RCW 18.71.450
Pain management rules—Repeal—Adoption of new rules.
(1) By June 30, 2011, the commission shall repeal its rules on pain management, WAC 246-919-800 through 246-919-830.
(2) By June 30, 2011, the commission shall adopt new rules on chronic, noncancer pain management that contain the following elements:
(a)(i) Dosing criteria, including:
(A) A dosage amount that must not be exceeded unless a physician first consults with a practitioner specializing in pain management; and
(B) Exigent or special circumstances under which the dosage amount may be exceeded without consultation with a practitioner specializing in pain management.
(ii) The rules regarding consultation with a practitioner specializing in pain management must, to the extent practicable, take into account:
(A) Circumstances under which repeated consultations would not be necessary or appropriate for a patient undergoing a stable, ongoing course of treatment for pain management;
(B) Minimum training and experience that is sufficient to exempt a physician from the specialty consultation requirement;
(C) Methods for enhancing the availability of consultations;
(D) Allowing the efficient use of resources; and
(E) Minimizing the burden on practitioners and patients;
(b) Guidance on when to seek specialty consultation and ways in which electronic specialty consultations may be sought;
(c) Guidance on tracking clinical progress by using assessment tools focusing on pain interference, physical function, and overall risk for poor outcome; and
(d) Guidance on tracking the use of opioids, particularly in the emergency department.
(3) The commission shall consult with the agency medical directors' group, the department of health, the University of Washington, and the largest professional association of physicians in the state.
(4) The rules adopted under this section do not apply:
(a) To the provision of palliative, hospice, or other end-of-life care; or
(b) To the management of acute pain caused by an injury or a surgical procedure.
[ 2010 c 209 § 5.]
Structure Revised Code of Washington
Title 18 - Businesses and Professions
18.71.003 - Declaration of purpose.
18.71.017 - Rules by commission—Successor to other boards.
18.71.019 - Application of Uniform Disciplinary Act—Request for review of revocation order.
18.71.0195 - Disciplinary reports—Confidentiality—Immunity.
18.71.050 - Application—Eligibility requirements—United States and Canadian graduates.
18.71.051 - Application—Eligibility requirements—Foreign graduates—Waivers.
18.71.055 - Schools of medicine—Requirements for approval.
18.71.060 - Record of proceedings of commission and of applications.
18.71.070 - Examination—Record.
18.71.083 - Maintenance of certification.
18.71.085 - Inactive licenses—Renewal—Application of disciplinary provisions.
18.71.090 - License without examination—Reciprocity—National board examinees—Fee.
18.71.097 - Provisional emergency services provider certification—Eligibility.
18.71.100 - Applicability of health regulations.
18.71.190 - False personation.
18.71.200 - Physician's trained advanced emergency medical technician and paramedic—Definition.
18.71.205 - Physician's trained advanced emergency medical technician and paramedic—Certification.
18.71.210 - Physician's trained advanced emergency medical technician and paramedic—Liability.
18.71.212 - Medical program directors—Certification.
18.71.213 - Medical program directors—Termination—Temporary delegation of authority.
18.71.215 - Medical program directors—Liability for acts or omissions of others.
18.71.220 - Rendering emergency care—Immunity of physician or hospital from civil liability.
18.71.230 - Disciplinary action against persons exempt from licensure.
18.71.240 - Abortion—Right to medical treatment of infant born alive.
18.71.250 - Down syndrome—Parent information.
18.71.300 - Physician health program—Definitions.
18.71.310 - Physician health program—License surcharge—Payment of funds.
18.71.315 - Impaired physician account—Created.
18.71.320 - Physician health program—Procedures.
18.71.330 - Impaired physician program—Evaluation of physician.
18.71.340 - Impaired physician program—Entity records protected.
18.71.350 - Report of malpractice payments by insurers.
18.71.401 - Funds collected—Where deposited.
18.71.420 - Allocation of all appropriated funds.
18.71.430 - Secretary and commission relationship.
18.71.440 - Commission to consider amending rules—Retired active physicians.
18.71.450 - Pain management rules—Repeal—Adoption of new rules.
18.71.460 - Commission—Information to legislature.
18.71.470 - International medical graduate implementation work group—Membership—Duties—Reporting.
18.71.472 - International medical graduates—Clinical assessment.
18.71.475 - International medical graduates—Grant funding.
18.71.800 - Opioid drug prescribing rules—Adoption.
18.71.810 - Opioid drugs—Right to refuse.