other people picking up your script - problems?

[pjd555]

Obviously my Mrs does as well

Edit: picked my script up earlier and it transpires it wasn't the phatmacists decision, some bigwig twat at my clinic has instructed all pharmacies not to hand out CDs to anyone other than the patient. This is utter bullshit and just to spite them I'm going to ask to have my script increased instead of coming off it - just to fuck their stats up..

A doctor can cancel a prescription and inform local pharmacies but nobody can tell pharmacists to require the presence of the named patient. Many of these drugs are destined for patients too unwell to get to a pharmacy. I cannot imagine this happening unless it had been discovered that a bad batch of a particular drug was in the supply chain but all CD prescriptions? It is against the law.

 

[F.U.B.A.R.]

Thank you for that information pjd555, very interesting. I'm not even sure if it was a doctor that issued this directive - I'll have to find out. Not that I intend to go down there all guns blazing (Mr catinthehat take note), but forewarned is forearmed for when I do get to speak to the clinic again. The pharmacist assured me that the instruction applies to all methadone patients, not just myself (which I would be VERY annoyed about as ive been a model client and have complied with everything short of actually coming off it - which is not far off now anyway)

 

[F.U.B.A.R.]

I am a cunt!

Nothing in your opening post said that the clinic instructed your pharmacy, you just said that you were...'told by the pharmacist that they don't allow other people to pick your script up anymore'. Should have noticed the clarification in your reply.

I don't have a narrow minded sceptical view of service users at all, I am one. I do however talk to loads who seem to make it their sole mission to stir up some shit at the clinic just for the sake of it, nothing is ever their fault and I feel for the drug workers that have to deal with these idiots just as much as I feel for the service users who have to deal with idiotic drug workers.

You said you called up the clinic and asked them 'what the hell is going on' whilst livid...sounds like ranting to me. Changing your story to saying how you politely called up and asked what was going on now....comic effect? Not the thing that usually comes to mind for me when I feel like I have been genuinely wronged.

How would you like being called a 'typical junky' after someone had read one paragraph you'd written on the internet? Do you know me? If you did you'd realise that I am anything but. I know the type you are referring to which makes it even more insulting, thank you. As I've been trying to tell you I wasn't rude, but firm. If someone is supposedly providing a service and I don't feel that they are doing a very good job of it then I am quite within my rights to complain. But you carry on reading words that aren't there mate. Nodding a little too hard tonight are you, can't quite see the page properly? Pah, bloody smackheads, all the same....

 

[NightsEpiphany]

I guess your talking about 'medication' rather then your Tramadol problem, ADs and such are far from a solution IME and I say that despite still taking them. December to March are certainly the darkest of days ...still is almost over.

BTW I'm Allein not Allien as well as being a pedant

Allein sorry :D


And F.U.B.A.R nobody plans to get tangled up In opiates. Four or five years ago doctors were dishing them out like smarties. I had a fairly heated discussion with one G.P who insisted they were not addictive and there was no withdrawal. Now they've rescheduled the Tramadol as a controlled drug.

 

[pjd555]

This must have been a strange state of affairs. I can write a prescription for a CD on a normal FP10 or, if the drug is being prescribed to an addict I would use an FP10 MDA series prescription. The majority of CD prescriptions are for analgesia and I can't imagine any circumstance where a pharmacy would accept a directive to deny a family member collecting an FP10 prescriptions for CD medication. Many times I have woken up a pharmacist in the middle of the night to dispense CD analgesic drugs.

 

[F.U.B.A.R.]

I'm guessing the instruction only applies to patients from the drug and alcohol clinic, not legitimate pain patients and no doubt includes buprenorphine and the like.

 

[BigG]

This must have been a strange state of affairs. I can write a prescription for a CD on a normal FP10 or, if the drug is being prescribed to an addict I would use an FP10 MDA series prescription. The majority of CD prescriptions are for analgesia and I can't imagine any circumstance where a pharmacy would accept a directive to deny a family member collecting an FP10 prescriptions for CD medication. Many times I have woken up a pharmacist in the middle of the night to dispense CD analgesic drugs.

Do doctors have to record batch numbers on all administered personal issue morphine and have witnessed disposal of unused portions of the vial in the same way that we lowly paramedics do?

 

[pjd555]

Do doctors have to record batch numbers on all administered personal issue morphine and have witnessed disposal of unused portions of the vial in the same way that we lowly paramedics do?

For schedule 2 drugs we have to (other than in transit) follow the secure storage regulations, regulation of disposal rules but we have obviously needed latitude when it comes to emergency administration verification and contemporaneous logging. Batch number tracking for morphine (except non CD Oramorph), diamorphine, fentanyl et al must be followed.

 

[pjd555]

I'm guessing the instruction only applies to patients from the drug and alcohol clinic, not legitimate pain patients and no doubt includes buprenorphine and the like.

Buprenorphine in the form of transdermal patches is often used in palliative care.

 

[BigG]

For schedule 2 drugs we have to (other than in transit) follow the secure storage regulations, regulation of disposal rules but we have obviously needed latitude when it comes to emergency administration verification and contemporaneous logging. Batch number tracking for morphine (except non CD Oramorph), diamorphine, fentanyl et al must be followed.

