The VCSQI SAN 2.0 Opioid Workgroup reviewed CDC’s Guidelines for Opioid Prescribing for Chronic Non-Cancer pain and how these recommendations may assist you with establishing your own guidelines for other types of patients. Twelve recommendations are outlined, categorized into three major topics: when to prescribe opioids, how to prescribe opioids, and assessing the patient’s risk when using opioids.
Recommendation 6 may be particularly relevant to prescribers treating acute pain:
Long-term opioid use often begins with treatment of acute pain. When opioids are used for acute pain, clinicians should prescribe the lowest effective dose of immediate-release opioids and should prescribe no greater quantity than needed for the expected duration of pain severe enough to require opioids. Three days or less will often be sufficient; more than seven days will rarely be needed.
Steve Dickson, CEO for Cardiovascular Surgeons, PA, Orlando, Fla. shares how their practice is working to standardize opioid prescribing practices among their clinicians. Ivan Berkel and Eddie Fonner recently made a site visit there to help them in this process. This discussion may help you begin to take your own steps for addressing this critically important care process.
Steve Dickson, CEO, Cardiovascular Surgeons, PA, explains efforts to standardize prescribing among 12 surgeons and other clinicians in their practice in Orlando, Florida.
Links to Resources:
- CDC Chronic Pain Prescribing Guidelines
- Take the Pledge to Help Address Opioid Misuse
- OMW- 02-22-2018-Minutes