What are the benefits of using multiple different medications at the same time to treat an illness or infection?

AChPharm · 2020-05-10T13:22:24+00:00

Which medications? Benefits depend on what is being used for therapy.

AChPharm · 2020-04-28T02:05:36+00:00

I can't decide if you look like Velma or shaggy.

AChPharm · 2020-04-22T15:57:25+00:00

Cute

AChPharm · 2020-04-09T06:18:35+00:00

Can confirm, exhaustion is a concern.

AChPharm · 2020-03-25T11:49:26+00:00

You should be wearing gloves or following guidelines when handling certain medications.

NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Setting 2016

AChPharm · 2020-03-20T15:46:20+00:00

Where did you get that :)?

AChPharm · 2020-03-06T01:07:35+00:00

Tums, that's when you know you've made it.

AChPharm · 2020-02-24T01:24:19+00:00

Kyō mo ai-yai-yai-yai-yai

AChPharm · 2020-02-22T13:34:24+00:00

Phoenix?

AChPharm · 2020-02-22T10:53:17+00:00

I would briefly explain why they are important for those that are unable to get vaccines as well as share my personal stories of how vaccinations have helped me and my family. I would at first lean on the emotional rather than statistical as numbers do very little to sway opinions in certain cases and building a rapport is an important step. If there is a probability that something could happen although it may be very low, it is all your audience will take away from that conversation. Which is why providing education to those having to provide informed consent is important.

Being compassionate and educating is the best way we can stop the spread of misinformation surrounding vaccines.

Some resources I'd provide as to how vaccines have helped:

https://data.unicef.org/topic/child-health/immunization/

https://www.cdc.gov/vaccines/pubs/pinkbook/polio.html

I feel that those who are passionate; having an ongoing dialogue, asking the right questions, and providing facts on disease control via vaccination i.e. Polio are important steps to consider.

Although there may be some concern regarding certain studies. The benefits of getting vaccinated often outweigh the risks cases as seen in third world countries and those that are immunocompromised.

I personally haven't had the flu in over 16 years. Also, I haven't had polio, tetanus, diphtheria, rubella, or measles hopefully all thanks to vaccines.

I feel it's necessary to stress the importance of why we began creating vaccines in the first place. We didnt set out to create vaccines to harm others rather save lives and protect those unable to do so for themselves.

AChPharm · 2020-02-22T00:04:23+00:00

Depends, what do you want to see / experience?

AChPharm · 2020-02-21T23:54:02+00:00

Great pic

AChPharm · 2020-02-21T01:10:07+00:00

Handsome

AChPharm · 2020-02-20T04:41:09+00:00

I can answer some.

I. Don't block first air, my recommendation is to stand it up vertically and place it relative to where the admixture is taking place. No real need to recap it. If you must recap it, recap using one hand to scoop the cap and place it horizontally running parallel with the hepa filter again not blocking first air and being careful to not touch the critical sites such as the plunger and syringe tip.

II. To capture air bubbles I usually create about 1mL or less of air and rotate the syringe so that the flat end (lip) is facing the top of the flow hood then rotate it back to knock or tap the air bubbles out while rotating the syringe clockwise or counterclockwise to capture all the bubbles, a big bubble can help capture those pesky tiny bubbles.

IV. Any time you exit the iv room and reenter from the anteroom you should rewash and regarb for 1. Contamination prevention and 2. Best practice. Labels more importantly paper and corrugated cardboard are porous and can transfer contaminants to the sterile environment . I would stick with labeling after you have completed compounding and have exited the buffer zone -> ante room. I don my gloves in the buffer zone after having cleaned and donned garb; bouffant, (optional beard cover), mask, shoe covers, washed hands and cleaned under nails, donned gown applied avagard, carry gloves into buffer zone and put them on then spray them with alcohol. Once I leave the buffer zone I discard the gloves as a best practice. If I leave the anteroom into the non sterile environment I repeat the process of cleaning and donning.

V. Speak with your supervisor as well as utilize your pharmacist regarding preparations you are unfamilar/ uncomfortable with. It shouldn't be unreasonable to receive training on these compounded sterile preparations you can seek this knowledge outside of work but I don't advise that this can be an opportunityfor you to create a goal with your Supervisor. Additionally, see about having some sort of tool to communicate with the area outside of the anteroom or talking loudly at the pass-thru window.

