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Toolkits | Healthcare Professionals | Patients | General Public | Public Awareness Toolkit  




In recent years, health care providers in Ohio have made significant progress in transforming the health care system in Ohio to emphasize safe, effective pain management. The resources in this section will continue to build a culture of responsible prescribing. Educational materials empower patients to be involved in their pain management care; tools such as prescribing guidelines, MED calculators, and OARRS ensure that opioid medications are used conservatively and minimize the risk of abuse, misuse, and diversion.




We encourage you to download the resources in this section and use them freely to raise awareness and educate others on safe medication practices. You are welcome to adapt, customize, and disseminate the materials to best meet your needs.

Brochure

Download this 4-page brochure to learn about safe pain management practices.
Brochure PDF (8½ x 11)

Handouts

Is someone you know at risk of misusing or abusing prescription pain medications? Download these handouts to learn the warning signs and learn about safe pain management practices.
Handout #1 PDF (8½ x 11)
Handout #2 PDF (8½ x 11)

Posters

These posters on safe pain management and medication practices are available for download.
Poster #1 PDF (11 x 17)
Poster #2 PDF (11 x 17)
Poster #3 PDF (11 x 17)

Opioid Prescribing for Acute Pain

Ohio has passed rules limiting the duration of initial opioid prescriptions for acute pain to 5-7 days and the morphine milligram equivalents to 30MED average.

Rules: Prescribing Opioids for Acute Pain

Guidance for Acute Pain Prescribing Rules (FAQs)

Handout

Educational Video


Ohio Guidelines for Prescribing Opioids for the Treatment of Chronic, Non-Terminal Pain

A guideline for the use of opioids for the treatment of chronic, non-terminal pain. ”Chronic pain” means pain that has persisted after reasonable medical efforts have been made to relieve the pain or cure its cause and that has continued, either continuously or episodically, for longer than three continuous months. Released by the Governor’s Cabinet Opiate Action Team (GCOAT) in October 2013.
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Ohio Emergency and Acute Care Facility Opioids and Other Controlled Substances Prescribing Guidelines

The Ohio Emergency and Acute Care Facility Opioids and Other Controlled Substances Prescribing Guidelines offer clinical guidance for the acute care environment where there is no established patient-doctor relationship. Released by the Governor’s Cabinet Opiate Action Team (GCOAT) in April 2012 and updated in January 2014.
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Ohio Opioid Prescribing Guidelines

This is a link to a summary document explaining the intent, background and origin of the GCOAT guidelines.
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Non-Opioid Treatments for Chronic Pain

CDC fact sheet for healthcare providers that describes pain management alternatives to prescribing opioids for patients’ chronic pain.
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The American Society of Addiction Medicine Criteria

The ASAM criteria is most widely used and comprehensive set of guidelines for placement, continued stay and transfer/discharge of patients with addiction and co-occurring conditions.
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Prevention of Neonatal Abstinence Syndrome

Recommendations endorsed by the Nursing, Pharmacy and Medical Boards for the prevention of Neonatal Abstinence Syndrome. Prescription drug dependency is harming pregnant women and their children at alarming rates.
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Prescribing of Buprenorphine to Treat Opioid Addiction Authorization Expanded to Qualified Certified Nurse Practitioners

The Substance Abuse and Mental Health Services Administration (SAMHSA) recently announced that beginning in early 2017 Certified Nurse Practitioner (CNPs) can obtain training and apply to become DATA-­waiver practitioners to prescribe buprenorphine to treat opioid addiction, also known as medication-­assisted treatment or MAT.
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Institute for Healthcare Improvement Opioid Resources

For even more information on how health care can help turn the tide, please take advantage of IHI’s resources on this topic.
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NTSB Issues Recommendations for Healthcare Providers

A recommendation that health care providers discuss with patients the effect their medical condition and medication use may have on their ability to safely operate a vehicle in any mode of transportation.
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Issuing a Valid Prescription - What Every Prescriber Needs to Know

Prescribers are required to adhere to Board of Pharmacy rules for what constitutes a valid prescription. This document provides an overview of the prescription requirements set forth in rule 4729-5-30 of the Ohio Administrative Code. Compliance with this rule ensures that a pharmacist has all the information needed to dispense your patient’s medication in a timely manner.
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Ohio Automated Rx Reporting System (OARRS)

OARRS collects information on all outpatient prescriptions for controlled substances dispensed by Ohio-licensed pharmacies and personally furnished by licensed prescribers in Ohio. As the only statewide electronic database that stores all controlled substance dispensing and personal furnishing information, OARRS helps prescribers and pharmacists avoid potentially life-threatening drug interactions as well as identify individuals fraudulently obtaining controlled substances from multiple health care providers. It can also be used by professional licensing boards to identify or investigate clinicians with patterns of inappropriate prescribing and dispensing, and to assist law enforcement in cases of controlled substance diversion.
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Clinical Pocket Guide: Tapering Opioids for Chronic Pain

Brief recommendations from the CDC for healthcare providers who are tapering patients’ opioid use for chronic pain.
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Calculating Total Daily Dose of Opioids for Safer Dosage

CDC resource that provides guidance to healthcare providers on how to calculate safe daily dosage amounts of opioids.
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Safe Prescribing and Medication Step Down Infographic

