Opioid Use Screening

Opioid Use

• Name
  •  What is the name of the medication or illicit drug you have been taking? (e.g., "percs")
• Amount
  • How many pills or how much liquid have you been taking?
  • How many times per day?
  • How many days per week?
• Route of Administration
  • How have you been taking the medication or illicit drug? (e.g., ingestion, inhalation, injection)
• Age at Time of First Use
  • How old were you when you first started taking the medication or an illicit drug?
• Duration of Abstinence
  • What is the longest period of time that you have gone without taking the medication or an illicit drug?
• Adverse Event History
  • Have you ever lost consciousness when taking the medication or illicit drug?
  • Have you ever experienced an overdose when taking the medication or illicit drug?

Assess Withdrawal Symptoms

• History of Symptoms While Not Taking 
  • Have you experienced any symptoms while not taking or after you stopped taking the medication or an illicit drug? (e.g., restlessness, agitation, tremor, sweating, vomiting, diarrhea, runny nose, or goosebumps)
• Last Use
  • When was the last time you took the medication or illicit drug?

These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.