Pain Doctor Follows a 12-Step Compliance Checklist for Long-Term Opioid Therapy

For opioid use, patients must have:

  1. Assessment of pain (0-10 scale)
  2. Clear documentation of rationale for opioid use (i.e., chronic lower back pain, degenerative disc disease, spinal stenosis)
  3. Clear documentation of beneficial clinical response to opioid use and establish goals of opioid treatment (i.e. decrease pain or increase function)
  4. Current and updated medication list
  5. Documentation of substance abuse/social history (i.e., patient denies any history of alcohol, drug, prescription medication abuse…)
  6. Physical examination of painful area
  7. Documentation of risks and benefits (i.e., risks explained to patient)
  8. Appropriate referral for additional evaluation and treatment (i.e., psychiatric referral for depression)
  9. Updated review of State Pharmacy Board report for patient
  10. Current and consistent Urine Drug Testing based on risk stratification
  11. Naloxone rescue medication for opioid overdose for those who are moderate to high risk, and/or greater than 50 meq of morphine daily
  12. Patient has signed an Opioid Agreement within last six months

Read more about the long term effects of opioids use.

Opioids Infographics

opioids problem opioids statistics