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Coalition News December 2017

Wednesday, December 6, 2017   (0 Comments)
Posted by: Leila Faucette
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From the president - December 2017

I hope this newsletter finds you all well and preparing for the upcoming holiday season.  Every year, it feels like I just finished Christmas shopping – when all of a sudden, I need to start again!   Each time it happens – I wonder why I never notice the passage of time until some major event sneaks up on me.


Every newsletter publication is much like Christmas – the time slips away and suddenly, I am trying to decide on my topic.  This time – the topic was easy! We have started the negotiation process for the removal of the CAPA-CS.  We know where our opposition stands.  With that information – we have developed a plan.  But with that plan we need your help. We know the biggest concern with prescribing in Kentucky is related to opiates and the prevalence of addiction.  We know patients in Eastern Kentucky and Northern Kentucky are losing lives related to the issue.  We know the only way to combat the problem is appropriate treatment and early intervention.  We also know the first line of action is to ensure that we are taking appropriate care when prescribing controlled substances. 


As a prescriber I would ask that you look at your practice and ask the following questions:

  • Have I run my reverse KASPER and what does it look like? 
  • How do I compare to other prescribers?
  • How many of my patients have been on opiate medications long term? 
  • What about benzodiazepines?  Sedatives? 
  • When did I last try a GDR? 
  • Have I documented that I tried other interventions before using these medications?
  • Do I have a process in place for random drug screening, and for pill counts when appropriate? 
  • Have I documented that I’ve counseled the patient on the risks of dependence and tolerance?

I know APRNs have shown over the years they are safe and effective prescribers, but I also know sometimes it helps to have a reminder of the things we need to safeguard. 

Thank you for all you do for the residents of Kentucky, and for being one of my five.  They say every person should have at least 5 people they can call who will show up at any time to help.  I am fortunate to have far more than 5.   


Jessica Estes DNP APRN


COALITION News - December 2017

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