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As a pharmacist, what is the least legible prescription you have ever seen?
I've only recently started working as a pharmacy assistant however my mum has been working as a pharmacist for nearly 40 yearsIn other words there is a barely a doctors writing that I can decipher and hardly one that mum cannot. Even writing, that looks like it has been done by an alien impersonating a doctor who is writing for the first time, that I'm sure will stump mum she understands in one quick glance.Surprisingly she was bested one day and I was there to see it happen. It wasn't the drug name however but the doctors code which is needed to fill the prescription. My mum put in what she thought the numbers said on the script but it didn't work so then I tried. We tried a few variants as, written in a hurry, a 1 can look like a 7 etc. Nothing. I started googling the doctor and she looked for a phone number to call.I don't recall the number now but lets say it looked written as172345the actual number turned out to be172492Basically there was no way we were ever going to work it out.By the time we found the number the customer was tired of the wait (it had been 10ish minutes and we both explained and apologised) and demamded the script back so they could take it elsewhere. They didn't want to hear anything about the doctor’s number so we knew wherever they took it the pharmacist was going to have the same problem. Mum said in all her years in pharmacy that was the least legible writing she has ever seen.
Why/How do pharmacists earn a lot?
Good question. When most people think of a pharmacist, they think of the dispensing pharmacist at a local pharmacy and then joke about how hard it is to count to 60.A pharmacist does so much more. They make sure the pill in the bottle is the one actually prescribed. There have been times when patients get the wrong drug. They make sure the dose makes sense. Insulin is dosed in units. Should this patient really be taking 40 units? Or is it actually for 4 units, and they misread 4.0 as 40?Allergies - if you have a penicillin allergy, you can't take penicillin. You also can't take amoxicillin, methicillin, Bactrim, and some that don't end in -cillin. Drug interactions - some prescription drugs can't be taken with OTC drugs like Prilosec or Pepcid - if they are taken together the medication may not work fully or only be partially absorbed. Some medications when combined can cause fatal arrhythmias.Got a scratch or a bug bite or a rash that looks funny? But not funny enough to go to the hospital? Ask your pharmacist. They can likely tell you if it is an eczema problem or more serious. What's the difference between Zyrtec and Allegra? They do the same thing but one that works for one person may not work for another. That's all a pharmacist in a community. In a hospital, you "code" or go into cardiac arrest. You have a drug list on file. During cardiac arrests, medications are used to try and fix the problem. Most physicians, I believe, get about one semester of pharmacology. Pharmacists spend 4 years simply learning the drugs and what they treat and how it works. Who do you want to decide which medicine to take?In (my) perfect world, a physician diagnoses then sends to the pharmacist to discuss medications. The pharmacist is knowledgeable about the side effects, how long it will take to work, the obstacles that may arise which would make taking the medicine difficult. Hypertension and diabetes are two examples that come to mind...both are chronic conditions that need to be monitored regularly. A pharmacist has the ability to monitor se conditions. In a collaborative practice agreement, a pharmacist can change meds for the physician, depending on the state and the agreement. The physician is knowledgable about the disease state and how to diagnose it. The pharmacist knows the drugs to treat the disease.
How often do pharmacists accidentally dispense the wrong medication?
Humans do make mistakes but with the advent of Electronic Medical Records there is virtually limited chance of the old days where some $4 an hour assistant was trying to read our chicken scratch and enter it into the computer. Today we enter the prescriptions ourselves into the "pipeline" on our laptops or tablets and it goes directly to the pharmacy's computer where then a Pharm Tech or actual Pharmacist does the shelf pick and the like. Our software constantly verifies that we are clicking the right buttons based on diagnosis code so if we put in a diagnosis code for X and we order a drug to treat Z it asks us are we sure we want to prescribe that. The bigger issue I get ALL the time is that people think (like as been written below and or above) that pills for drugs are the same shape color etc. That is simply NOT TRUE! Each manufacturer uses a different color for the SAME pill. So today CVS might be buying from Teva but the next refill they could be using Pfizer. The colors and shapes are going to be different. Same drug but look different sounds weird but that is the way they do it. It is better to insure company verification then drug verification in the eyes of the FDA. I would rather have my patients checking it themselves but the FDA would rather each company to use a separate coding color shape etc. The problem is that our office gets a frantic call at 5 minutes before closing that the pills they have taken for 4 months which were white, flat, and ovoid are now brown and round and the Pharmacist is wrong and is trying to kill them. There are hundreds of generics out there and although they function pretty much the same they do NOT look alike and it is a BEAR for us to keep up with them The insurance companies require us to allow generics unless there is a medical reason not to (plus you don't want to have to pay the extra price for brand specific if you don't have to). With that however the insurance companies do not dictate WHICH generics the Pharmacy uses that is up to the buying unit at the main office and usually decided by contract. So although absolutely there are mistakes they are pretty small in my experience. Hospital errors are far less often then retail simply because there are so many checks and balances in place (Nurses, Pharmacists, Techs, Nurse supervisors, etc.) that don't exist in the retail process.Dr Dave
What are some slang terms used among police officers?
The most derogatory terms for the bad guys and citizens who are just pains in the rectum:A.H. = Adam Henry (A-dam H-enry) If you don’t get it…..sometimes you will hear it as “Jack Hole”…..now what starts with an “A” that ends with HOLE ?RICHARD CRANIUM= What starts with a “D” and is a nickname for Richard ? What is the non-medical layman’s term for the Cranium ? Do these clues HEAD you in the right direction ?