Nevada News: Reminder

Topics: Controlled substances and Electronic prescriptions

Reprinted from the October 2009 Nevada State Board of Pharmacy Newsletter.

1. Computer-generated prescriptions that are either printed or faxed must be signed by the practitioner. If the printed and signed prescription is to be given to the patient to take to a pharmacy, it also must be on security paper. A good rule of thumb is that any prescription that appears in one fashion or another on paper in your pharmacy (whether it be brought in or faxed) cannot be “electronically signed.”

2. NRS 639.2393 states that controlled substance prescriptions “may be refilled only in keeping with the number of doses ordered and the directions for use.” Basically, this means that you, as the pharmacist, are limited by the sig and must use your professional judgment in determining whether the patient is asking for a refill within the limits of that sig. Board staff encourages you to be reasonable in allowing the patient ample time to go through the filling process. Staff considers three days the standard of practice.
“Professional Judgment” then leads to a discussion of professionalism. A recent program at the National Association of Boards of Pharmacy® Annual Meeting in Miami, FL, offered the following paraphrased definition:

Professionals are people who take a solemn oath in the public square to abnegate self-interest to serve society and others. Generally they have advanced learning and are granted a license to practice their profession, trusting that taking the oath is indicative of good character and high ethical standards, policed by the profession itself. Practitioners are granted privileges and immunities that are not granted to the general public; most specifically they are entrusted with confidentiality. They hold a public trust and violations of that trust are punished as betrayal of the society they swore to serve and the individuals violated. The aspirational nature of professionalism includes a seeking of excellence in service beyond the codified rules to become the very best.

You should all be proud of what you have achieved and the status with the general public that you enjoy