2
NUR 609 exam 2 with accurate detailed || || || || || || ||
solutions
CDC statement on opioid use for acute pain?
|| || || || || || ||
3 days or less is often enough
|| || || || || ||
and more than 7 days is rarely ever needed
|| || || || || || || ||
Medicaid policy changes related to opioids? || || || || ||
1. refill thresholds
|| ||
2. opioid dosage and quantity limits
|| || || || ||
3. eliminated prior authentication for suboxone
|| || || || ||
4. Further dec opioid dosage limit
|| || || || ||
5. pharmacist have to call doctor to confirm BZD/opioid combo
|| || || || || || || || ||
6. lock-in program
|| ||
What is the medicaid lock in policy? exemption? why?
|| || || || || || || ||
if person qualifies for this program they are limited to being prescribed opioids by 1 doctor and
|| || || || || || || || || || || || || || || || ||
filled at 1 pharmacy || || ||
exemption is buprenorphine/naloxone b/c patients were being improperly put on list due to
|| || || || || || || || || || || || ||
doctors working as a team. And this could prevent them from receiving needed treatment in
|| || || || || || || || || || || || || || ||
timely manner ||
Is there an opioid limit for chronic pain?
|| || || || || || ||
,2
no
Which is preferred buprenorphine, naloxone or bup/naloxone?
|| || || || || ||
naloxone is preferred || ||
bup/naloxone co-preferred ||
bup non-preferred
||
b/c bup alone has more abuse potential
|| || || || || ||
trend of opioid use in medicaid patients?
|| || || || || ||
volume has come down || || ||
high opioid dosages have also decreased
|| || || || ||
risky combos like benzos with opioids have also decreased
|| || || || || || || ||
Trend of buprenorphine use in OUD? || || || || ||
increased use in this population || || || ||
How has the access to MOUD varied in states based on medicaid expansion?
|| || || || || || || || || || || ||
states who expanded early saw a significant increase in treatment for OUD patients
|| || || || || || || || || || || ||
, 2
states who did not expand or expanded late have seen little change in treatment numbers for OUD
|| || || || || || || || || || || || || || || ||
Strengthen Opioid Misuse Prevention ("STOP") Act, what did it do? || || || || || || || || ||
1. APP's in pain clinics need quarterly review for all patients
|| || || || || || || || || ||
2. 5 day limit for opioids for acute pain, 7 days for post op
|| || || || || || || || || || || || ||
3. required to use PDMP for controlled drugs
|| || || || || || ||
4. electronic prescribing required
|| || ||
What to do once patient reaches prescribing limits for opioids, but patient needs more?
|| || || || || || || || || || || || ||
patient has to call in and talk to doctor to receive more
|| || || || || || || || || || ||
NCMB requirements for opioids? || || ||
1. 3 hours CME (continuing education) every 3 years
|| || || || || || || ||
2. auditing for high-risk prescriber behaviors
|| || || || ||
The stop act limits initial prescribing for what opioids?
|| || || || || || || ||
Schedule 2 and 3 || || ||
STOP act limit on initial opioid prescribin? exemptions?
|| || || || || || ||
5 days for acute pain
|| || || ||
7 days for post-op
|| || ||
NUR 609 exam 2 with accurate detailed || || || || || || ||
solutions
CDC statement on opioid use for acute pain?
|| || || || || || ||
3 days or less is often enough
|| || || || || ||
and more than 7 days is rarely ever needed
|| || || || || || || ||
Medicaid policy changes related to opioids? || || || || ||
1. refill thresholds
|| ||
2. opioid dosage and quantity limits
|| || || || ||
3. eliminated prior authentication for suboxone
|| || || || ||
4. Further dec opioid dosage limit
|| || || || ||
5. pharmacist have to call doctor to confirm BZD/opioid combo
|| || || || || || || || ||
6. lock-in program
|| ||
What is the medicaid lock in policy? exemption? why?
|| || || || || || || ||
if person qualifies for this program they are limited to being prescribed opioids by 1 doctor and
|| || || || || || || || || || || || || || || || ||
filled at 1 pharmacy || || ||
exemption is buprenorphine/naloxone b/c patients were being improperly put on list due to
|| || || || || || || || || || || || ||
doctors working as a team. And this could prevent them from receiving needed treatment in
|| || || || || || || || || || || || || || ||
timely manner ||
Is there an opioid limit for chronic pain?
|| || || || || || ||
,2
no
Which is preferred buprenorphine, naloxone or bup/naloxone?
|| || || || || ||
naloxone is preferred || ||
bup/naloxone co-preferred ||
bup non-preferred
||
b/c bup alone has more abuse potential
|| || || || || ||
trend of opioid use in medicaid patients?
|| || || || || ||
volume has come down || || ||
high opioid dosages have also decreased
|| || || || ||
risky combos like benzos with opioids have also decreased
|| || || || || || || ||
Trend of buprenorphine use in OUD? || || || || ||
increased use in this population || || || ||
How has the access to MOUD varied in states based on medicaid expansion?
|| || || || || || || || || || || ||
states who expanded early saw a significant increase in treatment for OUD patients
|| || || || || || || || || || || ||
, 2
states who did not expand or expanded late have seen little change in treatment numbers for OUD
|| || || || || || || || || || || || || || || ||
Strengthen Opioid Misuse Prevention ("STOP") Act, what did it do? || || || || || || || || ||
1. APP's in pain clinics need quarterly review for all patients
|| || || || || || || || || ||
2. 5 day limit for opioids for acute pain, 7 days for post op
|| || || || || || || || || || || || ||
3. required to use PDMP for controlled drugs
|| || || || || || ||
4. electronic prescribing required
|| || ||
What to do once patient reaches prescribing limits for opioids, but patient needs more?
|| || || || || || || || || || || || ||
patient has to call in and talk to doctor to receive more
|| || || || || || || || || || ||
NCMB requirements for opioids? || || ||
1. 3 hours CME (continuing education) every 3 years
|| || || || || || || ||
2. auditing for high-risk prescriber behaviors
|| || || || ||
The stop act limits initial prescribing for what opioids?
|| || || || || || || ||
Schedule 2 and 3 || || ||
STOP act limit on initial opioid prescribin? exemptions?
|| || || || || || ||
5 days for acute pain
|| || || ||
7 days for post-op
|| || ||
