Resident Handbook - UC Davis Health System

closed envelope rather than by postcard to be a reasonable request that should be accommodated.Similarly, a request to receive mail from the healthcare provider at a post office box rather thanat home, or to receive calls at the office rather than at home are also considered to be reasonablerequests, absent extenuating circumstances.PRESCRIPTIONSPatients must be seen at least once a year in order to receive refills on their regularly prescribedmedication. If the patient requests a refill and their last appointment has been more than a yearprior, the provider will refill no more than a month supply while the patient is being scheduledfor a follow-up appointment.When unlicensed residents write outpatient prescriptions, the prescription must be co-signed bythe preceptor. Licensed residents do not need co-signatures. Prescriptions for controlledsubstances can only be written and signed by a licensed physician using his/her “ControlledSubstance” formCreate a clear, consistent and standard way for you to write every prescription. For in-patients, this couldbe: Name, DOB, Drug, Strength, Form, Route, Frequency, Duration. Example: Amoxicillin 250mg/tab,One tab p.o. q6h X 7days.An out-patient prescription should also indicate the number to dispense and refills. Example: Amoxicillin250 mg tabs. Disp #28. Sig: One tab po q6h X 7 days. No Refill.• Develop pre-printed medication orders, where possible, listing the most commonly prescribed drugs withselected dosages, frequencies for administration, and times of administration.• Refrain from using abbreviations such as:o “u” for units, “iu” for international unitso “pen” for penicillin,o “QD” for daily, “QID” for 4 times daily, “QOD” for every other day,o “MS” for Morphine Sulfate, “MSO4” for Magnesium Sulfate,o or apothecary symbols for drams, minims, or ounces. These words should be written out instead.• Write “ml” not “cc”• Eliminate the use of “trailing zero’s” – use 2mg instead of 2.0mg (easily mistaken for 20mg). Always use“leading zero’s” – use 0.125 rather than .125.• Order medications by “mcg,” “mg,” or “g” strength when possible. Example: Tylenol 650 mg instead ofTylenol 2 tabs (Tylenol comes in different strengths).• Be aware of potential look-alike and sound-alike drugs• Do not write “Resume previous orders.”• When in house, write the order, don’t make it a verbal order to the nurse on the floor. Don’t give phoneorders whenever possible.• Print your name for each order. Write clearly!!!Medical MarijuanaIn agreement with Federal Law, MFHC providers will not write prescriptions for medicalmarijuana.PRODUCTIVITY AND PATIENT PANELSPage 149 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc