[grammyj]

I have a few old ones that my husband brought home to me (after cleaning out a retired Dr office) and we use them for junk pads...
I guess it is possible to fake a perscription, but who is really that dumb?
(Or maybe that's a dumb question in itself...)

[Blackcat99]

Yes I've had jobs where these Rx pads are just lying around the nurse's desk areas. In fact, at one of those jobs they had a special meeting because a nurse got ahold of the Rx pad and wrote herself an order for narcotics and got it filled. They were especially worried because they thought with the amount of narcotics she ordered that she was planning to commit suicide.

[ImAnMa]

Originally Posted by Jo Anne

My husband is currently investigating a case where a patient stole a Rx pad from her MD clinic and got her narc filled at a local pharmacy.

I've heard of this happening in dentists offices quite often, (one of my nieces worked in a large dentist group)but never in a docs office.


Anyone else?.

One way to control this problem is for all health care facilitys to go to and use electronic medical records!! and to keep the rx portion of the program locked to all users except the MD, PA, ect. then this neat typed rx prints out and the Dr signs it, also ends the problem of bad handwriting errors in rx dispensing at the pharmacy, EMR = safe,secure effecient medical treatment. IMHO

[Daryn]

At my facility we lock the Rx pads in the nurse's med cart. We count them each shift like we do the narcs. This seems to work well.

[BittyBabyGrower]

Ours are all done on the computer also...no paper pads anymore that I know of!

[pickledpepperRN]

Seems by next year there will be changes. This is a transition period

http://www.rn.ca.gov/practice/pdf/doj-infobulletin.pdf

Seems the prescribers should be responsible for their pads. Nurses need the time for nursing care.

[earle58]

how do they know the md's authorization/dea # that has to be filled in on the script?

[URO-RN]

Perhaps that DEA # is printed on the script or pharmacists are not checking? Who knows.

[whiteclogs]

After a break in to our office and then getting an EMR system later (MediNotes) we no longer have rx pads - we have a locking Star printer to keep the active roll in and the others are very securely locked up.

[traumaRUs]

I write scripts frequently. After I give my DEA number once to the big chain pharmacies (CVS, Walgreen, KMart, Walmart) then I'm in the computer and they don't need a DEA number then. I actually keep my script pads in my lab coat at all times, never ever leave them around.