Recently we had a patient who was trained on the insulin pen as a new onset diabetes patient in an inpatient setting. The MD wrote the orders for Novolog pen with appropriate orders. When the wife went to the pharmacy the co-pay was more than she wanted to spend so she asked for a more reasonable co-pay option. The pharmacist offered Novolog by vial. What was missing was…
a prescription for accompanying supplies. So the patient went home with a vial of Novolog and no syringes or needles. Obviously the patient and wife were confused and sat for two days at home without insulin administration, choosing not to test his glucose since they knew they didn’t have a way to inject the insulin, until the Home Health nurse arrived.
The Home Health nurse reviewed syringe technique with the patient and they ultimately chose to go with the pen. The Home Health nurse expedited the original Rx and reviewed the sliding scale and glucose results from fingersticks. The patient is doing well.
Navigating what doctors prescribe and what insurance companies charge for co-pays can be a major problem. Copays can range from no cost to more than $100, depending on which tier the medication is in. With so many insurance plans it can be difficult to know what the best treatment and lowest cost for the patient can be.
With the difficulty of navigating the insurance highway of benefits, co-pays and different tiers, following up with patients is imperative. The Home Health nurse visit truly averted disaster.
Report Medication Errors to ISMP:
Diabetes in Control is partnered with the Institute for Safe Medication Practices (ISMP) to help ensure errors and near-miss events get reported and shared with millions of health care practitioners. The ISMP is a Patient Safety Organization obligated by law to maintain the anonymity of anyone involved, as well as omitting or changing contextual details for that purpose. Help save lives and protect patients and colleagues by confidentially reporting errors to the ISMP.
And if you have a “Diabetes Disaster Averted” story, please also send it in separately to Diabetes In Control. If we use it you will receive a Visa Gift Card worth $50.00. Click here to let us know the details. (You can use your name or remain anonymous if you prefer.) Please note that ISMP is not associated with this Gift Card promotion.
Copyright © 2011 Diabetes In Control, Inc.
|←Previous Diabetes Disaster Averted
Calculating Bolus Doses: Keep it Simple!
Next Diabetes Disaster Averted →