Source: http://docplayer.net/591404-Methadone-maintenance-treatment-for-opioid-dependence.html
Timestamp: 2017-06-23 17:52:28
Document Index: 607006250

Matched Legal Cases: ['ART 3', 'ART 3', 'art 2', 'ART 2', 'ART 2', 'ART 1', 'ART 2']

Download "Methadone Maintenance Treatment for Opioid Dependence"
1 COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO P O L I C Y S TAT E M E N T # Methadone Maintenance Treatment for Opioid Dependence APPROVED BY COUNCIL: PUBLICATION DATE: KEY WORDS: REFERENCE MATERIALS: LEGISLATIVE REFERENCES: COLLEGE CONTACT: May 2010 Dialogue, Issue 2, 2010 Methadone, Methadone maintenance treatment, Opioid dependence, Methadone exemption, Delegation exemption, Rare circumstances exception Framework for the Implementation of the New Delegation Exemption: Safety, Security and Transfer of Methadone Doses; Methadone Administration in the Treatment of Opioid Dependence policy; Ontario College of Pharmacist s Policy for Dispensing Methadone; Medical Records policy; Methadone Maintenance Guidelines; Dispensing Drugs policy Controlled Drugs and Substances Act S.C. 1996, c. 16; Narcotic Control Regulations, C.R.C., c. 1041; Regulated Health Professions Act, 1991, SO. 1991, c. 18; Drug and Pharmacies Regulation Act, R.S.O. 1990, c.h.4 Public and Physician Advisory Service2 Methadone Maintenance Treatment for Opioid Dependence DEFINITIONS Methadone maintenance treatment: The daily oral administration of methadone over a prolonged period as an oral substitute for heroin or other morphine-like drugs for patients who are dependent on or addicted to these drugs. Methadone exemption: Methadone is a controlled drug under the Controlled Drugs and Substances Act, S.C. 1996, c. 16. Physicians who wish to provide methadone to their patients must obtain a special exemption from Health Canada. The exemption can apply to either methadone maintenance treatment for opioid dependence, or to the treatment of malignant and chronic nonmalignant pain. Physicians who wish to provide methadone for both methadone maintenance treatment and pain must obtain separate exemptions. Physicians who possess an exemption for methadone maintenance treatment may apply to the College of Physicians and Surgeons of Ontario for additional permission to delegate authority for the administration component of methadone maintenance treatment to other properly qualified health-care professionals. Methadone administration: The provision of a dose of methadone to a patient for consumption by the patient under direct observation in a medical office or clinic, or for delayed consumption by the patient (in the form of take-home or carry doses) for the treatment of opioid dependence. Properly qualified health-care professional: In the context of this policy, these are regulated health-care professionals other than physicians who possess the appropriate knowledge, skill and judgment needed to safely administer methadone to patients, and who meet the additional minimum requirements set out in this policy. BACKGROUND Methadone maintenance treatment is an effective treatment for opioid dependence. In the interest of ensuring that methadone maintenance treatment is delivered in a safe and consistent manner, it is regulated by Health Canada through the Controlled Drugs and Substances Act, S.C. 1996, c. 16 (CDSA), in partnership with the province of Ontario, the College of Physicians and Surgeons of Ontario (CPSO) and the Ontario College of Pharmacists (OCP). Physicians who wish to provide methadone maintenance treatment must obtain a general methadone maintenance treatment exemption from Health Canada under section 56 of the CDSA. The general exemption permits physicians to prescribe, administer or sell methadone. The general exemption also permits the dispensing of methadone subject to conditions and limitations, as set out in this policy. Physicians in possession of the general exemption may apply to the CPSO for a delegation exemption, which grants physicians permission to delegate authority for the administration component of methadone maintenance treatment to other properly qualified health-care professionals. This is intended to improve access to care. In 2007, the CPSO and the OCP developed the Framework for the Implementation of the New Delegation Exemption: Safety, Security and Transfer of Methadone Doses, which sets out expectations for delegating authority for methadone administration pursuant to a delegation exemption. That document was intended to complement the CPSO s Methadone Administration in the Treatment of Opioid Dependence policy. The present policy replaces both of those documents. In addition to this policy, physicians should consult the Methadone Maintenance Guidelines for further information. 2 CPSO POLICY STATEMENT METHADONE MAINTENANCE TREATMENT FOR OPIOID DEPENDENCE3 PURPOSE This policy articulates the CPSO s expectations of physicians who provide methadone maintenance treatment, including expectations for delegating the authority for methadone administration to other properly qualified health-care professionals. SCOPE This policy applies to physicians who, pursuant to a methadone maintenance treatment exemption under section 56 of the CDSA, deliver methadone maintenance treatment in medical offices or clinics outside a pharmacy. It also applies to physicians who, pursuant to a delegation exemption delegate authority for methadone administration to other properly qualified health-care professionals. PRINCIPLES 1. Physicians should always act in patients best interests to deliver safe and effective care. 2. Physicians should carry out methadone maintenance treatment in an appropriate manner. This includes following statutory provisions designed to ensure patient safety and clinical efficacy. 3. Physicians should collaborate with other health-care professionals as a means of delivering and increasing access to safe and effective care. 4. Physicians are accountable for other health-care professionals to whom they delegate aspects of treatment. Physicians should ensure that their delegates are properly qualified to deliver safe and effective care. POLICY 1. Qualifications for the Delivery of Methadone Maintenance Treatment Physicians may only deliver methadone maintenance treatment if they have obtained a general exemption for methadone maintenance treatment from Health Canada pursuant to Section 56 of the CDSA. Absent the additional delegation exemption, physicians with the general exemption cannot delegate the administration of methadone to other qualified health-care professionals. More information about delegation appears in subsection 7 Delegating Authority for Methadone Administration and subsection 8 Properly Qualified Health-care Professionals of this policy. 