New Hampshire Code of Administrative Rules
Nur - Board of Nursing (Formerly the Board of Nursing Education and Nurse Registration)
Chapter Nur 500 - ETHICAL STANDARDS
Part Nur 502 - OPIOID PRESCRIBING
Section Nur 502.04 - Acute Pain
Current through Register No. 12, March 21, 2024
If opioids are indicated and clinically appropriate for prescription for acute pain, prescribing licensees shall:
(a) Conduct and document a physical examination and history;
(b) Prescribe the lowest effective dose for a limited duration;
(c) Document the prescription and rationale for all opioids;
(d) Ensure that the patient has been provided information that contains the following:
(e) Comply with all federal and state controlled substance laws, rules and regulations;
(f) Conduct and document a risk assessment, such as the evidence-based screening tool Screener and Opioid Assessment for Patients with Pain (SOAPP);
(g) Document an appropriate treatment plan and consideration of non-pharmacological modalities and non-opioid therapy;
(h) Utilize a written informed consent that explains the following risks associated with opioids:
(i) In an emergency department, urgent care setting, or walk-in clinic:
(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 conduct an in-office follow-up with the patient prior to issuing a new opioid prescription.