Patient-Physician Rewards of Consistent Implementation of a Narcotic (Opiate/Stimulant/Benzodiazepine) Patient Packet [called the NECPÂ©] 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.
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.
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
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.
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.
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