2. Prescription Any new dose or change of dose of methadone requires a new prescription and must be dispensed by a pharmacist. Once dispensed by the pharmacist, a physician must not alter individually labelled doses. In certain rare circumstances, a physician may dispense a dose of methadone, subject to the conditions and limitations outlined in subsection 6 Dispensing below. 3. Administration Physicians must follow the requirements for methadone administration outlined in the current CPSO Methadone Maintenance Guidelines, as well as those in this policy. When administering methadone for methadone maintenance treatment, physicians must: Ensure that methadone is administered to their patients in the dose and manner that has been prescribed. CPSO POLICY STATEMENT METHADONE MAINTENANCE TREATMENT FOR OPIOID DEPENDENCE 34 Methadone Maintenance Treatment for Opioid Dependence Witness doses provided for immediate consumption. Confirm the patient s identity prior to administering doses for observed consumption or for providing carries in order to ensure that the methadone is given to the correct individual. The physician should also verbally confirm the expected dose with the patient. Information about delegating authority for administering methadone appears in subsection 7 Delegating Authority for Methadone Administration and subsection 8 Properly Qualified Health-care Professionals of this policy. 4. Responsibility for Doses Under the OCP s Policy for Dispensing Methadone, a pharmacist is responsible for the safety and integrity of methadone until such time as he or she has dispensed directly to the patient or transferred custody of the methadone to an exempted physician or his or her delegate. Transportation and Transfer of Custody OCP policy requires a pharmacist to transfer custody of the individually labelled doses of methadone dispensed pursuant to a prescription in a secure, tamper-proof manner to a physician who signs that he or she has received each correct dose on a daily basis on a patient manifest. The pharmacist must either directly hand the doses of methadone to the physician or his or her delegate, or use a method of transportation that ensures that he or she is aware of and tracks who has had custody of the drug at any given time to ensure safekeeping of the methadone while in transit (i.e., a chain-of-signatures and tamper-proof boxes). All methadone must be transported in such a manner as to avoid extremes in temperature or delays in transport which could compromise the drug. Only the physician or his or her delegate may accept delivery of methadone doses. The physician who accepts the methadone must sign that he or she has received and has accepted custody of each dose. A record of the transfer of each dose must be maintained. Once the physician has accepted custody of the methadone, the physician assumes responsibility for the safety and security of those methadone doses. The physician maintains responsibility and is fully accountable for all doses until provided to the patient for observed consumption, or as a carry. If a dose is unused, the physician maintains responsibility and is fully accountable until the dose is returned to the pharmacy. Destruction of Unused or Unserviceable Doses All unused or unserviceable doses must be returned to the dispensing pharmacy for destruction on a daily basis. These doses must be transferred in a secure manner in accordance with the guidelines for transportation and custody set out above. Once the pharmacist accepts custody of the unused or partially used doses, the pharmacist is responsible for the safety, security and destruction of those doses. Safe and Secure Storage Under section 55(f) of the federal Narcotic Control Regulations, physicians must take adequate steps to protect any quantities of methadone on the premises or under their control against theft or loss. The term adequate is not defined in the Narcotic Control Regulations, C.R.C., c The CPSO is unable to offer advice on how this term may be interpreted. It is, however, the expectation of the CPSO that physicians will ensure that all methadone doses are stored in a locked cabinet or refrigerator in a secure area within the physician s office or clinic. Further, as required under 4 CPSO POLICY STATEMENT METHADONE MAINTENANCE TREATMENT FOR OPIOID DEPENDENCE5 s. 55(d) of the Narcotic Control Regulations, physicians must permit an inspector to check all stocks of narcotics in their office or clinic. Reconciling Doses and Accounting for Lost or Stolen Doses The physician or his or her delegate must conduct a daily reconciliation of doses received, administered and returned to the pharmacy. Preferably, this will occur both before the first dose and after the last dose for that day have been administered. Any loss of methadone (stolen or spilled) must be reported within 10 days of its discovery to the Compliance Monitoring Liaison Division, Office of Controlled Substances, by calling , as required by section 55(g) of the Narcotic Control Regulations. 5. Documentation Maintenance of accurate and complete medical records is a crucial component of methadone maintenance treatment. For general documentation requirements, physicians should refer to the CPSO s Medical Records policy. Documentation requirements specific to methadone maintenance treatment are as follows: The patient s informed consent to methadone maintenance treatment. The patient s name, daily dose, and time and place where administration was observed. Results of assessment prior to methadone administration, including, where applicable, signs of intoxication, observed abnormal behaviour, and symptoms of overmedication with methadone. Record of urine sample, if provided, and results. The name of the health-care professional administering the dose. Sign-off of drink and/or carry doses, including the date and time when methadone was given. Missed doses, including refusal and vomiting of doses. Partial doses taken. Lost or stolen carry doses. Suspected diversion of doses. Guest dosing arrangements. Other prescribed medications that may interfere with methadone. In addition