Section 246-840-487 - Consultation-Exemptions for exigent and special circumstances An advanced registered nurse practitioner is not required to consult with a pain management specialist as defined in WAC 246-840-493 when the advanced registered nurse practitioner has documented adherence to all standards of practice as defined in WAC 246-840-460 through 246-840-493, and when any one or more of the following conditions apply:
(1) The patient is following a tapering schedule;(2) The patient requires treatment for acute pain, which may or may not include hospitalization, requiring a temporary escalation in opioid dosage with expected return to their baseline dosage level or below;(3) The advanced registered nurse practitioner documents reasonable attempts to obtain a consultation with a pain management specialist and the circumstances justifying prescribing above one hundred twenty milligrams morphine equivalency dosage (MED) per day without first obtaining a consultation; or(4) The advanced registered nurse practitioner documents the patient's pain and function is stable, and the patient is on a nonescalating dosage of opioids.Wash. Admin. Code § 246-840-487
Amended by WSR 18-20-086, Filed 10/1/2018, effective 11/1/2018Statutory Authority: RCW 18.79.400. 11-10-064, § 246-840-487, filed 5/2/11, effective 7/1/11.