Opioid Management

Toolkit Materials

• The AAMI Foundation 2015 Opioid Compendium

  The AAMI Foundation, with the support of key industry partners and other patient safety organizations, has launched a multiyear initiative to highlight the potentially catastrophic patient safety problem of opioid oversedation and to make the case for a solution that can save lives: continuous electronic monitoring (CEM).

• CDC Opioid Prescribing Recommendations

  Recommended practices from the CDC for prescribing opioids for the treatment of chronic pain not for active cancer, palliative care or end of life care.

• CDC Opioid Overdose Prevention Toolkit

  Toolkit compiled by the CDC containing Facts for Community Members,  Five Essential Steps for First Responders,  Information for Prescribers,  Safety Advice for Patients & Family Members Recovering From Opioid Overdose.

• CMS Clinical Standards Survey and Certification Letter

  CMS letter identifying requirements for hospital medication administration, particularly IV medications and post-operative care of patients receiving IV opioids.

• Worksheet for Discussing Opioid Management with Medical Professionals

  Key points to consider and be prepared to address when engaging medical professionals to discuss an opioid management program.

• Worksheet for Developing an Overdose Response Plan

  Key elements to consider when developing an overdose response plan at your facility.

• How to Assemble a Naloxone Kit and Prepare Educational Materials

  Guidelines for assembling a naloxone take home kit and appropriate education materials to include.

• How to Implement Low Cost Opioid Overdose Prevention Strategies Worksheet

  Important ways you can integrate overdose prevention into your current work at little to no cost to your program. Although all of these suggestions may not be relevant to your unique program structure, they are a great starting point to begin brainstorming ways that overdose prevention can fit into your program.

• TJC Enhances Pain Assessment and Management Requirements

  From the Joint Commission Perspectives Newsletter comes the announcement of new and revised pain assessment and management standards that will go into effect January 1, 2018.

• Opioid Knowledge Assessment Tool

  Healthcare facilities can use this assessment for practitioners who prescribe, dispense, and/or administer opioid products.

• Opioid Addiction Risk Assessment Tool

  Tool can be utilized to assess the risk of opioid addiction of a patient.

• Organization Assessment for Safe Opioid Practices

  This tool will help you assess the safety of opioid practices in your facility and identify opportunities for improvement.

• Opioid Overdose Prevention Tips Worksheet

  Worksheet highlights common overdose risks and provides prevention tips.

• How to Make an Inquiry Using PMP Aware

  This document walks the user through the process of making an inquiry.

• Pasero Opioid Induced Sedation Scale (POSS) Presentation

  PowerPoint on the practical use of the Pasero Opioid-Induced Sedation Scale (POSS) as well as when and how to utilize it in the hospital.

• Patient Agreement Forms for Pain Treatment

  These documents can help facilitate communication between patients and healthcare providers and resolve any questions or concerns before initiation of long-term treatment with a controlled substance.

• Sample Policy for Prescribing Controlled Substances

  Sample policy that provides guidelines for appropriate action when a patient, suspected of abusing drugs, requests a prescription for a controlled substance from an emergency practitioner.

• San Diego Patient Controlled Analgesia Guidelines Toolkit

  This document was developed by the San Diego Patient Safety Task Force to provide Acute Care settings with recommendations for the standardization of intravenous Patient Controlled Analgesia (PCA) medication administration in the care of the opioid naïve patient.

• Safeguarding Patients with Surveillance Monitoring

  A patient risk assessment to help determine the level of risk a patient may have for being over-sedated with the use of opioid pain management.

• Continuous Monitoring of Patient Vital Signs to Reduce Failure-to-Rescue Events

  Johns-Hopkins Hospital describes their organizations successful continuous patient monitoring project. This article describes how they used technology to improve patient outcomes and failure-to-rescue events related to over-sedation.

• Richmond Agitation Sedation Scale (RASS)

  An evidence-based, objective sedation scale that can be used to determine a patient’s level of sedation. The scale helps you rank patients from combative through non-arousable states

• Opioid Risk Assessment Tool

  A patient risk assessment to help determine the level of risk a patient may have for being over-sedated with the use of opioid pain management.

• Article: Safeguarding Patients with Surveillance Monitoring

  Dartmouth-Hitchcock Medical Center describes their journey from FMEA through performance improvement in reduction of adverse events related to over-sedation from opioid administration.

• Article: Continuous Monitoring of Patient Vital Signs to Reduce Failure-to-Rescue Events

  Johns-Hopkins Hospital describes their organizations successful continuous patient monitoring project. This article discusses how they used technology to improve patient outcomes and failure-to-rescue events related to over-sedation.

• Opioid Staff Education Presentation

  This presentation is designed to help organizations educate their nursing staff regarding the dangers of opioid therapy and how they can impact patient care in their current role. The presentation would be best supplemented with the addition of your own organizational policies surrounding the management of opioids.

• CDC Guidelines for Prescribing Opioids for Chronic Pain

  These clinical practice guidelines have been developed to provide recommendations for prescribing opioid pain medications in the primary care setting while establishing safer, more effective treatment of chronic pain.

• WHO Guidelines on the Pharmacological Treatment of Persisting Pain in Children

  These evidence-based guidelines can help organizations design policies and procedures to improve the management of pain in children. The guidelines provide an overview of pain classifications, evaluation of pain in children and recommended treatments according to the level of pain.

• Pediatric Acute Pain Management (Children’s Minnesota)

  Sample policy and dosing guidelines for pain management in the pediatric population developed by Children’s Minnesota using the WHO Guidelines as a reference. This sample addresses the use of opioids, non-opioid medications and alternative therapy treatment based on the level of pain in a pediatric patient.

• Safe Prescribing of Opioids in Pediatric and Adolescent Populations

  A sample policy, developed by the state of Pennsylvania, addresses the appropriate management of pain in pediatric patients. The policy uses evidence-based practice guidelines to address the use of opioids and the prevention of opioid use disorder while providing an overview of pain in children.