to the foregoing, section 69 of the Narcotic Control Regulations requires physicians to keep and retain for a period of two years from the date of the making of the record, a record of: the date and quantity of methadone received; the name and address of the person from whom the methadone was received; and the particulars of the use to which the methadone was put. Section 69 of the Narcotic Control Regulations also requires that physicians provide access to these records, as well as furnish any information respecting methadone as may be required by the federal Minister of Health. Physicians must also ensure that all dosing information is provided to the pharmacy to ensure accuracy and completeness of patient history. This should be done with the consent of the patient. Where a physician delegates authority for methadone administration to other properly qualified health-care professionals, the physician must ensure that the patient consents to the delegation. This consent should be obtained and recorded each time methadone is administered by the delegate. The physician should also document the delegate s qualifications and training. CPSO POLICY STATEMENT METHADONE MAINTENANCE TREATMENT FOR OPIOID DEPENDENCE 56 Methadone Maintenance Treatment for Opioid Dependence 6. Dispensing Dispensing methadone is typically done by a pharmacist. However, Health Canada recognizes that in certain rare circumstances, it may be appropriate for a physician to dispense methadone. These rare circumstances are those wherein the physician determines it is necessary to dispense methadone due to a risk of withdrawal or overdose, and no pharmacist is able to provide the necessary dose in a period of time which would not compromise patient safety. For example, it may be appropriate for the physician to dispense methadone when a patient has already missed three or more consecutive days of dosing and requires stabilization to prevent further withdrawal, or when a patient has vomited a dose under direct observation, particularly in the case of pregnant patients where withdrawal may compromise the well-being of the fetus. Methadone for induction would not be viewed as a rare circumstance. A physician who dispenses methadone in appropriate rare circumstances must do so in accordance with the requirements set out in the Drug and Pharmacies Regulation Act, R.S.O. 1990, c.h.4, this policy and the CPSO s Dispensing Drugs policy. Additional guidance can be found in the OCP s Policy for Dispensing Methadone. 1 Pre-measured doses of methadone must be purchased from an accredited pharmacy and mixed by the physician with the appropriate diluent (e.g., Tang beverage) prior to ingestion. When dispensing methadone in appropriate rare circumstances, the physician must only administer one dose. The physician must then immediately report to the pharmacy or clinic where the patient usually received methadone and ensure that the necessary arrangements are made for subsequent doses to be administered at the pharmacy. 7. Delegating Authority for Methadone Administration Only a physician who possesses the delegation exemption is permitted to delegate authority for methadone administration to other properly qualified health-care professionals under his or her control. Methadone administration is the only component of methadone maintenance treatment that may be delegated. Authority for prescribing, dispensing and selling methadone cannot be delegated. Where a physician delegates authority for methadone administration, the physician must adhere to the direction set out in the CPSO s Delegation of Controlled Acts policy and this policy. Accountability and responsibility for methadone administration rests with the physician at all times. The physician must ensure that if he or she delegates authority for methadone administration to other properly qualified health-care professionals, he or she must ensure that those delegates have the knowledge, skill and judgment to do so. This includes taking reasonable steps to ensure that delegates understand and comply with office or clinic policies and procedures regarding methadone administration. The physician must also provide the level of supervision necessary to ensure that delegates administer methadone safely and effectively. Office/clinic policies and procedures for methadone CPSO POLICY STATEMENT METHADONE MAINTENANCE TREATMENT FOR OPIOID DEPENDENCE7 administration must be accessible at all times and must clearly state that individuals administering methadone are charged with the following responsibilities: i. To administer methadone only when the patients does not exhibit any signs of sedation or intoxication. ii. Where direct observation is prescribed, to observe the patient consuming the methadone and ensure that the dose has been consumed. iii.to administer methadone precisely as prescribed by the physician. ii. Have successfully completed the Methadone Treatment Workshop at the Centre for Addiction and Mental Health or equivalent training approved by the CPSO in the safe and appropriate administration of methadone. iii.have demonstrated to the satisfaction of the physician an understanding of methadone maintenance treatment, including the risks associated with it. 8. Properly Qualified Health-care Professionals Properly qualified health-care professionals are those who possess the appropriate knowledge, skill and judgment needed to safely administer methadone to patients. The following are the minimum requirements that individuals must possess: Nurses Individuals must: i. Be either a Registered Practical Nurse or a Registered Nurse, including a Registered Nurse in the Extended Class. ii. Have demonstrated to the satisfaction of the physician an understanding of methadone maintenance treatment, including the risks associated with it. Other Health-care Professionals Individuals must: i. Be another health-care professional regulated under Ontario s Regulated Health Professions Act, 1991, SO. 1991, c. 18. CPSO POLICY STATEMENT METHADONE MAINTENANCE TREATMENT FOR OPIOID DEPENDENCE 78 METHADONE MAINTENANCE TREATMENT FOR OPIOID DEPENDENCE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO 80 COLLEGE STREET, TORONTO, ONTARIO M5G 2E2 Similar documents
RN PRESCRIBING AND ORDERING DIAGNOSTIC TESTS: REQUIREMENTS AND STANDARDS (Date TBD) This document has not been approved by CARNA Provincial Council, it is a draft only for review and not for use. Once More information Professional Practice Policy #66. Policy Guide. Methadone Maintenance Treatment (2013)
