The strength seems to be stated pretty clearly. Can anyone in pharmacy explain this to me?
Friday, January 27, 2017
Huh?
The strength seems to be stated pretty clearly. Can anyone in pharmacy explain this to me?
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A Blog detailing the insanity of my medical practice and the stupidity of everyday life.
9 comments:
Send back: Bench presses 240 pounds
Ah, sometimes when a drug is sent over without a strength, we have to input SOMETHING in there to complete the typing section and generate a fax to send the doctor. I generally pick either the patient's previous strength or a very common one. When we fax the doctor for clarification, it copies over what we typed (and I can't remove that). Though I also try to attach the original image, sometimes it's not possible. So the doctor ends up getting a fax similar to the one above.
Try checking the original fax to see if the strength you sent over is legible.
If 2 different entities use different electronic prescribing platforms sometimes what you send is not what we see....
Send back "Super extra Strong"
Thanks for the laugh.
Anon @8:57am, that's a helpfully coherent answer. Now, in the world of interactive-system design, the requirement that "faxes that request omitted dosage must include a dosage" would be considered a bug.
More specifically a boneheaded design bug.
Why does healthcare put up with that sort of thing?
We can all laugh but it's really not funny.
In light of what anonymous 8:57 and 9:14 have posted, some of this can be attributed to incompatible electronic systems. I see this a lot in my field of medical imaging.
Incompatible electronic systems is a big deal. Also, a problem that I see on my own prescriptions is the issue of the truncated generic name of a drug--I always say to myself when I see it, "It's no wonder the patient doesn't know what they're taking, that doesn't make any sense to me either" (and, I know what it is!).
I also try to get my prescribers to choose somewhere in the sig information about the milligram strength of the dose if that is a problem, though I don't see it as an issue here. For example, when doc wants patient to take 1.5 mL or 'half a tab', please, let the pharmacist know what dose that will be in actual drug amount such as (= 15 mg). Thanks!
The previous answers seem reasonable. Was the release mechanism included with the original Depakote 500 mg fax? For example Extended Release versus Delayed Release (original Depakote)? There's a huge potential for mix ups between the two and I've had to get clarification on scripts before, where the instructions were for Depakote ER BID.
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