The *Angriest* Pharmacist You want your prescription filled when? Eat shit…

Okay I Screwed Up

Posted on February 23, 2008

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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