844 IAC 2.2-3-4 - Evaluation and risk stratification by physician assistant
Authority: IC 25-22.5-2-7; IC 25-22.5-13-3
Affected: IC 25-1-9; IC 25-27.5
Sec. 4.
(a) The
physician assistant shall do the physician assistant's own evaluation and risk
stratification of the patient by doing the following in the initial evaluation
of the patient:
(1) Performing an
appropriately focused history and physical exam and obtain or order appropriate
tests, as indicated.
(2) Making a
diligent effort to obtain and review records from previous health care
providers to supplement the physician assistant's understanding of the
patient's chronic pain problem, including past treatments, and documenting this
effort.
(3) Asking the patient to
complete an objective pain assessment tool to document and better understand
the patient's specific pain concerns.
(4) Assessing both the patient's mental
health status and risk for substance abuse using available validated screening
tools.
(5) After completing the
initial evaluation, establishing a working diagnosis and tailoring a treatment
plan to meaningful and functional goals, with the patient reviewing them from
time to time.
(b) Where
medically appropriate, the physician assistant shall utilize nonopioid options
instead of or in addition to prescribing opioids.
Notes
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