// Leaf Group Lifestyle. If you need prescription medicines you can pick them up at your local Planned Parenthood health center, or you can arrange to have them mailed to you. It's scary...unless you have training and education with medications, it's easy to make a mistake. Hopefully this will change too! A: “I can’t afford the visit.” “I can’t afford the urine drug screen.” “I can’t afford the x-ray you ordered for me.” These stories are common, and the patients are often legitimate. Mention the quantity that needs to be ordered for a refill, based on how often the patient is going to be taking this medication. This was how the Physicians and Office Administrators in NC dealt with Nurses finally demanding and receiving semi-decent pay. I think any big pharmacy chain can help you. This is in NH by the way. It can be tough to call the DEA on a loved one or friend. They are busy just like we are, and sometimes, waiting to call in a batch of prescriptions is easier and much more efficient than making individual calls for each patient—especially when multiple patients use the same pharmacy. My insurance said it’s too soon to fill my prescription. Cite specific examples of the reason for your concern, and request a reply by a specific (reasonable) date. He would be violating the law, if he without seeing you issues prescriptions. Inactive 3 Aug 2016. Specializes in Mental health, substance abuse, geriatrics, PCU. Fill out the form and pay $90. Initially, the doc would write down the rx after talking to the patient, give to the RN to phone in. With PlushCare, simply make an appointment online or call (888) 496-6817 to have a phone or video appointment with a doctor who will review your medical history and prescriptions, then electronically send refills to the pharmacy of your choice. The MD has to write the RX and the MA calls it in. info so people can be held accountable. This is much better than going in to see a doctor for an antibiotic. I've seen horrific consequences due to wrong med - one pt we had got lanoxin pills in his lasix bottle - he had to have a pacemaker put in and died 3 months later after taking 3 of those lanoxins a day for a month. Is this legal? Teladoc doctors are U.S. board-certified and licensed to practice medicine in your state. Give the doctor's name who is requesting this medication be filled. My wife worked in a place that tried to assign a MA as the "clinical supervisor" over a LPN and a RN. In VA only liscensed nurses can call in a order and for narcs only the doc can call it in or the actual order has to be faxed to the pharmacy. Prescriptions written in Washington must have two signature lines at opposite ends on the bottom of the form. If the doctor or patient lives in a jurisdiction where Adderall cannot be prescribed online, the patient will have to either request a handwritten prescription or be seen by a doctor in person. We don't need your name, you're better than what we usually get!" Our mission is to Empower, Unite, and Advance every nurse, student, and educator. allnurses.com, INC, 7900 International Drive #300, Bloomington MN 55425 It is legal for medical assistants, secretaries, or anyone else that the doctor deems competent, to call in prescriptions to the pharmacy. The battle still rages... allnurses is a Nursing Career & Support site. Everybody is so up in arms about mistakes being made in hospitals by LICENSED PERSONEL. I'm not sure of the law, but this is what I'm told goes on. Also, my niece had surgery recently and my sister found out the person doing the prescreening on the phone was not a nurse either! While a call to your doctor may be needed to clear up any issues, it is an extra step that your pharmacist takes and can lead to delays in filling your prescription. 1-612-816-8773. At least these people don't have licenses to get revoked when they call these in. Very friendly staff and I was able to book an appointment online after registering on this website. And they’re getting them easily from their own homes, or the as well as cell phone call histories. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. You have to fax those with md signature. Just an opinion. i do think that there should be some law that states that only a doctor can write the actual prescriptions and the only people who are allowed to call in prescriptions are doctor's or registered nurses, whose license information should be taken down at the time of the call. (May be a regional issue, but definitely can create problems in my neck of the woods! They can call the doctor if they need to confirm a prescription, they don't need to humiliate people. I asked them if they needed my license number or any type of proof that I was who I said I was....they said no, they were lucky to even be GETTING a nurse to call them in! It isn't just nurses. Most of them are totally unaware that they are being treated by people with very little education or training. You can order prescriptions on CVS.com and pick them up at any CVS/pharmacy location. This is the person who called in the prescription! I had access to DEA numbers galore! If you need to buy some time before you can get to a doctor, there are a few things at the drugstore that can help. The first step will be for you to call your doctor's office and let them know that you need this refill. 