Washington Subacute Opioid Request Form is a document issued by healthcare providers in Washington State to request a prescription of opioids for their patients. This form is used to assess the medical need for opioid treatment and to ensure the safe and effective use of opioids. It is a state-mandated form and must be completed and signed by both the healthcare provider and the patient. The form includes patient history and current use of opioids, clinical assessment of pain, and the provider’s assessment of risks and benefits of opioid therapy. The Washington Subacute Opioid Request Form is divided into two parts: the Initial Opioid Request Form and the Follow-up Opioid Request Form. The Initial Opioid Request Form is used to request a prescription of opioids for the first time. The Follow-up Opioid Request Form is used to request a prescription of opioids in subsequent visits. Both forms must be completed and signed by both the healthcare provider and the patient.
Washington Subacute Opioid Request Form
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How to fill out Washington Subacute Opioid Request Form?
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FAQ
Opioids are natural or synthetic chemicals that bind to receptors in your brain or body to reduce the intensity of pain signals reaching the brain. Doctors sometimes prescribe opioid medications to manage pain.
Opioids, such as fentanyl, oxycodone, and morphine, are often needed to manage the pain caused by a major surgery, such as a knee replacement, or a traumatic injury, such as a serious burn or broken bone.
3. Max Quantity Limits: Limit the quantity of opioids prescribed to 90 MME/day. Prescribers may request a PA for higher doses up to 200 MME/day. Note: MME refers to morphine milligram equivalent.
The limits are: No more than 18 doses (approximately a 3-day supply) for patients age 20 or younger. No more than 42 doses (approximately a 7-day supply) for patients age 21 or older.
Oxycodone has a high abuse potential and is prescribed for moderate to high pain relief associated with injuries, bursitis, dislocation, fractures, neuralgia, arthritis, and lower back and cancer pain. It is also used postoperatively and for pain relief after childbirth.
Key Recommendations. Nonpharmacologic and nonopioid pharmacologic therapies are preferred for chronic pain. Opioid therapy should be considered only when benefits for both pain and function are anticipated to outweigh the risks.
Prescription opioids are used mostly to treat moderate to severe pain, though some opioids can be used to treat coughing and diarrhea. Opioids can also make people feel very relaxed and "high" - which is why they are sometimes used for non-medical reasons.