• When
• Provider is prescribing an opioid analgesic with ambulatory misuse potential in the outpatient setting
{% include subacute-and-chronic-pain-definition.html %}
• Opioid review is useful for this patient:
{% include opioid-review-useful-functional-description.html %}
• Nonopioid drug urine screening has not been performed in last 12 months or
• Opioid drug urine screening has not been performed in last 12 months
• Then
• Consider the benefits and risks of conducting a urine toxicology screen:
• Document - Order toxicology screen
• Document risks outweigh benefits
• Snooze - N/A see comment, snooze 3 months
• When
• Provider is prescribing an opioid analgesic with ambulatory misuse potential in the outpatient setting
{% include subacute-and-chronic-pain-definition.html %}
• Opioid review is useful for this patient:
{% include opioid-review-useful-functional-description.html %}
• Nonopioid drug urine screening has been performed in last 12 months and
• Opioid drug urine screening has been performed in last 12 months and
• Positive result for synthetic opioid in the past year and not currently prescribed synthetic opioid or
• Positive result for phencyclidine(PCP) in the past year or
• Positive result for fentanyl in the past year and not currently prescribed fentanyl or
• Positive result for cocaine in the past year or
• Positive result for amphetamine in the past year and not currently prescribed amphetamine or
• Positive result for tetrahydrocannabinol (THC) in the past year and not currently prescribed tetrahydrocannabinol (THC) or
• Positive result for opiate in the past year and not currently prescribed natural opiate or
• Positive result for alcohol in the past year or
• Positive result for methadone in the past year and not currently prescribed methadone
• Then
• Patient may have unexpected toxicology test results:
• Document - Will repeat urine drug screening more frequently
• Document - Will assess patient for substance use disorder
• Snooze - Patient's test results were expected, snooze for 3 months
• Snooze - N/A snooze for 3 months