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CONTACTING OPIATES (, ER,) PRIOR AUTHORIZATION REQUEST FORM Complete ENTIRE form and Fax to: 8669407328Todays Date:SECTION PATIENT INFORMATION First Name: Address: City: Phone: Primary Insurance:Last

How to fill out long-acting opiates

How to fill out long-acting opiates

1. To fill out long-acting opiates, follow these steps:
2. Consult with a healthcare provider or pharmacist to understand the specific instructions for the medication.
3. Make sure you have a prescription for the long-acting opiates from a licensed healthcare professional.
4. Gather all the necessary supplies like the medication, a syringe, and any additional equipment provided.
5. Wash your hands thoroughly with soap and warm water.
6. Prepare a clean and well-lit surface to work on, ensuring there are no distractions.
7. Carefully read the medication packaging and any accompanying information leaflets to familiarize yourself with the dosage, administration, and potential side effects.
8. If required, mix the medication as per instructions. Some long-acting opiates may need to be diluted before use.
9. Draw up the prescribed dosage into a syringe, following the guidance provided by your healthcare provider.
10. Ensure the syringe is properly filled, without any air bubbles.
11. Choose a suitable injection site, typically a fatty area of the body such as the thigh or abdomen.
12. Clean the chosen injection site with an alcohol swab and let it dry completely.
13. Pinch the cleaned area to create a small fold of skin.
14. Hold the syringe like a pencil or dart, and insert the needle at a 90-degree angle into the skin fold.
15. Slowly push the plunger down to administer the medication.
16. Once the entire dose is delivered, withdraw the needle gently and apply pressure to the injection site using a cotton ball or swab.
17. Dispose of the syringe and any leftover medication properly, following the appropriate guidelines.
18. Wash your hands again with soap and warm water.
19. Monitor for any adverse reactions or side effects, and contact your healthcare provider if necessary.
20. It is important to consult with a healthcare professional for personalized guidance and instructions on filling out long-acting opiates.

Who needs long-acting opiates?

1. Long-acting opiates are typically prescribed for individuals experiencing severe or chronic pain that requires around-the-clock management.
2. Those who may need long-acting opiates include:
3. - Patients with cancer-related pain
4. - Individuals with chronic non-cancer pain, such as severe back pain or neuropathic pain
5. - Individuals with terminal illnesses
6. - Patients undergoing palliative care
7. - Individuals with severe injuries or post-operative pain
8. It is crucial to note that the decision to prescribe long-acting opiates is made by qualified healthcare professionals based on a thorough assessment of the patient's condition, risk factors, and the potential benefits versus risks of the medication.
9. Only individuals who meet specific criteria and require long-acting opiates for their pain management should be prescribed these medications.

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