Obtaining ekits or an emergency 3 day supply of meds - page 2

by AtlantaRN

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We work with a local contracted pharmacy, and they state now they are no longer able to send ekits without a phone call from the physician. We have been really good at getting signed orders and faxing them to the pharmacy within... Read More


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    Quote from AtlantaRN
    We work with a local contracted pharmacy, and they state now they are no longer able to send ekits without a phone call from the physician. We have been really good at getting signed orders and faxing them to the pharmacy within the 3 day window, but NOW, they say "the DEA won't let us send without a call from the ordering physician" and a signed order within 24 hours....
    How do you all handle getting your ekits or an emergency 3 day supply of meds? I miss my old job who used Hospice Pharmacia......
    That happened over a year ago with our pharmacy. I moved to IPU shortly after, so I don't know the current practice.

    All part of the wondrous govt crackdown on pain meds. Expect even tighter restrictions in the future.

    WA state, for instance, has a new law that is driving physicians in droves out of pain management.

    Count on the lawyers in capitols to make actually caring for Pts a royal PITA.
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    Quote from AtlantaRN
    goldberryRN, sometimes branch directors will encourage nurses to only order what you need, when the symptom arises......to me, yes it may be cheaper for the bean counters, but in reality, if you are ordering the med WHEN the symptom arises, i feel that is a disservice to the patient. If a lung cancer patient isn't ordered morphine sulfate 20mg/ml UNTIL they are short of breath, then it takes HOURS to obtain. A family won't hesitate to call 911 and go to ER if we can't control symptoms, so in my position, I encourage ALL nurses to order an ekit for their patients on admission (unless there is extenuating circumstances, like a history of drug abuse in the family or patient).........

    An ekit is like a "drug buffet," you don't open it until you need it, but it is there in the home. it comes in a box just a bit larger than a pack of cigarettes. It is a small quantity of several meds. Imho, it is a GODSEND.....
    As you say, emergencies always happen when the pharmacies are closed, and there's usually a $50 or so "emergency" delivery charge for rousting a pharmacist and driver to get out meds that should have been in place.

    When I was doing after hours call, having to wait for a drug delivery while the Pt suffers is intensely frustrating. It happened rarely, as we used e-kits routinely.
    Hospice Nurse LPN and tewdles like this.
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    I can't imagine not having an Emergency Kit (aka Comfort Kit). I find it frustrating enough that we have to wait until the next day to have our E-kit delivered after an admission when often times, patients are discharged from the hospital with no meds and no prescriptions and they have uncontrolled symptoms on Hospice Admission. It's very aggravating when having to drive all over town and sometimes to the Medical Directors home to get a signed script, drop if off at the pharmacy, and wait. Many times the Medical Director does not have his RX pad on him and a verbal order to a pharmacy will not work either. It burns my biscuits to have a patient suffer over red tape!
    Hospice Nurse LPN and IowaKaren like this.
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    The pharmacy we use is the same way. However, they will send out an E-Kit for a new admit pending the doctor's signature.


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