Professional Practice Policy #66 Policy Guide Methadone Maintenance Treatment (2013) Forward P1 Forward Opioid dependence is a health concern with implications for the individual patient as well as the More information Policies and Procedures. Number: 1127
Policies and Procedures Title: NARCOTIC CONTROL: DOCUMENTATION AND COUNT Authorization: [X] Pharmacy/Nursing Committee [X] SHR Nursing Practice Committee Number: 1127 Source: Pharmacy/Nursing Cross Index: More information Prescribing Standards for Nurse Practitioners (NPs)
Prescribing Standards for Nurse Practitioners (NPs) July 2014 Approved by the College and Association of Registered Nurses of Alberta Provincial Council, (July 2014) Permission to reproduce this document More information STANDARDS AND GUIDELINES TITLE: CIRCULATION DATE: March June 2013 REVISED: June 2013 APPROVAL DATE: July 29, 2013
College of Homeopaths of Ontario 163 Queen Street East, 4 th Floor, Toronto, Ontario, M5A 1S1 TEL 416-862-4780 OR 1-844-862-4780 FAX 416-874-4077 www.collegeofhomeopaths.on.ca STANDARDS AND GUIDELINES More information Date Submitted: July 20, 2000 Date Reviewed: May 31, 2005 January 17, 2006 March 17, 2009 Subject: Administration of Medication
POLICY SOMERSET COUNTY BOARD OF EDUCATION 1. PURPOSE Date Submitted: July 20, 2000 Date Reviewed: May 31, 2005 January 17, 2006 March 17, 2009 Subject: Administration of Medication Number: 600-32 Date More information 16.19.10.11 PUBLIC HEALTH CLINICS: A. CLINIC LICENSURE: (1) All clinics where dangerous drugs are administered, distributed or dispensed shall obtain
16.19.10.11 PUBLIC HEALTH CLINICS: A. CLINIC LICENSURE: (1) All clinics where dangerous drugs are administered, distributed or dispensed shall obtain a limited drug permit as described in Section 61-11-14 More information Professional Standards and Guidance for the Sale and Supply of Medicines
Professional Standards and Guidance for the Sale and Supply of Medicines About this document The Code of Ethics sets out seven principles of ethical practice that you must follow as a pharmacist or pharmacy More information POLICY AND PROCEDURES FOR PROVIDING NARCOTIC ADDICTION TREATMENT TO PREGNANT OPIOID DEPENDENT INMATES INCARCERATED IN THE COUNTY JAIL
PURPOSE POLICY AND PROCEDURES FOR PROVIDING NARCOTIC ADDICTION TREATMENT TO PREGNANT OPIOID DEPENDENT INMATES INCARCERATED IN THE COUNTY JAIL To outline the procedures used in recognizing and providing More information Standards of Practice for Pharmacists and Pharmacy Technicians
Standards of Practice for Pharmacists and Pharmacy Technicians Introduction These standards are made under the authority of Section 133 of the Health Professions Act. They are one component of the law More information What Every Practitioner Needs to Know About Controlled Substance Prescribing
What Every Practitioner Needs to Know About Controlled Substance Prescribing New York State Department of Health Use of Controlled Substances Controlled substances can be effective in the treatment of More information ADMINISTRATION OF MEDICATION
ADMINISTRATION OF MEDICATION IN SCHOOLS MARYLAND STATE SCHOOL HEALTH SERVICES GUIDELINE JANUARY 2006 (Reference Updated March 2015) Maryland State Department of Education Maryland Department of Health More information Narcotic Treatment Programs
This is a copy of two small segments of the DEA Pharmacist Manual, April 2004. This material is absent from the DEA Practitioner s Manual. Narcotic Treatment Programs The Narcotic Addict Treatment Act More information MASSACHUSETTS. Downloaded January 2011
MASSACHUSETTS Downloaded January 2011 150.007 NURSING SERVICES (G) Nursing and Supportive Routines and Practices. (2) No medication, treatment or therapeutic diet shall be administered to a patient or More information Opioid Agreement for Center for Pain Management S.C.
Opioid Agreement for Center for Pain Management S.C. Patient Name: DOB: I am the patient named above. I have agreed to use pain medication as part of my treatment for chronic pain. I understand that these More information Purpose... 2. What s new?... 2. Role of pharmacists and pharmacy technicians in physician-assisted death... 3
Table of Contents Purpose... 2 What s new?... 2 Role of pharmacists and pharmacy technicians in physician-assisted death... 3 Complying with ACP s Standards of Practice for Pharmacists and Pharmacy Technicians... More information 11 MEDICATION MANAGEMENT
1 11 MEDICATION MANAGEMENT OVERVIEW OF MEDICATION MANAGEMENT Depending on the size, structure and functions of the health facility, there may be a pharmacy with qualified pharmacists to dispense medication, More information Health Professions Act BYLAWS SCHEDULE F. PART 3 Residential Care Facilities and Homes Standards of Practice. Table of Contents
Health Professions Act BYLAWS SCHEDULE F PART 3 Residential Care Facilities and Homes Standards of Practice Table of Contents 1. Application 2. Definitions 3. Supervision of Pharmacy Services in a Facility More information Alberta Methadone Maintenance Treatment STANDARDS AND GUIDELINES FOR DEPENDENCE
Alberta Methadone Maintenance Treatment STANDARDS AND GUIDELINES FOR DEPENDENCE 2014 Table of Contents Introduction... 1 Standards and Guidelines - Overview... 3 Methadone Maintenance Treatment in Alberta... More information Information for Pharmacists
Page 43 by 42 CFR part 2. A general authorization for the release of medical or other information is NOT sufficient for this purpose. Information for Pharmacists SUBOXONE (buprenorphine HCl/naloxone HCl More information Ohio Legislative Service Commission
Ohio Legislative Service Commission Bill Analysis Brian D. Malachowsky H.B. 378 130th General Assembly () Reps. Smith and Sprague BILL SUMMARY Prohibits a physician from prescribing or personally furnishing More information 2015 REPORT Steven W. Schierholt, Esq. Executive Director www.pharmacy.ohio.gov
OHIO AUTOMATED RX REPORTING SYSTEM 2015 REPORT Steven W. Schierholt, Esq. Executive Director www.pharmacy.ohio.gov OHIO AUTOMATED RX REPORTING SYSTEM What is OARRS? To address the growing misuse and diversion More information Drugs of Dependence Unit Telephone 1300 652 584 Facsimile 1300 658 447 Issued: 13 July 2010 Updated: 1 February 2012
