DESIGN/METHODS:
Every clinic patient record with known use of physician-prescribed Schedule medication was reviewed for comprehensive conformity. The education and compliance items were completed by the patients, then charted. The NECP is housed in a readily-accessible area for governmental access such as the DEA.
The packet houses physician, patient, and staff responsibilities at that are documented in the chart and consist of:
• Urine Drug Screen (qualitative and quantitative) every 3 months and prn
• CURES (proprietary California online access to multi-prescriber information)
• Abuse Screen Questionnaires (SOAPP VERSION 1.0-14Q/CAGE-AID/O.R.T.)
• Prescription reconciliation time (once per week time set aside to review charts with Schedule medications)
• Narcotic medication AGREEMENT updated and signed annually
• Use and abuse patient information
• Reading of pamphlet "How To Manage Your Medications" (English and Spanish versions)
• Proper home-storage guidelines
• Activities of Daily Living Questionnaire showing functional benefit with the medication versus without the medication, completed by the patient
• Proper mediation disposal guidelines and locations

RESULTS:
Spinal cord injured patients are held to the same level of conformity when it comes to the use of Schedule (narcotic) medications.
Consistent use of a packet of material (Narcotic Education and Compliance Packet or NECP) created by Physician/Owner of practice reconciled outstanding issues, fostered ideas for treatment, validated state/federal compliance guidelines, and improved patient satisfaction (knowledge and cooperation) in cases where Schedule or narcotic medications are being used.
This packet helped put patient/physician/staff in the Schedule medication process on the same page with regard to expectations and safety awareness and federal/state obligations for Schedule medication use. A vital principle of PM&R is to instill ownership and independence in patients for the care of their problem. In a time where responsible management of Schedule medications is being increasingly enforced, the NECP succeeded in its goal for the patient and physician/ medical personnel. Future plans are to share this created packet with colleagues to facilitate similar narcotic compliance and education.

CONCLUSION:
Implementation of the NECP improved patient/physician/office staff compliance with medical, ethical, and regulatory guidelines regarding the use of Schedule medications in the office-based setting.

SUPPORT:
None.


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