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Thank you both for your
Thank you both for your insights!
I think in both the hospital and retail sectors, pharmacists are operating under time restraints. In the retail setting, there are our patients waiting impatiently for their rx, and in the hospital it is more often nursing calling calling CALLING wanting their meds. Perfection is demanded of us in our profession, but how can we come close with the constant interruptions?
Maybe the two sectors have more in common than I thought. :)
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I can't really reply to this
I can't really reply to this in my current work situation, but previously I worked for a large chain hospital. Honestly, I never felt bullied...overworked and chronically understaffed, but not bullied.
Unfortunately, the power does seem to exist with the corporation. Not sure what, besides unionization, can be done to change that. One could change jobs, but given current economic realities, that might not be an option for many.
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Or they might start ignoring
Or they might start ignoring you. Could be either one.
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I am all for getting statistical data and would love to see clinical trials. Unfortunately, as was mentioned in an earlier comment, marijuana is one of those "scarlet letter" drugs and there is little chance of profit being made by big pharma. So I won't hold my breath waiting for some real data.
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I always thought that since it was such an easy plant to grow (hence the "weed"), a better way of getting tax money would be to have potential growers buy a license each year, like a fishing or hunting license (only more expensive :) ). And honestly, I have no problem with it being used as a recreational med...seems safer than alcohol or tobacco to me.
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I don't know if it's the most
I don't know if it's the most important step, but I agree with the idea wholeheartedly.
In my hospital environment, all liquids are unit-dosed in metric quantities for nursing to administer. For smaller quantities, I think oral syringes are a better idea than cups.
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One also has no idea WHY the
One also has no idea WHY the patient needs Plan B. For all you know, she could have been the victim of a sexual assault. Would you further add to her violation by denying her a legal medication? I know from working years in a hospital just how often we supplied the ER with 4 ovral. The victims ranged from early teens to 40s.
Practice your craft and leave the moral judgements at the door. If you really feel you cannot morally provide the med, then either have another pharmacist who can or have info readily available so the patient can get it at another pharmacy.
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As a parent with 3 teenagers,
As a parent with 3 teenagers, I can assure you that they ARE afraid of STDs. Do they think they are immortal? Absolutely, but that's part of the territory and probably doesn't stop until about age 40. My husband and I have been talking about sex and its consequences to them since they were pre-teen, and though we morally favor abstinence, we stressed the importance of condom use.
Education is, as usual, the key to reducing STDs. Teenagers don't have a lock on the market for being thoughtless about them. Look at the rise in disease among the elderly.
Back to the question, as a pharmacist, I feel that it is not my place to make moral judgments when filling legal and accurately dosed prescriptions.
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Awww..c'mon tell
Awww..c'mon tell us!
Seriously, I hate hate hate with a passion direct to consumer advertising. I think it leads to patient self-diagnosis, over prescribing by MDs, but the worst...the WORST is seeing the commercials on tv!! Having to listen/watch some actor "doctor" not only tell their potential patient about the drug, but then proceed to calmly list all the potential adverse reactions/side effects is excrutiating!!
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Back to Do You Think Some diseases Are made Up Just to Sell Some Medications? »
Drive through pharmacies and
Drive through pharmacies and direct-to-consumer advertising are two of the worst ideas ever. I guess it's ok to use to drop off prescriptions. I mean, I can see a harrassed mom with a carload of kids doing that, but pickup needs to be inside for the reasons already mentioned.
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I replied to you above...out of order. *sigh*
The pill boxes are a good behavior reminder, and the extra label is a good idea. It would be good to remind patient that if they have to go to the hospital to bring ALL their medications (including rx bottles) for identification.
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That's a good idea. My Mother-in-Law is 89 years young and uses a weekly pill reminder. It's a real help as she can be forgetful and it's easy for all of us to tell if she has taken her medications for the day or not.
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While I agree that pill boxes help patients take their medications correctly, it becomes a problem when they are hospitalized and bring a large shopping bag with no prescription bottles with names, directions, etc. Just a large weekly med box with assorted tablets. Many times the patient wants to "use their own meds" and get angry when we have to refuse.
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I do agree with that! Day
I do agree with that! Day shift can be full of drama and just too many people. Sometimes one can get overwhelmed by the amount of work being alone, but it's definintely balanced by the lack of politics. I like the autonomy I have.
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I've been on the night shift
I've been on the night shift for 22 years now. Love that week on week off schedule.
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Myra, I recite this to myself whenever I feel rushed to get a prescription filled. Thanks for the reminder!