6 ms·

My psychiatric nurse practitioner certainly wanted to reduce her own possible COVID-19 exposure here in the Seattle area but stressed that she could not call or

by verst 6y ago

My psychiatric nurse practitioner certainly wanted to reduce her own possible COVID-19 exposure here in the Seattle area but stressed that she could not call or send in the prescriptions for Adderall because of government regulations. Unclear who that regulating body is however.

colejohnson66 6y ago
IANAL So I looked it up because that is very perculiar, and my quick skimming of the laws seem to imply that Schedule II through V drugs can be sent electronically:[0] > (1) Information concerning a prescription for a controlled substance included in Schedules II through V, or information concerning a refill authorization for a controlled substance included in Schedules III through V, may be electronically communicated to a pharmacy of the patient's choice pursuant to the provisions of this chapter if the electronically communicated prescription information complies with the following: > ... [0]: https://app.leg.wa.gov/RCW/default.aspx?cite=69.50.312 https://app.leg.wa.gov/RCW/default.aspx?cite=69.50.312
- verst 6y ago
  Thanks for checking! :) I'll bring it up with her. I think all of us agree that the paper prescriptions are ridiculous, especially at this time.
  - RyJones 6y ago
    I wonder if we have the same practitioner. I'm having the same issue with mine; she's part of a couple, they practice in Redmond.
    - verst 6y ago
      I doubt this is an issue specific to the NP. Regardless, we have different providers.
BurningFrog 6y ago
Maybe it's a lowly nurse practitioner vs deeply trusted MD issue?
- verst 6y ago
  Doubtful and she works with a MD. I have many friends in the medical field. This MD vs NP hatred needs to stop. NPs can be specialized and have great knowledge and experience in their particular field. And my NP visit is cheaper - absolutely worth it to me.
  - DangitBobby 6y ago
    I think you misunderstood the parent comment. The commenter is not saying NPs are a problem, they are pointing out that NPs aren't treated with due respect. The sarcastic use of "lowly NP" gives it away.
    - BurningFrog 6y ago
      Can confirm! Sarcasm comes across poorly in online communication, so I should probably use it less :)
- FireBeyond 6y ago
  My understanding is that an NP is considered as autonomous as a physician. I know several of my friends who are PAs and they're lobbying to be treated the same as NPs, as they feel that some of their restrictions are unnecessary and bureaucratic, logistical issues only, rather than based on patient care.
  - verst 6y ago
    Exactly. Lots of MDs are of course frustrated because they spent more time and money on education. The focus should absolutely be on patient care.
pnw_hazor 6y ago
My GP doc in WA sends electronic prescriptions of Adderall. When I was using a solo psychiatrist, he would give 3 mos of (1 per month) printed hardcopy prescriptions. Note, getting the scrip from my GP requires an annual HIPAA privacy waiver and random piss tests. Privacy waiver is because they share medical records of patients prescribed controlled substances with law enforcement or any other local or federal government agency that wants to take a peek.
- verst 6y ago
  Super valuable info. Thanks for that.
- raverbashing 6y ago
  > requires an annual HIPAA privacy waiver... Privacy waiver is because they share medical records of patients prescribed controlled substances with law enforcement or any other local or federal government agency that wants to take a peek. So, how good is a regulation if you need to waive it for something as basic as getting your medication? Makes me respect GDPR even more.
  - pnw_hazor 6y ago
    Yes, it totally sucks, and it almost caused me harm trying to avoid it. I am sure I was not the only one. I imagine some poor souls got into some real trouble even suicide. The American Medical Association, et al., sold out their patients in exchange for not being held accountable for the US opioid crisis. (my opinion of course.) My doc didn't think it was any big deal, she said I was her first patient to question it. She thought the waiver had some limitations, I showed her that it did not have any limitations except that access had to be for official use (which is not much of a limitation.) The records are stored in an electronic registry that various local or federal government agencies can access without warrants or notice. As a lawyer I cannot imagine voluntarily entering into such an agreement against the interest of my clients. I still find it shocking.
    - texasbigdata 6y ago

by verst 6y ago

colejohnson66 6y ago

IANAL So I looked it up because that is very perculiar, and my quick skimming of the laws seem to imply that Schedule II through V drugs can be sent electronically:[0] > (1) Information concerning a prescription for a controlled substance included in Schedules II through V, or information concerning a refill authorization for a controlled substance included in Schedules III through V, may be electronically communicated to a pharmacy of the patient's choice pursuant to the provisions of this chapter if the electronically communicated prescription information complies with the following: > ... [0]: https://app.leg.wa.gov/RCW/default.aspx?cite=69.50.312 https://app.leg.wa.gov/RCW/default.aspx?cite=69.50.312

verst 6y ago
Thanks for checking! :) I'll bring it up with her. I think all of us agree that the paper prescriptions are ridiculous, especially at this time.
- RyJones 6y ago
  I wonder if we have the same practitioner. I'm having the same issue with mine; she's part of a couple, they practice in Redmond.
  - verst 6y ago
    I doubt this is an issue specific to the NP. Regardless, we have different providers.

BurningFrog 6y ago

Maybe it's a lowly nurse practitioner vs deeply trusted MD issue?

verst 6y ago
Doubtful and she works with a MD. I have many friends in the medical field. This MD vs NP hatred needs to stop. NPs can be specialized and have great knowledge and experience in their particular field. And my NP visit is cheaper - absolutely worth it to me.
- DangitBobby 6y ago
  I think you misunderstood the parent comment. The commenter is not saying NPs are a problem, they are pointing out that NPs aren't treated with due respect. The sarcastic use of "lowly NP" gives it away.
  - BurningFrog 6y ago
    Can confirm! Sarcasm comes across poorly in online communication, so I should probably use it less :)
FireBeyond 6y ago
My understanding is that an NP is considered as autonomous as a physician. I know several of my friends who are PAs and they're lobbying to be treated the same as NPs, as they feel that some of their restrictions are unnecessary and bureaucratic, logistical issues only, rather than based on patient care.
- verst 6y ago
  Exactly. Lots of MDs are of course frustrated because they spent more time and money on education. The focus should absolutely be on patient care.

pnw_hazor 6y ago

My GP doc in WA sends electronic prescriptions of Adderall. When I was using a solo psychiatrist, he would give 3 mos of (1 per month) printed hardcopy prescriptions. Note, getting the scrip from my GP requires an annual HIPAA privacy waiver and random piss tests. Privacy waiver is because they share medical records of patients prescribed controlled substances with law enforcement or any other local or federal government agency that wants to take a peek.

verst 6y ago
Super valuable info. Thanks for that.
raverbashing 6y ago
> requires an annual HIPAA privacy waiver... Privacy waiver is because they share medical records of patients prescribed controlled substances with law enforcement or any other local or federal government agency that wants to take a peek. So, how good is a regulation if you need to waive it for something as basic as getting your medication? Makes me respect GDPR even more.
- pnw_hazor 6y ago
  Yes, it totally sucks, and it almost caused me harm trying to avoid it. I am sure I was not the only one. I imagine some poor souls got into some real trouble even suicide. The American Medical Association, et al., sold out their patients in exchange for not being held accountable for the US opioid crisis. (my opinion of course.) My doc didn't think it was any big deal, she said I was her first patient to question it. She thought the waiver had some limitations, I showed her that it did not have any limitations except that access had to be for official use (which is not much of a limitation.) The records are stored in an electronic registry that various local or federal government agencies can access without warrants or notice. As a lawyer I cannot imagine voluntarily entering into such an agreement against the interest of my clients. I still find it shocking.
  - texasbigdata 6y ago