145C.18 NONOPIOID DIRECTIVE.
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145C.18 NONOPIOID DIRECTIVE.
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Subdivision 1. Execution.
A patient with the capacity to do so may execute a nonopioid directive on the patient's own behalf. A patient's health care agent may execute a nonopioid directive on behalf of the patient. A nonopioid directive must include one or more instructions that the patient must not be administered an opioid by a health professional or be offered a prescription for an opioid by a prescriber.
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Subd. 2. Revocation.
A patient who executed a nonopioid directive on the patient's own behalf may revoke the nonopioid directive at any time and in any manner in which the patient is able to communicate an intent to revoke the nonopioid directive. A patient's health care agent may revoke the nonopioid directive executed on behalf of a patient by executing a written, dated statement of revocation and by providing notice of the revocation to the patient's health care provider.
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Subd. 3. Compliance with nonopioid directive; exception.
(a)Except as specified in paragraph (b), prescribers and health professionals must comply with a nonopioid directive executed under this section.
(b)A prescriber or a health professional acting on the order of a prescriber may administer an opioid to a patient with a nonopioid directive if:
(1)the patient is being treated, in emergency circumstances, in a hospital setting or in a setting outside a hospital;
(2)in the prescriber's professional opinion, it is medically necessary to administer an opioid to the patient in order to treat the patient, including but not limited to during a surgical procedure when one or more complications arise; and
(3)it is not practical or feasible for the prescriber or health professional to access the patient's health care record.
If an opioid is administered according to this paragraph to a patient with a nonopioid directive, the prescriber must ensure that the patient is provided with information on substance use disorder services.
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Subd. 4. Immunities.
Except as otherwise provided by law, the following persons or entities are not subject to criminal prosecution, civil liability, or professional disciplinary action for failing to prescribe, administer, or dispense an opioid to a patient with a nonopioid directive; for the administration of an opioid in the circumstances in subdivision 3, paragraph (b), to a patient with a nonopioid directive; or for the inadvertent administration of an opioid to a patient with a nonopioid directive, if the act or failure to act was performed in good faith and in accordance with the applicable standard of care:
(1)a health professional whose scope of practice includes prescribing, administering, or dispensing a controlled substance;
(2)an employee of a health professional described in clause (1);
(3)a health care facility or an employee of a health care facility; or
(4)an emergency medical services provider.
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Subd. 5. Nonopioid directive form.
The commissioner of health must develop a nonopioid directive form for use by patients and health care agents to communicate to health professionals and prescribers that a patient with a nonopioid directive must not be administered an opioid or offered a prescription for an opioid. The commissioner must include on the nonopioid directive form instructions for how to revoke a nonopioid directive and other information the commissioner deems relevant. The commissioner must post the form on the Department of Health website.