5 pre-visit considerations focused specifically on informed consent, patient education, and practice policies/procedures:
Informed consent readiness
– Ensure procedure-specific risks, benefits, alternatives, and no-treatment option are clearly defined; confirm capacity, language needs, and opportunity for questions.
Medication & treatment education framework
– Prepare standardized explanations for steroids, anesthetics, topicals, opioids/cannabinoids (if applicable), including expected benefit, timelines, and common adverse effects.
Practice policies review
– Opioid policy, refill rules, PDMP/UDS expectations, missed appointment policy, procedural frequency limits, and grounds for discontinuation of care.
Procedural workflow transparency
– Pre-procedure requirements (holds, escorts), day-of expectations, post-procedure restrictions, follow-up timing, and how outcomes are measured.
Documentation & compliance alignment
– Confirm consent forms, educational materials, financial responsibility notices, and HIPAA acknowledgments are ready and consistent with state/federal standards.
Therapeutic intent & realistic expectations
– Clarify goal: pain reduction vs functional improvement (target ≥30–50% relief). Emphasize timelines (topicals days, oral meds 1–4 wks, injections days–weeks).
Route-specific education
– Oral vs topical vs injectable vs transdermal: onset, duration, systemic exposure, and when to stop/seek care.
Dose & duration boundaries
– Maximum doses, short-term vs chronic use, frequency limits (e.g., steroid injections/yr), and why limits exist.
Common vs serious adverse effects
– Sedation, GI upset, BP/glucose changes, mood/sleep effects; red flags requiring contact.
Drug–drug & condition interactions
– Opioids + benzos/gabapentinoids; NSAIDs + renal/GI risk; steroids + diabetes/HTN; cannabinoids + driving/psych hx.
Functional safety counseling
– Driving, operating machinery, fall risk, heat exposure, dehydration, alcohol avoidance.
Adherence & misuse prevention
– Proper application (grams/dose), patch timing, no sharing meds, secure storage, disposal.
Monitoring & follow-up plan
– What metrics are tracked (pain/function), labs if needed, follow-up timing, and stop rules if ineffective.
Alternatives & escalation pathways
– PT, injections, RFA, regenerative options, behavioral health, or surgical referral if criteria met.
Patient acknowledgment
– Confirm understanding; provide written materials; document teach-back and consent alignment.
Pre Clinical
AUTOMATE INTAKE
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Lobbie: HIPAA-compliant intake, scheduling, charting platform with HL7/FHIR/API integrations and direct link to EHRs like Athenahealth, AdvancedMD, DrChrono. Lobbie+1