Some obstacles to implementation have been identified. During the implementation, the laboratory that carried out the urine screens introduced new software that required staff training and made it more difficult to create custom laboratory panels for drug testing. Three patients expressed data protection concerns regarding urine screens. Concerns did not arise when the agreement was signed, but at the time of urine collection. Patients were reminded that the tests were specific to prescribed drugs only and that they did not contain any other results or information. No patient refused to provide a urine sample for screening or refused to sign the agreement. Three patients did not agree to the file because the nurse forgot to offer the opportunity to review and sign the contract. Years ago, pain medications were scarce. They were only needed by pain clinics and pain management specialists. But with the increase in opioid addiction, and the review of drug administration enforcement (DEA) on doctors who prescribe drugs, more general and family doctors also require patients who take long-term painkillers to sign them. The Schedule II Agreement on Controlled Substances was put into practice from 1 May 2015. The nurse presented the agreement to the patient, explained its contents and asked the patient to check the contract carefully before the doctor entered the examination room. The physician addressed all contractual issues or patient concerns.
Then the patient and the doctor signed the contract. After checking the signatures, the office assistant put the contract in the patient`s medical file. The clinical environment used both electronic and paper diagrams. The patient agreement was presented on paper. The document was scanned in electronic diagrams and deposited in paper diagrams. A copy was offered to the patient as a personal record. Why do I have to agree to use only a pharmacy to fill my prescription? And why do I have to list this pharmacy in the agreement? If you are struggling with chronic pain, you may have prescribed an opioid medication. It is also likely that you have been asked to sign a pain treatment agreement or agreement on the treatment of opioids. These agreements are commonly referred to as “opiate contracts” or “pain contracts.” If this is the case, it is important that you understand what is being asked of you before signing the contract. You must agree to take the medication exactly as planned.