Problem: Receiving a script with a swirl or line as a signature.
Solution: Please circle your name if it is printed on the top or get a name stamp pad. It's too time consuming to call the hospital/clinic.
Problem: Giving refills on antibiotics for one time infections
Solution: Pts don't know better. Many refill the prescription one month later. This wastes money and is unnecessary drug use. Just don't give refills for these.
Problem: Prescribing metformin for pre-diabetics
Solution: Well, at least you got a baseline SCr like I suggested.
Problem: Using the word "plz" in your electronic progress note.
Solution: Actually not my problem. It reflects on you, not me.
Feel free to add
Problem: Receiving a script with a swirl or line as a signature.
Solution: Please circle your name if it is printed on the top or get a name stamp pad. It's too time consuming to call the hospital/clinic.
Problem: Giving refills on antibiotics for one time infections
Solution: Pts don't know better. Many refill the prescription one month later. This wastes money and is unnecessary drug use. Just don't give refills for these.
Problem: Prescribing metformin for pre-diabetics
Solution: Well, at least you got a baseline SCr like I suggested.
Problem: Using the word "plz" in your electronic progress note.
Solution: Actually not my problem. It reflects on you, not me.
Feel free to add
1. Tell me one pharmacist who has lost their license for picking the wrong doctor/putting in the "Hospital/Clinic" as the prescriber on a non-control.Hint: it's 0. Either pick a name that closely matches the signature under the phone number on the clinic/hospital or pick the name of the place. Exceptions: stupid insurance companies that require a specific prescriber ID, or controls.
2. Ditto - but why does it matter that much to you? Antibiotics are also the easiest scripts to fill (I tell people to wait by the register and hand them their zpak in under 2 minutes. Makes me look amazing).
3. Um, hasn't metformin been shown to improve outcomes/prevent or delay progression to T2DM combined with good diet/exercise?
4. Ditto.
Here are some of my pet peeves
1. Sloppy hand writing. I mean come on.
2. Not writing a DEA number on a scheduled drug. Now that is f'ing annoying.
3. Not knowing how to use your f'ing ePrescribe software. Seriously douchebag, you're going to prescribe 6740 units of insulin with 6 refills? Let me just pour it into a 2 oz bottle. Or how about the ones who write for Lisinopril 20 mg 1 QD Quantity: 1 tablet or anything else because they were too forgetful. Or the ones who always forget to write for 90 day supplies in patients who want it.
4. Docs who write DAW for Brand Nazis. I have a patient who must have brand Klonopin, Maxzide, Flonase, etc. She easily adds thousands of dollars to my inventory because of her.
5. Docs who write for Dexilant. Then when I call in the inevitable PA, and ask for them to write a generic, they call in Aciphex. Then after that needs a PA, they call in Nexium. Makes me want to scream.
6. Any doctor who still writes for Dyazide. Seriously, no excuse for that anymore. Especially cardiologists.
These are just some.
