Abstract Body: Subarachnoid hemorrhage can cause debilitating headaches, affecting 90% of these patients in the intensive care unit, and 40% at 32 month follow up. Current literature suggests that opioids are ineffective for treating subarachnoid hemmorhage pain, despite their widespread use and perceived efficacy. There is evidence that dot-phrase implementation and electronic medical record alerts can positively influence physician behavior, including with reducing opioid prescriptions in the primary care setting. We added a standardized dot-phrase to discharge summaries for our subarachnoid hemmorhage patients, prompting providers to answer whether the patient was being prescribed opioids, the rationale for this, and plan for weaning. Rates of opioid prescription inpatient were 93%, but inclusion of the dot phrase reduced opioid prescription at discharge to 14% compared to 43% in patients who did not have dot phrase included. Our results suggest that dot-phrase implementation can successfully reduce opioid prescription at discharge for this patient population.