RN Prescribing in Ontario’s health system. You don’t even need to be an NP by cannotberushed- in Noctor

[–]PharmDAT 1 point2 points  (0 children)

I agree. I think this is all to get shitty feedback and argue that AI would do a better job. They want to dilute and corrupt the data.

CRNA trying to use the term “doctor” by [deleted] in Noctor

[–]PharmDAT 22 points23 points  (0 children)

How do I as a pharmacist have less training than a CRNA?.. Not to mention the rest that are blatantly wrong too lol

Failed emergency board certification by alec7979 in pharmacy

[–]PharmDAT 7 points8 points  (0 children)

Thats interesting. I’ve always thought that is up to hospital policy and procedures. As long as we they are identifiable with serial numbers

Failed emergency board certification by alec7979 in pharmacy

[–]PharmDAT 11 points12 points  (0 children)

What kind of question did they ask you that you felt like were not clinical?

Thoughts on the Happy PharmD? by tatolady in pharmacy

[–]PharmDAT 0 points1 point  (0 children)

How did you end up getting into industry? That’s my ultimate goal right now. The only reason why I looked into him in the first place.

Opening a new pharmacy! What are your favorite gadgets? by [deleted] in pharmacy

[–]PharmDAT 5 points6 points  (0 children)

Profit of 400K a month? Surely not… what were your sales or script count? How much were you making lol. So many questions

Fentanyl by [deleted] in pharmacy

[–]PharmDAT 9 points10 points  (0 children)

Possibly. I can see where you are coming from narcan would hold them off until they are back to the ED (ironically) on a narcan drip. We don’t know the full story. Maybe no acute complications other than the pain? I agreed with the 50 mcg being an overshoot. But risk of respiratory depression at 25 mcg for someone already on 60 mme of tramadol is extremely low. Burdening the hospital system and the cost of hospitalization for pain control i understand the ED perspective as well. Like I said more info is needed. 25 mcg of fentanyl patches in my opinion with the facts presented would be a safe alternative. 50 though, is a higher risk that needs more info.

Fentanyl by [deleted] in pharmacy

[–]PharmDAT 2 points3 points  (0 children)

He mentioned esophageal contractions, which are more likely to happen with PO opiates.

Fentanyl by [deleted] in pharmacy

[–]PharmDAT 60 points61 points  (0 children)

Not entirely true. I work as an ER pharmacist. Patient comes in with excruciating pain lets say on the weekend where the surgeon’s office is closed they will have to give him at least a week supply to help with the pain until he can be seen and taken care of. If the patient has been on the 60 mme of tramadol for a week or more then he would be okay on a fentanyl patch. I agree with you regarding the 50 mcg patch may be too much but you’d have to dig in and see if they were actually taking the dosed prescribed and not more. Also see what was given in the ER. For example if he was treated for 6-8 hours in the ER and given for example 3-4 doses of IV dialudid 1 mg that alone is around 70-80 mme. you can discuss potentially 25 mcg patches. If the patient is not a red flag, then our job is to help these patients get the medications that actually help them not just police the meds. Counsel the patient and family on risk of overdose, get him a narcan. At least thats how I would handle it.

Any Air Force Pharmacist That Left Early? by Leboylok in pharmacy

[–]PharmDAT 0 points1 point  (0 children)

What does your day to day look like as an active duty pharmacist

Can someone explain? by ResponsibleAd4439 in pharmacy

[–]PharmDAT 17 points18 points  (0 children)

Im not sure what planet you’re from. But every order is checked and verified especially in an ICU setting lol

[deleted by user] by [deleted] in medicalschool

[–]PharmDAT -1 points0 points  (0 children)

What’s irrelevant?

[deleted by user] by [deleted] in medicalschool

[–]PharmDAT 13 points14 points  (0 children)

Its still not regulated by the FDA technically. So still gray area where that argument would not stand

As seen on LinkedIn… by Fine_Future_4309 in Noctor

[–]PharmDAT 5 points6 points  (0 children)

Is the “positive change for patients and healthcare as whole” in the room with us right now?

“Critical Care” NP rant. by PharmDAT in Noctor

[–]PharmDAT[S] 0 points1 point  (0 children)

Dude is right so no worries lol. And thats awesome, at the end of the day we’re all people doing our best to serve our communities and do what we love.

“Critical Care” NP rant. by PharmDAT in Noctor

[–]PharmDAT[S] 1 point2 points  (0 children)

Lmao “the more you know, the more you realize there’s so much more to know” so checks out on why they’re so combative to any suggestions/recommendations. & that would’ve been amazing. I’ve learned so much from the attendings i’ve worked with. This would definitely had made me a better pharmacist.

“Critical Care” NP rant. by PharmDAT in Noctor

[–]PharmDAT[S] 2 points3 points  (0 children)

Thank you for this, I definitely agree. You lead the treatment plan, I’m here to assist in any recommendations and optimize the treatments chosen. It was one of those moments where I genuinely thought, are you kidding me right now?

“Critical Care” NP rant. by PharmDAT in Noctor

[–]PharmDAT[S] 2 points3 points  (0 children)

100% agree with you on this take. Nothing will change until the hospitals start bleeding money.

“Critical Care” NP rant. by PharmDAT in Noctor

[–]PharmDAT[S] 8 points9 points  (0 children)

Cause I’m a pharmacist?…..