2) The person calling the RX would not risk misreading or mispronouncing a name. My niece said she didn't know what the big deal was. You can assist your pharmacist and avoid delays by calling your pharmacy a few days before you run out of your medication. They can diagnose, treat and prescribe medication if medically necessary. I really think if they're going to do anything like that over the phone they need a little more I.D. I've never heard of such a thing, but before my training I would have thought it was no big deal. When a doctor diagnoses a patient with ADHD, collecting an Adderall prescription is the next step. This was simple, fast and easy to use. In some clinics it is so bad that MAs run rampant without any apparant supervision. Back at work and on probation, never to call in meds again, she started pretending to be me when she called in her medications. This was because they also have clerks filling prescriptions at the drug store and the lanoxin bin was right next to the lasix bin in alphabetical order. This is against the law in the State of NC but they wouldn't change the chain of supervision so she quit and reported to facility to the State. ), 3) Risk of mistakes due to variations in dialects/ accents would be minimized. I would put the responsibility on the physician/ facility rather than the pharmacy. Eventually, some non-nurse personnel decided to call in medications to "help us out." Speak the patient's date of birth. It's very easy to say Celexa instead of Cephlexan if a secretary is familar with one of the meds (nurses do these things too-I'm careful to spell out name when calling in unfamiliar meds) That pt would be happy happy happy even though still hacking green loogies. The reason so many people think all they do is count pills is because they so rarely get any meaningful help. It should be enough for a 30-day supply. Including the spelling of it is very important in preventing mistakes. There should be strict protocol in place and only Docs and nurses should be allowed to phone in rx, even then. Specializes in around 25 years psych, 10 years medical. If you do need a follow-up appointment, health center staff will help you schedule it. They are also training people to take x-rays at clinics. He said to her I sure hope James is getting the same procedure as me. If there is a common name such as Joe Smith, the wrong Joe Smith may get the prescription. Untrained people can't do that. Unfortunately, when it comes to opioid prescribing, one of the most common reasons that healthcare providers get into problems with regulatory agencies is that—in the prescriber’s … Getting an Adderall Prescription Online. Make sure that the patient has used the pharmacy before. If you want your doctor to call you back immediately, you need to find yourself a concierge doctor. In North Carolina, MAs can do whatever the physican deems appropriate for them to do. My sister is a nurse in Indiana and the story she related to me makes me mad. can you please call the pharmacy to clarify or send in new adjusted prescription? I call in as few scripts as I can now, just to help out a patient once in a while and I actually get permission from the doc or the PA-C before I do it. Prescriptions written in Washington for delivery to the pharmacy must be on Pharmacy Quality Assurance Commission approved tamper-resistant prescription paper per RCW18.64.500. In health care, you may find that frequently doctors will offer to call in prescriptions for their patients. We had a situation at my former job. How easy would it be to just call in scripts for myself if I wanted? However, if they are abusing prescription drugs, such as hydrocodone or oxycodone, their life is at stake. The short answer is yes, doctors can bill for any uninsured service - prescription renewals, telephone calls and sick notes - items physicians are not paid under the traditional fee-for … Doctors may issue controlled substance prescriptions to patients after having a telephone or video call with patients if the following conditions are met: The prescription is … At the time of your appointment, you can expect a phone call or video chat (depending on your phone capabilities) with a doctor. I was FLABBERGASTED when she told me, "You're an RN? IN. You can ask your doctor at an appointment. Didn't feel comfortable with it. They asked for the name of the meds, then that was it! Remember that post I did about being given wrong prep for test by a tech. Leave your name and office phone number; this way, if any questions arise you can be contacted and the prescription can be clarified. If you are the person who is responsible for completing this task, then there are some basics you will need to know when calling in a prescription to save time for yourself, the pharmacist and the patient. SHEESH!!!! His name is Steve. Brace yourselves for this one folks. jdc April 4, 2004, 10:24pm #3. Give concise directions on how the patient is supposed to take the medicine. However, pre-op screening should be done by a licensed nurse and telephone triage or giving advise over the phone based on information received from a patient should be done by a RN. Of course every single nurse on these boards knew it was a med error, with techs you don't know if they are playing dumb or if they really don't know. Your nurse or doctor will walk you through the next steps in your treatment plan. They can literally walk in off of the street with NO training and function as a medical assistant. She has a strong passion for health-related titles and loves bringing what she learns from her job in the ICU at the hospital into her writing. She received a phone call informing her that the physician's office was calling in a script for antibiotics for her daughter (after a urine culture). You can call your pharmacy and ask them to send a request to your doctor for a renewal. Still a mistake, I think. Anyone who has Medicare can get Medicare prescription drug coverage. If a physician/ facility would require of whatever employee calls in the RX to spell out the name of the drug along with the directions, many problems could be avoided. Once the nurse tried to slip in a lortab prescription for herself and a xanax for the other nurse-they are just phone messages from pharmacies and the doc just initials or phone messages from patients and the doc writes OK and his initials. Make sure to include the strength of the medication and how many time this medicine is allowed to be refilled. My doctor basically accused me of the altering of my prescription and said I can not receive anymore of my prescription. Not a problem. Please keep your phone with you. The DEA has a tip hotlinewhere you can let them know if someone is abusing prescription drugs. Carly Kullman has always been an avid writer, finally stepping