Section 246-840-487. Consultation—Exemptions for exigent and special circumstances.

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An advanced registered nurse practitioner is not required to consult with a pain management specialist as described in WAC 246-840-493 when he or she has documented adherence to all standards of practice as defined in WAC 246-840-460 through 246-840-493 and when any one or more of the following conditions apply:

(1) The patient is following a tapering schedule;

(2) The patient requires treatment for acute pain which may or may not include hospitalization, requiring a temporary escalation in opioid dosage, with expected return to or below their baseline dosage level;

(3) The advanced registered nurse practitioner documents reasonable attempts to obtain a consultation with a pain management specialist and the circumstances justifying prescribing above one hundred twenty milligrams morphine equivalency dosage (MED) per day without first obtaining a consultation; or

(4) The advanced registered nurse practitioner documents the patient's pain and function is stable and the patient is on a nonescalating dosage of opioids.

[Statutory Authority: RCW 18.79.400. WSR 11-10-064, § 246-840-487, filed 5/2/11, effective 7/1/11.]

RCW 18.79.400. WSR 11-10-064, § 246-840-487, filed 5/2/11, effective 7/1/11.

Rules

246-840-493,246-840-460,246-840-493,

                    
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