It's like a vehicle and gas. No one needs to tell you, hopefully, to put gas in the tank so your car will work. However, neither your car nor the valuable petrol require a prescription. In the world of medicine, most insulins and pen needles do require a prescription.
Okay, where is this going? Simply put, why can prescribers not understand that in order to administer insulin, primarily from pens, a patient requires pen needles? Why do they insist on writing hastily scrawled orders for insulin, but not the device to administer them? I like to call them back and politely remind them they forgot something...
(For today's exercise, let's assume I am speaking solely about patients who are initiating therapy on insulin. This is the first prescription they are receiving. The doctor obviously knows this.)
Forgetful Writer: What's the problem?
CP: You wrote prescriptions for this patient, new to insulin, to receive Levemir and Lantus insulin pens.
FW: Yes. I wrote an Rx for each one.
CP: You did.
FW: Then what's the problem?
CP: I was just wondering how the patient was going to get the life-saving serum from the pen and into the subcutaneous layer of her skin.
FW: I would imagine syringes would be most helpful.
CP: Actually pen needles would be more appropriate. Nevertheless, here's what I'll do for you. I will write a prescription, attach your name to it, then document that we spoke and send the patient on her way, none the wiser that I saved her multiple trips to my pharmacy or multiple phone calls to your office to pester you for something as important as her needles. Sound good?
FW: Absolutely. Thank you for saving my butt once again. I wish I had gone to pharmacy school like you. People always find you more approachable than I. You're also incredibly respected, intelligent and witty. Glad you have my back...
CP: Aw, so kind. I'm blushing. Just doing my job ma'am.
I've started dialogues like that with prescribers. Unfortunately, they don't end that way. Most of the time the doc or whoever thinks I'm an idiot for wasting their valuable "I'm a god" time.ReplyDelete