Safe Prescribing

The New Hampshire Board of Medicine has adopted Guidelines for the use of Controlled Substances in the Management of Chronic Pain.  Below is an abbreviated version of the guidelines.  For the complete document please click here: www.nh.gov/medicine/cipain.html.

Evaluate the patient:  The medical record must contain a complete history and physical examination documenting the nature and intensity of the pain as well as co-existing conditions.

Treatment Plan:  Objectives should  state objectives that will be used to determine treatment success, such as pain relief, an/or improved physical or psycho-social function.

Informed Consent and Agreement for Treatment:  Discuss the risks and benefits to the use of controlled substances with the patient, appropriate significant other, and/or guardian.

Periodic Review:  Review the course of opioid treatment and any new information about the etiology and impact of the pain.  Adjust the treatment plan as necessary.

Consultation:  Refer the patient for additional evaluation and treatment as necessary.

Medical Records:  Keep accurate and complete records.  Records must remain current and be available for review.

Comply with Controlled Substances Law and Regulations:  You must be licensed in the state of NH, have a valid controlled substances registration and comply with federal and state regulation for issuing controlled substances prescription.

Pain related law of interest:  www.gencourt.state.nh.us/legislaton/2000/SB0424.html