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re: Physician's Assistant arrested after prescription drug fraud investigation..
Posted on 1/27/14 at 10:05 pm to Ric Flair
Posted on 1/27/14 at 10:05 pm to Ric Flair
I'd see PA's write narcotics in the ER, but part of my job as a scribe was to always have the attending physician sign off on it. There was only one PA they allowed to sign his own narcotics. I asked why other PA's didn't do the same thing he did and he said that other PA's didn't want the liability.
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Posted on 1/27/14 at 10:06 pm to Ric Flair
I agree to an extent. Just because someone claims to be in pain doesn't automatically make them a drug seeker. Many times a patients pain is real and it needs to be treated even if the supervising physician isn't on site. But for the most part at our derm clinic, narcotics are reserved for post ops and other painful diagnoses
Posted on 1/27/14 at 10:07 pm to Ric Flair
quote:
PA's shouldn't write narcotics
this
Posted on 1/27/14 at 10:10 pm to Antoine
He was forging the doctors name apparently. What a dumbass.
Posted on 1/27/14 at 10:10 pm to tankyank13
Not saying that PA's should or shouldnt be able to write narcotics, but i just dont think that is necessarily going to change anything. There is just as much chance a Dr will abuse his license as a PA
Posted on 1/27/14 at 10:11 pm to buffbraz
quote:
BTW PAs can't write for schedule 2 in LA, so I'm not sure how he was getting away with writing oxycodone and adderall in the first place. Something smells fishy.
If his supervising physician pre-signed a book of scripts he write in whatever he wanted. It's a common practice.
Posted on 1/27/14 at 10:13 pm to tankyank13
quote:
Posted by tankyank13 quote: PA's shouldn't write narcotics this
Y'all are acting like this is a common thing for PAs to get in trouble and/or MDs don't get busted all the time. There are bad apples in any profession. 99.9% of mid level providers AND MDs/DOs do the right thing.
Posted on 1/27/14 at 10:14 pm to buffbraz
quote:This was exactly my point. The chance of using one's license to write illegal scripts is just as high with a MD as is with a PA
Y'all are acting like this is a common thing for PAs to get in trouble and/or MDs don't get busted all the time. There are bad apples in any profession. 99.9% of mid level providers AND MDs/DOs do the right thing.
Posted on 1/27/14 at 10:14 pm to tgrbaitn08
quote:
If his supervising physician pre-signed a book of scripts he write in whatever he wanted. It's a common practice.
I don't think this is what happened in this case, but if it were I feel the MD should share the blame
Posted on 1/27/14 at 10:14 pm to buffbraz
How bout more pics of that spicy Venezuelan broad?
Posted on 1/27/14 at 10:15 pm to tgrbaitn08
quote:
If his supervising physician pre-signed a book of scripts he write in whatever he wanted. It's a common practice.
This is against Louisiana State Medical board rules and probably against the law although I don't know that for sure. So the MD will be in hot water if he did that. And it's not a common practice anywhere I've worked or trained at.
Posted on 1/27/14 at 10:19 pm to buffbraz
quote:
I agree to an extent. Just because someone claims to be in pain doesn't automatically make them a drug seeker. Many times a patients pain is real and it needs to be treated even if the supervising physician isn't on site. But for the most part at our derm clinic, narcotics are reserved for post ops and other painful diagnoses
From my experience, I'd bet the majority of the treatment at the clinic in question was not writing scripts. They're a rather commonly consulted facility by doctors/hospitals in Baton Rouge. What I mostly saw there were folks (like me) who needed temporary relief and were there to receive out-patient procedures that provided localized relief.
Posted on 1/27/14 at 10:20 pm to buffbraz
Yes it's against the law, however it happens. Sorry to burst you bubble. Not saying that it's right and not everyone abuses the system as this group did, but like you said, there is always a bad apple in every bunch.
Posted on 1/27/14 at 10:21 pm to tgrbaitn08
It basically goes like this in LA. A PAs supervising physician must sign off on EVERY chart that the pa documents in or office visit that occurs. Now that doesn't mean that he has to actually sign any of the scripts because we have our own dea numbers. But ultimately the SP is responsible for checking the exam documentation, the diagnoses given and review any RXs given. Now I don't know exactly how this dude was getting all these scripts but hopefully the MD and/or group of MDs at the spine clinic weren't involved.
Posted on 1/27/14 at 10:22 pm to buffbraz
Also in high volume clinics where PAs are holding their own clinic, they don't always have time to get the Dr to sign off on every single script.
Posted on 1/27/14 at 10:24 pm to buffbraz
quote:
This is against Louisiana State Medical board rules and probably against the law although I don't know that for sure. So the MD will be in hot water if he did that. And it's not a common practice anywhere I've worked or trained at.
I never do this. But, I did recently fire a nurse for calling in scripts to friends under my name. Hydrocodone does not require and written Rx. The pharmacies didn't question it because it wasn't excessive. They now track all of our prescriptions and I can print a log of all controlled meds filled under my DEA number in LA and AR. Have busted several since this became available to us. Just busted a preacher forging prescriptions. Added a narcotic to the bottom of a script. I trust no one.
Posted on 1/27/14 at 10:24 pm to tgrbaitn08
You're not busting my bubble. I understand this happens. All I'm saying is that if the MD or MDs were doing this for their respective PAs they will be disciplined by the board.
This post was edited on 1/27/14 at 10:25 pm
Posted on 1/27/14 at 10:24 pm to buffbraz
How long have you been a PA? Just curious. Also what field are you in?
Posted on 1/27/14 at 10:26 pm to tgrbaitn08
quote:
Also in high volume clinics where PAs are holding their own clinic, they don't always have time to get the Dr to sign off on every single script.
If you have your own DEA number you don't have to have you MD sign your script.
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