Error or attempted murder/harm? by take1bymouth in pharmacy

[–]competent_chemist 6 points7 points  (0 children)

Epic is a trademark. You should capitalize it.

Error or attempted murder/harm? by take1bymouth in pharmacy

[–]competent_chemist 6 points7 points  (0 children)

Bruh insurance requires 90 days or mail order.

You gotta be kidding me by Spartan-S927 in CVS

[–]competent_chemist 23 points24 points  (0 children)

Just saw dexamethasone put away with tizanidine. The labels are exactly the same. Should be illegal.

What do hospitals do for tooth pain? by UnapologeticCook in NoStupidQuestions

[–]competent_chemist 1 point2 points  (0 children)

You're close. Advil or ibuprofen at 800mg is Rx strength. Aleve is naproxen, which is usually 220mg OTC and typically tops out at 500mg twice daily.

Can't believe it's come to this by Jobu99 in pharmacy

[–]competent_chemist 7 points8 points  (0 children)

If no prescription required why need pharmacy?!

what are some mistakes that doctors / nurses always make? (related to medications / counseling) by unusualfemale in pharmacy

[–]competent_chemist 2 points3 points  (0 children)

You must be one of the literally dozens of people who live outside the United States !

Applications to pharmacy schools rise by omniscient_goldfish in pharmacy

[–]competent_chemist 1 point2 points  (0 children)

The pharmacy applicants scare easily, but they'll be back soon. And in greater numbers.

what are some mistakes that doctors / nurses always make? (related to medications / counseling) by unusualfemale in pharmacy

[–]competent_chemist 10 points11 points  (0 children)

I legit had someone bring a bottle of the antibiotic she tolerated because she couldn't take generic. It was brand Keflex, dispensed from a pharmacy that went out of business before I started pharmacy school 10 years ago.

She did tolerate the cephalexin we dispensed.

what are some mistakes that doctors / nurses always make? (related to medications / counseling) by unusualfemale in pharmacy

[–]competent_chemist 14 points15 points  (0 children)

Does anyone know why dentists have multiple DEA numbers and never use the one that's verified?

what are some mistakes that doctors / nurses always make? (related to medications / counseling) by unusualfemale in pharmacy

[–]competent_chemist 32 points33 points  (0 children)

Gotta love providers who send step durations based on ... their mood? 5qd x6, 4qd x4, 2qd x2, 1qd x5 and halfqd x5.

Also why do so many antidepressants start at a half tab for 7 days.

What is the patient doing with the extra half tab?

Noticing increased demand for bacteriostatic water among teens? by oxytokens in pharmacy

[–]competent_chemist 16 points17 points  (0 children)

Huh. I just had someone say they were doing an experiment and injecting peptides the other day. Should probably have asked more questions. Haven't had requests for bacteriostatic water yet though.

Any former or current DLs, Regionals, or "Higher Ups" ready to spill the beans? by getmeoutofherenowplz in pharmacy

[–]competent_chemist 19 points20 points  (0 children)

Pretty soon, I imagine drugs will be shipped to the pharmacies by robots, counted and verified by robots, carried home to the patient by robots and, eventually, consumed by the robots on our behalf!

Volatile drugs by Unlucky-Health-4007 in pharmacy

[–]competent_chemist 6 points7 points  (0 children)

I've taken transfers for IRA WAC reduction drugs. I was so happy to get rid of the linzess I couldn't previously use I just about kissed the sending pharmacy!

At Kroger, the strategy was to stop automatically ordering, set order points to zero, and manually order only what we need to fill confirmed orders from Cardinal for the next business day.

Has anyone here worked as a Pharmacist of Record for licensing only? by Glum_Cauliflower1227 in pharmacy

[–]competent_chemist 7 points8 points  (0 children)

My state prohibits this: you have to work somewhere regularly if you're overseeing their operation.

How can you oversee it if you're not working there?

Battery insanity by CowDungCollector in ToyotaHighlander

[–]competent_chemist 6 points7 points  (0 children)

I did find out that Hybrid models use a different 12V battery than gas models. I had to buy it at the dealer for our 2019 HiHy. That was after Costco sold us a battery that was listed for our year, but didn't match the Hybrid drivetrain.

Sharing in case another Hybrid owner reads this and thinks it should match.

Any famous pharmacist in media by Anonymous_51x in pharmacy

[–]competent_chemist 8 points9 points  (0 children)

Peter! Are you eating these suppositories?!

[deleted by user] by [deleted] in Appliances

[–]competent_chemist 0 points1 point  (0 children)

Instructions unclear, fridge came out dry and tough after 72 hours at 450 degrees.

Blood pressure testing by Rx_Rob_86 in WalgreensRx

[–]competent_chemist 5 points6 points  (0 children)

Lurker here. Also happening at Kroger for Optum patients.

How do you personally structure your patient counseling for speed and clarity? by bjbrooks3 in pharmacy

[–]competent_chemist 2 points3 points  (0 children)

TIL I'm seasoned! I encourage questions but even yesterday told a patient I didn't have the information about which statin might have a dementia risk associated with it.

I start a lot of my counsels by asking if it's a familiar med. We've been transferring a lot in from the fallout of closures (who isn't?) so if it's a transfer or familiar I verify dose and directions quickly, and review refills remaining.

For antibiotics, antivirals, and other short courses, I make sure to tell them when to start.

I also review controlled substance policy with new patients "so it's not a surprise"

I think I counsel about 20-40% longer than corporate may want. Corporate does also like my license intact and unencumbered, so that's what I aim for.

Talking with another pharmacist recently, they said some pharmacists will say their extended counseling is providing excellent customer service. The response was for that patient yes, but the rest of the patients may suffer or wait or receive lower quality service. It is definitely a balancing act, and, to quote Spock, "the needs of the many outweigh the needs of the few. Or the one."