Moan coming sorry (can we teach a and e doc to read.)

No offence meant to those who are medical personal on this site but when ended up in anad e again on fri am was prepared with list of meds on repeat and what happens when a and e doc wrote meds up on form for ward she managed to a) miss some of them off and b) put me down for salbutamol inhaler when repeat says bricanyl and salbutalmol isn't even mentioned. also told her about taking pred and that wasn't put on form either. luckily had all meds with me so took what normally take and then when nurse did med round told her what had taken and what still needed to go on chart. perhaps its me being touchy after sitting in a and e for 3 hrs before seeing doc although nurses did do random obs but never left probe on long enough to get sat reading until student came and found that they had dropped to 92% then got O2 and things picked up. doc on obs ward said all obs fine on chart despite fact they done on 2 litres rather than air. was just glad to get out.

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I don't think I've had one of those prescription charts that goes to the ward done properly yet! If it's any reassurance (probably not!) they make mistakes for all medical conditions, not just asthma. I'm on a large number of meds for various conditions and there are always mistakes or docs who think they know better. Recently I had a really difficult time where they refused one of my drugs because my dosage (given by my consultant) is above that in the book they use and so the hosp docs refused to give the drug at all. I'm still suffering over a month later from having a week without that med.

To me it seems ridiculous that it is still all done by hand as it takes so much time and there are so many distractions in ED - it's really no wonder mistakes are made.

[KateMoss]

I have in BOLD letters on my protocol that all meds must be written up!

Perhaps a basic typed list is easier to read that the repeat script form or have them both with you.

My meds are written clearly on my protocol but still they miss some off or add in things like Atrovent and clexane which I cant have or don't need.

I think it is a universal thing..... i always ensure if scooped up from home that my meds all come with me or someone is dispached asap to get them!

They can read but I think they are a bit busy...... one did manage to write up everyhing.... including a mistake I made... Mometasone 10mg tablets....??? wot me thinks, Oh I meant Montelukast! LOL! Shows he was reading everything OK.

Kate

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Take preprinted typed list or carry copy of your repeat with you makes life much easier

Top tip if get admitted- two options although i admit less than ideal especially if very poorly!!

Option 1 - wait till night staff come on and things less hectic and get them to get oncall to write up missing drugs they are so busy just write what you tell them

Option 2 grab the pharmacist as soon as they appear on ward to see anyone else say you've got a problem with your drugs and they will sort it. Ward Pharmacists are brilliant at sorting out problems with drug charts it's part of their job!! If you can't see one hovering about ask the nurses/cleaner/ward clerk anyone to send the pharmacist your way nurses usually pleased to do so as one less thing for them to do in overworked day!

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Moan coming sorry II

Put in for a repeat prescription last week, having ticked the items required.

The resultant prescription for the chemist, showed the items I'd requested.

Tear-off half that you keep till next time, showed not only my inhalers and present hayfever tab, Cetirizine but these too -

Loratadine - No longer required as taking Cetirizine.

Colpermin - Last asked for way back in 2002.

Why does the tear off bit seem to differ every time? Doesn't anyone check these things?