Drugs of Dependence Unit Telephone 1300 652 584 Facsimile 1300 658 447 Issued: 13 July 2010 Updated: 1 February 2012 Guidelines for action to be taken in response to serious breaches of the drug treatment More information 105 CMR: DEPARTMENT OF PUBLIC HEALTH 105 CMR 210.000: THE ADMINISTRATION OF PRESCRIPTION MEDICATIONS IN PUBLIC AND PRIVATE SCHOOLS
105 CMR 210.000: THE ADMINISTRATION OF PRESCRIPTION MEDICATIONS IN PUBLIC AND PRIVATE SCHOOLS Section 210.001: Purpose 210.002: Definitions 210.003: Policies Governing the Administration of Prescription More information Guidelines for Cancer Pain Management in Substance Misusers Dr Jane Neerkin, Dr Chi-Chi Cheung and Dr Caroline Stirling
Guidelines for Cancer Pain Management in Substance Misusers Dr Jane Neerkin, Dr Chi-Chi Cheung and Dr Caroline Stirling Patients with a substance misuse history are at increased risk of receiving inadequate More information NH Laws / Rules Regarding Limited Retail Drug Distributors
NH Laws / Rules Regarding Limited Retail Drug Distributors 318:1, VII-a. "Limited retail drug distributor'' means a distributor of legend devices or medical gases delivered directly to the consumer pursuant More information NOTICE REQUIREMENTS FOR PRESCRIPTION MONITORING PROGRAMS
NOTICE REQUIREMENTS FOR PRESCRIPTION MONITORING PROGRAMS This project was supported by Grant No. G1299ONDCP03A, awarded by the Office of National Drug Control Policy. Points of view or opinions in this More information CONNECTICUT. Downloaded January 2011 19 13 D8T. CHRONIC AND CONVALESCENT NURSING HOMES AND REST HOMES WITH NURSING SUPERVISION
CONNECTICUT Downloaded January 2011 19 13 D8T. CHRONIC AND CONVALESCENT NURSING HOMES AND REST HOMES WITH NURSING SUPERVISION (d) General Conditions. (6) All medications shall be administered only by licensed More information Understanding Alberta s Drug Schedules
Understanding Alberta s Drug Schedules Preface In May 2002, the provincial drug schedules to the Pharmaceutical Profession Act were amended. In April 2007, the Alberta Regulation 66/2007 to the Pharmacy More information REGULATION 3 PHARMACY TECHNICIANS
REGULATION 3 PHARMACY TECHNICIANS 03-00 PHARMACY TECHNICIANS REGISTRATION/PERMIT REQUIRED 03-00-0001 DEFINITIONS (a) Pharmacy technician means those individuals, exclusive of pharmacy interns, who assist More information August 2011. A. Introduction
Recommendations of the Expert Group on the Regulatory Framework for products containing buprenorphine / naloxone and buprenorphine-only for the treatment of opioid dependence August 2011 A. Introduction More information 11/30/2015 DAYMARK RECOVERY SERVICES PROCEDURES. Procedure #: 2210 Page: 1 of 3
Section 2 General Program Standards; E. Medication Procedure Consumer of Medications and Medical Services Effective 7/03/14 Review By: 7/03/15 Procedure #: 6040 Consumer of Medications and Medical Services More information The Federation of State Medical Boards 2013 Model Guidelines for Opioid Addiction Treatment in the Medical Office
The Federation of State Medical Boards 2013 Model Guidelines for Opioid Addiction Treatment in the Medical Office Adopted April 2013 for Consideration by State Medical Boards 2002 FSMB Model Guidelines More information Alberta Standards & Guidelines for Methadone Maintenance Treatment for Dependence 1 College of Physicians & Surgeons of Alberta
Alberta & Guidelines for Methadone Maintenance Treatment for Dependence 1 College of Physicians & Surgeons of Alberta January 7, 2014 2013 1 Replaces & Guidelines for Methadone Maintenance Treatment in More information 2015 CHAPTER 17. HER MAJESTY, by and with the advice and consent of the Legislative Assembly of Saskatchewan, enacts as follows:
1 PHARMACY c. 17 CHAPTER 17 An Act to amend The Pharmacy Act, 1996 and to make consequential amendments to other Acts (Assented to May 14, ) HER MAJESTY, by and with the advice and consent of the Legislative More information West Virginia Bill Status: January 9 11, 2008
650 Main St. Barboursville, WV 25504 (304) 733-6484 matt@walkerandstevens.com jeff@walkerandstevens.com West Virginia Bill Status: January 9 11, 2008 The following is a West Virginia Bill Status Report, More information Professional Standards and Guidelines
Medical Assistance in Dying College of Physicians and Surgeons of British Columbia Professional Standards and Guidelines Preamble This document is a standard of the Board of the College of Physicians and More information Getting the best result from Opioid medicine. in the management of chronic pain
Getting the best result from Opioid medicine in the management of chronic pain Your doctor has prescribed you opioid medicine to help you manage your chronic pain. This patient information leaflet gives More information CHAPTER 61-03-02 CONSULTING PHARMACIST REGULATIONS FOR LONG-TERM CARE FACILITIES (SKILLED, INTERMEDIATE, AND BASIC CARE)
CHAPTER 61-03-02 CONSULTING PHARMACIST REGULATIONS FOR LONG-TERM CARE FACILITIES (SKILLED, INTERMEDIATE, AND BASIC CARE) Section 61-03-02-01 Definitions 61-03-02-02 Absence of Provider or Consulting Pharmacist More information Controlled Substance Prescribing Laws, The Prescription Monitoring Program, and Preventing Drug Diversion
Controlled Substance Prescribing Laws, The Prescription Monitoring Program, and Preventing Drug Diversion Michael Halse, PharmD PGY1 Resident Pharmacist South County Hospital and Healthcare System Disclosures More information OPIOID PAIN MEDICATION Agreement and Informed Consent
OPIOID PAIN MEDICATION Agreement and Informed Consent I. Introduction Research and clinical experience show that opioid (narcotic) pain medications are helpful for some patients with chronic pain. The More information Newfoundland and Labrador Pharmacy Board
Newfoundland and Labrador Pharmacy Board Standards of Practice Standards for the Safe and Effective Provision of Medication for the Treatment of Opioid Dependence January 2015 Revised September 2015 Table More information Methadone. Buprenorphine 10/9/2015
Medication Assisted Treatment for Opioid Addiction Tanya Hiser, MS, LPC Premier Care of Wisconsin, LLC October 21, 2015 How Did We Get Here? Civil War veterans and women 19th Century physicians cautious More information ARKANSAS. Downloaded January 2011
ARKANSAS Downloaded January 2011 302 GENERAL ADMINISTRATION 302.11 Pharmacies operated in nursing homes shall be operated in compliance with Arkansas laws and shall be subject to inspection by personnel More information DISPENSING OR SELLING NALOXONE. Guidance for pharmacy professionals when dispensing or selling naloxone as a Schedule II drug.
