Home Forums Discussions Problems Rx List Work Around 2???

Guys,
Your thread about properly recording and tracking controlled Meds got Nancy and I to thinking (always a dangerous thing I know). She is soon to be working with possibly one of the most controlled substance avialible here in the US and she will be monitored and ask to report even more than she is now, so obviously your conversation started to get me paranoid Practice Manager concerned. And so we started to brainstorm some solutions of our own and here is one we can up with that we are going to experiment with that allows you to keep all the Rx's in AC in the med list and refills where they belong.

Think of it this way, any time you would write a brand new med AC properly records it the first time, right? The problem is each and every subsequent refill is simply added and over written no less in that most recent refill date only. Well if we can "fool" AC into thinging that this is a new Rx each and every time then we would be able to have them all properly recorded in AC where they belong right??? Soooooo.......

Should I make everyone wait like Bert did thru 10 posts with evryone waiting and asking for his solution like he did with the double log in for the board last year??????? I think I will, perhaps....

So see Adam and Bert I too can cheat my way to higher post numbers just like the two of you... Makes me feel dirty, but I like it!!!!

Paul, you are in the over 1,000 club and closing on Bert. I don't think you really need to cheat your way into higher numbers.

So please tell us, what is this SuperControlled drug? Is it Suboxone? Methadone? Coccaine or heroin?

What is so incredibly supercontrolled that requires better than an Excel spread sheet? Plus do you remember Brian's point? A paper flowsheet can be completely re-written, so what does it matter?

Adam,
I'm just enjoying busting on you and Bert. See before you got here Bert went on a tear of really short, meaningless posts to bump his numbers. Also, we were all dying trying to figure out why so many of us had to do the old "Double Log-In" here at the board. So finally Bert figured it out and once you saw it, it was daaaaaahhh simple. It had to do the exact address and so many of us I think originally clicked and linked from AC but the page you got to was actually a slight hair off in the address, so when you logged in the first time, then it linked you to the real correct log in page. So for like two and half days (or at least so it seemed) Bert, said he figured it out and then left us all hanging while we begged and pleaded with him to fess up. He enjoyed it way too much... So I just figured I'd bust his chops by doing like wise for a day.

To answer your real question, yes she is awaiting her Suboxone certification after "passing' the test. It slightly changes your DEA number and it seems like they are really going to be watching her a real extra notch closer. But we are not going to have product on hand to dispense as that could lead to tracking and vandalism issues that we don't want or need. Instead the patients will just have to deal with going to get their Rx's filled at a few particular pharmacies, end of story. But yes we just want to make sure we dot our "I's" and cross our "T's" as we should.

So drum roll please...... Bert aren't you going to ask me what my brilliant idea is????

He's indisposed tonight. What's your idea?

Did he finally get a decent night out with a good (bad?) lady??? I certainly hope so. Yeah, you missed "bacholer doctor dial a date", "win a date with Bert" and "win a ride in Paul's Jeep" didn't you? You missed out on a lot of fun around here.

Anyway, my little work around is that if there is but the slightest differece in how you enter an Rx (or anything else for that matter) in the medicine field, then AC sees it as a valid new Rx and records it in full the first time. So why not mess with AC's head a bit and simply add a coma and a sequencial number at the end of whatever drug you are writing for. Now I might suggest that you only do this with the controls that really matter, and do things BAU for the normal stuff that nobody is going to bust your chops about. So sort of like this:

Viagra, 10 mgs, 1
Viagra, 10 mgs, 2
Viagra, 10 mgs, 3

And so on and so forth for the rest of time until Jon gives us something more specific that better fits the bill here. In light of all the docs getting pushed around and questioned under the present conditions, this is something everyone should whisper in Jon's ear about and make sure he tightens this one up. But until then this may be what we do along with probably copying, scanning a copy of these Rx's and putting them into FAP until we finally get a better solution...

So what do you all think???

I don't know what Bert was doing. I don't know if it involved a good or bad lady, a good or bad man, or a good or bad time. I only know that he was busy and not reachable last night.


This would be fine except obviously by the end of 1 year, your medication list is 12 entries long just for one drug. Now if it is highly controlled substance and you are only dispensing 1 week at a time, this would create a record up to 52 entries long for that one drug. Yikes, this could get messy on the prescription writer.

You make then inactive the very next visit leaving only one copy of a drug active at any time. I put a - in front when I have samples or add the words "a sample of" for instance with Aricept or Effexor that allows AC to track the lot numbers for the sample starter and I have an Rx for the drug that is refilled. At the next visit I make the sample Rx inactive. But it remains in the database for recalls and searches. I like the idea of using a number at the end of the Rx line, especially when you are weaning a patient down, but need to watch carefully in the event of phone calls and other treating physicians.

Yes the database will get a bit larger and hairy, but at least you are tracking these things more accurately. I like the inactivation suggestion so the list won't get too extreme too.

I like the idea Paul. But, I have never written a useless post

Hey, I did want a copy. What's useless about that?

Steve

At the risk of hurting my arm trying to pat myself on the back, the post you are referring to was the single greatest post of all time. You must admit it was a brilliant discovery; an answer to a problem that had perplexed all of the great minds of AC AND was driving us all crazy!

Oh totally. That was why you were able to have us all sitting on pins and needles waiting for the solution. And don't tell me you were not extremely "Wile E. Cyote, Super Genious" happy and giddy with yourself. I could see your ear to ear grin thru 400 miles of fiber and cables....

Granted we are all grateful, but you sure did enjoy those few days in the limelight... "Not that there's anything wrong with that...."