out into freelance writing two years ago. Carly also writes for Associated Content, Helium, and Suite101. Click on the Contact A Physician button. (The med was obviously Macrobid). If you're not sure if it's a … (Use my suggestions above if you'd like.). In some states a video call is a legal requirement. The first time I ever called in a prescription to a pharmacy, I told them my name and that I was a nurse. My husband went in for a cardiac cath and the unlicenced person who did the preop screening kept calling him by the name James. You can call or message your doctor to request a renewal. I get this call all the time, and patients … I'm still a nursing student but I'm constantly informing people I know about the healthcare situation. I'm an RN, the very first time I called in a prescription I asked the pharmacist on the other end of the line if they needed my full name and nursing license number. You should call your doctor later on if the pharmacy has not received it after a while (1-2 hours) to see what's going on with the electronic prescription. How to Get an Online Prescription with Telemedicine - GoodRx Votes: +1. thank" Answered by Dr. David Lipkin: See answer: You won't be able to reach you Dr on this Q & A site. Not certain about the actual law, but in PA I was taught and still am told, that RN's can't even take verbal orders over the phone from other RN's with the doctor standing right there. In the vast majority of cases, for a prescription to be considered valid, the practitioner issuing it must perform at least one medical evaluation of the patient. The physician will call you typically within 24 to 48 hours. I couldn't believe it. I hated calling in prescriptions because of this. One wonders what is going on with unlicensed personel in clinics and MDS offices. Is this legal in Indiana? The prescription may not have been called in yet. It’s that easy! I received a call from my doctor office stating the my pharmacy notice the alter prescription and faxed it to my doctor office. All I could think was about how easy it would be for me to call in a narc prescription for ANYBODY if I were the type of person to do that!! Okay, I'm done ranting. The idea of letting a non licensed person phone in prescriptions is a very dangerous thing. The doctor can tell the pharmacist the type of drug, dosing, and precautions that are specific for you. But, the rules governing the manner in which the doctor conducts that evaluation — that is, in person or via telemedicine — differ at the state level. When I said something about it being med error the person tried to blow me off saying contrast was not a medication. Yes, your doctor can call in a prescription for you to a pharmacy in another state. The stuff that goes on is unbelievable. I would like to hear if anyone else has heard of unlicensed personnel calling in prescriptions though. In health care, you may find that frequently doctors will offer to call in prescriptions for their patients. She went on to say they get secretaries, medical assistants, etc calling in scripts. Medical assistants are doing everything these days. Your loved one or friend may even be buying prescription drugs off others or selling theirs. This should be all that needs to happen for you to get your prescription refilled. ), When you are concerned about a particular facility's practice, send a certified or registered letter to the physician or administrator expessing your concern. Specializes in CCU (Coronary Care); Clinical Research. Speak the patient's full name. For example, take two times a day before meals. i was a medical secretary before becoming a nurse - I called in prescriptions in florida all the time! Speak the name of the medication that you are trying to order. If this is the case, they … She works afterschool in a doctors office and calls in presciptions all the time! While most doctor's names may sound common, the spelling may not be, so spell out the doctor's name as well. Some doctors’ offices call prescriptions into pharmacies in batches. This will save time on everyone's behalf. We have even had one of the MAs tell patient that DR. so and so would not prescribe them a narcotic due to their symptoms....(which may have been the case but it is not the MA that should decide this...esp since i later showed it to the Dr. and he did rx ty3....). Everyone laughed but me. They have no to minimal training, no regulatory boards, and frequently don't even have to meet the minimal certification requirements currently in place for CMAs. The nurse that alter my prescription is stating she didn’t do it. What next? 1) The physician would have to write or print legibly. Unless it is a special prescription, most pharmacies have voice mail options on which to leave the prescription information. I received my prescription after a 5 minute call and it was sent the pharmacy right away. I was horrified! If you do not get a response from the facility, send a second letter, including a copy of your first letter, and CC a copy to your local media. The actual nurse assured me that that would be taken care of as this isnt the first time they have ran into probs with Margie. Oh, and I think she meant Zantac instead of xanax!! It was usually secretaries, med assistants and the like. Needless to say I was not comfortable calling these in for very long. When it comes to prescriptions, our doctors make the call. (i.e. Unlicensed personnel calling in prescriptions?. I can't help but wonder if mistakes are being made in large numbers and are being covered up. Don't leave several patients' prescriptions on one voice mail; give them one at a time. The doctor has to physically evaluate you each time for continued medical treatment and writing prescriptions. If anything, your doctor could also call the pharmacy to verbally give the prescription over the phone. If you call your lawyer, they charge you / minute but the entitlement of patients leads them to believe the doctor “owes” them a call back immediately – for free. As long as health care orgs can get away with it, work