DISPENSING OR SELLING NALOXONE Guidance for pharmacy professionals when dispensing or selling naloxone as a Schedule II drug. UPDATED ON: August 10, 2016 Purpose The intent of this document is to provide More information 2014 Supporting Students at School with Medical Conditions Policy
2014 Supporting Students at School with Medical Conditions Policy Review Framework The policy should be reviewed every four years This policy was created in: This issue was revised and released on: School More information ST. CLAIR COUNTY COMMUNITY MENTAL HEALTH Date Issued: 07/09 Date Revised: 09/11;03/13;06/14;07/15
ST. CLAIR COUNTY COMMUNITY MENTAL HEALTH Date Issued: 07/09 Date Revised: 09/11;/13;06/14;07/15 WRITTEN BY Jim Johnson Page 1 REVISED BY AUTHORIZED BY Jessica Moeller Debra Johnson I. APPLICATION: THUMB More information Health Professions Act BYLAWS SCHEDULE F. PART 2 Hospital Pharmacy Standards of Practice. Table of Contents
Health Professions Act BYLAWS SCHEDULE F PART 2 Hospital Pharmacy Standards of Practice Table of Contents 1. Application 2. Definitions 3. Drug Distribution 4. Drug Label 5. Returned Drugs 6. Drug Transfer More information Professional Responsibilities in Undergraduate Medical Education
COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO P O L I C Y S TAT E M E N T # 1-1 2 Professional Responsibilities in Undergraduate Medical Education APPROVED BY COUNCIL: REVIEWED AND UPDATED: PUBLICATION More information Exceptions to the Rule: A Pharmacy Law Presentation. Objectives DISCLAIMER 10/16/2015
Exceptions to the Rule: A Pharmacy Law Presentation Eric Roath, Pharm.D. Director of Professional Practice Michigan Pharmacists Association Objectives 1. Identify basic legal frameworks that govern the More information Medication is not a part of treatment.
Medication is not a part of treatment. Medication can be an effective part of treatment. Medication is used in the treatment of many diseases, including addiction. Medical decisions must be made by trained More information UW School of Dentistry Comprehensive Medication Policy
UNIVERSITY OF WASHINGTON SCHOOL OF DENTISTRY Subject: UW School of Dentistry Comprehensive Medication Policy Policy Number: Effective Date: December 2014 Revision Dates: June 2015 PURPOSE This policy provides More information WASHINGTON LAWS, 1987
ensure compliance with this chapter and the treatment standard authorized by this chapter. A methadone treatment center shall not have a caseload in excess of three hundred fifty persons. The caseload More information ADMINISTRATION OF MEDICATIONS POLICY
Policy 6.007. ADMINISTRATION OF MEDICATIONS POLICY It is the policy of Cooperative Educational Services (C.E.S.) that students who require any medications to be administered during school hours, including More information Non medical use of prescription medicines existing WHO advice
Non medical use of prescription medicines existing WHO advice Nicolas Clark Management of Substance Abuse Team WHO, Geneva Vienna, June 2010 clarkn@who.int Medical and Pharmaceutical role Recommendations More information MAT Disclosures & Consents 1 of 6. Authorization & Disclosure
MAT Disclosures & Consents 1 of 6 Authorization & Disclosure ***YOUR INSURANCE MAY NOT PAY FOR ROUTINE SCREENING*** *** APPROPRIATE SCREENING DIAGNOSES MUST BE PROVIDED WHEN INDICATED*** Urine Drug Test More information Increasing Access to Opioid Addiction Treatment
Report to The Vermont Legislature Increasing Access to Opioid Addiction Treatment In Accordance with Act 75, 2013, Section 14b An Act Relating to Strengthening Vermont s Response to Opioid Addiction and More information KENTUCKY ADMINISTRATIVE REGULATIONS TITLE 201. GENERAL GOVERNMENT CABINET CHAPTER 9. BOARD OF MEDICAL LICENSURE
KENTUCKY ADMINISTRATIVE REGULATIONS TITLE 201. GENERAL GOVERNMENT CABINET CHAPTER 9. BOARD OF MEDICAL LICENSURE 201 KAR 9:260. Professional standards for prescribing and dispensing controlled substances. More information SECTION.1800 - PRESCRIPTIONS
SECTION.1800 - PRESCRIPTIONS 21 NCAC 46.1801 EXERCISE OF PROFESSIONAL JUDGMENT IN FILLING PRESCRIPTIONS (a) A pharmacist or device and medical equipment dispenser shall have a right to refuse to fill or More information Triage, Assessment & Treatment Methadone 101/Hospitalist Workshop
Triage, Assessment & Treatment Methadone 101/Hospitalist Workshop Launette Rieb, MSc, MD, CCFP, FCFP Clinical Associate Professor, Dept. Family Practice UBC American Board of Addiction Medicine Certified More information Medication Management Guidelines for Nurses and Midwives
Medication Management Guidelines for Nurses and Midwives 1. Introduction As the statutory body responsible for the regulation of nursing and midwifery practice in Western Australia (WA), the Nurses & Midwives More information SUPPORTING WOMEN USING OPIATES IN PREGNANCY: A Guideline for Primary Care Providers May, 2011
INTRODUCTION SUPPORTING WOMEN USING OPIATES IN PREGNANCY: A Guideline for Primary Care Providers May, 2011 Prevalence of Opiate Use and Impact on Maternal, Fetal, and Neonatal Health: The prevalence of More information RULE. The Administration of Medication in Louisiana Public Schools
RULE The Administration of Medication in Louisiana Public Schools Developed in 1994 by The Louisiana State Board of Elementary and Secondary Education and The Louisiana State Board of Nursing Amendments More information The CPSO has a number of comments about HPRAC s consultation process:
Submission to the Honorable David Caplan, Minister of Health and Long-Term Care January 2009 Nurse Practitioners INTRODUCTION The College of Physicians and Surgeons of Ontario (CPSO) welcomes the opportunity More information Investigational Drugs: Investigational Drugs and Biologics
