The thing that is really helpful about the TSP is that a lot of CII meds stay the same for a patient. I don't do as many narcotics (although some), but I have probably 250 patients on ADHD meds. Of those, probably 225 stay on the same dose. So, if I have a patient on 72 mgs of Concerta on Concerta 54 mgs and Concerta 18 mgs, I can click on one and set it to prescribe, click on the other and set it to prescribe, then print preview, set the print driver to 3 scripts and click OK. Within six seconds, you have six scripts. But, they are always identical so you don't forget to write ADHD. It automatically puts in 30 (thirty) and 0 (none) refills. Given that CII scripts must be hand carried on the tamper-proof paper, patients don't like to have to come all the way back, because the number wasn't written out or the diagnosis wasn't on the script.
We also have two pricey stamps from Staples that state, "Do not fill before January 1st" and "Do not fill before February 1st," which meets Maine law criteria. So we can give a three month's supply between the three month med reviews.
This not only saves a LOT of time but cuts down on errors.
PS We also make things more efficient by having our MAs or receptionist print out the scripts for the patients scheduled for med checks that day and put them unsigned on the patient's chart at the beginning of the day. This saves me a lot of time in the room as I do not have to print out the scripts and then walk down the hall to sign them. Plus it gives the patients more time to review the script for accuracy.
We have what we call the 50/50 rule that we tell patients (kind of jokingly but kind of not) that if they get to the pharmacy and the script is wrong, it is 50% our fault, but it is also 50% their fault as we ALWAYS ask them to check the script to see if it is correct including all of the requirements, e.g. diagnosis, written out amount, etc.
