Indiana Administrative Code
Title 844 - MEDICAL LICENSING BOARD OF INDIANA
Article 2.2 - PHYSICIAN ASSISTANTS
Rule 3 - Opioid Prescribing Requirements
Section 3-4 - Evaluation and risk stratification by physician assistant
Universal Citation: 844 IN Admin Code 3-4
Current through March 20, 2024
Authority: IC 25-22.5-2-7; IC 25-22.5-13-3
Affected: IC 25-1-9; IC 25-27.5
Sec. 4.
(a) The physician assistant shall do the physician assistant's own evaluation and risk stratification of the patient by doing the following in the initial evaluation of the patient:
(1) Performing an
appropriately focused history and physical exam and obtain or order appropriate
tests, as indicated.
(2) Making a
diligent effort to obtain and review records from previous health care
providers to supplement the physician assistant's understanding of the
patient's chronic pain problem, including past treatments, and documenting this
effort.
(3) Asking the patient to
complete an objective pain assessment tool to document and better understand
the patient's specific pain concerns.
(4) Assessing both the patient's mental
health status and risk for substance abuse using available validated screening
tools.
(5) After completing the
initial evaluation, establishing a working diagnosis and tailoring a treatment
plan to meaningful and functional goals, with the patient reviewing them from
time to time.
(b) Where medically appropriate, the physician assistant shall utilize nonopioid options instead of or in addition to prescribing opioids.
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