Oregon Administrative Rules
Chapter 847 - OREGON MEDICAL BOARD
Division 15 - GENERAL LICENSING RULES, RELATING TO CONTROLLED SUBSTANCES
Section 847-015-0030 - Written Notice Disclosing the Material Risks Associated with Prescribed or Administered Controlled Substances for the Treatment of "Intractable Pain"
Current through Register Vol. 63, No. 9, September 1, 2024
(1) Definitions
(2) Controlled substances may be prescribed for long term treatment of intractable pain. The records must contain the health care professional's examination, diagnosis and any other supporting diagnostic evaluations and other therapeutic trials, including records from previous health care professionals. If there is a consulting health care professional, written documentation of his/her corroborating findings, diagnosis and recommendations shall be included in the record.
(3) Before initiating treatment of intractable pain with controlled substances or, when it is apparent that pain which is already being treated with controlled substances has now become intractable, the health care professional shall discuss with the patient the procedures, alternatives and risks associated with the prescribing or administering controlled substances for long term management of pain. Following the discussion, the patient will be given an opportunity to request further explanations. When the patient is satisfied with the explanation of the issues related to the prescribing of these drugs over long periods of time, the health care professional shall provide to the person and the person shall sign a written document outlining the issues discussed associated with the prescribed or administered controlled substances.
(4) The material risk notice should include but not be limited to:
(5) The material risk consent form will be maintained as a permanent component of the patient record as shall documentation of long term follow-up to demonstrate the continued need for this form of therapy. A dispensing record of the amount and dose of the prescribed or administered controlled substances shall be maintained as part of the patient record.
Stat. Auth.: ORS 677.265
Stats. Implemented: ORS 677.097, 677.190, 677.470, 677.474, 677.480