: I. PURPOSE The purpose of this policy is to establish procedures for the proper control, storage, use and handling of investigational drugs and biologics to ensure that adequate safeguards are in place More information DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS DIRECTOR S OFFICE PHARMACY PROGRAM FOR UTILIZATION OF UNUSED PRESCRIPTION DRUGS
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS DIRECTOR S OFFICE PHARMACY PROGRAM FOR UTILIZATION OF UNUSED PRESCRIPTION DRUGS (By authority conferred on the director of the department of licensing and More information Licensed Pharmacy Technician Scope of Practice
Licensed Scope of Practice Adapted from: Request for Regulation of s Approved by Council April 24, 2015 Definitions In this policy: Act means The Pharmacy and Pharmacy Disciplines Act means an unregulated More information B I L L. No. 151 An Act to amend The Pharmacy Act, 1996 and to make consequential amendments to other Acts
B I L L No. 151 An Act to amend The Pharmacy Act, 1996 and to make consequential amendments to other Acts (Assented to ) HER MAJESTY, by and with the advice and consent of the Legislative Assembly of Saskatchewan, More information Massachusetts Substance Abuse Policy and Practices. Senator Jennifer L. Flanagan Massachusetts Worcester and Middlesex District
Massachusetts Substance Abuse Policy and Practices Senator Jennifer L. Flanagan Massachusetts Worcester and Middlesex District November 2014 Substance Abuse and Addiction National and State opioid abuse More information HILLSDALE BOARD OF EDUCATION FILE CODE: 5131.6* SUBSTANCE ABUSE
HILLSDALE BOARD OF EDUCATION Hillsdale, NJ 07642 SUBSTANCE ABUSE Possible Drug and Alcohol Related Situations Whenever it shall appear to any teaching staff member, school nurse or other education personnel More information This technical advisory is intended to help clarify issues related to delegation of medications during the school day.
This technical advisory is intended to help clarify issues related to delegation of medications during the school day. Actual Text - Ed 311.02 Medication During School Day (a) For the purpose of this rule More information Opioid Prescribing for Chronic Pain: Guidelines for Marin County Clinicians
Opioid Prescribing for Chronic Pain: Guidelines for Marin County Clinicians Although prescription pain medications are intended to improve the lives of people with pain, their increased use and misuse More information Controlled Drugs in Perioperative Care
Controlled Drugs in Perioperative Care 2006 Published by The Association of Anaesthetists of Great Britain and Ireland, 21 Portland Place, London W1B 1PY Telephone: 020 7631 1650, Fax: 020 7631 4352 E-mail: More information Nurse-Managed Medication Inventory
Nurse-Managed Medication Inventory Information for Employers College of Registered Nurses of British Columbia 2855 Arbutus Street Vancouver, BC Canada V6J 3Y8 T: 604.736.7331 F: 604.738.2272 Toll-free: More information Delegation of Services Agreements Change in Regulations
Delegation of Services Agreements Change in Regulations Title 16, Division 13.8, Article 4, section 1399.540 was amended to include several requirements for the delegation of medical services to a physician More information 12 LC 33 4683S. The House Committee on Health and Human Services offers the following substitute to HB 972: A BILL TO BE ENTITLED AN ACT
The House Committee on Health and Human Services offers the following substitute to HB 972: A BILL TO BE ENTITLED AN ACT 1 2 3 4 5 6 7 8 9 10 11 12 13 To amend Chapter 34 of Title 43 of the Official Code More information Greater Altoona Career & Technology Center ADULT EDUCATION DRUG & ALCOHOL POLICY
The Greater Altoona Career & Technology Center recognizes that the abuse of controlled substances is a serious problem with legal, physical and social implications for the whole school community. As an More information EXPLORING NALOXONE UPTAKE AND USE PUBLIC MEETING July 01 02, 2015 Fred Wells Brason II fbrason@projectlazarus.org
EXPLORING NALOXONE UPTAKE AND USE PUBLIC MEETING July 01 02, 2015 Fred Wells Brason II fbrason@projectlazarus.org Disclosures Project Lazarus Zogenix Charitable Contribution 2015 Kaléo Charitable Contribution More information Prescribers required to check PDMP before first prescription for Controled Substances for new patient.
State, District, or Territory Alabama Arizona Arkansas Colorado Connecticut Delaware Georgia Guam Criteria for Mandatory Enrollment or Query of PDMP Before renewing an Alabama Controlled Substances Certificate, More information Board of Pharmacy Legislative Update Allison M. Dudley, J.D. Executive Director Board of Pharmacy. Disclosure. Objectives 9/9/2015
Board of Pharmacy Legislative Update Allison M. Dudley, J.D. Executive Director Board of Pharmacy Disclosure I have nothing to disclose and further, I was not paid an honorarium or travel reimbursement More information PROPOSED PHARMACEUTICAL REGULATION
Complete draft DATE: June 3, 2013 PROPOSED PHARMACEUTICAL REGULATION TABLE OF CONTENTS Section PART 1 DEFINITIONS 1.1 Definitions PART 2 REGISTERS 2.1 Content of registers 2.2 Information in registers More information DIVISION OF MENTAL HEALTH AND ADDICTION SERVICES ADMINISTRATIVE BULLETIN 3:38
DIVISION OF MENTAL HEALTH AND ADDICTION SERVICES ADMINISTRATIVE BULLETIN 3:38 Effective Date: May 21, 2014 SUBJECT: Guidelines for Use of the Prescription Drug Monitoring in Opioid Treatment Programs I. More information What you should know about treating your pain with opioids. Important information on the safe use of opioid pain medicine.
