N.H. Code Admin. R. Pod 502.04 - Acute Pain

Current through Register Vol. 42, No. 14, April 7, 2022

If opioids are indicated and clinically appropriate for prescription for acute pain, prescribing licensees shall:

(a) Conduct and document a physical examination and history;
(b) Consider the patient's risk for opioid misuse, abuse, or diversion and prescribe for the lowest effective dose for a limited duration;
(c) Document the prescription and rationale for all opioids;
(d) Ensure that the patient has been provided information that contains the following:
(1) Risk of side effects, including addiction and overdose resulting in death;
(2) Risks of keeping unused medication;
(3) Options for safely securing and disposing of unused medication; and
(4) Danger in operating motor vehicle or heavy machinery;
(e) Comply with all federal and state controlled substances laws, rules, and regulations;
(f) Complete a board-approved risk assessment tool, such as the Screener and Opioid Assessment for Patients with Pain (SOAPP);
(g) Document an appropriate pain treatment planand consideration of non-pharmacological modalities and non-opioid therapy;
(h) Utilize a written informed consent that explains the following risks associated with opioids:
(1) Addiction;
(2) Overdose and death;
(3) Physical dependence;
(4) Physical side effects;
(5) Hyperalgesia;
(6) Tolerance; and
(7) Crime victimization;
(i) In an emergency department, urgent care setting, or walk-in clinic:
(1) Not prescribe more than the minimum amount of opioids medically necessary to treat the patient's medical condition. In most cases, an opioid prescription of 3 or fewer days is sufficient, but a licensee shall not prescribe for more than 7 days; and
(2) If prescribing an opioid for acute pain that exceeds a board-approved limit, document the medical condition and appropriate clinical rationale in the patient's medical record; and
(j) Not be obligated to prescribe opioids for more than 30 days, but if opioids are indicated and appropriate for persistent, unresolved acute pain that extends beyond a period of 30 days, the licensee shall conduct an in-office follow-up with the patient prior to issuing a new opioid prescription.

Notes

N.H. Code Admin. R. Pod 502.04
Derived From Volume XXXVII Number 15, Filed April 13, 2017, Proposed by #12149, Effective 3/25/2017, Expires 3/25/2027.

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