Good tech, bad tech

We should be shot! Its nearly 7 months since this was updated. Or perhaps everything is smooth sailing and peachy at work.

Yea, right!

My recent rant is about the new colleague. Out of work force for about a year and come back not wanting to be taught/adapt into a new work culture. Less than a month in, we’ve been told we’re doing this and that wrong, we’re not managing our stock properly, rearranged our shelves, threw out stuff (don’t know if permission was obtained)…mind you, this new person is not even working full time. You can imagine how many feathers were ruffled!

You CANNOT compare us to your previous work place ALL the time. Privately owned pharmacies and group/corporately owned pharmacies are different. They are especially different in SOPs. Some privately owned pharmacies don’t even have SOPs – we have standardised SOPs that are reviewed annually and every staff has a login to access that database.

When in Rome, do as the Romans do.

Okay. This person is here to stay, so maybe that saying doesn’t exactly fit but it’s close enough.

We all try to be polite and tell you that this is how we do things in our dispensary. You nod but NEVER change. Do you realise how frustrating that is? We cannot afford to NOT multitask in our little pharmacy. So pick up the phone while you are doing something else (I have personally seen you blatantly ignoring the phone even when it is in front of you), stop counting tablets if there is no one else to serve that customer at the counter, keep your ears open for people coming into the store when you are arranging shelves, don’t be soooooo calculative about your hours (we try to work as a team and help each other out) and frankly I dread every other Friday evenings when I have to work with you.

So here’s the back-to-rant post. All about the new tech we got. The only good thing (on paper) is that she is qualified. I don’t see any perks in real life, though.

Swell!

Names

I know it’s not nice to laugh at other people’s name – especially if they are from different ethnicity – because the meaning of their names may not be the same as what we know of.

However, this Rx came after I asked MomTech, “Why do they say ‘make fun’ of people when it should be ‘make funny’? It’s not ‘fun’ but it’s ‘funny’…right?”

We found the timing impeccable. I see the name as “a loaf of funny” – if it even makes sense.
:P

Another one at the other branch I worked at (I didn’t quite believe WWTBAF at first but now I do!), Twink El Toes.
Honestly, why do you do that to your kids? Why??

Miss Community

Foot in mouth disease

We could hear this kid crying in this monotonous, irritating manner…and it’s been going on for a good 10 minutes. Maybe he’s in pain but it reminds me of the kid at home when he whinges and cries (honestly, they weren’t real tears or crying) – especially when it sounds like those fake crying by inexperienced child actors. UGH!

NewTech went to have a look and she said, “He’s not even a little kid. He looks about 10!”

Irritates me even more because the kid at home is 9 and he acts like he’s 2…sometimes. When things don’t go his way or when he wants attention from his mom. It ALWAYS happens at his bedtime and it really irks me because his bedtime is when I just got home from work and want to relax/unwind. Grrr…

Anyway, NurseT came from next door to ask us to forward a metoclopramide tablet her patient and I just blurted (this was after 15 minutes – and counting! – of that kid crying), “I wish I could punch that kid in the face.”

Yea, so much for compassion and kind heartedness of a health professional.
:P

“That kid is severely disabled.”

*speechless*

“Yeah, now you want to take that all back, right?”

“Oh. Yes, I take it back. I didn’t think of that because the kid at home does this and he’s not disabled.”

“Then again, we think she’s not handling him very well.”

I FELT SOOOO BAD!
But hey, I guess that’s human nature. Always jumping to conclusions and being quick to judge/act/speak. This would be another lesson on humility and patience.

Miss Community

Over thinking?

A rx for clotrimazole cream+applicators came in for a young girl (if I’m not mistaken about 10 or so?) and she seems clueless about her symptoms/condition. She came in with her father and he seems to do the talking for her.

Granted, she’s young and we do see a lot of single parents…but I just don’t feel too comfortable discussing how to use the cream with the father.
He went, “Oh yea, I know what to do with it – the doctor explained it.”

Hmmm…

I tried speaking to the girl but the father was just hovering around and butting in.

Am I over thinking this?

Miss Community

Makes you wonder…

Woman comes in with a prescription for her child and asks for it to be filled. Oh, and also, may she have her other child, Day’s inhaler repeats as well.

*types name into computer*

“There aren’t any repeats for Day – we didn’t even dispense any inhalers last week when you came in.”

“Nah! I got them, you gave it to me when I was here!”

“We had a list of items here but no repeats. They were mostly creams prescribed that day.”

“WELL! How come I got them the other day with the other things I’ve got???”

