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Drug confirmation results not clinically relevant

Pain   (1,255 Views | 2 Replies)
by brdbat416 brdbat416 (New) New

brdbat416 has 10 years experience .

176 Profile Views; 7 Posts

The pain management clinic I perform testing for only sees Not Detected for results under the cutoff. I think the actual value should be given because if a patient is compliant, but the value is 49 instead of 50+, they could run the risk of termination from the clinic. Is this how it works everywhere?

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chiromed0 has 14 years experience and specializes in ICU, Telemetry, Cardiac/Renal, Ortho,FNP.

215 Posts; 6,079 Profile Views

Nope...I get all the values and anything I want to specify.  I don't discharge for DXO/DXM use but if the DEA says it's a problem then I let my pt.'s know something as mundane as that IS A PROBLEM if I continually see it.  If one wants to "let" a patient become compliant then it's crucial to see values (like THC) are declining.  Of course this can be inexact but as long as it's going down to ZERO it does matter. So to answer your question the exact values ARE important but I would rather go more conservative in this climate and "not detected" is fine with me.  Honestly, they sign an agreement and if they can't abide by it then more abused drugs like narcotics should not be prescribed.   

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djmatte has 7 years experience as a ADN, MSN, RN, NP.

2 Followers; 888 Posts; 7,890 Profile Views

On 3/20/2019 at 1:57 PM, chiromed0 said:

Nope...I get all the values and anything I want to specify.  I don't discharge for DXO/DXM use but if the DEA says it's a problem then I let my pt.'s know something as mundane as that IS A PROBLEM if I continually see it.  If one wants to "let" a patient become compliant then it's crucial to see values (like THC) are declining.  Of course this can be inexact but as long as it's going down to ZERO it does matter. So to answer your question the exact values ARE important but I would rather go more conservative in this climate and "not detected" is fine with me.  Honestly, they sign an agreement and if they can't abide by it then more abused drugs like narcotics should not be prescribed.   

I’m actually curious how pain clinics are doing with thc becoming more legalized. Is that still a factor when considering passion and opiate contracts?  Our primary care clinic will stop care for some drugs. Thc is provider’s specific and typically therapy isn’t stopped with it present. 

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