Missing CII prescription

[rxpharmdqd]

Advertisement - Members don't see this ad

Hi, Please give me your thoughts on this situation.

There is a CII prescription missing. Tech was filing and said she couldn't find it. I clearly remember I put it with other prescriptions that were filled on the same day after I filled that prescription.

We searched all over the place. We can't find it. What should I do? Since I filled that prescription, am I responsible for this missing prescription? Techs do prescription filing..missing prescription could happen but we always found it later, but this one is totally gone!! Please help! What do I need to do?

 

[crossurfingers]

So this prescription was already sold to the patient? Do you do final checks against the hard copy? Here we are required to sign the hard copy and I always do a double check against the hard copy at the end as well.

 

[rph3664]

Anecdote: In the mid 1990s, I did some relief work at the now defunct chain Phar-Mor, and their "C-II file" was a plastic recipe box attached to some electrical conduit with a twist tie. I was digging through the trash for a receipt, and found a prescription we'd filled earlier than day for 100 MS Contin! 😱 It had blown out of the box and landed in the trash can. You know this wasn't the only time that had happened, and that other prescriptions had been accidentally discarded. I suggested that they change their storage methods, and they said, "Oh, this is always how we've done this and never had any problems."

🙄

Good grief, a lot of people could have lost their licenses over this, through no fault of their own.

 

[rxpharmdqd]

Yes, it's sold to pt. What happen is CII prescription are brought to pharmacist and get filled then pharmacist cancel CII rx they fill and put them back with all the other prescriptions they were filled on the same day, which I did. While a tech was filing prescription, she would not find this CII prescription.

rph3664: Do you mean people get in trouble because a prescription is missing? As you said what if it was landed on trash can or tech misplaced during filing process? Still pharmacist is responsible for it???
Please put any input your thoughts on this everyone! Thanks!

 

[rxlea]

Anecdote: In the mid 1990s, I did some relief work at the now defunct chain Phar-Mor, and their "C-II file" was a plastic recipe box attached to some electrical conduit with a twist tie. I was digging through the trash for a receipt, and found a prescription we'd filled earlier than day for 100 MS Contin! 😱 It had blown out of the box and landed in the trash can. You know this wasn't the only time that had happened, and that other prescriptions had been accidentally discarded. I suggested that they change their storage methods, and they said, "Oh, this is always how we've done this and never had any problems."

🙄

Good grief, a lot of people could have lost their licenses over this, through no fault of their own.

You have a story for everything! You get around 😀

 

[Sparda29]

I always liked the CVS method of filing hard copy prescriptions. Kept stuff in order except for the times when someone by accident puts the CII prescription in the CIII-V bin or into the normal Rx bin, or vice-versa. An independent where I did my IPPE filled them all together in the same book.

 

[rph3664]

rph3664: Do you mean people get in trouble because a prescription is missing? As you said what if it was landed on trash can or tech misplaced during filing process? Still pharmacist is responsible for it???

Oooooohhhh, yeah. There's a saying in medicine, "If it wasn't documented, it didn't happen" and that includes lost or destroyed records. Without that paper prescription, where's the proof that the doctor actually wrote it? This, BTW, was in Iowa, which did not require triplicates for C-IIs, unlike Illinois which did at the time. I think the triplicate requirement was rescinded because of the massive surge of ADHD diagnoses and the fact that if triplicates were required for Ritalin, Adderall, etc. pharmacists wouldn't do anything else all day but fill them out.

 

[rph3664]

You have a story for everything! You get around 😀

After you've been out of school 20 years, you'll have plenty of stories too.

 

[PharmDstudent]

Oooooohhhh, yeah. There's a saying in medicine, "If it wasn't documented, it didn't happen" and that includes lost or destroyed records. Without that paper prescription, where's the proof that the doctor actually wrote it? This, BTW, was in Iowa, which did not require triplicates for C-IIs, unlike Illinois which did at the time. I think the triplicate requirement was rescinded because of the massive surge of ADHD diagnoses and the fact that if triplicates were required for Ritalin, Adderall, etc. pharmacists wouldn't do anything else all day but fill them out.

