Opioid Prescriptions: Balancing Misuse or Abuse With Pain Control – Florida Board Approved – Nurse Practitioner

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Florida Licensees: This issue, together with the supplement (pages 12-16), meets the requirement of the Florida Board of Pharmacy for a two hour CE course on the Validation and Counseling of Prescriptions for Controlled Substances and Opioids. Regulators and the public are looking to clinicians to "do the right thing" regarding pain management, but the "right thing" has been a moving target. What actions are in the patient’s or public’s best interest, and in the best interest of the clinician and their professional practice? The appropriate and safe management of pain, and concerns about opioid overuse, abuse and overdose, have been making headlines for the past 20 years. Historically, opioids have been used for chronic non-cancer pain despite a lack of high-quality evidence for efficacy. Pain management societies and organizations (eg, THE Joint Commission on Accreditation of Healthcare Organizations [JCAHO]) embraced pain as a “vital sign” in the mid-1990s and encouraged more aggressive use of opioids for chronic pain. The amount of prescription opioids sold in the US increased nearly 4-fold from 1999 to 2014, despite no increase in reported pain. According to IMS Health, a firm that tracks national prescription statistics, the number of opioid prescriptions dispensed peaked in 2012. For the first time in 20 years, the IMS data indicated a 12% overall decline in US opioid dispensing since the peak. Tightening of federal regulations for opioid prescriptions (eg, moving hydrocodone to schedule II status) likely contributed to the decline. Experts note, however, that the level of prescribing is still very high – with a growing overdose epidemic including fatal overdoses, which reached 28,000 in 2014...

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Course Information

Target Audience

Nurse Practitioner

Knowledge Level

General Overview

This activity will apply to a broad range of learning needs/pharmacy settings. It may include common disease state/therapy overivews and/or general pharmacy needs such as medication errors, immunizations, or law topics.

Learning Objectives

  • Discuss opioid use in the US today, and the potential barriers to obtaining legitimate opioid medications.
  • Review the benefits and risks of using opioids for chronic pain; list risk factors for opioid overdose and death.
  • List the elements of safe and effective opioid prescribing and explain how to integrate the use of a prescription drug monitoring program (PDMP) database when determining the validity of opioid prescriptions.
  • Discuss how to effectively communicate with patients and prescribers in order to validate the legitimacy of an opioid prescription. Describe 2 indicators of potential prescription opioid diversion or misuse.

Course Accreditation

  • Activity Type:
    Knowledge
  • CE Broker
    0428-0000-18-008-H05-P
  • Universal Activity Number:
    Nurse Practitioner : 0428-0000-18-008-H05-P
PharmCon is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

PharmCon, Inc. is an approved course provider for continuing education for nurses by the Florida Board of Nursing. PharmCon is also recognized by the California Board of Nursing as a provider of nursing programs.

In order to obtain a Statement of Credit, attendees must answer poll questions where presented and complete a program evaluation. Attendees may immediately print their Statement of Credit or leave them stored on the website.

Technology Requirements

  • Hardware Requirements
    Standard Windows/Mac System
    iPad or iPhone
    Minimum screen resolution: 1024x768
    Speakers or headphones
  • Software Requirements
    Standard Windows/Mac System
    iPad or iPhone
    Minimum screen resolution: 1024x768
    Speakers or headphones
  • Network Requirements
    Broadband Internet Connection:
    T1, Hi-speed DSL or Cable
    4G cellular connection
Computer sharing is NOT permitted due to accreditation guidelines on activity monitoring. Credit is earned by one user per device.