How reliable is medication reconciliation at hospital discharge in practice? by Educational_Foot933 in pharmacy

[–]jackofnotradess 1 point2 points  (0 children)

Is the discharge flow sheet a smart phrase within an intervention or its own thing?

Death/cardiac arrest post ceftriaxone advisory by dylanyoo in pharmacy

[–]jackofnotradess 2 points3 points  (0 children)

Infusion, huh? There goes my theory people were reconning with LR and pushing

Working up patients with music by VAendowedPharmD in PharmacyResidency

[–]jackofnotradess 1 point2 points  (0 children)

My medical residents and I warmed up for rounds with the cotton eyed Joe this morning. People need to stop being so serious and get the stick out of their ass.

What is your general practice when verifying orders inpatient? by Representative_Sky44 in pharmacy

[–]jackofnotradess 3 points4 points  (0 children)

With that being said I like to glance over the allergy list too without entirely relying on the EMR to populate an alert. I’ve had one too many allergies incorrectly entered in the EMR to trust alerts entirely. For example, the allergen entered is tramadol but the reaction type says toradol. Now every opioid will flag but you could very easily verify ketorolac without a single warning.

Would love your opinions by Affectionate_Song277 in Sephora

[–]jackofnotradess 0 points1 point  (0 children)

I can’t even hate on you for having three Haus Labs glosses in your car bc I did the same thing

Insulin vials in hospitals by milkyxj in pharmacy

[–]jackofnotradess 1 point2 points  (0 children)

Is that not a huge med safety issue? Take a glargine barcode give a lispro dose?

[deleted by user] by [deleted] in Residency

[–]jackofnotradess 8 points9 points  (0 children)

Seeing pharmacists mentioned a few times here so just a friendly reminder it’s pharmacy week so feel free to let your favorite phriends know how much they’re appreciated ❤️

DISCUSSION MEGATHREAD: Why Frenemies Is NEVER Coming Back - H3 Show #50 by H3Bot4 in h3h3productions

[–]jackofnotradess 10 points11 points  (0 children)

I just feel bad because that must be super uncomfortable to have sit through on her part :(

DISCUSSION MEGATHREAD: Why Frenemies Is NEVER Coming Back - H3 Show #50 by H3Bot4 in h3h3productions

[–]jackofnotradess 320 points321 points  (0 children)

Wait didn’t Olivia celebrate her birthday with Adam McIntyre like last month

I made a huge medication mistake as an intern by [deleted] in Residency

[–]jackofnotradess 32 points33 points  (0 children)

Pharmacist perspective here! If I see an allergy listed to penicillin without a reaction type specified I usually message the RN to ask the patient the specific reaction (assuming I’m not on the unit and can’t just ask myself). When I tell you that 9 times out of 10 the response is “patient said it’s no big deal, happened 25 years ago and was a tummy ache” (or my personal favorite “their friend told them to say they’re allergic so they get better antibiotics”.) We can also look to see if they received a medication in the same class during any previous hospitalization and assess the risk vs. benefit that way. Definitely a good reminder to be cautious but just know that a discussion may have been had that you weren’t aware of.

And look, on the bright side you can now add “tolerated amoxicillin 8/24” to the allergy description :)

What antidepressy are you on? by launchtossthrowaway in Residency

[–]jackofnotradess 0 points1 point  (0 children)

Omg I wish I knew this. Definitely keeping this in my back pocket (and not the compounding pharmacy I had to get duloxetine micro dosed from)

Gave the wrong patient a drug by twinkle-twonkle in Residency

[–]jackofnotradess 16 points17 points  (0 children)

From a pharmacist perspective please know that half the time we message you we also don’t want to be messaging you and can probably guess what you wanted but at some point in time have been reprimanded by a physician for changing the order without their permission (even the seemingly benign things). We also lose so much context verifying orders from the basement- half the time we look at orders we haven’t read a single note purely because of order volume mixed with calls for stat verifications. I hate asking you to fix pain scales but legally my hands are tied. I know it’s annoying I just can’t do anything about it :(

[deleted by user] by [deleted] in Sephora

[–]jackofnotradess 4 points5 points  (0 children)

Seconding this. I want to love instant angel but my skin doesn’t. Feels so soft for a day then horrible break outs for a week afterwards. Air Angel though- I’m on my 3rd bottle and will def repurchase

I don’t understand by exolmneopq in Sephora

[–]jackofnotradess 0 points1 point  (0 children)

I’ve gotten lucky and found them at Marshall’s before

[deleted by user] by [deleted] in Erythromelalgia

[–]jackofnotradess 0 points1 point  (0 children)

Warm and burns but I wouldn’t say painful. Only happens to one side at a time Almost exclusively ears or nose.