Question

When changing some element of a C-II prescription, what must be documented?

Answer 1

When changing some element of a C-II prescription, several things must be documented such as the date and time of the change, the name and signature of the healthcare provider making the change, the reason for the change, the specific change being made, and any communication with the patient or their caregiver regarding the change.

Step-by-step explanation:

When changing some element of a C-II prescription, several things must be documented:

1. The date and time of the change
2. The name and signature of the healthcare provider making the change
3. The reason for the change, such as a dosage adjustment or switching to a different medication
4. The specific change being made, including the new information
5. Any communication with the patient or their caregiver regarding the change

These documentation requirements are important for ensuring patient safety and accountability for controlled substances. It helps to keep a clear record of changes made to prescriptions and the reasoning behind them.

When changing any element of a C-II prescription, it is crucial to document both the original information and the changes made, including the date of the change, the identity of the person making the change, and the reason for the change. This must be done in accordance with the Controlled Substances Act and DEA regulations to ensure accuracy, legality, and traceability of the prescription. In some cases, verbal authorization from the prescribing physician may be required for certain changes and the call-back number used for the verification must be documented.