CD problems

[Linnear]

Originally Posted by Pharmanaut

That is crimethink citizen Linnear. Be on your guard for the thought police from this moment onwards.

Don't know what you mean. I could not condone such action and my post reflects that very fact.

[johnep]

Working at Llyds this week. Told that SOP says all CDs have to be leld back for dispensing when pt comes in. This causes problems when busy.

any one got the actual SOP wording.? My practice to make up methadones at start of day. wish to get them out of the pharmacy ASAP.
johnep

[admin]

This is a coincidence, as the locum from yesterday deducted one dose from a persons week long methadone supply, and there was no stamp or written instructions on the script. I phoned the agency so they could let him know not to do it again, but what would happen if the society inspector got hold of this - would he be in trouble?

[Jeff]

Originally Posted by admin

This is a coincidence, as the locum from yesterday deducted one dose from a persons week long methadone supply, and there was no stamp or written instructions on the script. I phoned the agency so they could let him know not to do it again, but what would happen if the society inspector got hold of this - would he be in trouble?

It's a professional decision - whatever the pharmacist in charge deems to be in the patients best interests.
Could the pharmacist be in trouble for making a professional decision at odds with the law of the land - yes.
I've made similar decisions in the past - will continue to make them in the future.
I also inform the prescriber (or more usually their answer phone) of my actions.

Jeff

[admin]

Originally Posted by johnep

Working at Llyds this week. Told that SOP says all CDs have to be leld back for dispensing when pt comes in. This causes problems when busy.

any one got the actual SOP wording.? My practice to make up methadones at start of day. wish to get them out of the pharmacy ASAP.
johnep

John

Do you mean you have to dispense it when the patient actually comes in? I work at lots of Lloyds and none of them do that - especially the one that does 200 a day (Friday for me).

[admin]

Originally Posted by Jeff

It's a professional decision - whatever the pharmacist in charge deems to be in the patients best interests.
Could the pharmacist be in trouble for making a professional decision at odds with the law of the land - yes.
I've made similar decisions in the past - will continue to make them in the future.
I also inform the prescriber (or more usually their answer phone) of my actions.

Jeff

I think you're not so scared of the inspector as me! Is it the law to have the set of words on the script - I thought it was? If it's not against the law, and a professional decision then what's the fuss about? If it is against the law, why are you doing it Jeff - aren't you putting yourself at risk?

[johnep]

I first deducted a day of subutex when pt came in at 8.30am next day. He was at work and script was not issued until 5.15 day before, too late for him to reach us by 5.30.

This recent case was Dr error, fogetting 30 days in June and thinking 5th of July would be a Friday.

I am quite prepared to stand up in court. I seem to remember that rules changed after recent case was thrown out by judge.
johnep

[Pharmanaut]

Too late citizen Linnear,
Room 101 is being decked out as a pharmacy even as we speak...

on another tack...
Wonder why this wording can't be preprinted on the MDA form.
The prescriber can then have the option of striking it through and initialling it if it does not apply. My 'scriptcrime' was to dispense for an client with an excellent script and attendance record whose clinic had got mixed up with two bank holidays this Easter, and the script didn't have the variation stamp. Still waiting for the knock on the door...

[Linnear]

Pharmanaut, are you saying that drug teams can't print it on? I would have thought that they could do if they thought about it.


Of course the fly in the ointment is the thinking part!

[Jeff]

Originally Posted by admin

I think you're not so scared of the inspector as me!

I'm not.

Is it the law to have the set of words on the script - I thought it was?

Yes

If it's not against the law, and a professional decision then what's the fuss about? If it is against the law, why are you doing it Jeff - aren't you putting yourself at risk?

A professional decision that it's in the patients best interest to do so even if it is against the law and yes, I accept that I am putting myself at risk.

Jeff