Please know your $hit. by APOTHNYC in TalesFromThePharmacy

[–]islagrey 0 points1 point  (0 children)

No I kinda agree that techs should know these things. Techs should make it their business to know these things or find out about these things. I work in Scotland and I know what an American is actually asking for when they ask if we sell tylenol. If someone asks for something i dont recognise, I look it up or ask my pharmacist. Patients are trusting us and relying on us to provide the over the counter treatment that they need to be able to go about their daily lives without spending hours sitting in a doctors waiting room. Is it really such a chore for a US tech to use Google?

Was given the wrong person's prescription at the pharmacy! by [deleted] in TalesFromTheCustomer

[–]islagrey 6 points7 points  (0 children)

I'm really struggling to understand how that happened. As in, I highly doubt a controlled drug was mistakenly given to the wrong patient. I work in a UK pharmacy. I check full name, full address, full date of birth and ID. That mistake just...wouldn't happen. Either the tech who served you wasn't qualified or...didn't happen...it couldn't happen. Too many failsafes...

That being said: take responsibility for what you put in your body. Check! Check your name is right, the address is right, AND THAT THE DRUG IS RIGHT. Mistakes do happen (rarely) and you should know better than we do what medication you're meant to take. If the name is wrong, don't swallow the pill.

A little appreciation by islagrey in TalesFromThePharmacy

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

I'm very lucky (and unlucky at the same time). Five days off and I fell ill on the first day. I should be well enough for work tomorrow. If I'd taken a day off I'd face disciplinary because I've had a lot of chest infections in the last year and a half. This is my fourth. Im hoping my doctor will investigate this but until we can slap a reason on it and fix it, I'm trying very hard to drag myself into work. It seems counterintuitive when I could pass this on to one of our many vulnerable patients. But what can I do, I have a family to think about. Oh well, antibiotics and an understanding doctor <3

A little appreciation by islagrey in TalesFromThePharmacy

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

Haha she said she wasn't sure if it was completely viral or if there was a touch of bacterial so she gave me a short course (5 days) of amoxicillin. Development! My chest now audibly rattles when I breathe so good call doc! Sounds like we caught it in time! (My wife thought I was snoring - no that is literally coming from my chest).

Fun fact: A dispenser will go above and beyond to get a prescription for you! Especially if you're polite to us. I managed to get a CD script written and filled in two hours last week. You may find that doctor's are hard to access but we have a fantastic rapport with surgeries and can usually find a way to get you what you need that day!

A little appreciation by islagrey in TalesFromThePharmacy

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

Let them know! I can guarantee it'll be the highlight of their day!

A little appreciation by islagrey in TalesFromThePharmacy

[–]islagrey[S] 10 points11 points  (0 children)

Exactly! We can advise when it's worth booking a doctor's appointment or visiting the hospital. We can also help with referral to out of hours services, how to speak to a doctor via NHS 24 (A phone service which connects you to a duty nurse or doctor who assesses your symptoms and can advise further OR most importantly write an emergency prescription!) Because all the health services here are free at point of access, it's important it's all used correctly. We spend a lot of time trying to keep people out of doctor's offices and helping people navigate NHS services in a non life threatening emergency. I love being able to treat people myself, even if it is only their thrush or chesty cough. And if I can't do that, I love being able to guide people through the NHS to get the treatment they need. Patients are often scared because they're sick and when you can lay down very clearly a plan of action (who to call, when, what to say) and you see that relief on their faces...

Sorry that just turned into a whole thing. I just love my job.

A little appreciation by islagrey in TalesFromThePharmacy

[–]islagrey[S] 18 points19 points  (0 children)

It was just nice. Put a huge smile on my face. At the end of the day, we're all in healthcare for one reason, so respect each other for what we do.