The best that you can do to document, at this point, is to reprint the hard copy from the scanned, computer image and then sticker the back of it. Scribble something on it like... "Looked everywhere, couldn't find hard copy." 👍

 

[Carboxide]

The best that you can do to document, at this point, is to reprint the hard copy from the scanned, computer image and then sticker the back of it. Scribble something on it like... "Looked everywhere, couldn't find hard copy." 👍

If you scan your prescriptions. Not every pharmacy does.

 

[PharmDstudent]

If you scan your prescriptions. Not every pharmacy does.

Thank you for stating the obvious.

 

[Carboxide]

Thank you for stating the obvious.

You're welcome. Now I can take off my cape and spandex outfit, because my duties as Captain Obvious are done.

 

[rph3664]

The best that you can do to document, at this point, is to reprint the hard copy from the scanned, computer image and then sticker the back of it. Scribble something on it like... "Looked everywhere, couldn't find hard copy." 👍

That wouldn't have worked in the mid 1990s. We didn't do that back then.

 

[genesis09]

technically you have to contact the prescriber for a new rx if this happens.

 

[BidingMyTime]

The RX probably is there in the pharmacy somewhere.....but good luck finding it.

Do you sticker your RX's? I'd check to make sure it didn't get stickered with the wrong sticker. Falling behind the counter in a pile of dust can also happen. Since you know its missing, I agree with Genesis about contacting the prescriber to obtain a new RX.

 

[kvl1027]

Yes, it's sold to pt. What happen is CII prescription are brought to pharmacist and get filled then pharmacist cancel CII rx they fill and put them back with all the other prescriptions they were filled on the same day, which I did. While a tech was filing prescription, she would not find this CII prescription.

rph3664: Do you mean people get in trouble because a prescription is missing? As you said what if it was landed on trash can or tech misplaced during filing process? Still pharmacist is responsible for it???
Please put any input your thoughts on this everyone! Thanks!

I wouldn't get too worked up about it, it is not like you are going to lose your license over it. Just document the event and try to get a new hard copy mailed to you from the prescriber.

In Florida the "Pharmacy Manager" is responsible for all of the prescription files and some liability would fall on that individual.

Mistakes happen, do your due diligence, document it, maybe list it in you CQI minutes and put some blurb in there about how you are going to try to prevent it in the future and then move on. Frankly, th DEA has bigger fish to fry (at lease here in Florida).

 

[PharmDstudent]

I wouldn't get too worked up about it, it is not like you are going to lose your license over it. Just document the event and try to get a new hard copy mailed to you from the prescriber.

In Florida the "Pharmacy Manager" is responsible for all of the prescription files and some liability would fall on that individual.

Mistakes happen, do your due diligence, document it, maybe list it in you CQI minutes and put some blurb in there about how you are going to try to prevent it in the future and then move on. Frankly, th DEA has bigger fish to fry (at lease here in Florida).

The problem with getting a "new" hard copy is that the doctor may write a different date on it, eg the date that he mailed it to you.

 

[rph3664]

The problem with getting a "new" hard copy is that the doctor may write a different date on it, eg the date that he mailed it to you.

We had to deal with that all the time with phoned-in hospice prescriptions, and the doctors would sometimes have to rewrite them 3 or 4 times before they got it right. 🙄

 

[PharmDstudent]

We had to deal with that all the time with phoned-in hospice prescriptions, and the doctors would sometimes have to rewrite them 3 or 4 times before they got it right. 🙄

Yikes! What a mess. 🙁

 

[kvl1027]

The problem with getting a "new" hard copy is that the doctor may write a different date on it, eg the date that he mailed it to you.

In the few scenarios in which we had to do this, we just requested that the physician write the original date on the script. If they didn't or wouldn't then we would have them write the current date and then notate on the script that it was for record purposes due to a lost original.

 

[ancienbon]

In the few scenarios in which we had to do this, we just requested that the physician write the original date on the script. If they didn't or wouldn't then we would have them write the current date and then notate on the script that it was for record purposes due to a lost original.

What if the Md never sent the hardcopy?

 

[npage148]

What is the actual chance that anyone is going to actively search out the missing script. I say let it ride