I am the Crazy RxMan, your local pharmacist... smart enough to be a pharmacist, insane enough to work retail!
Wednesday, May 21, 2014
Dear Doctor and/or Prescriber
Here's a refresher course, because a lot of you need it. Here's what WE need YOU to put on EVERY prescription. It doesn't matter how busy you are or how important you think you are. These are legal requirements:
While many doctors are good at this and follow the law...why is this task apparently so damn difficult for some doctors, who can't seem to get it right then blog about it in their lame attempt to make fun of the pharmacy?
I'd like to add that despite your valiant attempts to reduce paper waste, cramming 3 or more drugs onto that sheet just makes our lives more difficult.
You might save a tree, but you could potentially kill a patient.
How about the ER docs putting their DEA nbrs on the RXs and printing as well as signing their FULL names for controls. In my town, we have so many temp docs that work the ER from one of the sister hospitals, it takes me forever to find the right one. Usually have to take time to call the Er because by the time I get it shift change has occured, convince staff I AM THE PHARMACY to get the info from the nurse so I am in compliance with state INSPECT rules.
Most Drs I've been to lately do not write out RX's any longer, they are printed out with ALL the info you pharmacists need. Maybe in Mayberry, but not in the big city :)
Well that's cute, isn't it? This is only a problem in Mayberry? Well alllll beeeee. Garsh.
Actually, from my experience the "big city" only makes the problem worse. Doctors are ALWAYS in a self-important hurry and miss key information all the time. It's nice that a lot of prescriptions now are computer-generated, but unfortunately this leads to a whole new set of problems-- garbage in, garbage out. We often get nicely printed prescriptions done on the computer for medications inappropriate for the patient or incorrect simply because the prescriber didn't take time to select it from the drop-down menu correctly. We get one or more EVERY day at my pharmacy. And just like a hand-written prescription with missing information, we have to call and get it straightened out.
Believe me, this is a huge inconvenience to the patient. By the time they get to us all they want to do is go home, not be delayed by a mistake which would have been avoided had the prescriber taken a little more care in prescribing. The point of this particular blog post is that the prescriber needs to SLOW DOWN.
I'd write more, but I better get back to Otis. He's out of his cell again making a ruckus.
While many doctors are good at this and follow the law...why is this task apparently so damn difficult for some doctors, who can't seem to get it right then blog about it in their lame attempt to make fun of the pharmacy?
ReplyDeleteI'd like to add that despite your valiant attempts to reduce paper waste, cramming 3 or more drugs onto that sheet just makes our lives more difficult.
ReplyDeleteYou might save a tree, but you could potentially kill a patient.
A telephone number of the prescriber would be nice too. A major hospital in our city only has their fax number on the rx.
ReplyDeleteHow about the ER docs putting their DEA nbrs on the RXs and printing as well as signing their FULL names for controls. In my town, we have so many temp docs that work the ER from one of the sister hospitals, it takes me forever to find the right one. Usually have to take time to call the Er because by the time I get it shift change has occured, convince staff I AM THE PHARMACY to get the info from the nurse so I am in compliance with state INSPECT rules.
ReplyDeleteMost Drs I've been to lately do not write out RX's any longer, they are printed out with ALL the info you pharmacists need. Maybe in Mayberry, but not in the big city :)
ReplyDeleteWell that's cute, isn't it? This is only a problem in Mayberry? Well alllll beeeee. Garsh.
ReplyDeleteActually, from my experience the "big city" only makes the problem worse. Doctors are ALWAYS in a self-important hurry and miss key information all the time. It's nice that a lot of prescriptions now are computer-generated, but unfortunately this leads to a whole new set of problems-- garbage in, garbage out. We often get nicely printed prescriptions done on the computer for medications inappropriate for the patient or incorrect simply because the prescriber didn't take time to select it from the drop-down menu correctly. We get one or more EVERY day at my pharmacy. And just like a hand-written prescription with missing information, we have to call and get it straightened out.
Believe me, this is a huge inconvenience to the patient. By the time they get to us all they want to do is go home, not be delayed by a mistake which would have been avoided had the prescriber taken a little more care in prescribing. The point of this particular blog post is that the prescriber needs to SLOW DOWN.
I'd write more, but I better get back to Otis. He's out of his cell again making a ruckus.
And a diagnosis code if it's a Medicare patient!
ReplyDeleteDiagnosis code if a medicare patient? Why, where is this required besides for daibetic supplies and the like?
ReplyDelete