23

Feb

Okay I Screwed Up

Posted by The *Angriest* Pharmacist as Education, Errors, Me being a dick, True Story

I was discussing the USA Today Article with a local insurance salesman yesterday. We were talking about the ramifications of the article for pharmacy, insurance companies, and patients. I also gave him my take on the article and how increased volume (not decreased volume as Walgreens would tell you) inherently leads to more prescription errors. I then explained the error that lead to the child’s premature puberty and the infant that was given five-times the acceptable dose of Amoxicillin (which I doubt the whole “writhing in pain” statement - UPDATE: The Angry Pharmacist Debunked this).

The salesman and I parted company and a lady that was standing behind him in line approached to pick up a prescription. She said, “Hi. I’m here to pick up my infants Amoxicillin prescription.”

“Oh my gosh - I’m so sorry! I wasn’t intending to scare you or anything.”
“It’s okay. My stomach is up in my throat right now.”
“You have nothing to worry about. Our dispensing system has several places where quality control checks are made. Our computer checks all doses and drugs for interactions, and every prescription is personally verified by a state-licensed pharmacist.”
“How do you know and error is not made?”
“Well, when the human element is incorporated into any process, we can never be 100% sure that errors are not made, but pharmacy and especially pharmacists pride themselves on perfection. I treat every prescription like I’m filling it for my own child’s use.” [No kids yet - but she smiled]
“Would you check it again to be sure?”
“Absolutely. That’s my job.” [I went and checked it all again: verified the handwritten script, the dose, allergies, etc.]
“Everything looks great. Ya know, the article we were talking about was exploring the premise of high volume leading to prescription errors. The infant that got the incorrect dose of Amoxicillin was filled in a CVS that filled more than 400 prescriptions that day.”
“Oh yeah? How many have you filled today?”
“About 75 — and we close in about an hour. We’ll be lucky to fill 80.”
[I then proceeded to give the most personalized counseling session ever. 'Shake it up. Keep it in the fridge. Dispense 2.5 mL twice a day - morning and evening. Here's the line for 2.5 mL and you can keep this syringe. Be sure to give this for 10 days only then pitch the rest. You shouldn't notice any problems. If a rash develops, call the doctor's office. If the baby develops any stomach problems, try giving the dose after feeding her. Do you have any questions for me?']

I felt about 3 inches tall. I was shaken. I now vow to never talk about anything edgy to non-pharmacy staff again. I should’ve known better. I was trying to put down CVS and WAG to the salesman, but I failed - extremely.

Anyone else had a situation similar to this? Eating crow for breakfast, lunch, and dinner? I’m still full from my meal.


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TAP, you did really well. You became an excellent billboard for good pharmacy practice. So, you were ashamed for a minute, but you then made lemonade out of the lemons, if I’m reading your post correctly.

Yeah - I guess I did. She left comfortable with her prescription. Heck, she could probably counsel someone else on it!

Why do you hate cvs or wag so much? what did they ever do to you? If you piss because of business well that your problem, do what they do to get people in the pharmacy. Have you ever work for cvs or wag? Do you know how they do things?>>hater

way to go to get yourself out of that sticky mess. As a general rule, I dont talk pharmacy news with anybody who doesn’t have an RPH after their name. First of all, most people don’t give a rip. As far as they are concerned, as long as they get what they want, they dont care how long we work or the kind of conditions we work under. Second of all, the people who need to be scared are the people who write our checks, unless they want to write a huge check to some family who wins a lawsuit…

Supertech — first of all, fuck off. Who are you to come into my domain (literally and figuratively) and question what *I* rant about on *my* website that *I* bought and pay for?

To be honest, I’ve never even SEEN a CVS. But, I know that they are bigger than walgreens. Therefore, they (and you) can suck it.

I don’t have a WAG or a CVS as a competitor. I worked at a WAG for one semester in pharmacy school. I quit because my 10-hour a week job turned into 30 hours in the blink of an eye…I couldn’t say no - I couldn’t convince them to scale me back - so we parted ways. And I gave the DM the middle finger and therefore am blacklisted from WAG.

But - I don’t hold a grudge. I won’t ever work there again, but if I need something and WAG is the most convient for me, you can bet I’ll have no problem patronizing. Or, if a CVS ever opens near me - I’d go there.

I hate what they’ve done to pharmacy - sacrificing safety for volume. They’re the reason we now have FAST FOOD PHARMACY.

And, to be honest, if you’ve worked at one major chain, you might as well have worked at them all. Sure, the feel may be a little different, but the flow is going to be the same. Nothing is going to be different. One isn’t going to be better than another.

