nursing signing doctors Rx's - page 2

I am pretty sure it is not but is it leagal for a RN sign a doctor's RX?... Read More

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    If it was a Schedule II narcotic there are no refills (not in my state). A new bottle of sched II pills requires a new prescription written by the doc or ANP.

    I think Schedule III and IV can be called in with the doctors permission. The target words are Dr's Permission...documented in the chart.

    How was this handled in your facility/office? Was the doc involved right at the time you called the refill? Or did the drug store call and you gave the OK without the doc being involved at the time?

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  2. 0
    In our office we are allowed to refill such things as darvocet and vicodin for post bypass patients. If it is more than a few times then we consult the doctor so the patient can referred to pain management. Like I said it is just God's way of moving me on because otherwise I would have never left and been stuck under all that stress for a long time. It is not I place I ever felt job security ........even after 8 years
  3. 0
    I always felt so iffy about authorizing refills on any medicine that I always got MD approval first. Our docs were notorious for not updating med lists. Good luck with finding another position!
  4. 0
    thanks........I am thinking doing medical transcription and getting out of the clinical side all together
  5. 0
    Quote from curiousgeorge38
    No he wrote it , he signed it and the pharmacy called for a refill and I approved it

    Then why were you fired?

    And who fired you? The doctor?
  6. 0
    it was the clinical coordinator who fired me. She tend to get it in for someone and finds a way to get rid of them. I have alot on that office and if I want to be evil I can be. I know that they are not up to osha standards. I see nurses sign Dr's names to rx's and change medications without dr. approval. I also know there are uncertified people working in the office.
  7. 0
    Quote from curiousgeorge38
    I am pretty sure it is not but is it leagal for a RN sign a doctor's RX?

    do you mean is it legal for nurses to sign the doctors name on the script, or do you mean is it legal to take a verbal order and sign per doc_____ M.D. orders?
  8. 0
    In IL (again the only state that I am currently licensed in), an RN can take a verbal or telephone order and act on it. RN's can also call in prescriptions with MD approval. We would only authorize refills AFTER first talking with the MD.
  9. 0
    I would also add to my previous post that I do not sign scripts for narcs, even in the way I previously described as permissible for other meds in my state, as they fall into a different class.

    Authorizing refills without getting approval from the doctor would be the same as prescribing.
  10. 0
    Quote from Nurse Ratched
    I would also add to my previous post that I do not sign scripts for narcs, even in the way I previously described as permissible for other meds in my state, as they fall into a different class.

    Authorizing refills without getting approval from the doctor would be the same as prescribing.

    May I ask where you practice?

    I've been licensed in 5 different states, and have never known this practice to be acceptable to the BON.


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