Section Den 503.04 - Acute Pain If opioids are indicated and clinically appropriate for prescription for acute pain, prescribing licensees shall:
(a) Conduct and document an examination of the oral cavity and associated structures and a medical history;(b) Consider the patient's risk for opioid misuse, abuse, or diversion and prescribe for the lowest effective dose for less than 30 days;(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 evidence based screening tool Screener and Opioid Assessment for Patients with Pain (SOAPP);(g) Document the consideration of non-pharmacological modalities and non-opioid therapy, and an appropriate pain treatment plan which includes the type of drug, the dosage, and the duration of the prescription;(h) Utilize a written informed consent that explains the following risks associated with opioids: (4) Physical side effects;(i) In an emergency department, urgent care setting, or walk-in clinic:(1) Not prescribe more than the minimum amount of opioids dentally necessary to treat the patient's dental 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 dental 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 work in concert with the patient's primary care physician or a licensed pain management program, and shall continue to adhere to the terms of Den 503.05 for establishing a pain management program.N.H. Admin. Code § Den 503.04
Derived From Volume XXXVII Number 02, Filed January 12, 2017, Proposed by #11130, Effective 1/1/2017, Expires 1/1/2027.Amended by Volume XXXVII Number 2, Filed January 12, 2017, Proposed by #12061, Effective 1/1/2017, Expires 1/1/2027.