I think we think way too little of our MAs. If my MA had to write the script, then send it to me for approval, I may as well do it myself.

My nurse does three things:

1. Refills
2. Scripts that I asked for after getting a message
3. Scripts that she knows I would write for

Sometimes we are extremely busy, and someone calls in with pinkeye. She would generally ePrescribe Vigamox and possibly have them come in the next day. Any time she does that, she uses the process of using the med writer next to the message. This puts the exact script in the message. She highlights it red and sends it to me. Given I see a pt every 15 to 20 minutes, I open the message, agree with it and save it to the chart. If I don't agree with it, I send it back. Perfect medicine? Probably not. If Medicaid paid what it should, I wouldn't have to. It is just way more efficient. Been doing it this way for over four years.


Bert
Pediatrics
Brewer, Maine