Change-proof Lortab scripts

[tkim]

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So I was writing my 30th Lortab script for the day, and I wrote for 5/500 Lortab, and then realized that I meant to write for 7.5/500, so I just added a "7." in front of the 5/500 and realized if I could do it, so could my patients.

Does anyone have a simple way to prevent my scripts from being 'doctored' up?

Then again, maybe I'll just write for 7.5/500 and forget about 5/500 altogether.

 

[southerndoc]

So I was writing my 30th Lortab script for the day, and I wrote for 5/500 Lortab, and then realized that I meant to write for 7.5/500, so I just added a "7." in front of the 5/500 and realized if I could do it, so could my patients.

Does anyone have a simple way to prevent my scripts from being 'doctored' up?

Then again, maybe I'll just write for 7.5/500 and forget about 5/500 altogether.

We use an electronic script writer that prints the prescription. I think printed prescriptions are the best way to do things.

It's not just Lortab, but many narcotics. Percocet also comes 7.5/325.

 

[deleted109597]

We use an electronic script writer that prints the prescription. I think printed prescriptions are the best way to do things.

It's not just Lortab, but many narcotics. Percocet also comes 7.5/325.

Apparently here people have taken to scanning scripts in and printing off new ones. The savvy drug seeker will always have a way until the script is just sent via computer to the pharmacy of their choice.

 

[southerndoc]

Apparently here people have taken to scanning scripts in and printing off new ones. The savvy drug seeker will always have a way until the script is just sent via computer to the pharmacy of their choice.

Ours is printed on special paper that has the hospital logo on the reverse side along with some security features on the front side.

 

[tkim]

Apparently here people have taken to scanning scripts in and printing off new ones. The savvy drug seeker will always have a way until the script is just sent via computer to the pharmacy of their choice.

NYS requires using their state-issued pads. Special paper, watermark, serial numbers, rub-off test area, barcode scanning that checks against a database of reported stolen pads.

 

[AmoryBlaine]

If someone is willing to commit fraud for an extra 2.5 milligrams of the good stuff per pill I say let them try to get away with it.

 

[anonymousEM]

Lortab 5/500 (five/five hundred)
disp# 8 (eight)
rf#0(zero)

I think out script writers do it this way as well.

 

[BlackSails]

I know this will take more time, but why not write the numbers out as both numbers and words, like on a check?

 

[southerndoc]

Lortab 5/500 (five/five hundred)
disp# 8 (eight)
rf#0(zero)

I think out script writers do it this way as well.

One of my attendings during residency said to never write for something where a zero and a y could be added. 8 and eight can easily become 80 and eighty. However, if you write for 11, it's hard to add a 0 to it and make it 110, and eleventy just doesn't sound right.

 

[tkim]

Lortab 5/500 (five/five hundred)
disp# 8 (eight)
rf#0(zero)

I think out script writers do it this way as well.

With narcs I write out the number to disp and enclose them in parentheses, and throw an "NR" at the end to indiciate no refill. But spelling out "seven point five/five hundred" is where I draw the line. Maybe I'll enclose the (5/500) so there's no way to add the "7.5".

Or maybe I'll just write for 7.5/500 all the time and stop worrying about it.

 

[tkim]

I know this will take more time, but why not write the numbers out as both numbers and words, like on a check?

Because it will take more time. And after writing a crapload of these every day, my hand will hurt more than it does now.

 

[deleted109597]

... and eleventy just doesn't sound right.

Somehow I think the patients haven't gotten that clue yet. I had one put a blue ink zero after a black ink number for something ridiculous (thirty to 300)

 

[docB]

When I was a tech waaaaaaay back when we got a call from a pharmacist (who was laughing out loud) about a script submitted by a particularly greedy drug seeker. Instead of the usual 10 to 100 fudge the pharmacist wanted to know if the doc had really written for 10,000 percocet.

 

[NERDY]

In my pre- medical school, non-medical job, we would only use blue gel pen for our documents. That way, we could easily tell a copy from the original based on the ink color.

 

[Jeff698]

We just got notice that, in Texas, we will now be required to include the following on all narc Rx:

Pt's name, DOB, address and condition
MD's name, TX license, Texas DPS # AND Federal DEA #

I don't even know my DPS #. The only thing I ever used it for was getting my DEA #.

What a pain.

Take care,
Jeff

 

[ditch doctor]

Lortab 5/500 (five/five hundred)
disp# 8 (eight)
rf#0(zero)

I think out script writers do it this way as well.

I was taught a trick to always make it for an odd number. 11 instead of 10, 21 instead of 20, etc... that way if a pharmacist ever calls you and it's an even number, (110 instead of 11) you know it's bs...

I also write it in paragraph form using APA standards, with citations.

 

[Drawing Dead]

When I was a tech waaaaaaay back when we got a call from a pharmacist (who was laughing out loud) about a script submitted by a particularly greedy drug seeker. Instead of the usual 10 to 100 fudge the pharmacist wanted to know if the doc had really written for 10,000 percocet.

Reminds me of a Simpsons episode where Bart changed F's into A's, and Homer calls him greedy and told him they much more easily turn into B's. Haha.