An infographic illustrating how prescribers can safely prescribe opioid medication for acute pain and taper patients off opioids as pain becomes manageable.
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Nursing Prescriber Number is Required on All Prescriptions

You are required to include your nursing prescriber number on every prescription you issue. In the transition period between April 6, 2017 and December 31, 2017, your nursing prescriber number may be either your APRN license number, or, your CTP/CTP-­E number, if you have not yet transitioned to the APRN license.
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Ohio Opioid Prescribing Resources

This is a link to the OhioMHAS website. The information is comprehensive.
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Important OARRS Registration Information

OARRS is the statewide database that collects information on all prescriptions for controlled substances that are dispensed by pharmacies and personally furnished by licensed prescribers in Ohio. OARRS data is available to prescribers when they treat patients.
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Prescribing Opiates to Minors Advisory

Effective September 17, 2014, HB 314 requires all authorized prescribers to obtain and document informed consent when prescribing a controlled substance containing opioids to a minor, unless the prescribing is done in response to a medical emergency or meets other specific circumstances set forth in statute.
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Link to Pharmacy Board MED Calculator

The MED Calculator is designed to assist in the calculation of a patient’s opioid intake.
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FAQs: Electronic Prescribing of Controlled Substances (EPCS)

The Ohio Health Information Partnership (OHIP) through ClinicSync has released information regarding the Electronic Prescribing of Controlled Substances (EPCS). These documents discuss steps that Ohio prescribers must take to include the use of EPCS in their prescribing practices.
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EPCS Ohio Hospital and Clinic Flyer

The Ohio Health Information Partnership (OHIP) through ClinicSync has released information regarding the Electronic Prescribing of Controlled Substances (EPCS). These documents discuss steps that Ohio prescribers must take to include the use of EPCS in their prescribing practices.
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APRN Exclusionary Drug Formulary

The Exclusionary Formulary below was recommended by the Committee on Prescriptive Governance and adopted by the Board of Nursing in accordance with Sub. HB 216.
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Opioid Withdrawal “Comfort Pack” Order Set

A sample order set for a “comfort pack” of medications to treat symptoms of acute opioid withdrawal such as anxiety, gastrointestinal upset, fever, and hypertension. Can be useful for patients planning to receive injectable naltrexone (Vivitrol) and patients who stop using opioids, either by choice or involuntarily.
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Resources for treating injured workers

A website that provides guidelines and resources for providers who treat injured workers.
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Data 2000 Prescriber Training for Medication-Assisted-Treatment

Efforts to develop a workforce that can prescribe buprenorphine for medication assisted treatment is under way in Ohio. Physicians, physician assistants or advanced nurse practitioners can access free training through OhioMHAS.
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Ohio’s Opiate Project ECHO™: Expanding Access to Medication Assisted Treatment

OhioMHAS is sponsoring mentorship and continuing education opportunities for physicians through Project ECHO (Extension for Community Healthcare Outcomes). Video conferences will be hosted by Northeast Ohio Medical University (NEOMED) that provide access to experts in the field of addiction.
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Interactive, Online Training for Providers

This online training series aims to help you apply CDC’s recommendations in your clinical setting through interactive patient scenarios, videos, knowledge checks, tips, and resources.
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NCSBN Substance Use Disorder Education

Cognizant of the opioid crisis and substance use disorder’s societal impact, NCSBN (National Council of State Boards of Nursing) is responding to the American Public Health Association’s call to action to implement evidence-based provider training programs in substance use disorder.
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American Dental Association – Opioid Resources

This website provides available guidance to dental professionals regarding utilization of opioids in their practices.
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Ohio’s Initiatives to Fight Opiate and Prescription Abuse

This is a link to the OhioMHAS website. The information is comprehensive.
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Drug Overdose in Ohio

The Ohio Department of Health website’s section on drug overdose includes the 2016 Ohio Drug Overdose Report and other statewide mortality data. Other resources include background information on fentanyl and a summary of Ohio’s current initiatives and strategies to combat the overdose epidemic.
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OARRS Reports

Prescribers can access annual summaries of opioid prescriptions, based on data from the Ohio Automated Rx Reporting System (OARRS). The website also includes data on the number of doses of controlled substances that were prescribed in Ohio, broken down by county and month.
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Guidance Document: Hospitals Providing Naloxone Upon Discharge

Guidance published by the State of Ohio Board of Pharmacy describing how nurses, social workers, and other health care facility staff can provide naloxone to patients without a direct prescription from a physician. Applicable to inpatients and outpatients.
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Guidance Document: Personally Furnishing Naloxone by Emergency Medical Service Personnel

Guidance published by the State of Ohio Board of Pharmacy describing how Emergency Medical Services (EMS) personnel can provide naloxone to individuals without a direct prescription from a physician. This approach is especially helpful in providing naloxone to patients who refuse transport after an overdose emergency.
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Joint Regulatory Statement on Naloxone

This joint regulatory statement approved by the Ohio Board of Nursing, Ohio Board of Pharmacy and the State Medical Board of Ohio updates previous versions of the statement, and provides an overview of Ohio’s laws and programs promoting the use of naloxone for individuals at high-risk of opioid overdose.
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