USE OF MEDICATIONS. The medications and/or treatments, which may be administered, are defined in Policy 5330. In those circumstances where a student must take prescribed medication during the school day, the following guidelines are to be observed:
USE OF MEDICATIONS. Prior to any drug or alcohol test being performed, the District shall give the employee being tested an opportunity to report, in writing, any medication that the employee is taking which may affect the test results. If the employee is taking medication in conformity with the lawful direction of the prescribing physician or a non-prescription medication in conformity with the manufacturer’s specified dosage then a positive test result consistent with the ingredients of such medication shall not constitute cause for discipline or discharge. The District may require an employee to provide evidence that any prescription medication has been lawfully prescribed by a physician for the employee.
USE OF MEDICATIONS. I will take all medications as prescribed. I will speak with the undersigned physician/nurse practitioner before making any change in either the dose or frequency of my medications. There will be no early refills of controlled medications without prior authorization. Narcotic pain medications must all be obtained from the same pharmacy each time (any exception must be approved by the undersigned provider). I will abstain from alcohol use.
USE OF MEDICATIONS. I will take all medications as prescribed. Opioid pain medications must all be obtained from the same pharmacy and in the State of Alaska only.
USE OF MEDICATIONS. I will take all medications as prescribed. I will speak with a provider of Integrity Regional Pain Centers before making any changes in either the dose or frequency of my medications. I understand that my health status must warrant a change in my medication and that Integrity Regional Pain Center will not authorize early refills of pain medications. I understand that I MUST obtain all narcotic and scheduled pain medications from the same pharmacy (any exceptions must be approved by Integrity Regional Pain Centers). There will be no change in the patient’s medications by telephone. The patient must appear in person and will NOT be allowed to change the dosing schedule without prior authorization from the Physician. Only physician(s) will assume responsibility for ALL pain medication and no other type of provider will prescribe them. If you are having surgery and expect to have a temporary increase in acute pain levels please arrange for a visit after you are discharged from the hospital and we will adjust your medication as needed. Do not get extra pain medications from your surgeon (MD/DO) as this will violate your pain management contract/agreement with Integrity Regional Pain Centers. Narcotic Medications are filled on a 28-day cycle. Narcotics will not be filled early in accordance with the DEA and BNDD (Missouri Bureau of Narcotics and Dangerous Drugs) regulations. If for any reason your medication needs to be changed you must bring in your old medication in the bottle so it may be counted by you in front of two Integrity Regional Pain Center staff members. After the completion of the pill count you are required to sign the “Patient Agreement on Medication Disposal”. By signing this agreement, you will follow the instructions as given for the proper disposal of the medication(s) and that you will NOT store, sell, give away or trade these medications. For Non-Narcotic Medications needing to be refilled before your next appointment date, please call our office during normal office hours to request a refill on your medication. Each refill request is carefully reviewed by our medical staff to ensure your safety. Please allow for 24-48 hours to process a refill request.
USE OF MEDICATIONS. I will take all medications as prescribed. I will speak with my regular NEON medical provider before making any change in either the dose or frequency of my medications. There will be no early refills of Controlled or Ohio-monitored medications. These medications must all be obtained from the same pharmacy each time (any exception must be approved by a NEON medical provider).
USE OF MEDICATIONS. I will take all medications as prescribed. I will speak with a provider at A.A. Pain Clinic, Inc. before making any change in either the dose or frequency of taking my medications. There will be no early refills of pain medications due to self escalation of medications. Narcotic pain medications must all be obtained for the same pharmacy (any exceptions must be approved by A.A. Pain Clinic).
USE OF MEDICATIONS. I understand that controlled substances contain serious risks including but not limited to rash, nausea and/or vomiting, constipation, sexual dysfunction, sleeping abnormalities, sweating, edema, sedation or drowsiness, impaired cognitive (mental status) and/or motor ability, physical dependence, tolerance, addiction, organ (such as liver or kidney) damage, breathing too slowly from overdose which can stop my breathing and result in death. These side effects may be made worse if I mix opioids with other drugs, including alcohol. Ongoing use of opioids will result in physical dependence. This means that abrupt discontinuance of the medication may lead to withdrawal symptoms including: runny nose, abdominal cramping, rapid heart rate, diarrhea, sweating, nervousness, difficulty sleeping and goose bumps. I understand that I will be required to obtain routine laboratory studies to evaluate my organ function while I am receiving medications. I understand that I will be responsible for all costs associated with required laboratory studies that are not otherwise paid by medical insurance. I understand that patients with a personal or family history of substance abuse, including alcohol abuse, are at high risk for potential addiction and/or relapse from certain medications. I have notified MPMC of any personal or family history of substance abuse. I understand that some medications may be prescribed for use off or outside of their FDA labeled use. I will take all medications as prescribed and I will not break, crush or chew any of my medication unless I am instructed to do so. I will speak with my treating/prescribing physician before making any change in either the dose or frequency of my medications. Narcotic pain medications must all be obtained from the same pharmacy each time (any exception must be approved by the treating/prescribing physician). _____ Pt Initials
USE OF MEDICATIONS. I will take all medications as prescribed. I will speak with a provider at AA Spine & Pain Clinic before making any change in either the dose or frequency of taking my medications. There will be no early refills of pain medications due to self escalation of medications. Narcotic pain medications must all be obtained from the same pharmacy (any exceptions must be approved by AA Spine & Pain Clinic).
USE OF MEDICATIONS. I will take all medications as prescribed. I will speak with a provider at Alpine Pain Solutions of Utah before making any change in either the dose or frequency of taking my medication. There will be no early refills of pain medications due to taking more than prescribed (self-escalation). Narcotic pain medications must all be obtained from the same pharmacy (any exceptions must be approved by Alpine Pain Solutions of Utah).
