The Pharmacy Chick

Flying the Coop in Retail

Why is “standard” such a dirty word: Part 2

Filed under: Uncategorized — pharmacychick at 11:59 pm on Friday, February 10, 2012

Moving on to Part II-  Hard copies..you know those sheets of paper that patients hand you and ask you to fill?  At one time they used to be your basic 4×6 piece of paper. It had the Dr name on the top ( when each Dr had is own address and phone..which when called, someBODY actually answered), an address, and a phone number. The dr would scribble something on the prescription and the patient would drive that piece of paper to the local pharmacy where the pharmacist would squint at what was written and fill the rx….provided he/she could read it. If the RPh needed clarification, all he had to do was call the office and somebody would yell at the dr at his desk. Ah, the old days.

Things are a bit more complicated now.  1) we have WAY more regulation .  2) we have WAY more drugs and 3) we have way more prescribing entities.

When I first became licensed I was in a smaller community. There weren’t many prescribers .  I now live in a huge metro area. Lots of pharmacies. Lots of Doctors..and since there is a TEACHING hospital nearby..lots of residents, PA’s and NP’s.  The joke in Chickville is that everybody INCLUDING the janitor can write prescriptions and GTH ( Giant Teaching Hospital).

And therein, lies the problem….who are signing all these prescriptions?  Cuz I surely don’t know.

Last Saturday:  2 pm. Customer brings in a GTH generic discharge blank.  Written on it is a list of 4 prescriptions including a C-II drug.  Not only is the DEA number missing but the signature is a scribble, 2 dashes and what appears to be either a g or s.  NICE.  When I ask the patient ” WHO wrote this?”  I got  the answer I often get  in these cases….

” isn’t it written on there?”…well sir, if it WAS, would I be asking you?

How does this problem go away?  STANDARDIZATION.

A standard prescription can be quite simple.  Be a doctor, have a pad of blanks..Rule no. 1.  If you write a prescription, it must meet certain criteria to be legally filled.  This has already been established by the board of pharmacy.  Sadly it seems its up to US to make rx’s legal by filling in the blanks ourselves.  Time to stop that nonsense.

At the very minimum the following standard preprinted information should be on all prescriptions given to patients:  1) The doctor’s name,2)  address, 3) phone ( fax), and 4) NPI and DEA number.  If Dr’s are pissy about putting the DEA number, then pre print all but the last 3 numbers and have the rest filled in if the rx is controlled. With the advent of hand helds and computer rx programs, nearly every rx can and should be computer generated.  With that in mind, even more valuable information can be pre printed…such as the Patient name, address, phone, dob and allergies. then we can finally get to the Drug, dose, sig, and refills. It should be easy to read and in a format easy to read. It should be 1 drug, one prescription.

PRINT..sign and give to patient.  DONE.

About a year ago I tossed a bucket of water the wrong way and sent my neck and shoulder into a spasm I will not soon forget.  After about 12 hours of agony I went to a local immediate care center ( note NOT a hospital emergency room).  I had been unsuccessful trying to stretch, massage or heat the spasms out.    The dr saw me, and went to issue the prescriptions.  He did NOT whip out a pad and scribble Vicodin and Flexeril.  He went into another room and came back with 2 rx’s, neatly produced on a computer, signed and dated.  It was made on security paper, one page per rx ( yea, thats a bit of paper waste, but with printers, what can you really do?.. they print in 8×11).

I filled the cyclobenzaprine, had no use for the vicodin, so that went on hold.  But the point is this:  this script was COMPLETE.  Nothing was missing. It was easy to read, everything was there, nothing was left to guess about.

Of course,  it wont prevent human input error:  Like the one I got today:  Doxycycline 150mg monohydrate caps # 20: sig: take 100mg twice daily for 10 days.  OOOOKKAAY…

We still have a way to go to hurdle over that problem, but Standardizing hardcopies is a good start.

12 Comments »

Comment by Smartass, CPhT

February 11, 2012 @ 2:02 am

A lot of the docs around here have moved on to computer-generated hard copies. There are certain benefits to this change, such as not having any scribbles to read. Standardization, sadly, is not among these benefits. The required bits and pieces of information are (usually) all there, but may be printed in any random order from office to office. And, as you mentioned, there’s always the issue of human error on input. (Oddly, we never seem to get OBVIOUS input mistakes on the e-scripts. We just get duplicates on those. Often followed by more duplicates.)

My favorite prescriber around here is one of the hospitalists at Local Hospital. He uses the standard ED discharge blank and runs it through an electric typewriter. Perfectly legible without any potential for misclicking something in a menu. For verification, he rewrites controls by hand below the typed order, and never forgets to sign and date. He even pre-approves substitutions if he anticipates a formulary issue, as with PPIs (or Zofran ODTs vs the standard tablets).

But it’s made up for with all of the scripts his usual PA writes for 18 mL of Zithromax suspension.