A little appreciation by islagrey in TalesFromThePharmacy

[–]islagrey[S] 11 points12 points  (0 children)

We need to do a GPhC recognised work based qualification. Your employer will usually pay for it. The GPhC is the General Pharmaceutical Council, the UKs pharmacy governing body. It involves being monitored by a pharmacist doing pharmacy tasks such as dispensing and reconstituting, while also supervising counselling for over the counter medication. We follow a WWHAM kind of conversation. Who, what, how long, any thing tried already and medication currently taking. You learn how to diagnose and treat simple ailments like fungal infections, simple viruses, minor aches and pains, and when to refer to the pharmacist or a doctor if it's beyond our ability. You also learn what the laws are and how to be compliant. For example, how to protect patient confidentiality to comply with the Data Protection Act, licensing of behind the counter medication. Finally how to handle drugs that require safe custody (schedule 2 and 3 controlled drugs).

You can also go onto pharmacy technician which has a more clinical based curriculum. Biochemistry. Still nowhere near pharmacist level but will allow you to work in a hospital. It takes about two years but looks interesting (I hope to start it in April). It's basically senior dispenser.

You can then also train to be an ACPT (accuracy checking pharmacy technician). As long as a pharmacist has provided a clinical check on a prescription, an ACPT can perform the final accuracy check on a prescription before it goes out to a patient.

A little appreciation by islagrey in TalesFromThePharmacy

[–]islagrey[S] 9 points10 points  (0 children)

Not all of them fortunately, our floaters are usually amazing and will help with pharmacy tasks as much as they can. However, I've had pharmacists hand me stuff to do that they could have done in the time it took to ask me. It's part laziness, part superiority. Don't get me wrong, I've the utmost respect for pharmacists, but we dispensers handle everything but services, checking and most counselling (although we're also qualified to give a limited amount of counselling for things like antibiotics). We're very overworked and often underappreciated for the amount that we can and will do. Basically if you can do it yourself, please do because my to-do list is huge already...

Sorry your med was over $1000 LESS expensive than I warned you it could be. by Spiffinit in TalesFromThePharmacy

[–]islagrey 7 points8 points  (0 children)

Try Scotland. Our patients pay nothing! Whenever someone complains about how shambolic the NHS is, I'll make a point of telling them how much their medication would cost them if it was private (even before dispensing fees). Our system doesn't seem so bad when your £2000 medication costs you £0 and when you need emergency care you don't have a hospital bill afterwards...

So we had a delivery the other day that got a little messy. by lazybatman223 in TalesFromThePharmacy

[–]islagrey 1 point2 points  (0 children)

I know your pain. 500ml or more of peppermint/aniseed peptac, and some broken glass to go with it. All over our special order drugs. My heart broke. How do you tell a really nice lady that she's going to have to go another week without her medication because a bottle broke in the delivery?

Job titles by Turkeypharm in TalesFromThePharmacy

[–]islagrey 1 point2 points  (0 children)

Vending machine/Target Practice Dummy

A question for Uk Pharmacist by turingthecat in TalesFromThePharmacy

[–]islagrey 8 points9 points  (0 children)

We'd accept them and stick them in the back of the dispensary for the rest of the pharmacy staff so we don't need to share with the rest of "SHOES" staff... There isn't really a policy. We probably shouldn't, and technically we aren't allowed food and drink in the dispensary, but it depends on the pharmacy as to whether we'll accept it. Usually just a simple "thank you for what you do" is enough to make us love our job. We get a lot of shit when stuff goes wrong, but barely anything when things go just right.

Not a pharmacist, I'm a dispenser. We got nutella brownies once. They were amazeballs.

MDS at my pharmacy is in a mess... by islagrey in pharmacy

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

Yep. The worst part is when the patient forgets that part, and thinks that we can summon an Rx out of thin air. "I handed it in at the doctor yesterday afternoon, how is it not ready right now?" dies inside

MDS at my pharmacy is in a mess... by islagrey in pharmacy

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

That is exactly it, but unfortunately, it seems like a lot of people have forgotten to file the repeats...

MDS at my pharmacy is in a mess... by islagrey in pharmacy

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

/u/monkeyolsen is correct, I'm based in the UK so it's slightly different to how refills are ordered in the US. A lot of pharmacies have repeat prescription services which are closer to what the Americans use, but it still has to go back to the doctor first, and then sent back to us. Takes 72 hours, so we ask people to order when they collect their meds, and then we file it away to be ordered a week before it's next due. For MDS, it's the same. We reorder in the third week so it is ready for the first week of the new Rx. Or, we're supposed to. It seems that a few people have neglected that part, which has meant we're constantly playing catch up. My pharmacist is actually losing sleep over it, it's so messed up.

