Cancer treatment should start very soon after diagnosis, but for most cancers, it won’t hurt to wait a few weeks to begin treatment. This gives the person with cancer time to talk about all their treatment options with the cancer care team, family, and friends, and then decide what’s best for them.
Full Answer
How often do I need to renew my WAC license?
(1) Licenses must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2, except faculty and resident licenses. (2) Faculty and resident licenses must be renewed every year on July 1 as provided in chapter 246-12 WAC, Part 2.
Does WAC 246-817-955 apply to dentists?
Unless the consultation is exempted under WAC 246-817-955 or 246-817-960, the dentist who prescribes a dosage amount that meets or exceeds the mandatory consultation threshold shall comply with the pain management specialist consultation requirements described in WAC 246-817-965.
How long does it take to initiate treatment?
The researchers found that the median time to treatment initiation (TTI) has increased significantly in recent years, from 21 days in 2004 to 29 days in 2013. Delays were more likely if patients changed treatment facilities or if they sought care at academic centers.
Why do we say “Watch and wait” for treatment?
The reason behind this recommendation that we avoid treatment until we have significant symptoms ( See article on symptoms) and instead are told to “Watch And Wait” or as many of us say “Watch and Worry” as that there is no evidence that any early therapies are helpful.
What is the WAC 246-919-850?
The rules in WAC 246-919-850 through 246-919-985 govern the prescribing of opioids in the treatment of pain. The Washington state medical quality assurance commission (commission) recognizes that principles of quality medical practice dictate that the people of the state of Washington have access to appropriate and effective pain relief.
What is the Washington State Commission?
The commission is obligated under the laws of the state of Washington to protect the public health and safety. The commission recognizes that the use of opioids for other than legitimate medical purposes poses a threat to the individual and society.
What is WAC 246-817-501?
The purpose of WAC 246-817-501 through 246-817-570 is to establish guidelines on delegation of duties to persons who are not licensed to practice dentistry. The dental laws of Washington state authorized the delegation of certain duties to nondentist personnel and prohibit the delegation of certain other duties. By statute, the duties that may be delegated to a person not licensed to practice dentistry may be performed only under the supervision of a licensed dentist. The degree of supervision required to assure that treatment is appropriate and does not jeopardize the systemic or oral health of the patient varies with, among other considerations, the nature of the procedure and the qualifications of the person to whom the duty is delegated. The dentist is ultimately responsible for the services performed in his/her office and this responsibility cannot be delegated. In order to protect the health and well-being of the people of this state, the DQAC finds it necessary to adopt the following definitions and regulations.
What is a dental license in Washington State?
The license of any dentist, dental hygienist or other individual licensed pursuant to the laws of Washington to engage in any activity being performed in the premises under the supervision or control of a licensed dentist shall be displayed in a place visible to individuals receiving services in the premises, and readily available for inspection by any designee of the DQAC.
How often should a dentist test water?
If manufacturer's instructions are unavailable, a licensed dentist shall test the water delivery system for acceptable water quality quarterly. A licensed dentist shall test the water delivery system five to ten days after repair or changes in the plumbing system and again at twenty-one to twenty-eight days later.
How many hours of training is required for inhalation sedation?
(1) Training requirements: To administer inhalation minimal sedation a dentist must have completed a course containing a minimum of fourteen hours of either predoctoral dental school or postgraduate instruction in inhalation minimal sedation.
When providing episodic care for a patient who the dentist knows is being treated with opioids for chronic pain, such
(1) When providing episodic care for a patient who the dentist knows is being treated with opioids for chronic pain, such as for emergency or urgent care, the dentist shall review the PMP to identify any Schedule II-V or drugs of concern received by the patient and document in the patient record their review and any concerns.
Why do dentists have to comply with the requirements?
In order to protect the public from inherent ly misleading claims of specialty expertise by dentists who are not adequately trained and experienced, a licensed dentist must comply with the requirements in this section to avoid deception of the public with accurate advertising and representation.
When a patient receiving chronic opioid pain medications changes to a new dentist, it is normally appropriate for the new dentist
(1) When a patient receiving chronic opioid pain medications changes to a new dentist, it is normally appropriate for the new dentist to initially maintain the patient's current opioid doses. Over time, the dentist may evaluate if any tapering or other adjustments in the treatment plan can or should be done.
What is the WBC of a CLL patient?
Nine months after diagnosis, a fellow patient with CLL tells you that his WBC (white blood cell count) is 49,000 with an ALC (absolute lymphocyte count) of 42,000. He has clusters of 2 x 1 cm nodes in both axillae (armpits). Labs are otherwise OK. He feels well, just a bit tired and stressed. He asks what symptoms or lab results might indicate it is time to treat. You tell him:
How long can you sweat without infection?
Fevers >38°C for at least 2 weeks without evidence of infection. Drenching night sweats for more than a month without evidence of infection.
Is Watch and Wait better than Chlorambucil?
In fact this famous study published in 1998 compared “Watch And Wait” to early intervention with chlorambucil, an oral chemotherapy and at that time the standard of care, and found that the group on chlorambucil fared slightly worse. Admittedly, we have much better treatments today.
Can cancer patients wait to start treatment?
These findings reveal that patients with newly diagnosed cancer are having to wait longer to begin treatment, a delay that is associated with a substantially increased risk of death. The researchers used prospective data from the National Cancer Database and examined the number of days between diagnosis and the first treatment for persons ...
Do patients with cancer wait longer to get treatment?
Patients with newly diagnosed cancer are having to wait longer to begin treatment, study data indicates. Greater efforts are needed to prevent treatment delays for patients with cancer, according to research presented at the 2017 American Society of Clinical Oncology (ASCO) Annual meeting.
How long does inpatient treatment last?
Inpatient treatment may last up to 30 days. At 30 days the adolescent must be discharged, unless the adolescent voluntarily agrees to further treatment, or a designated crisis responder (DCR) initiates involuntary commitment proceedings.
What age can a minor get medical care?
For a minor under the age of 13, either parental consent or consent from an approved guardian is required for services.
Can mental health providers share treatment information?
Washington State law about what information mental health professionals can share has changed. Mental health providers are now allowed to communicate some adolescents’ (age 13-17) treatment information to parents, if the provider believes that sharing this information would benefit the treatment process.
Chapter 246-945 WAC - Frequently Asked Questions
The commission staff has worked closely with the National Association Board of Pharmacy (NABP) to update the Washington State Multistate Pharmacy Jurisprudence Exam (MPJE) to reflect the new rules, chapter 246-945 WAC. Due to NABP's extensive review and vetting process, new and re-written questions will not be added until after July 2021.
Part 1 – General Provisions
What do the terms ‘pharmaceutical firms' and ‘facility' mean in the new rules?
Part 2 – General Licensing
Pharmacist Preceptor – My preceptor certification status shows profession discontinued, what does this mean?
Part 3 – Professional Standards
Do tech-check-tech training programs or other specialized functions performed by technicians require commission approval under the new rules?
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