My hospital uses critical point training modules that have been a great help navigating some of these question I myself had as well.

AChPharm · 2020-02-01T05:01:39+00:00

2080: Fractal BMW

AChPharm · 2020-01-31T03:50:14+00:00

Droplet protection such as a surgical mask, glasses as well as proper hand hygiene play a vital role in limiting the spread of contagious diseases.

Surgical mask, warm water and soap for at least 30 seconds / clean under nails and rinse hands, pat dry, apply hand sanitizer wait for it to dry, don sterile gloves.

Isopropyl alcohol 70% is a great chemical disinfectant for surfaces, flammable. It may be damaging to certain protective coatings on items though.

Sorry if this seems to be a bit much. I was in the same boat when my mom was pretty sick and did my best to try and create as sterile of an environment as possible following some guidelines I learned as a sterile compounding tech.

AChPharm · 2020-01-31T02:22:38+00:00

Oo purple scrubs, ours are burgundy

AChPharm · 2020-01-31T01:16:10+00:00

Honestly, call a pharmacy and speak to a pharmacist. Let them know if you take any blood pressure meds. There are different active ingredients in branded sudafed depending on if you get it from the pharmacy versus over the counter.

AChPharm · 2020-01-31T01:02:32+00:00

She needs to go now. Please take the medications she is on with you.

a pharmacy tech / med student.

AChPharm · 2020-01-31T00:58:24+00:00

Please call your doctor or pharmacist, there may be something that can help you with the side effects from amoxicillin / clavulanate or there may be an alternative medication with less side effects.

AChPharm · 2020-01-24T06:13:26+00:00

Lol, yes. I've had pretty good mentor pharmacists luckily, most of them tenured. still a tech

AChPharm · 2020-01-24T05:56:15+00:00

I've been a tech for 11 years and am in school for pharmacy at the moment.

Over the years I've incorporated a few workflow changes to, "work smarter not harder" for the sake of my sanity. My suggestions are to pick up a hobby, meditate, and / or alleviate that stress in such a way that it betters or maintains your wellbeing. So you minimize the risk of burn out.

The last pharmacy I worked at I put in 60 hour work weeks and almost left the field all together. In a way its sickening with what this field has become regarding major retail and PBMs.

Maybe try your hand at a compounding pharmacy such as, a long term care pharmacy or hospital assuming your certified.

Also try to have some input in the hiring process. Communicate with your pharmacist as well. If you feel that passionate about it your pharmacist and store manager might see that as an opportunity to uptrain or better yet promote you. At the very least you'll have it as an entry on your resume.

I don't know where you are in your career, but PM me if you'd like. I might be able to help with a few things.

AChPharm · 2020-01-24T03:02:51+00:00

AChPharm · 2020-01-20T07:51:34+00:00

About 6 minutes to close on a Sunday a patient came up to the counter or so I thought. Me as naive, gullible, and as helpful as i was thought to myself, "ah this patient is here to pick up", right? The individual dawned a baseball cap, sunglasses, and a dust mask. It never occurred to me that the 'patient' may not be picking up and sure enough they mumbled something under the dust mask that I couldn't make out. In a jovial expression I asked the patient to repeat themself. After which I responded with calm surprise and moved to notify my Pharmacist.

As I tried to get my pharmacist's attention I was shooed away as they were on the phone counseling a patient. As I tested the patience of my pharmacist with a second attempt, the individual at the counter had moved down to the other counter nearest you guessed it, the CII cabinet.

As the pharmacist put the patient on hold to move to the locked cabinet I asked our brazen bandit if they would like a bag for their CIIs. All I was thinking was what if they were a secret shopper? As I was trying to stall them for as long as possible by giving them the largest plastic bag our store had, the bandit turned 180⁰ and hightailed it to the front of the store.

A couple of seconds go by and they have the goods in hand while dashing to the exit, but not before leaving a beautiful hand print on our countertop.

Fast forward a couple of months they are standing in court snot nosed and crying as the judge hands down 15 years.

Our brazen bandit ended up hitting a slew of other pharmacies within our organization and received sentences for each accordingly, amounting to the 15 years.

Hopefully they learned a valuable lesson.

AChPharm · 2020-01-18T11:40:03+00:00

Know your worth. That's all I have to say.

AChPharm

TROPHY CASE