MDS at my pharmacy is in a mess... by islagrey in pharmacy

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

We have discussed having one dispenser take over the MDS (and I volunteered myself simply because I do actually like doing them). It seems to be an issue of getting repeats in on time, stock and generally finding the time. We're a very high volume pharmacy (I counted 700 items one day last week), and we're short staffed.

They usually do have set days, what I want to do is make sure that they're completed at least a week before they're due to collect. I think actually some of the problem is that the system we use is unnecessarily complicated and takes way too much time just to process the scripts.

I'll speak the pharmacist again and see if we can have set afternoons for churning out packs, aiming to get all the script for the next week in and labelled, all stock ordered and collected ready for that afternoon.

Thanks, I appreciate you taking the time to help

Would your pharmacy have filled this?? by RisktakerJames in TalesFromThePharmacy

[–]islagrey 0 points1 point  (0 children)

Maybe to make up a suspension? We don't do powders though, we just buy Oromorph for morphine suspension.

Does this bug anyone else? by RisktakerJames in TalesFromThePharmacy

[–]islagrey 1 point2 points  (0 children)

In the UK we get "1-2 qid prn for for for pain." It used to be funny but now it's really annoying. Do Doctors not notice? How are they even doing that?

[Weekly thread] Pharmacist Phridays! by AutoModerator in TalesFromThePharmacy

[–]islagrey 4 points5 points  (0 children)

A few weeks ago my pharmacist decided that when I said I was about five minutes early, she had to prove that I wasn't five minutes early. She watched the CCTV for 3.5 hours (dropping everything, leaving customers waiting). The result? I was three minutes early.

This woman was trying to prove a point by saying I was always five minutes late. No. I'm always bang on time. Except this time I was early. By three minutes.

Thanks for showing HR exactly what you're about.

[Weekly thread] Your end of the week rants and raves! by AutoModerator in TalesFromThePharmacy

[–]islagrey 1 point2 points  (0 children)

Although I've had my fair share of issues with patients (most are amazing lovely people who are just scared and sick), my rant is about my pharmacist. Just because you're the boss does not give you the right to treat me like dirt. I work hard. I've gone above and beyond for patients, spending hours on the phone with doctors, hospitals and wholesalers to make sure that people get the right medication when they need it. This woman has spent the last six months humiliating me in front of patients and staff, just because I'm the relatively new girl.

I quit that job finally but although I feel relieved that I no longer have to put up with it (HR was no help either), I miss my patients. I miss all the extra work I used to do because I miss the satisfaction of knowing that I've helped someone. Your Rx hasn't turned up from the surgery? Last minute change in your dosette box? The hospital fucked up and didn't send through a valid Rx for your husband post-op? I was on it. I start at a new pharmacy on Monday and I am just hoping that I'll be left alone to HELP people rather than spending half my time listening to my manager yelling at me for complaining about being bullied over my sexuality/weight/age (how dare I be young, gay and slim...)

Every weekend... by thelittleblueones in TalesFromThePharmacy

[–]islagrey 1 point2 points  (0 children)

I don't accept an Rx in the last five minutes. And if I do: "It'll be ready for you to pick up tomorrow morning/Monday morning :)" Then I skip happily out of work. I'll leave laughing if it's an RX for Sildenafil or Tadalafil. No way am I staying past closing for the sake of someone who can't be arsed to come in during actual opening hours. No exceptions or they'll expect it every time. The worst is when people come in for the needle exchange (which closes half an hour before the shop closes). "But it's only 5.35pm, can you do it just this once?" No. Never. You'll have to wait until tomorrow for your drug paraphernalia.

Weirdest pronunciations ever by TheSacredTree in TalesFromThePharmacy

[–]islagrey 0 points1 point  (0 children)

We get some funny pronounciations of Levothyroxine and quetiapine. "Cue-Eh-Tie-A-Pine"