Monday, April 14, 2014

More fun with pharmacy

Why did the pharmacist say this order was unacceptable:

25 comments:

  1. It seems to read "give 8 times in the AM and 5 times in the PM" which one would imagine is a tad excessive.

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  2. Or the other way around, "give every 8th morning and every 5th evening" (since q3d is every 3rd day)

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  3. Non- standard time. As usual, a stupid hospital rule that the pharmacist didn't make up but now has to enforce it

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  4. You didn't DC the protonix 20 mg

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  5. Because you drew an arrow instead of writing the word 'increase'

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  6. That's a pretty hefty dose administered at rather odd times.

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    1. That's the dose I take, though I take it every 12 hours, not at "breakfast" and "dinner" because that's not split up evenly through the day.

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  7. None of these are even close.

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  8. Non-formulary.

    Ironically, p&t committee is mostly doctor's, yet pharmacy is expected to enforce their rulings upon physicians who often fight it.

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  9. because you clearly wrote over what looks like it used to be a 6 with an 8?

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  10. You didn't say whether to use tablets or the oral liquid suspension.

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  11. The q can be outlawed per TJC in hospitals

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  12. You didn't hold your mouth right when you wrote it. Rookie mistake.

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  13. Poor pharmacist!
    You need to get over yourself and write clear instructions. You seem to think you are smarter than them. Safe practice is the smartest thing. We all had to guess what you meant. That is not safe. Write professionally.
    Do yourself a favor and don't let your ego control you.

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    1. Exactly what part of this prescription requires guessing? Even as written there is only one way to interpret it.

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    2. lol i guess it's your Id writing rude anonymous comments on harmless blog posts then

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    3. There are always going to be bitter angry people who write stuff like that on harmless posts. There's no point in replying.

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  14. This comment has been removed by the author.

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    1. It has a route. What did you think "PO" means?

      And it's an inpatient order so there's no need to order supply or refills.

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    2. This comment has been removed by the author.

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  15. Ambiguous dosage - that could conceivably be 40mg, 70mg, or 90mg

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  16. The answer:

    One of you got it right. The problem wasn't with the order itself but rather the fact that the eight looks like it might have been six at some point in the past.

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  17. I see that the answer was just given, but I was trying to comment here on my new Mac all day yesterday and it wouldn't work. So this is my test comment. I was going to say they wanted you to use the generic name. :)

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