Tuesday, October 17, 2017

Real or Fake?

I present to you, my fellow pharmacist or pharmacy technician... two prescriptions. One is real. The other is fake. You must choose. Which one would you fill?

One of these prescriptions is, in fact, a real prescription. The other was created using a home computer and laser printer. I know one looks green and the other looks blue but that's just because of the lighting as these two images were taken at different times. In reality the actual color of the paper is almost exactly the same between the two. The fake script was very well done and actually fooled another pharmacist twice.

Monday, October 16, 2017

Dentists are Expanding Services

One of our regulars hands me a prescription for Amoxicillin 500mg, "Take four capsules by mouth one hour prior to appointment."

I engage a little small talk while I'm typing it up. I say, "So, going to the dentist, huh?"

"Yeah, this is for my knee surgery."

Friday, October 13, 2017

This is me...

...when people come in with a GoodRx discount for each med they want to fill.

Thursday, October 12, 2017

The Fruits of Being Overworked and Understaffed

Recently I received a call from a hospital wanting to cancel a prescription they faxed in. And rightly so... it was written for Levaquin 750mg # 30, one tablet by mouth three times daily.

The actual script was to be supposed to be ONE daily for 10 days. The prescriber at the hospital screwed up and someone caught it over there.

Fortunately the medication wasn't dispensed yet. I went to the will call and sure enough, there it was filled and ready for pick up. It wasn't filled by me or Mickey. It was filled by a floater tech and floater pharmacist, probably during an incredibly busy time when things like this can slip by. 

Even with our long chain of safeguards, every now and then a huge mistake slips right on through. When a pharmacy is understaffed and the staff is overworked, THAT is when bad things happen. Goofmart corporate doesn't give a damn. They expect us to just deal with it and be perfect.

I've made mistakes over the years, none of which has been anything that's been a big deal. With almost all mistakes it's been caught before it ever gets in the hands of the patient. The other situations didn't cause anything even remotely serious.

But I wonder, will someday a perfect storm of events take place that causes harm to a patient? Will I be the last link in the chain of protection for the patient that fails? Will I be the reason someone gets hurt?

And that keeps me up at night.