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Chronic Pain Drug Testing

The Washington State legislature directed the Medical Quality Assurance Commission to adopt new rules for management of chronic non-cancer pain. We have formulated a simplified process for urine drug testing which incorporates an ordering strategy based on risk. Providers should assess risk (e.g., Opioid Risk Tool, ORT), review clinical patient care data, and order tests as described below (list Expected Drugs on the order form, which will facilitate interpretation). Additional information regarding the implementation of the new rules can be found via the Dept. of Anesthesiology & Pain Medicine website or by accessing the slideshow (see box on the right).

There are many drug testing options through the UW Department of Laboratory Medicine.

"What Goes In Must Come Out" is a PowerPoint 2007 with audio that discusses the history of the new regulations and their impact on laboratory testing. Please note that the current UW testing panels have changed since this presentation.
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