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I'm snippy because this is the biggest no brainier in the universe. The ER doc is always there.....
Why are junkies surprised when they are caught?
Started by Old Timer
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I'm snippy because this is the biggest no brainier in the universe. The ER doc is always there.....
I've had a lot of instances when I called the ER only to find out that the physician who wrote the script already went home for the day. And the physician who is now working in the ER has no idea about what went on.
Wow, the concepts of due diligence/not being the pharmacy police apparently don't get taught very well.
Also, I vote ED scripts are better/easier to verify, especially if it's a teaching hospital (read: residents who don't care about pt satisfaction scores and will only write for like 12 percocet). Maybe I take this for granted bc I'm in a big city, but most hospitals tend to have things like, idk, computerized medical records/charts/rxs, so it should not be very hard for a covering MD to verify.
Finally, I think ED docs are totally on our side since they deal with as much, if not more regarding drugseeking behavior, and they do love a good crackhead on medicaid story.
Also, I vote ED scripts are better/easier to verify, especially if it's a teaching hospital (read: residents who don't care about pt satisfaction scores and will only write for like 12 percocet). Maybe I take this for granted bc I'm in a big city, but most hospitals tend to have things like, idk, computerized medical records/charts/rxs, so it should not be very hard for a covering MD to verify.
Finally, I think ED docs are totally on our side since they deal with as much, if not more regarding drugseeking behavior, and they do love a good crackhead on medicaid story.
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Well of course we use due diligence but sometimes that is not enough. Anyway, the ER scenario is an easy one. It's easy to verify those for the most part. Sometimes narcos will bee too nice, or sometime just isnt right...Youve used due diligence in verifying the rx for medical necessity but something still isnt right...I hate getting duped and i hate those people who try...just so they can get a quick fix or get the drugs on the street...Florida has a huge huge problem, so sometimes we need to use a little more than due diligence...
Of course, but what I posted before specifically said regardless of the validity of the script....so your little rant is not really relevant.
Can you describe a situation where you would refuse to fill a valid script because you thought/suspected it wasn't for a legit medicinal purpose. Please also include how you'd use due diligence to make sure you were correct before you denied a patient medication.
I'm really curious about this.
Nope, but I never said I could.If you look on the last page, you will see I said that because I am not a practicing pharmacist, I don't know how it would work. I said that IN CLASS, THIS IS WHAT WE WERE TOLD. Yet OT answered a totally different question and addressed it from an angle so far out he missed it completely. Hence the sentence of mine you quoted. Essentially, if he is ACTUALLY addressing what I said, the phrase "This is a no brainer, because the ER doc is always there" makes no sense at all.
Defensive much? I think that Old Timer's answer does make sense. If you call the ER and talk to the doctor (or someone who can at least review the chart) that should satisfy the question of "legitmate medical purpose" 99% of the time. What's the doctor going to say? "Oh I just wrote that because she gave me a *******?" or "I was bored, so I just wrote that script for Percocet?" Of course they aren't.
You seem to be implying that there might be some other reason. I understand that you haven't SEEN this in practice, but you did discuss it in class and presumably you could ask your professor or classmates for clarification. And maybe you should, because when you get out in practice you should be darn sure you know what you're doing if you deny an RX because it's not for a "legitimate medical purpose." If you're going to do that, you should make sure you fully understand what that means and when to apply the standard. In my opinion, of course.
Of course, despite the fact I used colors and large font size, you seem to fixate on the validity while I also included the necessity. I had one this past weekend for 20 Percocet, brand name only as per patient, cash. When I did the DUR, he had received 180 Percocet 10/325 5 days previously. I called the doctor asked if the patient made this information available to the physician. The physician was unaware and therefore requested the prescription be canceled. So while it was valid, it was not for a legitimate medical purpose and it was not filled. Again, because it was and ER, it was easy to determine.
