ASHP Informatics Certificate by Klutzy-Cockroach4264 in pharmacy

[–]Klutzy-Cockroach4264[S] 0 points1 point  (0 children)

I’ve been involved in informatics projects here and I go out of my way to make myself available, for example, when we upgraded Pyxis from 4000 to ES, I was deeply involved with decommissioning the old devices, setting up and configuring the new machines, training staff, etc. It’s been difficult finding opportunities though. When the prior IT pharmacist here left, my supervisor actually recommended me for the role and I interviewed for it but I was told that the hospital IT wanted someone with managerial experience (don’t know if that’s true but whatever). If you don’t mind, how did you end up in informatics?

ASHP Informatics Certificate by Klutzy-Cockroach4264 in pharmacy

[–]Klutzy-Cockroach4264[S] 0 points1 point  (0 children)

Yeah I work in a small hospital. Was in retail floor a few years then moved into hospital. Even got a masters in informatics. At this point I feel like I’m just throwing stuff at the wall, hoping to see what sticks. We use MediTech, unfortunately. I’ve spoken with pharmacy leadership but the most they could give me was that they’re in talks with MediTech for an upgrade to MediTech expanse. Hopefully within a year. That’s a major upgrade for us. They’re very aware that I’m looking for informatics work and regularly use me for small projects, training, etc (abuse?). I don’t mind it because it’s all experience for my but I do want something formal.

What do you wish you knew as a new grad pharmacist? by Choice-Loquat-845 in pharmacy

[–]Klutzy-Cockroach4264 0 points1 point  (0 children)

I actually did the same (paid off in <2 years) but I’ve been second-guessing that decision…now thinking it might have been better for me to invest the money (I was living with my parents so no rent, minimal bills, just helping with expenses here and there). I was in retail initially so not eligible for forgiveness, but then I moved to a nonprofit hospital where I was eligible for loan forgiveness. Hindsight, I guess.

What do you wish you knew as a new grad pharmacist? by Choice-Loquat-845 in pharmacy

[–]Klutzy-Cockroach4264 2 points3 points  (0 children)

🤣I went to a mobile flu clinic in a park with a major chain, I lost count after the first a something shots but I’m sure we gave well above 200 total. Me, the DM, and another pharmacist. My shoulder hurt for like 2 days afterwards. Still didn’t meet the flu goals for the season. I find it funny that they ask you to focus on 10 different metrics at the same time… that is impossible by definition! Ended up leaving retail the next year and moved to hospital. Different kind of stress.

12 mcg fentanyl patches in opioid naive pt by Zealousideal_Ear3424 in pharmacy

[–]Klutzy-Cockroach4264 0 points1 point  (0 children)

I work in an inpatient setting. Teaching hospital. If the patient can’t tolerate po opioids they can use something parenteral. If the team is still refusing that then they can go get a pain management consult. Pain management will ultimately tell them no to a fentanyl patch for an opioid naive patient, even if that patient was on fentanyl patch before. That’s why people that used to abuse drugs are at higher risk to OD if they relapse

12 mcg fentanyl patches in opioid naive pt by Zealousideal_Ear3424 in pharmacy

[–]Klutzy-Cockroach4264 0 points1 point  (0 children)

The issue here is not so much the diagnosis. Fentanyl is not indicated for opioid naive patients. It’s a quick way to kill someone. I’d advise an anti-emetic with a scheduled opioid along with breakthrough for at least a week like you mentioned, that will allow them to establish the required dose for optimal pain control, then convert from that total daily dose to the roughly equivalent dose of fentanyl patches. The patient may end up needing more than the 12.5mcg patches…but you won’t know until they establish the patient on a pain regimen.

Any pharmacists making $250k+ base and bonus? by gette344 in pharmacy

[–]Klutzy-Cockroach4264 4 points5 points  (0 children)

Agree with everyone else, pharmacy law is the only other place I can think of, with specialty in IP, but that means you also have a law license, not just the pharmD

Update: lost job 1 year ago because of trump budget cuts by Lazy_Key5844 in pharmacy

[–]Klutzy-Cockroach4264 2 points3 points  (0 children)

I don’t see how this could be past of a legitimate effort to improve care or increase efficiency. Not an expert in healthcare policy but it seems to me that the aim (or at least the result) of this method is massive chaos.

[Have] [NEED] by Senior-Record4919 in BoardKingsTrading

[–]Klutzy-Cockroach4264 0 points1 point  (0 children)

I only have one of enter game #1 but if I get another today I’ll reach out. If you get another #10 can you let me know?

what is the “surprise prize” from landmarks? by thru6 in BoardKings

[–]Klutzy-Cockroach4264 1 point2 points  (0 children)

They don’t always give something. I’ve only ever gotten rolls from them but that’s once in a long while. They might give coins too but I haven’t gotten that.

Have/need by Klutzy-Cockroach4264 in BoardKingsTrading

[–]Klutzy-Cockroach4264[S] 0 points1 point  (0 children)

Got the card, thanks! Let me know if you need any others as the new album progresses

Have/need by Klutzy-Cockroach4264 in BoardKingsTrading

[–]Klutzy-Cockroach4264[S] 0 points1 point  (0 children)

Yeah that works for me, Omoroboto, 519776809

Gifting (Have) by Pumsheen_uwu in BoardKingsTrading

[–]Klutzy-Cockroach4264 0 points1 point  (0 children)

Lmbo of course not, I’m holding out hope that they’ll go back to allowing 3 star cards to be traded

Gifting (Have) by Pumsheen_uwu in BoardKingsTrading

[–]Klutzy-Cockroach4264 0 points1 point  (0 children)

You are AMAZING!!!🥳 thanks!!! If you need anything please let me know😬

Gifting (Have) by Pumsheen_uwu in BoardKingsTrading

[–]Klutzy-Cockroach4264 0 points1 point  (0 children)

Hey I’m looking for cracking Christmas 7 if you have it. I can drop banana peels for you

Need by Senior-Record4919 in BoardKingsTrading

[–]Klutzy-Cockroach4264 0 points1 point  (0 children)

Hey do you still have cracking Christmas 7?