ColumbiaNP

Yes. thank you

Yes. Will try. Thank you

There was a PA who was giving out narcotics like candies:)

I couldn't agree with you more. Make sense. Thank you

"set up a protocol for that---whereas the physicians MUST write out their orders, including what the drug is being prescribed for, and a copy of this should be put in the patients' charts every time. Then the script is entered into the electronic prescribing system under THEIR names and DEA numbers, not yours." True. I am going to give it a try. Thank you for your response

Hi All, I am a new Nurse Practitioner working in an outpatient surgical department. This department has 3 well experienced surgeons, 1 chief PA and 2 Nurse Practitioners. This practice, the surgeons are old timers and having major challenges with online prescription as their Electronic Medical Record is a nightmare to navigate. All 3 surgeons still writing prescriptions routinely. On a daily basis, they will write controlled drug prescriptions to give to the patient and many times the patients request to send their medicine order to their pharmacy online so that that they can pick up the medicine on the way home. This falls on me. Other times patients will call the practice to request controlled drugs for pain management. At this time, the surgeons will write prescription and fax to the pharmacy which thy will reject the order. This is a real dilemma for me as a new NP working in this practice, as I am forced to prescribe controlled drugs for the entire practice because no one else can order this online. I have never seen the patient and no where in the chart what pain medication the surgeon previously ordered. The surgeons will not write why the patient needed the controlled drug, what other options they have tried, how long are they planning to give etc. I am not talking about few weeks post operative pain control. Patients are taking it for years. What should I do in this situation? Any suggestion?? Thank you All

Djmatte, Thank you for your response. Along with the surgical patients, we have a wound center with over 80% venous ulcer patients. That is the biggest challenge

NYNPMAN, Thank you for your input. Do we need to give referral from our office for pain management? I need to do something to cut down this narcotic prescription

Hi All, I am a new Nurse Practitioner working in an outpatient surgical department. This department has 3 well experienced surgeons, 1 chief PA and 2 Nurse Practitioners. This practice, the surgeons are old timers and having major challenges with online prescription as their Electronic Medical Record is a nightmare to navigate. All 3 surgeons still writing prescriptions routinely. On a daily basis, they will write controlled drug prescriptions to give to the patient and many times the patients request to send their medicine order to their pharmacy online so that that they can pick up the medicine on the way home. This falls on me. Other times patients will call the practice to request controlled drugs for pain management. At this time, the surgeons will write prescription and fax to the pharmacy which thy will reject the order. This is a real dilemma for me as a new NP working in this practice, as I am forced to prescribe controlled drugs for the entire practice because no one else can order this online. I have never seen the patient and no where in the chart what pain medication the surgeon previously ordered. The surgeons will not write why the patient needed the controlled drug, what other options they have tried, how long are they planning to give etc. I am not talking about few weeks post operative pain control. Patients are taking it for years. What should I do in this situation? Any suggestion?? Thank you All

TraumaRUs, Thank you. here in NY, writing is only if computer issues or few doses of emergency supplies

Katie, Thank you for your input. I am going to give it a try as you suggested. My collaborating physician is scared of computers:)

Hi All, I am a new Nurse Practitioner working in an outpatient surgical department. This department has 3 well experienced surgeons, 1 chief PA and 2 Nurse Practitioners. This practice, the surgeons are old timers and having major challenges with online prescription as their Electronic Medical Record is a nightmare to navigate. All 3 surgeons still writing prescriptions routinely. On a daily basis, they will write controlled drug prescriptions to give to the patient and many times the patients request to send their medicine order to their pharmacy online so that that they can pick up the medicine on the way home. This falls on me. Other times patients will call the practice to request controlled drugs for pain management. At this time, the surgeons will write prescription and fax to the pharmacy which thy will reject the order. This is a real dilemma for me as a new NP working in this practice, as I am forced to prescribe controlled drugs for the entire practice because no one else can order this online. I have never seen the patient and no where in the chart what pain medication the surgeon previously ordered. The surgeons will not write why the patient needed the controlled drug, what other options they have tried, how long are they planning to give etc. I am not talking about few weeks post operative pain control. Patients are taking it for years. What should I do in this situation? Any suggestion?? Thank you All