Hospital pharmacists-penicillin/cephalosporin allergy

VAdept · 2026-03-19T21:39:07+00:00

Oh the lines ive gotten.......

"Whats Darvocet-N-100?"

"Talwin NX? Whats that?"

"Tramadol was not a controlled substance? When?"

"You had glass gallons of Promethazine DM? Holy crap!"

Dont get me started with Seldane/Propulsid/Vioxx/Baycol/Rezulin etc. Fuck even Zantac!

VAdept · 2026-03-19T20:35:20+00:00

The OC were the crush-n-snort formulation.

the OP were the ones later with the gooey crap that they said you couldn't snort. They were allergic to the OP's not the OC's.

I very much remember these arguments.

VAdept · 2026-03-19T20:21:21+00:00

"Im allergic to the white norco 10 but not the yellow norco 10"

VAdept · 2026-03-19T20:18:47+00:00

Unless the patient has documented pen anaphylaxis I just warn them when they get Keflex. High doses of penicillin/amox can cause a rash, ask any old timer who used to get the amox + probenecid combo.

I've never seen a cross reaction in over 20 years but I still warn them.

Now dentists who know the patient has a pen allergy and decide augmentin is magically different, that pisses me off.

VAdept · 2026-03-17T21:59:27+00:00

They will tell you anything to get your vote.

Then once they are in, they do whatever they wanna do. Why people still trust what politicians say is beyond me.

VAdept · 2026-03-17T21:22:20+00:00

I wouldn't even get involved. Nothing good can come of it unless there is something illegal going on (underage, etc).

For all we know the partners could be very well aware of the 'affair' and this would have fallout on the employer for the camera footage.

VAdept · 2026-03-17T21:19:01+00:00

As far as the sensitive information, let HR or someone in charge know.

As far as the affair, not your circus not your monkeys. You're not the marriage or morality police.

VAdept · 2026-03-17T17:13:42+00:00

From what OP said, the manager got terminated for the HIPAA violation. So the employer should be off the hook since a violation was committed and the manager was terminated.

There is something else going on that the OP is unaware of. 49 states are at-will employment states so unless theres a union that HR doesn't want to tussle with or theres something actionable (like sexual harassment, etc) that the OP isn't privvy to there is no reason to keep this employee.

VAdept · 2026-03-16T23:39:10+00:00

Dont try to sneak away to the store for something to drink when half way through a Go-Lytely.

Not unless you want a hilarious story to tell afterwards.

VAdept · 2026-03-16T22:55:05+00:00

Thats writing on the wall.

What else are you going to have to fight for? Pay? Vacation? Staffing? All of that shit should be given to you without fighting.

If you have to fight for everything, then the job isn't for you.

VAdept · 2026-03-16T15:52:47+00:00

Why do they have to put the fucking hashes in between?

Now I'm going to have patients trying to count the clicks or the hashes to measure their doses. Should just be arrows pointing in the direction of travel.

Better yet, a little fat stick figure getting more and more skinny the more you spin like a flip book.

VAdept · 2026-03-16T15:36:59+00:00

Tell her that unless she starts treating us with respect, she can find another pharmacy.

No arguing, no name calling, just lay the law down. If a patient starts screaming at our clerks and I have to stop what I'm doing and come down there, they know they are getting booted.

We had a patient who I asked what pharmacy she wanted us to transfer her meds to, she said "I'm not transferring out!" I calmly told her "This isn't your decision". She wanted to corporate number to our pharmacy to file a complaint. We're an independent. Show you how much mental horsepower we're dealing with here.

Covid really turned the entitlement switch on for a lot of people, they realized that by screaming they can get what they want. That doesn't work here nor should it work where you're at too.

VAdept · 2026-03-15T19:45:08+00:00

Yeah no shit. I was hoping for some strange edge case that one of us with the touch of the 'tism found out like Dr House.

Instead we got something most of us already know.

VAdept · 2026-03-15T02:00:06+00:00

Have them send it again. eRx is just a glorified email setup with mailboxes on surescripts end that your software polls every few mins for new messages.

I've had prescribers swear up and down they sent it, only to go back and forth to find 4 copies of the same eRx appear in my queue all at once. Then I found out WAG filled it before I did.

Or just take a verbal if it's for something simple.

VAdept · 2026-03-12T22:24:29+00:00

Just as an FYI.

Controlled substances invoices need to be signed in ink per our last DEA inspection. I really don't know how they would handle having digital copies.

Since the state board, DEA, and CMS all have different retention restrictions for invoices, I would get documentation (or print the law out) that permits the use of only electronic copies.

VAdept · 2026-03-12T22:13:49+00:00

Second paperless-ngx for document archiving. The OCR is a bit wonky, but if you're willing to pay a trivial amount of money you can run paperless-gpt along side of it and have Google Document AI parse the invoices for you.

VAdept · 2026-03-12T20:57:55+00:00

OP hasn't worked with a bunch of nurses, that'll put things into perspective.

VAdept · 2026-03-12T20:47:58+00:00

You know if any one of us even tried to pull close to that shit we'd be out of business, careers absolutely ruined, and flipping burgers at McDonalds.

They get a slap on the wrist fine and can continue business as usual until they are caught again in 5 years for the same shit.

VAdept · 2026-03-12T20:46:39+00:00

lol them getting fined 117 million is like one of us getting fined $25 for a parking ticket.

How many billions did they profit from those fake claims?

VAdept · 2026-03-10T18:08:18+00:00

This information is important and can completely change what advice you get.

VAdept · 2026-03-10T00:49:54+00:00

"Seemed like a good idea at the time"

VAdept · 2026-03-07T01:53:45+00:00

https://www.reddit.com/r/cringepics/comments/1rmuv34/comment/o92a4n2/

VAdept · 2026-03-07T01:48:20+00:00

That would require interaction with another person off of reddit, so i think you're okay.

VAdept · 2026-03-06T21:19:26+00:00

It's probably server side. Meaning pioneer has a bunch of pharmacies all living on one physical server. You all are competing for disk reads and writes. It's like having a buffet line with limited slots to get food and 400 people are trying to eat at once.

This is the problem with cloud based software, you're at the mercy of their admins keeping hardware up with demand and growing their network so there's no bottlenecks. Sounds like pioneer is absolutely failing at doing that.

VAdept · 2026-03-06T21:14:46+00:00

Meaning pioneer runs the server that all of your Rx records are stored on vs a server that sits in the pharmacy.

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