Alex might not have met his responsibility. List three factors that suggest Alex

Question

Alex might not have met his responsibility. List three factors that suggest Alex might have met his responsibility. Can you conclude that Alex "knowingly" dispensed the invalid prescription? Is race a factor in this incident? Why or why not? 2. Mary Lee is a terminally ill patient in chronic, severe pain. Her physician has elected to aggressively treat her pain with oxycodone and other schedule ll drugs for breakthrough pain. Mary gets her pre scriptions filled at LessPay Pharmacy. Tom Tam, a pharmacist at LessPay, knows Mary's condition but became concerned after he noticed that every month her dosages kept increasing considerably, to the point that her prescriptions were for a few hundred tablets at a time. Tom became convinced that Mary was addicted to the drug and concerned that diversion was occurring because of the large num ber of tablets. Tom called the physician with his concerns. The physician reacted angrily and told Tonm that whether Mary is addicted or not is irrelevant and none of his business and that her treatment is appropriate. To suggest diversion, the physician added, was absurd, and he abruptly hung up on Tom When Mary came to the pharmacy a few days later with new prescriptions for even greater quanti ties of opioids, Tom told her that he could not fill the prescriptions any longer. Are Tom's concerns and actions justified under the corresponding responsibility doctrine? In other words, should addio tion and diversion be a concern in this case? What would you do if you were Tom and had Mary for a patient? Would it matter in your actions if Mary did not have a terminal ness but did have chronic severe pain? 3. Tammy is a nurse at a skilled nursing facility. One of the residents, Ben, has been experiencing increas ing pain as the result of a condition with which he was diagnosed a couple of months ago by his physi cian. Until now, an NSAID had controlled Ben's pain. Tammy called the physician, who told her that he would now like to have Ben put on morphine. He instructed the nurse to order from the pharmacy 15-mg tablets, #50, with the directions of 1 every 6 hours. The nurse phoned the order in to the phar macy. Is the oral order of the nurse legal under federal law? Is this an emergency situation? If not, how should the prescription order have been transmitted to the pharmacy? 4. A patient presented a prescription to the pharmacy for Oxycontin 10 mg, #60, 1 tablet bid. The patient had no insurance and told the pharmacist that she could only afford to pay for 20 tablets presently but would come back in five or six days with enough money to pay for the balance. What should the pharmacist do in this situation? Is this a valid reason for a partial fill? Does the balance of the pre- scription have to be dispensed to the patient within a certain time? What is in the best interest of the patient? 5. Mary, a patient at Primrose Pharmacy, requested a refill of her diazepam prescription on June 12. The prescription was issued on April 15 and written for one refill, which she received on May 10. Sally the pharmacist at Primrose, called the prescriber's office for refill authorization. The physician spoke directly to Sally and authorized five refills. How should Sally handle this authorization? Should she document the authorization on the existing prescription or make a new prescription? Explain 6. A patient asked the pharmacist at Redwing Pharmacy if she could get her diazepam prescription transferred to Redwing from Bluewing Pharmacy, which was in another part of town. The pharmacist said that she would find out. After contacting Bluewing, the pharmacist discovered that the prescrip tion had three refills remaining. Detail the recordkeeping requiments for transferring the diazepam prescription from Bluewing to Redwing. What if Redwing and Bluewing were part of the same chain and shared common electronic files? How would this change the recordkeeping requirements?

Explanation / Answer

Ans. 2

In this case, we can see that the prescription was sold by the pharmacist without collecting proper information about Mary’s chronic pain and illness. The job of the pharmacist is not to suggest about the drug but to provide medicine on the behalf of Doctor’s prescriptions.

Ans. 3

The condition is not an emergency so that nurse is authorized to give the oral order, under this condition she needs to provide written prescription on the behalf of the doctor rather than personal intention.

Ans. 4

Sally need to document these prescriptions because the written prescription is important to get more refill, the drug is a prescription so she needs a written authorization from her doctor rather than oral authorization.

Ans. 5

Both pharmacies need to transfer electronic records and provide a hard or soft copy to the patient because these drugs are controlled prescription so that it needs to verify by doctors and authorities.     

?

Related Questions

Navigate

• Browse (All)
• Browse A
• Subjects

---

---

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.