I am doing a case study and am unclear on a couple of points. I hope you can help me. I will try to keep this brief:
Jerry McCall, Dr. Williams’s LPN and office assistant, is alone in the office at lunchtime, handling all the phone calls while the receptionist is out of the office. He receives a call from one of the doctor’s patients who requests a prescription refill for Valium, an antidepressant
medication. The patient states that he is leaving for the airport in thirty minutes, that Dr. Williams is a personal friend, and that the doctor always gives him a small supply of Valium when he has to fly. He asks Jerry to call a refill order for Valium into the pharmacy “right away”.
If I am correct, first, an LPN cannot take verbal physician's orders nor can they call them in the the pharmacy. Second, if I am right, a Valium order only has a certain number of legal refills. They would already be on computer at the pharmacy. The patient would only need to go to the pharmacy to obtain a refill. If there were no more refills, then the order would be considered to be discontinued. A physician would have to write or call in a whole new order. So whether an LPN, medical assistant, or RN, it wouldn't matter; there would be no order to refill at all. Again, if I am right, it wouldn't matter whether we were talking about a benzodiazepine, an antihypertensive, or a prescription laxative, the law is the same regardless. And last, I have read that an LPN can verbally call in an order in emergencies only; I am assuming that an order for Valium to ensure a calmer plane flight would not qualify as an emergency. Am I right? I have searched online at length to try to find something that verifies that I have my facts right, but so far I am chasing my tail... anything you can verify for me, or if you have a source you can suggest that I haven't thought of, I would surely appreciate it.