KLS Martin Offers Significant Discount for Donations to FLAMOM

KLS Martin is offering a 45% discount on surgical instruments and supplies purchased by FSOMS for the Florida Mission of Mercy (FLAMOM) program. This generous offer ends December 1, 2018.

If you will help us with a donation to FLAMOM, please make your check payable to FSOMS (for FLAMOM) and mail to FSOMS, 4850 Golden Parkway, Suite B-417, Buford, GA 30518. We will send KLS a check for the money collected and order instruments and supplies for the FLAMOM program.

Also, volunteers are needed to work at the event, to be held in Orlando at Edgewater High School, March 23 and 24. This is a great way to show just how strong our specialty is in supporting care for patients unable to pay.

To learn more about this event, and to volunteer, please go to FLAMOM.org.

And thanks…

New Opioid Rule Approved by BOD

As required by HB 21, the Board of Dentistry (BOD) recently finalized and approved Rule 64B5-17.0045, Standards for the Prescribing of Controlled Substances for the Treatment of Acute Pain. It will be effective in 50-70 days, and if you do not comply, you will be subject to discipline by the BOD.

This rule does several things as outlined below. Please pay special attention to the new requirements that must be included in the medical record. These requirements are in addition to what is already required by BOD rule and statute.

It defines acute pain as: the normal, predicted, physiological and time-limited response to an adverse chemical, thermal or mechanical stimulus associated with surgery, trauma or acute illness. The term does not include pain related to: 

    • cancer.
    • a terminal condition. For purposes of this subparagraph, the term “terminal condition” means a progressive disease or medical or surgical condition that causes significant functional impairment, is not considered to be reversible without the administration of life-sustaining procedures and will result in death within one year after diagnosis if the condition runs its normal course.
    • palliative care to provide relief of symptoms related to an incurable, progressive illness or injury.
    • a traumatic injury with an Injury Severity Score of 9 or greater.

Adopts the following standards for the prescribing of controlled substances for acute pain. Please note, these are the new standards for prescribing opioids and are in addition to the 3-day limit required by HB 21.

    1. Evaluation of the Patient. A medical history and physical examination appropriate for the patient’s clinical condition must be conducted and documented in the medical record. The medical record also shall document the presence of one or more recognized medical indications for the use of a controlled substance.
    2. Treatment Plan. The written treatment plan shall indicate if any further diagnostic evaluations or other treatments are planned, including non-opioid medications and therapies if indicated. After treatment begins, the dentist shall adjust medication therapy, if necessary, to the individual medical needs of each patient.
    3. Informed Consent and Agreement for Treatment. The dentist shall discuss the risks and benefits of the use of controlled substances, including the risk of abuse and addiction as well as physical dependence with the patient, persons designated by the patient, or with the patient’s surrogate or guardian if the patient is incompetent. The discussion also shall include expected pain intensity, duration, options, use of pain medications, non-medication therapies and common side effects. Special attention must be given to those pain patients who are at risk of misuse or diversion of their medications.
    4. Periodic Review. Based on the circumstances presented, the dentist shall review the course of treatment and any new information about the etiology of the pain. Continuation or modification of therapy shall depend on the dentist’s evaluation of the patient’s progress. If treatment goals are not achieved, despite medication adjustments, the dentist shall re-evaluate the patient and determine the appropriateness of continued treatment. The dentist shall monitor patient compliance of medication usage and related treatment plans.
    5. Consultation. The dentist shall refer the patient as necessary for additional evaluation and treatment in order to achieve treatment objectives. The management of pain in patients with a history of substance abuse or with a comorbid psychiatric disorder requires extra care, monitoring and documentation, and may require consultation with or referral to an expert in the management of such patients.
    6. Medical Records. The dentist is required to keep accurate and complete records to include, but not be limited to:
      a. the medical history and a physical examination, including history of drug abuse or dependence, if indicated
      b. diagnostic, therapeutic and laboratory results
      c. evaluations and consultations
      d. treatment objectives
      e. discussion of risks and benefits
      f. treatments
      g. medications (including date, type, dosage and quantity prescribed)
      h. instructions and agreements
      i. drug testing results, if indicated
      j. justification for deviation from the three-day prescription supply limit for a Schedule II opioid controlled substance for acute pain
      k. outline of problems encountered when attempting to consult the Prescription Drug Monitoring Database (PDMP), E-FORCSE, if the system was non-operational or the clinician, or his or her designee, is unable to access the PDMP due to a temporary technological or electrical failure
      l. periodic reviews. Records must remain current, maintained in an accessible manner, readily available for review, and must be in full compliance with Rule 64B5-17.002, F.A.C, Section 456.057, F.S., Section 466.018, F.S., and Section 466.028(1)(m), F.S.