What you should know about treating your pain with opioids Important information on the safe use of opioid pain medicine. If your healthcare provider has determined that opioid therapy is right for you, More information WHEREAS updates are required to the Compensation Plan for Pharmacy Services;
M.O. 23/2014 WHEREAS the Minister of Health is authorized pursuant to section 16 of the Regional Health Authorities Act to provide or arrange for the provision of health services in any area of Alberta More information College of Physicians and Surgeons of Saskatchewan. Saskatchewan METHADONE GUIDELINES AND STANDARDS. for the Treatment of Opioid Addiction/Dependence
College of Physicians and Surgeons of Saskatchewan Saskatchewan METHADONE GUIDELINES AND STANDARDS for the Treatment of Opioid Addiction/Dependence March, 2015 cps.sk.ca ACKNOWLEDGEMENTS The information More information Patient Name: Date of Birth: / / Last First Middle I. Home #: Cell #: Work #: Email Address: Primary Care Physician: Phone: Insurance ID #: Group #:
Patient Name: Date of Birth: / / Race: White Black/African American American Indian/Alaska Native Asian Native Hawaiian/Pacific Islander Other Ethnicity: Not of Spanish/Hispanic Descent Spanish/Hispanic More information ROCHESTER AREA SCHOOL DISTRICT
No. 210 SECTION: PUPILS ROCHESTER AREA SCHOOL DISTRICT TITLE: USE OF MEDICATIONS ADOPTED: August 11, 2008 REVISED: August 25, 2014 210. USE OF MEDICATIONS 1. Purpose The Board shall not be responsible More information Guidelines for the Prescribing, Supply and Administration of Methadone and Buprenorphine on Transfer of Care
Hull & East Riding Prescribing Committee Guidelines for the Prescribing, Supply and Administration of Methadone and Buprenorphine on Transfer of Care 1. BACKGROUND Patients who are physically dependent More information Considerations in Medication Assisted Treatment of Opiate Dependence. Stephen A. Wyatt, D.O. Dept. of Psychiatry Middlesex Hospital Middletown, CT
TENNESSEE BOARD OF MEDICAL EXAMINERS POLICY STATEMENT OFFICE-BASED TREATMENT OF OPIOID ADDICTION The Tennessee Board of Medical Examiners has reviewed the Model Policy Guidelines for Opioid Addiction Treatment More information - 1 - First Time Pharmacy Managers (Revised 02/02/2011)
State of Connecticut Department of Consumer Protection Commission of Pharmacy 165 Capitol Avenue, Room 147 Hartford, CT 06106 - Telephone: 860-713-6070 ALL FIRST-TIME PHARMACY MANAGERS ARE REQUIRED TO More information IAC 10/5/11 Pharmacy[657] Ch 40, p.1 CHAPTER 40 TECH-CHECK-TECH PROGRAMS
IAC 10/5/11 Pharmacy[657] Ch 40, p.1 CHAPTER 40 TECH-CHECK-TECH PROGRAMS 657 40.1(155A) Purpose and scope. The board may authorize a hospital pharmacy to participate in a tech-check-tech program. The board More information Arkansas Emergency Department Opioid Prescribing Guidelines
Arkansas Emergency Department Opioid Prescribing Guidelines 1. One medical provider should provide all opioids to treat a patient s chronic pain. 2. The administration of intravenous and intramuscular More information Southlake Psychiatry. Suboxone Contract
Suboxone Contract Thank you for considering Southlake Psychiatry for your Suboxone treatment. Opiate Addiction is a serious condition for which you may find relief with Suboxone treatment. In order to More information BOARD OF PHARMACY DIVISION 41 OPERATION OF PHARMACIES (RETAIL AND INSTITUTIONAL DRUG OUTLETS) CONSULTING PHARMACISTS AND OPERATION OF DRUG ROOMS
BOARD OF PHARMACY DIVISION 41 OPERATION OF PHARMACIES (RETAIL AND INSTITUTIONAL DRUG OUTLETS) CONSULTING PHARMACISTS AND OPERATION OF DRUG ROOMS 855-041-6050 Definitions Hospitals with Pharmacies (1) In More information Administrative Policies and Procedures for MOH hospitals /PHC Centers. TITLE: Organization & Management Of Medication Use APPLIES TO: Hospital-wide
Administrative Policies and Procedures for MOH hospitals /PHC Centers TITLE: Organization & Management Of Medication Use APPLIES TO: Hospital-wide NO. OF PAGES: ORIGINAL DATE: REVISION DATE : السیاسات More information RULES OF THE TENNESSEE BOARD OF NURSING CHAPTER 1000-04 ADVANCED PRACTICE NURSES AND CERTIFICATES OF FITNESS TO PRESCRIBE TABLE OF CONTENTS
RULES OF THE TENNESSEE BOARD OF NURSING R 1000-04 ADVANCED PRACTICE NURSES AND CERTIFICATES TABLE OF CONTENTS 1000-04-.01 Purpose and Scope 1000-04-.07 Processing of Applications 1000-04-.02 Definitions More information STATE OF FLORIDA DEPARTMENT OF HEALTH ORDER OF EMERGENCY SUSPENSION OF LICENSE. H. Frank Farmer, Jr., MD, PhD, FACP, State Surgeon General, ORDERS the
Final Order No. DOH-I I -2297-6%6A FILED DATE 'actk Department of Health STATE OF FLORIDA DEPARTMENT OF HEALTH Deputy Agency Clerk In Re: Emergency Suspension of the License of ORDER OF EMERGENCY SUSPENSION More information Pharmacy Technician Structured Practical Training Program Logbook
Pharmacy Technician Structured Practical Training Program Logbook This logbook outlines the activities that pharmacy technician learners are required to complete in order to demonstrate competencies as More information MARYLAND EMERGENCY DEPARTMENT OPIOID PRESCRIBING GUIDELINES
MARYLAND EMERGENCY DEPARTMENT OPIOID PRESCRIBING GUIDELINES 1. Hospitals, in conjunction with Emergency Department personnel, should develop a process to screen for substance misuse that includes services More information 2017 © DocPlayer.net Privacy Policy | Terms of Service | Feedback