Section 246-918-811. Consultation—Exemptions for exigent and special circumstances.

A physician assistant is not required to consult with a pain management specialist as described in WAC 246-918-813 when he or she has documented adherence to all standards of practice as defined in WAC 246-918-800 through 246-918-813 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 physician assistant documents reasonable attempts to obtain a consultation with a pain management specialist and the circumstances justifying prescribing above one hundred twenty milligrams morphine equivalent dose (MED) per day without first obtaining a consultation; or

(4) The physician assistant documents that the patient's pain and function is stable and that the patient is on a nonescalating dosage of opioids.

[Statutory Authority: RCW 18.71.450, 18.71A.100, 18.71.017, and 18.71A.020. WSR 11-12-025, § 246-918-811, filed 5/24/11, effective 1/2/12.]

RCW 18.71.450, 18.71A.100, 18.71.017, and 18.71A.020. WSR 11-12-025, § 246-918-811, filed 5/24/11, effective 1/2/12.

Rules

246-918-813,246-918-800,246-918-813,