If the patient intake form is not fully completed, the pharmacist may use his/her judgement in evaluating the survey, if he/she feels that adequate information is completed on the survey, documentation in REDCap and recommended the ONE Program interventions can take place. If the pharmacist feels that not enough information was captured to make an informed decision about the ONE Program interventions, they can choose not to document the survey in REDCap and dispense/counsel in normal practice accordance to ND State Law in filling the prescription.
Absolutely! If your hospital pharmacy actively fills prescriptions for discharging patients, the ONE Program would be an excellent screening tool to implement in safeguarding our patients and helping to prevent opioid abuse and overdose. The ONE Program screening tool is developed for outpatient prescriptions, if your hospital does not fill outpatient or discharge prescriptions, then ONE would not be beneficial in this practice setting.
Collecting patient name and DOB in addition to the other health information that is requested in the patient intake form is and should be considered a standard part of the pharmacist’s patient care process. In addition, patient name and DOB collected on the Patient Intake Form assists pharmacies to identify patients that have completed the Online Patient Intake Form and need pharmacist evaluation. The REDCap system meets HIPAA security standards. The ONE Program has been approved by NDSU’s Institutional Review Board (IRB), which includes a review of privacy procedures. ONE uses de-identified, aggregate data in any of its research & reporting and therefore, presents no greater risk to a patient’s privacy than what would otherwise occur as a part of standard patient care.
Pharmacy interns or technicians can introduce the patient intake form to patients presenting with opioid prescriptions. These staff members can also assist in filling the form out if language/literacy/vision barriers exist in certain patients. We do recommend that the pharmacist evaluate the form for interventions and naloxone prescribing if deemed necessary dependent on situation. Pharmacy interns and technicians can enter all information from the outcomes worksheet into REDCap.
Documentation is required in REDCap for the Opioid Screening results (patient intake form), and Outcomes worksheet. This is required for the ONE Program to track the number of surveys completed for the incentive benefit, and monitoring opioid intervention data to improve outcomes in our region.
A patient filled out the screening tool at a previous visit to the pharmacy, do they need to fill it out again?
We encourage the Opioid Screening Tool to be filled out each time the patient presents to the pharmacy with an opioid prescription. It is very possible that a patient’s medication regimen or disease history can change from month to month, this in turn can influence their risk of opioid abuse or overdose.
In order to recognize the work of North Dakota pharmacies implementing the ONE Program and to identify exemplary pharmacies devoted to providing the best possible care for all patients receiving opioids, ONE Program pharmacies will be recognized.
We would encourage the individual picking up the prescription to fill out the patient intake form to the best of their ability/knowledge of the patient for whom the opioid is written. (Note: questions on the patient intake form are written with verbiage referring to “the patient” rather than specifically to the person filling out the form). See also question 3 above in the event that an individual does not complete the patient intake form in its entirety.
Yes. A link to the training modules is available in the menu on RedCap and can be revisited at any time. Remember, there are numerous documents in the toolkit for you to help you implement the ONE Program in your pharmacy and continue to provide these services to your patients.
If I completed the in-person ONE Program training, can I access the ONE Program online training modules?
Yes. A link to the training modules is available in the menu on RedCap and can be revisited by anyone with a RedCap login at any time.
You can obtain a medication take-back container by contacting the ND State Board of Pharmacy at 701-328-9535. The State Board of Pharmacy office will facilitate obtaining the ‘Take-Back’ container for use in your Pharmacy. The ND State Board of Pharmacy covers the full cost of the container for Pharmacy use. Approximately every four months a new container liner is shipped to the pharmacy. The container liner that contains unused medication is shipped to the disposal facility and the shipping cost is pre-paid, so pharmacies do not incur any cost to participate in this program.
This container can be used to take back any medications, including Schedule II medications. The container needs to be accessible to the public in the pharmacy but needs to be under the supervision of the pharmacy staff.