Thanks for being a douchebag,
TAestP

TAP, you asked if we ever had to eat crow. Here’s mine quickly: we had an old computer system that occasionally got upgrades. At the time we had one line that was private, i.e. did not print on any part of the label that could be seen. on that line, we put comments we felt were appropriate, and on this one a**hole, I put “butthead”. Well guess what–next upgrade, it now was printing on the receipt. Whups. I had to write a letter of apology. I wanted to write. Dear Sir, I am sorry you are a butthead, but I had to write nice–but he was and would always be…a butthead. Now we have secret code for assholes…

TAP, you are absolutely right that WAG and CVS have turned pharmacy into fast food pharmacy. I think there are more “business” types in upper management than there are pharmacists that have ever stepped foot into one of their pharmacies during an everybody’s getting off of work and wants their meds NOW frenzy. It is VERY SAD in the case of WAG because it started out as a small independent little store in Chicago that was true to the profession. Now it’s a total mutant from what it was. I work for WAG, and I probably will until I retire in 100 years. But I will be the first to say that WAG does an extremely poor job of hiring and training technicians. Technicians with less than three years under their belt at WAG are more of a pain in my ass than a help.

Dear Mr. TAestP: I am sorry you took this the wrong way. All I wan to say that Rphs shouldn’t talk bad about each other. I do work for one of those big chain and we do work well with independent pharmacies.Why you ask?Because we are there to help people with there health. When I don’t have something in stock I don’t call the other big chain pharmacy that’s 8 blocks away, I call the independent pharmacy down the block. I know it your website, but I thought that we can comment on your blogs that the reason you write them. Don’t get me wrong I agree with you on 99.9% of what you write. I won’t comment anymore. Once again sorry to piss you off.

Your second post is nothing like your first in terms of content.

You should agree with 100% of what I write, then you’d never be wrong.

I know you won’t comment anymore - tee hee hee…

Sara, the angry tech says February 25th, 2008 at 9:51 pm

I work at CVS.. fuck em.. goddamn drive thru going off every 5 minutes.. and you wonder why we fuck up so much.. I agree.. they have made it fast food pharmacy.. plus the patients dont give a shit you are sick and short of staff..they want their meds now..

Sometimes, I wish I could work in an independent.. no stress, and maybe some coffee.. sounds nice :)

I’m with Heather there, in that I work for WAG, and proly will until I’m old and grey. But again, there are so many people in upper management, it’s ridiculous. I saw a chart of who reported to who, and I saw departments and positions that I think they just made up so they could pay some suit more than me. *Sigh* Pity we’re buying out all the independants…the last one we overturned, the starting tech pay was $21/hr. I’d go for that any day.

I agree that WAG for one has turned pharmacy into fast food pharmacy. Our pharmacy allows one tech and one pharmacist. Even though we have two drive-thru lanes, 3 phone lines, in and out window..that doesn’t even count doing the actual prescription. I joined WAG because I thought they would take better care of patients and allow more help…not LESS. I didn’t even last 6 months there. I hate being a quitter since I had my previous job for 15 years, but I don’t feel like a pharmacist. I feel like a well paid cashier/tech/drive thru operator.

I’ve worked for retail giants (Eckerd for 3 years, WAG for almost 4 years now) ever since I was 16 years old. Thinks have changed alot in 7 years. Heck, they’ve changed alot since I started with WAG 4 years ago.

It is now a fast food pharmacy and I think the customers (can’t call them patients because then they wouldn’t get away with the “customer is always right” bullshit) have ruined it alongside of the suits. They want it *now* - upper management says give it to them *now*. They want it early? Upper management says give it to them *early*. If you don’t? They send them a 20$ gift card to keep their business. If you refuse a script they take it to the pharmacy down the street that has an Rph that doesn’t give a shit since it adds to their script count which in turn adds to their scheduled hours allowable.

Heather…. some techs with less than 3 years of experience that I have trained myself are actually quite awesome. I’ve just found that the majority of the new hires are total dipshits because the starting pay blows - they can go work as a WINNDIXIE tech for 10 bucks more an hour :P Even our SR. Tech pay sucks. Why do I keep working for them? 3 to 1 and I wouldn’t trade my pharmacy manager for the world.

As far as insert foot in mouth type of moments… I once had a moment with a state aid patient about 5 years ago when she had harrassed me ALL day - I mean this lady called me like 30 times asking me if her Lortab was ready yet, then when she came to pick it up she had the most idiotic question… “What drug is this I’m pickin up?” I blurted out, “Why Mrs. Soandso, ITS YOUR FAVORITE!”

lol - luckily she was too stupid to catch the horrible faux pas and my pharmacy manager just shook his head with a smirk on his face and told me to insert foot into mouth and go to the filling station :P

Ok yeah, I should have been fired for that one but idgaf - she deserved it :P

ha ha! i was present for a GREAT foot-in-mouth event a few years ago. one of my fellow techs at the time was really good with customers, re: knew all of their names and remebered all of the crazy personal stuff they’d tell her and so on. well, one day little old lady smith comes in for an rx pick up and my coworker says “hi mrs smith! really good to see you today. how’s your husband? i havent seen him for a while.” little old lady smith replies: “he’s DEAD!!”
classic.

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