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Medical Forum / General / Pharmacy / May 2004

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Questions to community pharmacists

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P T - 28 May 2004 17:27 GMT
I worked for Walgreens for a few years. Now I work for a large hospital.
We have an outpatient pharmacy that does 300-400 prescriptions a day.
Ninety-nine percent of these are from our clinics, our ER, or discharge
orders. We have an in-house electronic transmittal system (Epicweb) for
the clinics, so these prescriptions are usually not signed. I am out of
touch with the current format of prescriptions.

Recently I saw my physician (a completely different medical group) and
he gave me a prescription for TMC ointment. Their office had recently
converted to electronic record keeping, and I was rather stunned to see
the prescription: an 8.5 x 11 printout that looked more like a page from
my medical record than a prescription. Also, it was unsigned, and
without even a place for a signature.

At the supermarket pharmacy I go to, the pharmacist did not even bat an
eye at this unconventional looking prescription. What passes for a
prescription these days? The format of the prescription I received set
my suspicious mind reeling: I suppose that people familiar with our
procedures have always been able to exploit our weaknesses, but the
computer printout I received as a prescription made me think that
mischief is one step easier.

Comments?
Pete
Estrace - 28 May 2004 21:57 GMT
: I worked for Walgreens for a few years. Now I work for a large hospital.
: We have an outpatient pharmacy that does 300-400 prescriptions a day.
[quoted text clipped - 20 lines]
: Comments?
: Pete

Canada - BC specifically

I am a community pharmacist(30 years) and we do receive electronically
generated prescriptions as you describe above with two exceptions

1.when presented by the patient ours are signed by the physician with
a ball point pen/pencil.  They would not be legal otherwise.  No
computer generated or photocopied signatures

2.when faxed to the pharmacy there is a specific code where the
doctor's signature would be and this code is changed every 3 months
and must be known by the pharmacy in advance as a verification of the
prescription.  The rxs given to the patient do not have this code -
they have the doctor's signature

I cannot imagine filling a "typewritten" rx with no signature.  It
boggles my mind!!!
Bob G - 29 May 2004 00:35 GMT
>I worked for Walgreens for a few years. Now I work for a large hospital.
>We have an outpatient pharmacy that does 300-400 prescriptions a day.
[quoted text clipped - 20 lines]
>Comments?
>Pete
====================
I HATE those scripts....But I still think a signature is required...
My main bitch is that my files of 100 Rx are now 3 inches thick as I
fold these damn Rx's ...Used to rip themdown to normal size UNTIL
PCS refused to pay because they did NOT see the complete Rx...
Plain Bullshit

Bob Griffiths
 
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