The only occasion that's ever tripped me up is when working by myself in the rapid response car and being first on scene and only administering say 5mg of morphine from 10mg amp (diluted to 10ml) and then disposing of the remainder in the secure container belonging to the backup vehicle (witnessed by the second paramedic in the backup ambulance) then fucking off leaving the patient in the care of the second crew and forgetting to record the batch number of the morphine amp on the disposal container. It's nothing that can't be rectified but can be a real pain in the arse to fix after the event.

That's rare (thankfully) as usually in such a situation I would get one of the second crew to drive my rapid vehicle to the hospital while I ride in the back of the main vehicle to finish the ePRF information. Obviously CD regulations exist for a reason especially after the Shipman business but they can be a minefield if you inadvertently miss out a procedure that you were supposed to follow (and rightly so).

 

[THECATINTHEHAT]

How would you like being called a 'typical junky' after someone had read one paragraph you'd written on the internet? Do you know me? If you did you'd realise that I am anything but. I know the type you are referring to which makes it even more insulting, thank you. As I've been trying to tell you I wasn't rude, but firm. If someone is supposedly providing a service and I don't feel that they are doing a very good job of it then I am quite within my rights to complain. But you carry on reading words that aren't there mate. Nodding a little too hard tonight are you, can't quite see the page properly? Pah, bloody smackheads, all the same....

I would probably agree with them, I share most of the common characteristics of the typical junky I would say. I'm not reading words that aren't there, you've just changed your story from saying you made a livid phone call swearing at them to saying you weren't rude.

Thankfully I'm off the gear/benzos/booze again now (albeit only briefly) so no this is being said in lucidity.

Would you call up your dentist livid asking them what the hell was going on if you had trouble picking up a script he had written you?

 

[F.U.B.A.R.]

There you go again! Where did I say I swore at them? You are seriously pissing me off now so just get to fuck!

And yes I would complain to the dentist if an otherwise prior arrangement was suddenly broken.

(Oh, I would also seriously recommend that you get back on the gear/benzos/booze at the earliest opportunity, as sobriety is compromising your ability to comprehend even the most basic sentence).

 

[F.U.B.A.R.]

Buprenorphine in the form of transdermal patches is often used in palliative care.

That's as maybe, but I'm sure in those cases its not prescribed by the local substance abuse clinic is it? Its seems to just be us druggies that now have to turn up in person.

 

[F.U.B.A.R.]

And F.U.B.A.R nobody plans to get tangled up In opiates. Four or five years ago doctors were dishing them out like smarties. I had a fairly heated discussion with one G.P who insisted they were not addictive and there was no withdrawal. Now they've rescheduled the Tramadol as a controlled drug.

???? :-/

(Is it just me or is everyone now suddenly seeing things I've not said?)

 

[THECATINTHEHAT]

There you go again! Where did I say I swore at them? You are seriously pissing me off now so just get to fuck!

And yes I would complain to the dentist if an otherwise prior arrangement was suddenly broken.

(Oh, I would also seriously recommend that you get back on the gear/benzos/booze at the earliest opportunity, as sobriety is compromising your ability to comprehend even the most basic sentence).

Er, you said you asked them what the bloody hell was going on. That's interpereted by swearing as many and is certainly aggressive language. I doubt you would appreciate it if spoke to like that whilst trying to work.

Anyway, this is not going anywhere productive. All the best with the rest of your taper and recovery.

 

[F.U.B.A.R.]

Er, you said you asked them what the bloody hell was going on. That's interpereted by swearing as many and is certainly aggressive language. I doubt you would appreciate it if spoke to like that whilst trying to work.

Anyway, this is not going anywhere productive. All the best with the rest of your taper and recovery.

Oh my god! Are you winding me up on purpose here? I actually asked them 'what the hell is going on?' That's not swearing as far as I'm concerned. No mention of the word 'bloody'. Also, I've often been spoken to much worse than that during a working day I can tell you.

But you're right - let's just agree to disagree and move on.

 

[blondin]

The reason i went private was because of the fukin hoops the nhs makes you jumps thro' - daily pick up when your working!! I did that in 92 or so when i got my first script then fell off the wagon and went to a clinic a little later on when i wanted to try again and they were the ones who said about going private BUT they were'nt allowed to give me any doc's names ,details etc however the guy slipped me a peice of paper with a number on it and i have seen the same couple of doctors -on and off - since then All very civilised - fuck they even give me tick if im short at the chemist. And the cost for a month all in is the same as what i spent in a day at the height of my addiction.
I always collect my own scripts, always have done but as you all know you need to sign the back of it but unless im mistaken there use to be a bit on the script where you could put down the details of another to collect for you?

 

[CbRoXiDe]

They're a bunch of fucking slimy maggots that only care about stats. I feel privileged to even be allowed to get a daily take home script . God forbid someone collecting for me to make it easier to do things in life. A bi/weekly script would be more ideal, but noooo, that would only happen when hell freezes over.