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Originally Posted by Steve G I had a script on friday (15/9) for methadone, 36ml daily, dispense 252ml on 14/9 for a patient I know fairly well. What to do? Could I find the appropriate section in the MEP? No. So I phoned my former pre-reg tutor, who said that he had reduced the amount accordingly plenty of times in the past, so that was what I did (he also happens to be the professional services manager for the group I work for). I've now found the section in the MEP where it says about CD scripts being dispensed only in accordance with the prescribers directions (so I take this to read that I shouldn't have dispensed it).
What would others have done? |
http://www.pjonline.com/Editorial/20...tatcomm.html#1
Stat comm took no action
"Giving the committee’s determination on 27 April, the chairman (Lord Fraser of Carmyllie, QC) said that if on 17 December 2004 Mr Bhaiji had dispensed 420ml of methadone, there could have been no complaint. However, what he did was to dispense a day later only 360ml of methadone, which might appear to be common sense when the expectation was that 60ml would be consumed daily.
The chairman said: “Instalment prescriptions, as this was, fall into a rather special category and, as we understand the law at the relevant time, … he should have declined altogether to provide any dispensing against that prescription for instalments if it was presented later than 17 December 2004. … That appears to us to be a startling absurdity and the government guidance now accords precisely with what Mr Bhaiji did, namely, that if the instalment prescription was presented a day later, he should cut out that missing day and otherwise dispense the prescription. That would appear to us to be not only common sense but it must be in the public interest.
The chairman said that the committee had concluded that Mr Bhaiji’s approach was so in accord with both common sense and what is now to be the legal requirement that there should be no further action."
So stop covering your ass and start looking after patients.
Jeff