Alphanumeric outline[ edit ] An alphanumeric outline includes a prefix at the beginning of each topic as a reference aid. The prefix is in the form of Roman numerals for the top level, upper-case letters in the alphabet of the language being used for the next level, Arabic numerals for the next level, and then lowercase letters for the next level.
The MMS supports the adoption and dissemination of specific guidelines related to the prescribing of opioids. Separate guidelines are needed for treatment of acute and chronic pain. Chronic pain guidelines apply to patients who receive opioids for a more than 90 day period.
This includes transferred patients with opioid treatment histories and existing patients who reach a 90 day period of treatment. Guidelines do not apply to patients with cancer, patients in hospice or palliative care and inpatients of hospitals and nursing homes.
Work is ongoing with appropriate specialists and specialty societies to review opioid prescribing issues and guidelines unique to specialties and practice settings. Physicians should review existing guidelines for their individual specialties. Acute Care Guidelines Initiation of Opioid Treatment Physicians must be familiar with and follow the requirements of the law and regulations on use of the prescription monitoring program prior to initiating opioid treatment.
Patients should also be screened or assessed for: Physicians prescribing opioids should inform their patients about the cognitive and performance effects of these prescriptions and warn them about the dangers to themselves and others in operating machinery, driving and related activities while under treatment.
Patients with complex pain conditions, serious co-morbidities and mental illness, or a history or evidence of substance use disorder should be considered for consultation from a colleague or specialist referral.
When clinically indicated, opioids should be initiated as a short term trial to assess the effects and safety of opioid treatment on pain intensity, function, and quality of life. In most instances, the trial should begin with a short-acting opioid medication.
The starting dosage should be the minimum dosage necessary to achieve the desired level of pain control and to avoid excessive side effects. Duration should be short term with possible partial fill prescriptions or short term, low dosage sequential prescription approaches considered.
Physicians should be aware of published dosing guidelines for pediatric patients and consider body weight and age as a factor in treating pediatric patients. Patients should be counseled to store the medications securely, never share with others, and properly dispose of unused and expired prescriptions.
Evaluating Opioid Treatment Continuing opioid treatment should be a deliberate decision that takes into consideration the risks and benefits of ongoing opioid treatment for that patient. Patients and health care providers should periodically reassess the need for continued opioid treatment, tapering whenever possible, as part of the comprehensive pain care plan.
A second opinion or consultation from a colleague or specialist may be useful in making that decision. Routinely assess function and pain status.
An assessment of function and pain should consistently measure the same elements to determine the degree of progress. This time period should trigger a face to face reevaluation of the treatment provided to date, its long term efficacy and risks of continued opioid therapy.A template for your communications plan is located in the media gallery.
Ensure you cover the various scenarios including status updates, risk management, and budgeting concerns. Ensure you cover the various scenarios including status updates, risk management, and budgeting concerns. TEMPLATE: DEVELOP A COMMUNICATION PLAN IN NINE STEPS 3 COMMUNICATION TOOLBOX.
TEMPLATE. Develop a communication plan in nine steps. A communication plan defines the approach that a . Introduction OSHA's Hazard Communication Standard (HCS) is based on a simple concept -- that employees have both a need and a right to know the hazards and identities of the chemicals they are exposed to when working.
Effective communication is the essence of project management, making a communication plan vital. According to the Project Management Institute, high-performance organizations who finished 80% of projects were twice as likely to have communication plans in place than their low-performing counterparts.
If you don’t have a project communication plan or want to update your current plan, . Strategic Communication Action Plan The following is an example of an outline for a strategic communication action plan for XXXX County Schools based on the recommendations from an NSPRA Communication Audit Microsoft Word - Sample Strategic Communications Action srmvision.com Buy The Future Has Other Plans: Planning Holistically to Conserve Natural and Cultural Heritage (Applied Communication) on srmvision.com FREE SHIPPING on qualified orders.