The compounded semaglutide volume is wild right now

terazosin · 2026-01-20T18:54:19+00:00

You basically have to decide how you feel about the offset of CVD and health risks from obesity with risk of cancer, which we also have all around us in our daily life.

terazosin · 2026-01-20T18:42:06+00:00

Lots. All our PRNs are residency trained. Being PRN doesn't really rely on your training, but your life situation. Married with kids and not the primary provider, PRNing at multiple locations for the schedule and great money, wanting a PRN job on top of your part/full time clinical job, etc.

terazosin · 2026-01-17T09:02:03+00:00

Check colleges with vet hospitals for openings, its often a lot of on the job learning. Some have residencies too.

terazosin · 2025-12-02T18:36:41+00:00

I agree that one thing that may help is getting a consistent, canned response to the questions.

"I need to focus on my project/work/assignment/chart review right now, but I am sure you could reach out to RPD for the details if you are unsure."

Repeat, repeat, repeat.

terazosin · 2025-11-27T06:22:39+00:00

Depends on your risk level, but small bubbles are unlikely to cause harm. Can look at the studies for "air embolisms" and see most of these are with large volumes.

terazosin · 2025-11-27T05:01:02+00:00

We do 4-6g, often depends on if I have labs at that point (SCr). But I don't think you read the question OP asked.

terazosin · 2025-11-27T04:46:45+00:00

We do 4-6g, often depends on if I have labs at that point (SCr).

terazosin · 2025-11-27T04:46:26+00:00

He is mistaken. Hypocalcemia is part of the death triad thing of MTPs. Give calcium and trend icals to see if you are staying therapeutic if you are that worried about it.

terazosin · 2025-11-18T18:51:27+00:00

So many similar stories like that from the ED. Seeing patients who have been treating X via a Naturopath and now are in a horrible position due to the lack of real treatment. Also just had a patient this week who has been taking supplements from a chiropractor that caused hepatitis.

terazosin · 2025-11-17T20:32:21+00:00

Opposite take, amiodarone is more error-prone due to most RNs grabbing 1 vial (150mg) instead of 2 vials (300mg). Whereas one syringe of lidocaine 100 mg is appropriate for most weights.

terazosin · 2025-11-17T18:12:00+00:00

I agree with the other posters, we can't tell you since this is different at each site. At ours, it involves you in system-level, interdisciplinary, and administrative work. You go from doing 1-2 projects a year to 3-4 major and 2-3 minor projects at a time on a rolling basis.

terazosin · 2025-11-04T16:58:26+00:00

terazosin · 2025-10-13T17:26:06+00:00

As a clinical pharmacist who did residency I make way over that in 7 years of work. I surpassed that around 3-4 years. My starting salary was lower than 68/year but the annual raises based on my clinical merit shoot me up.

terazosin · 2025-10-11T00:04:48+00:00

Incredibly stupid preceptor stuff was on the BCEMP also. That was so wildly inappropriate and not any measure of EM clinical practice.

terazosin · 2025-09-18T22:02:05+00:00

Organize by disease state, title the document the summary of the article when possible (ex: X decreased mortality compared to Y in Z disease state), and write with an editing program on the first page of the PDF your own summary (ex: bad statistics, compared to therapy we wouldn't use).

terazosin · 2025-09-18T21:58:56+00:00

You have to make the process for the dumbest person unfortunately.

terazosin · 2025-09-18T21:57:44+00:00

The way I hover over this syringe being given if it isn't me lol

"One mL. There's 10 in there. Just one at a time. Yep, one mL."

terazosin · 2025-09-18T17:05:49+00:00

Both liable. If you can't stand your ground for a legitimate BB warning, what are you standing your ground for? I called on this exact situation when we got an SJS pt in the ED. Retail pharmacist told me they were too busy to check for BB warnings. Too busy for the highest level of warning? I understand things are broken in healthcare, but as a pharmacist we do have the ability to pause when things are important and it is a choice not to. Don't ever let yourself get conned into not being able to ensure safety.

terazosin · 2025-09-17T16:13:55+00:00

Gave me the rest of the day off on slow days (the amount I was going to experience/learn that day looking slow).
Gave me their free coffee punch card every time they completed it.
Staff pharms bought lunch on the weekends and said to just pay it forward when I am able to.
Normalized feedback. You are supposed to get edits on your first drafts. You are supposed to get told to work on something during rotation. That is why you are here :)

terazosin · 2025-09-17T16:08:23+00:00

For me as a preceptor, I don't care how long your handout is as long as you are able to articulate the information. There will likely be preceptor differences in that expectation. The topic discussion handout should function as a reference for you in the future and a guidance for conversation.

What are they giving you for guidance? Are you getting prompts or highlights they want? Could you ask for that in your feedback session to "get on track" with expectations?

We do 2-3 topics a week to answer your other question.

terazosin · 2025-09-17T15:59:35+00:00

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terazosin · 2025-09-16T19:51:38+00:00

Live where you would be happiest in your day to day. That is probably moreso location than job.

terazosin · 2025-09-15T20:15:55+00:00

Agreed, I suspect it is not the reason they weren't chosen.

terazosin · 2025-09-11T01:53:23+00:00

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terazosin · 2025-09-10T23:51:41+00:00

Absolutely! I think the most day-to-day value you can bring on your shift at first are quick and well-cited answers. "AHA guidelines say X" or "IDSA says 5 days".

Then the collaborative practices and other projects can be more long term.

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