At this point, I got a little worried because there may be a possibility of us handing out someone else’s prescription (or rather, item) bundled with Day’s items. So I offered to check the prescription to see if we have left it out or somehow deleted that dispensing from our system.

I got the Rx out and showed the mother the two pages with NO inhalers whatsoever in sight.

“Then how come I got the inhalers in my bag??! And it says on the box there are repeats.”

I looked at the Rx before and after Day’s (just to see if we have indeed bundled another patient’s Rx with this one – mistakes like this have happened before. We’ve even accidentally picked up stock bottles – thankfully no benzos! – and bagging it with patients’ Rx)…behold! Inhalers for Night. Another child of this woman.

Ugh!

“Did you mean inhalers for Night??”

“Oh. Ya, that must be it.”

“But we just dispensed this last week, it’s too early for them.”

“Well, recently my kids are needing them more often and we’re going through them!”

“Right. So Day is using the inhalers as well? You know that you should be getting Rx for Day and you need to tell the doctor that Day is using Night’s inhalers?”

The thing is, both children are under 6. They don’t have to pay for prescriptions – WHYYYYYYYYY do this? And INSISTING that the inhalers were for Day when even on our history, no inhalers were ever prescribed. Self medicating?

Makes you wonder how can a mother gets muddled up with which child has asthma or not (they are not twins)…and argues with me that the child has that certain medication. In the end, no apology, no embarrassment – just continual demand for that ruddy repeat.

After 7 days.

A young child going through the 120 and 200 doses of fluticasone and salbutamol respectively – in 7 days?

Right.

Miss Community

Plain ‘ol rant

Let me spell out a little disclaimer first:
We are a team, we work as a team and this is not to say I’m not willing to be a team player – I just want to rant.

I was supposed to have last weekend off but *Kay rang on Tuesday to ask if it’s okay to swap some days and have me work the weekend. Fair enough because I know that it’s tough to manipulate the roster in such a way that everyone is (relatively) happy. This is also because “Who Wants To Be A Pharmacist” and her fiancĂ© have not had a weekend spent together where both of them were not working.

Off topic: I just found out why they couldn’t (or wouldn’t) swap WWTBAP’s weekend shift with *May’s – it is so that May could have the same weekends off as her fiancĂ© (and I hear they don’t want to rock THAT boat for fear that she may leave). Uhm…the rest of us are bound to you in chains? Not.

Anyway, it was rather last minute (the call was made on Tuesday and I was told to take Wednesday and Thursday off so that I can work the weekend shift in another store) but the way I was asked to do the shift, I thought it was a once off.

When I looked at the roster yesterday (after announcing that never again shall I volunteer or agree to working the 10 hours’ shift at that particular store), I hyperventilated a little because I saw that I had FOUR days off during the first week back from my holiday. Then I thought to myself, “Oh, I must be working the weekend in the other city’s store.”

Lo and behold! Not the other city’s store but the same store that I vowed not to go back to for the 10 hours’ shift!
Uhm…heh-lo?

I suppose it’s 4 weeks away and Kay would probably inform me when I get back but this is exactly what ticks me off. I don’t mind doing weekends, I don’t mind working in that store but what I DO mind is when I am not informed AT ALL! In the proposed 6 week’s rotation, that particular weekend was never in place. It was a once off (so I thought) because:

1. She said, “AC would do up the ‘dones so you don’t need to worry about it.”
Well! If it was a monthly thing, I don’t think it’s fair for him to do it every time I work the weekend because it’s the pharmacist’s duty. Whether or not you’re familiar with the procedure – YOU work that weekend, YOU are the pharmacist on DUTY, YOU get the job done.

2. She said, “Since you’re going on a holiday soon, it’s alright to let them have that weekend off.”
This also ticked me off. What has my holiday got to do with my weekend? I find that often she would’ve won the battle (of getting people to help with shifts) but the ending sentence or word would always make you go, “What on earth…?” and rubs you the wrong way.
Anyway, I digressed. With that sentence, I (again) thought that it was a once off because I’m not going away every month.

Why I have issues with working the 10 hours’ shift when I’ve done plenty in the current store I’m based at?
I have grown wimpy.
Yes.
You read right.

Regardless, it’s more of the attitude of the staff that turns me off.
Oh, also because I nearly keeled over and died because I did not get to eat anything until nearly 3pm. I was unable to chomp down my mini mince pie (despite it’s size) that I got for breakfast or the ham+cheese bun that I got for lunch because we were busy. Both in the dispensary and shop. Several times I wondered, “Where did everyone go?” This is in regards to shop staff.
I am okay to eat on-the-go but of recent times, I am just not physically able to chew quickly/properly – thus not being able to sneak any food in between patients/customers.

