General Principles The following are guidelines that are designed as a template for other institutions to design their guidelines Due to various factors guidelines cannot be applied to all patients Current provider compliance at our institution is just above 90% The single most important factor leading to opioid misuse is the total amount dispensed (Brat et al., BMJ 2018) Using these guidelines has led to a 50% decrease in the amount of opioids prescribed Alternating ibuprofen and acetaminophen postoperatively is recommended However, non-acetaminophen derived opioids can be difficult to obtain in many regions of the country Therefore, two sets of guidelines are provided Acetaminophen derived opioids Non-acetaminophen derived opioids Use of the Guidelines Did the patient have a Mild, Moderate, Major procedure or Spinal Fusion? Does the patient prefer pill or liquid medicine? What is the patient’s weight? Is this the first or second prescription? Download Guidelines PostOp Prescription Guidelines
