Saturday, August 18, 2018

"You should Be Fired!"

That's what she said to me.

She being a 30-something lady that's been getting ever increasing amounts of narcotics, prescribed by an MD in Snootyville who is being investigated by the DEA.

The tech and I had decided that with this lady, enough is enough. She was going to wait until 28 days past her last fill and that's how it's going to be.

Upon hearing this, the lady blew a fuse. Angry, she left, only to spend the next two hours calling the pharmacy to yell at me or the tech depending on who answered the phone. First she wanted the names of our supervisors. Then she wanted to speak to our supervisors. Then she wanted copies of our policy and procedures. I expected her to eventually ask the for home phone number for the president of Goofmart Grocery.

We didn't tell her we wouldn't fill her prescription. We only told her that we wouldn't fill it TODAY. According to my calculations of her history, she should be three weeks ahead on her medication anyway. Oh, I'm not stupid. I'm sure she's completely out. But I've really had it with physicians that prescribe inadequate supplies or tell the patient to take more if they need it. I'm tired of policing all of this. Tell your patient NO.

I don't think people who are truly in need of pain medication should be kept from it, but any good pharmacy tech or pharmacist will tell you that there's a big, big difference between legitimate pain patients and addicts. I'm tired of dealing with the addicts. Truly, I'm tired of it.
So we'll see what happens Monday. Maybe I'll be fired.

Naw, I couldn't get that lucky.

Friday, August 17, 2018

Thursday, August 16, 2018

Why We NEED Pharmacists

Our job as pharmacists is to dispense the right medication to the right patient and make sure it is correct and appropriate. It's also our job to protect the patient, sometimes from the prescriber or doctor who wrote the prescription.

Above is an example. A careless pharmacist would just type this up as:

Dissolve one and one-half tablet under tongue twice daily as needed for pain.

But a good pharmacist would see the conflicting notes and if he or she didn't know the patient and history, he or she would call the doctor. This careless doctor actually wants the patient to take one tablet in the morning and one-half tablet in the pm.

What would happen if this patient was given incorrect instructions? Probably not much. But with a different drug this could be catastrophic.

Think about that the next time you're pressuring your pharmacist to hurry with your prescription.

Wednesday, August 15, 2018

It's NOT a Punishment

So we had a mandatory conference call Monday morning as a punishment for not having done enough pneumonia shots the past two weeks.

But our RPM insists "it’s not a punishment." It’s just to keep us focused on their agenda.

She spent at least five minutes talking about how she was worried that her son wouldn’t be able to participate in his baseball tournament on Saturday because of the forecast for rain.

So this is our punishment: Being forced to listen to her personal issues and concerns that have nothing to do with pharmacy.

The she opened up the floor to hear what people say they’re doing to promote shots.

Dead silence. At least 30 seconds. Probably because we were all just stunned that she would waste our time like that when we've got actual work to do.

Finally some new pharmacist spoke up and said he’s asking every customer. Oh, darn. That's a good one. Why didn't we think of that?!

What a waste of 15 minutes. It put me behind right away. But that's not important. Profit is what's important.

Tuesday, August 14, 2018

We don't Deserve Dogs

So my tech has a little dog named Fudge. 

Awhile back they decided to start getting the "Bark Box"
which is a monthly delivery of treats and toys for the dog of the house. Fudge started liking the Bark Box so much that she now thinks that ANY box delivered to the house is for her.

The tech arrived home yesterday to find that one of his kids had answered the doorbell and pulled in a box from Amazon and left it by the door. The little dog, now thinking all boxes that come are Bark Boxes, managed to claw and bite her way into the box, and as luck would have it, there was actually a red ball inside which wasn't part of a Bark Box but something a family member had ordered for one of the kids. 

Now the red ball belongs to Fudge and she won't part with it.

Monday, August 13, 2018

51 Boxes of Toothpaste

"I'm calling to deny Mr. Smith's request for refills," the dentist explained. "There's NO WAY that I would ok this refill!"

"Ok, we'll let him know," I said.

"WHY on EARTH he would need 51 boxes of Prevident anyway?


Yes, ladies and gentlemen, the dentist saw "Quantity: 51" on the refill request and thought that meant number of tubes, not the 51 grams in ONE tube, as it comes."