will always be referred to the lowest bidder. :nono: I live in IN, and I've seen this done...I'm not sure of an actual law permitting/prohibiting it though. This is not right! I was calling in NARCOTICS!! The State BON has made it quit clear that MAs cannot supervise Nurses nor can they over ride a Nurse's authority. If you are unsure of the medication, then say it and spell it out. However, pre-op screening should be done by a licensed nurse and telephone triage or giving advise over the phone based on information received from a patient should be done by a RN. Since I know that mistakes are made by professionals that are trained, and those mistakes sometimes kill people. In our major MN clinic the triage nurses call them in but sometimes the DON 's secretary calls them in - it makes me cringe how she massacres the med names. This means the first name and last name. If you have four or more yeast infections in a year, doctors call it “recurrent vulvovaginal candidiasis.” If you have it, you’ll need treatment for up to 6 months with an antifungal medication. Anyhow, the pharmacists here no longer take narc scripts over the phone (Thank goodness! Or he can fax the written prescription to them, so no need to worry. She didn't get one. She asked what her daughter was being treated for and what the antibiotic was and was told "a UTI and the antibiotic is microbid". It is legal for medical assistants, secretaries, or anyone else that the doctor deems competent, to call in prescriptions to the pharmacy. Also, they need to update your record, and finally they need to make some money from you also because they are conducting a business as well. She said she wanted to know what the organism is they were treating and at first the person said she didn't know, then came back with nitrosomething. Be polite. apparently the instructions were not clear bc it says take one pill twice a day but prescription was only for one pill. They know the procedure but have no formal radiology training. Our members represent more than 60 professional nursing specialties. My sister had an encounter this week regarding a presciption for her daughter. “Just remember that your pharmacy can’t fill a medication until the doctor sends in a prescription renewal,” says Mrs. Dixon. I asked her to speel it , which she did, then I asked what type of nurse she was, she said " Well I am doctor so&so's nurse" I asked specifically if she was an RN or LPN, she said well I am a MA, then she said that was the same as a nurse. It would have never even got written up if I had not insisted. I know I have seen posts about secretaries and others triaging phone calls but I haven't heard anyone say they also call in prescriptions. (Ideally, it should be a cooperative effort, but in the chain of communication, the safeguards need to start where the presciption initiates.). Some people with limited resources and income . One of the ways you can report someone who is abusing prescription drugs is by contacting the DEA. My sister said she had never heard of such an organism and asked to speak to a nurse. I also work part time at a clinic...the MAs call in RXs all the time, in fact, the clinic does not even have an RN that works there (other than me, and I only do clinical trials and am very part time and trying to leave). I know for sure that this situation is dangerouse as hell and just a matter of time before it kills or incapacitates an otherwise healthy individual. I informed her I am a nurse and that they were not the same, then I had a nice little conversation with a real nurse, found out the answers to my questions, and proceeded to tell her that "Margie" said she is as nurse too. With proper training, we know what the indications for meds are, how they work, safe dosages, side effects, etc...and we can also serve as another "safety net" in case the MD/NP makes an error. Zantac would not become Xanax. Even if the newspaper or tv station doesn't do anything with the info, the facility may initiate change to avoid the risk of publicity. "hi doctor, thank you for sending prescription. Even though your doctor may want you to take the prescription medication for a long time, he/she may monitor your drug therapy by requiring the pharmacist to call each time the prescription is refilled. Speaking slowly and clearly is the key to preventing mistakes. If you are the person who is responsible for completing this task, then there are some basics you will need to know when calling in a prescription to save time for yourself, the pharmacist and the patient. ONLY AFTER talking to the patient would this take place. Speak slowly when you are leaving your message. Therefore, medical assistants may NOT call in new prescriptions or any medication refill that have changes. Yesterday I asked to speak to a nurse at the clinic, and "Margie" got on the phone. You want to make sure that the person listening will be able to understand what you are saying. Carly has attended Illinois Valley Community College for nursing courses. ), but you still don't have to be a nurse to call in the others. Since 1997, allnurses is trusted by nurses around the globe. I was talking about different meds for GERD, and she said xanax. Patients expect their doctor to be their concierge doctor. Right before I left this job, she had been arrested for calling in narcotics to her friends. Copyright © 2021 Leaf Group Ltd., all rights reserved. Suggest what you think would improve the situation. Same issue with unlicensed people administering medication, or filling prescriptions. No medical secertaries or UAP's or CNA's can call in rx's. After your telemed appointment, the pharmacy will contact you for your payment information and mailing address to send the prescription to you. I know in Ohio you have to be an RN to call in a perscription and the pharmacies aren't suppose to take narcotic perscription verbal orders. If you no longer have any refills on your prescription you should call your doctor’s office first and not the pharmacy.
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