Monday, September 05, 2011

The weight of the pad

Sometimes your prescription pad feels very very heavy. You don't realize until you're not a resident anymore how many people will casually ask you for scrips who aren't your patients. Nurses at the hospital, family members, neighbors, people ask on behalf of other people. Often it feels like it's something trivial and there's no harm but there's always a voice in the back of my mind telling me that I don't have a chart on this person and I don't have any documentation of what they told me and that I could get in big trouble... Of course I take these things on a case by case basis - is it an emergency? Is it a day or location when they have no access to care otherwise? Do I trust this person to take my advice?

An example - I got a text from a friend while I was at the cottage and she had an infected cat bite. I couldn't see the bite so I sent her to the ER for assessment but she was really pissed that I wouldn't just call in an Rx for antibiotics.

Sometimes people take advantage of you because you're new and young and want to make a good impression i.e. nurses at the hospital. It's a hard line to walk and the pen sometimes feels very heavy.

3 comments:

XE said...

Hey, so now I know who to call when I need some cipro! (KIDDING, KIDDING). Seriously, that's gotta be a tough situation. It's probably a very common problem for new grads too eh? Hopefully people will stop taking advantage soon.

I'm super curious now to hear how older docs who've been doing this for a long time deal with this. I'll ask my tutor how she approaches the prescription request. I bet the requests are super common in rural med too, where it's even more difficult to get into see an MD, so no doubt I'll have to deal with this in the future...

Milk and Two Sugars said...

Stay strong. If you make it a blanket rule to never prescribe for a non-patient they'll have no cause to complain that you're being unfair. If other doctors are happy to prescribe, great. Your acquaintance can go to them for scripts.

Dragonfly said...

I've had people get nasty cause I wouldn't. Sucks but I still wouldn't...
Wishing you strength....