week 2 controlled substances

NR565 Week 2: State Specific Guidelines for Prescribing Controlled Substances & Medical Devices 1 Student Name: State of Planned NP Clinical Practice: Kentucky Complete the following table with information specific to the state where you plan to practice as a nurse practitioner. Please refer to the rubric in the course to identify how much each prompt is worth. Most are worth 5 or 6 points with one question being worth 10 points. The 10 point question is noted in the table.  Sources should be obtained directly from the state's regulatory organization(s) and must be cited appropriately.  It is recommended that you keep a copy of this paper to provide to potential employers or your Board of Nursing in order to demonstrate your knowledge of your state laws. Guidelines and recommendations for your state: In response to the opioid epidemic, individual states have developed and adopted voluntary guidelines or recommendations for the treatment of acute and chronic non-cancer pain. Based on research done on the state where you will practice clinically, include the following: Provide the name of your practicing state's organization, group or task force that created guidelines or recommendations for pain management therapies and education. Organization, group, or task force name Kentucky General Assembly along with the Kentucky Board of Medical Licensure Where you found this information (weblink): https://apps.legislature.ky.gov/law/statutes/statute.aspx? id=45891 https://kbml.ky.gov/prescribing-substance- abuse/Pages/default.aspx Briefly describe an overview of its development and include a web address where this information can be found. If your state does not have guidelines, discuss a federal guideline. (Note: you may need to contact your state's board of nursing, pharmacy, or Overview of your state’s guideline development with web address. In 2012 the Kentucky General Assembly passed House Bill 1 detailing the regulations of pain clinics and prescription drug abuse in Kentucky. The regulation 201 KAR 9:260 sets mandatory guidelines for prescribing and dispensing controlled substances in KY. https://kbml.ky.gov/hb1/Pages/default.as Locate federal guidelines and provide a link to federal guidelines you could use in practice as a NP A federal guideline I could use as a practicing NP for pain management therapies and education is the CDC clinical practice guideline for prescribing opioids for pain. https://www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm? s_cid=rr7103a1_w

NR565 Week 2: State Specific Guidelines for Prescribing Controlled Substances & Medical Devices 2 medicine if you cannot locate it on your own). px Some states have multiple organizations or initiatives (ex: Ohio) in place to combat the opioid epidemic and advocate for safer opioid prescribing. Explore whether your state has other resources, groups or organizations where prescribers can reference best practices for pain management treatment. If applicable, provide a brief overview of the group's recommendations or initiatives. If your state does not have another state-specific resource, discuss the guidelines published by the American Pain Society OR Centers for Disease Control and Prevention. Provide a brief overview of the group's recommendations or initiatives (provide link to where you found information). KY Office of Drug Control Policy (KY- ODCP) and KY Agency for Substance Abuse Policy (KY-ASAP) are tasked to coordinate KY’s response to substance misuse and abuse. The goal of these offices is to plan for development for an effective continuum of prevention and treatment services. Another goal or value of these offices is to provide a repository of information on best practices and standards of practice for prevention, treatment, education, and law enforcement related to substance misuse. https://odcp.ky.gov/About/Pages/defaul t.aspx Provide a brief overview of the guidelines published by the American Pain Society OR Centers for Disease Control and Prevention (provide link to where you found information). The Centers for Disease Control and Prevention clinical practice guidelines for prescribing opioids for pain were created to help clinicians make informed decisions when prescribing opioids. These guidelines are intended to improve pain management and patient safety. The Centers for Disease Control and Preventions recommends clinicians use the following actions when prescribing opioids: determining weather or not to use opioids for pain management, selecting appropriate opioids and determining the correct dose, deciding duration of prescription, and conducting a follow up, and assessing risks and potential harms of opioid use. https://www.cdc.gov/opioids/patients/guideline.html Discuss when the use of opioids is appropriate and for what duration should they be prescribed? Provide a reference for your response. (This question is worth 10 points. 4 points for when opioids are appropriate, 4 The 2022 Centers for Disease Control and Prevention clinical practice guidelines is intended for clinicians to use when prescribing opioids for acute (less than 1 month) and subacute (1 to 3 months) pain for adults in outpatient settings aside from those patients with sickle cell disease, cancer related pain, palliative care, and end-of-life care (Dowell et. al., 2022). Opioid therapy for acute pain should only be initiated if its benefits outweigh its risks (Dowell et. al., 2022). Opioids should be prescribed at the lowest effective dose and for a duration no longer than the pain that warrants opioids lasts (Dowell et. al., 2022). If opioids are being used for more than a few days, tapering doses are recommended when discontinuing opioids (Dowell et. al., 2022).