 

 

Donation of Equipment to FLA MOMS

September 8, 2018

To: FSOMS Membership

Re: Donation of Equipment to FLA MOMS

Hello,

I have been contacted by the leadership of the Florida Dental Association MOMS co-chairs, Dr Jim Antoon and Don Illka, and Oral and Maxillofacial Surgery leads, Dr Marcos Diaz and Mike Pikos, for the FLA MOMS event. They have asked if there is any way we as individuals would donate OMS equipment to the MOMS event. They are desperately in need of hand instruments and forceps. They would prefer new instruments if possible.

This event has become so large that they are routinely running out of OMS instruments. This group is trying to increase their inventory of equipment to alleviate this shortfall. I am sure we can help with forceps and hand instruments. You can contact Hank or me directly at dsgesek@comcast.net to arrange pickup of any donation or bring them to the annual FSOMS meeting in Orlando. Anything is greatly appreciated.

The second request was to ask for more participation at the annual events. This year’s event is in Orlando at Edgewater High School. The date of the FLA MOMS is March 23 and 24. Participation can come in the form of your time providing care to needy patients or donating money to aid in the purchase of necessary supplies. Both would be welcome. This is a great way to show just how strong the FSOMS is in supporting care for the needy.

To learn more about this event, please go to FLAMOM.org.

Thank all of you for helping the FLAMOM become self sufficient and allow for the treatment of more patients with the equipment we graciously will be providing.

Sincerely,

Dan Gesek DMD

President elect FSOMS

2018 Summer Meeting Highlights

Amelia Island is always a welcoming location for our FSOMS Summer Meeting and this year was no exception. The weather and the ocean are certainly an incentive to attend this meeting along with our great scientific programs.

We started Thursday and Friday with required courses of “ACLS/BLS” and “Advanced Airway Complications & Management for the OMS and OMS Office Emergencies – Simulation Course.” Our welcome reception gathered on Friday night overlooking to beautiful beach and sunset.

FSOMS President Dr. Tom Bowers introduces our Saturday speaker Dr. Kevin Arce who presented the session on “Functional Reconstruction of Complex Maxillofacial Defects VSP and 3 Dimensional Models in Oncologic Surgery and Surgical Training.”

When the FBOD requirement of an Opioids CE was issued we secured Joshua Lenchus, DO from the Florida Osteopathic Medical Association to conduct a class during lunch on “Prescribing Controlled Substances.” President Dr. Tom Bowers chaired our FSOMS Board meeting and welcomed new member, Dr. Jose Ravelo.

Sunday we started with the important “Patient Safety and Risk Management for the Oral and Maxillofacial Surgeon” with Drs. Jeffrey Stone and Julie Goldberg.

Thank you to our sponsors for our Opening Reception and our speaker Dr. Kevin Arce: KLS Martin, OMSNIC and US Oral Surgery.

We also appreciate our exhibitors who make our meeting successful:

ConMed
Frontline Dental Supply
Geistlich
HampMed
KLS Martin
OMSNIC
OMSVision
Osteo Science Foundation
Snoasis Medical
Stryker
US Oral Surgery
Zimmer Biomet