I agree. Now with EPCS and even before with the hard copies, there would be a stack of scripts there. I would be so angry. I would have a meeting and go through each script and ask why is this do now? And, why this one. Some were our error. And, I guess it is difficult to have an ADHD patient or a Klonopin patient come in every month. So, we do three at a time.
One problem is MaineCare's great rule (although understandable) is incredibly problematic. Patient is on Vyvanse and they are getting 30 at a time. Then, you add methlylphenidate. They are only allowed 15. So, even if you give two, you are off. I now give 15, 15 and 30 and only two of the other scripts and have them come back in two months.
I will say that everything as far as this goes is a bit harder with peds. A parent runs out on Friday and pages me. Now, I refuse to write it for the weekend, and I remind her we don't refills meds after hours, especially CIIs. And I ask why they do not have any left. But, people are funny. It is just ingrained that they need the med. They are't going to die off the med. I just tell them, they can make it through the weekend, and you can come into the office on Monday at 7 am and pick up the med (two tablets), then we see you in two days for med check. But, parents are much more protective of their kids. I hope no offense. I see your point about the older patients.
I don't allow all my CMAs to refill. Only one. But, I don't like the electronic refills or the faxed ones. I delete all those.
But, all of the prescription VMs go to her. So, she may have ten waiting on her. Doing them electronically saves her a lot of time. But, patients and parents need to take responsibility.
