Hi, Thought I'd lay out the issue (I'd call it an error in terms that the wrong person may have received the prescription) and see how the rest of you would respond to the situation.. Did seek advice at the time from a colleague and our operational support also who took the same view as myself.
This resolves around two methadone patients (A + B for these purposes.) I am the regular pharmacist and know both. Have been there 4 months but this practice had existed before I was there and had no previous issues.
Patient A is supervised and came into collect their medication. They also presented a signed and dated note from Patient B stating to give the prescription to patient A. This had last occured 3 days ago as well as quite often previous(Always keep at least one previous note for reference or incase something crops up). At a quick glance, the wording was standard and the signature was fine so no reason for suspicion. The checked prescription was issued to patient A, who was acting normally. Even responded when asked why patient B could not attend, that patient B was not feeling well. (this is the usual reason but who am I to judge?)
Later in the day, Patient B came in to collect prescription. I explained patient A had collected it. Patient B explained that patient A must have forged the note. Compared signature to previous kept notes- very similar and patient B is a bad writer which doesn't help.
Where would you have gone from here..? (Ideally you would not have got there of course, but play it from here)
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Originally Posted by crit care 