Not looking forward to going back to work now. Not happy to NOT be informed.
Don’t get me wrong – like I said, it’s not about working weekends or even at that store (this time I will go prepared with protein shakes or something) – it’s just…ugh.

*names were changed (of course!)

Miss Community

Free sitter

During the flu season (especially in the midst of handing out Tamiflu like candies), WHYYYYYYYYYY would you not control your kids when you come through to the pharmacy? They cough over our merchandise, knock our things down, play with the gifts and goodness knows where they wipe their hands after wiping the snot off their noses!

Grrrr!!!

If things ever break, they play the innocent card.
WELL!
If you kid breaks something, YOU are responsible – don’t give us the, “Uhh…they are just kids.”

That’s why we’ve been dispensing that many Tamiflu’s to children under 12 – touch touch touch touch! Have they not heard about keeping to good hygiene to prevent the spread of flu? It’s all over the media…since LAST year.

Miss Community

Writing in advance

I am writing this post in advance as I predict how my day tommorrow is going to turn out. I have just been told this morning that I have to cover a fellow pharmacist’s ward while he is away for a working day trip. Tommorrow I will have to juggle my 2 wards, my manager’s ward as she is away and ICU for Chris. On top of all these wards, I also have an Insulin Group Meeting and a 2-hour dispensary slot. I can only be thankful that the Pharmacists’ meeting will be cancelled (at least that’s what I hope). I think I desperately need a lesson on time management. 8 hours work/day – 2 hours in dispensary, 1-1.5 hours for meeting, 0.5 hour for tea break/toilet break/running all over the hospital as the wards are spread out over a few floors and different wings and I will be left with 4-4.5hours for 4 wards. Will it be mean/selfish of me if I just allocate the bare minimum 30 minutes to the wards that are not mine?
Either that or I turn my charms on another pharmacist and presuade him to take a ward off me.
Think the end result will be me being very grumpy and short-tempered. I pity the rest of my staffs tommorow. Should I apologise to them in advance?

Miss Hospital

It printed from the computer!

First photo post.

Well, you can now see that it’s Buscopan written on the script (that was by yours truly) but did the doctor think I could see his screen when he printed that Rx out? What kind of “excuse” was that when I rang up to confirm about what he wanted to prescribe – it wasn’t even the answer I was looking for. I didn’t think I had an accusatory tone when I rang to clarify his Rx.
:P

This is my first experience having a Rx with no drug name – the more common are the ones with drug names but no instructions/quantity. I did guess it was Buscopan because the patient said it was for stomach cramps when I asked her if she knew what the medication was for. If I couldn’t get the doctor on the phone, I thought I could just sell her some instead of sending her away with nothing. No big deal.

The little things that make your day interesting at the pharmacy…

Miss Community

Nurses here frustrates me more than the patients

Well, to be fair, only certain nurses in a certain ward. I like my nurses in the other ward. How am I suppsoed to do my job when I was told off for going into the patient’s room to ask him about his medications in the process of reconciling them. Nurse A, “You shouldn’t go in there to disturb the patients as he needs his rest. That’s why we have visiting hours from such and such time.” Or Nurse B, “Patient just got transferred in from ED. You shouldn’t go in to disturb him.” And they are always hassling me for taking the medication charts or notes away from the designated place. Nurse C , “The doctors will be here for their round soon. You shouldn’t take those notes and charts away.” I really feel like cursing at them. I can’t talk to the patients to reconcile their medications and I can’t look at the notes and charts to check through the perscriptions. Why do I even bother going in there.
Addit:
I wrote the above more than a week ago and then last Friday something happened in the ward that involves medication. A patient just admitted into the hospital had digoxin toxicity. The Nurse Manager came and talked to me about the issue and she asked if I had done a medication reconcilliation for the patient. I was shocked speechless. First, she approached me and second she asked me about medication reconcilliation which I thought she didn’t know it existed. I explained to her that the patient was admitted into another ward before being transferred to mine and the reconcilliation was done by another pharmacist. To cut the long story short, the whole issue involved health professionals from doctors to pharmacists to nurses over the span of 2 hospital admissions in 2 different hospitals. It’s scary how nobody thought to question the dose of digoxin prescribed for the elderly patient, although it’s the maximum dose and hence not wrong, her age would be an alarm bell. The manager and I both agree that more education sessions need to be organised.
To be fair, only a few nurses are that snotty towards me and some are quite nice. And it feels good that my presence and work as a pharmacist in that ward is recognized by the Nurse Manager even if it is only for that small moment.

Miss Hospital

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