Comment by New Tech

February 11, 2012 @ 5:47 am

AMEN!

I have been reading your blog for about a year now and this is the first time I’ve made a comment. Yours and a few others are the reason I started my own blog.

I wholeheartedly agree with all the points made in your “Standardization” posts. As the person who is usually the first to see these “non-standard” scripts, it’s frustrating to have to take it over to the pharmacist to either get clarification on handwritten directions or even which medication it is being written for. Not to mention, when there are several doctors listed on one blank and they don’t even have the decency to circle their name so that should we need to call for clarification or even a refill, we can send it to the right physician.

Comment by Magpie

February 11, 2012 @ 7:53 am

We have a few doctors in our area who only have a PO box listed as their address. And our GTH only has their fax number printed on their rx…no phone number.

Comment by The Cynical Pharmacist

February 11, 2012 @ 8:34 pm

C’mon, you filled that Vicodin, don’t lie.haha LOL, no actually I never did. All I asked for was a muscle relaxant..she came back with the vicodin..

Comment by Kevin

February 11, 2012 @ 9:37 pm

As a fellow Pharmacist, I find your endorsement of EHR’s somewhat surprising. Just a few examples of recently seen e-rx’s:

Hydralazine rx w/sig: 1 po prn for itchiness (later confirmed should be hydroxyzine).

verapamil tabs with sig take one cap qd for htn

metformin 500mg qd (pt had several year long hx w/metformin er)

I get the whole NPI/DEA thing and I also suffer w/generic teaching hospital rx’s written w/illegible signature and illegible or missing DEA/NPI, but I am CONSTANTLY clarifying rx’s that were carelessly entered or were written using programs that with egregious errors in their design. As long as it’s not a control, at least you have a shot at being to able to fill a written rx without wasting an hour going back and forth trying to figure out who wrote it…Sometimes I feel like pulling my hair out!Oh, I totally agree, I am not saying its the complete answer. any time you have a poorly written program, you will get poor execution– garbage in, garbage out. But at the same time I know that EHR is here to stay, and if that is the case, then there needs to be some standardization so that it works for all disciplines.

Comment by Pharmaciststeve

February 12, 2012 @ 9:07 pm

another situation where Pharmacy is not at the table to set standards before they put the saddle on the horse and we are expected to accommodate to whatever comes our way.. Basically boils down to …to much competition and too little backbone.

Comment by Janey

February 12, 2012 @ 9:25 pm

Has happened within my doctors office. RX typed into the computer right in the doc office, doc signs it and out I go with an RX the pharmacist does not have to guess at. Progress~!

Comment by murgatr

February 13, 2012 @ 3:24 am

One of my colleagues put together a “book” of matching dr’s illegible signatures to their names. It contained copies of the Rx with the patient’s name blacked out, but the dr’s name was PRINTED underneath the signature once it had been confirmed with the local clinic/hospital. Sometimes it was a faster alternative instead of waiting on hold forever trying to figure out who saw Joe Blow yesterday in the ER.

murgatr
Pharm.Tech. RDC ‘06

Comment by loup garrou

February 14, 2012 @ 2:58 pm

I see more screwed up orders from the new “software” than ever before. At one time they(whoever) wrote what they had heard of..now we get orders for things no one has ever heard of…with fantasy directions..as far as signatures if you can’t read it..it could be anybody….”sorry Dr. Love Jones, it looked like Loup Garrou to me” Actually, I wouldn’t bother with the sorry….BTW no one cares what druggists think and obviously no one thought to ask……as an aside…STAY OUT OF RETAIL….OUT….got it?

Comment by Vagabond Rx

February 14, 2012 @ 5:06 pm

A careless person will be careless whether they are hand-writing a script or using a computer program. How many times have I seen a Dr sign off on a Plexia-generated rx for “levnorg/ethinyl estr” and had to fax to find out which one of dozens of products is being prescribed!

Comment by JustADoc

February 16, 2012 @ 7:44 pm

I can promise you that doctors were not invited to the ERx meetings either.
For every error caused by a hand written script there is another type of error caused by ERx.

I have never ever accidentally written lomotil when I meant lisinopril. But it’s not hard to do with ERx.

And let’s not even talk about similar drugs like accidentally clicking on PromethazineVC instead of plain promethazine.

And in my hand, if I want a slightly non-standard sig, I can write a slightly non-standard sig. With many ERx, if it is not a choice, it can NOT happen. Period. No. Nein.

If the strength I want(and I know exists) is not in the ERx, once again it will NOT happen.

Comment by loup garrou

February 18, 2012 @ 10:01 am

My true fav is when I actually call back to verify some fantasy and the office grrl…nurse…indian chief..on the other end replies “well, if that’s what the dr. NP…PA…faith healer..hypnotist wrote then that’s what they want prescribed…My reply? Oh-tay you got it…. could I please get your name?

Loup Garrou

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