Now feel free to correct me if i’m wrong, but is every county hospital the most mismanaged, poorly ran, sinkhole of my tax-paying dollars on the planet?
Refill requests take over a week to get responses on. All clinics have different fax numbers, and instead of giving us a note saying “not our patient” or “we’re forwarding this to the proper department” they just throw our faxes away. By the 10th fax (and 2 weeks later) they finally write in big nasty letters “NOT OUR PATIENT”. Thanks fuckheads.
Good luck getting a diagnosis for anything that requires a prior auth. Some douchebag intern wrote an Rx for Zyvox. We asked for a diagnosis and a C&S (culture and sensitivity) report. Yanno, because the state-plan this person was on didnt feel like shelling out a few grand for 20 tablets. The damn hospital not only didnt fax us the C&S report, but the diagnosis was “HTN, Depression, Lupis, etc”. Not ONE fucking thing that had to do with Zyvox. What makes this worse, is that we had to fax it over 7 FUCKING times and took over 19 days to get a response!@#!
Doctors are idiots over there. Now I understand that interns and residents are still learning, and I need to cut them some slack. But when I correct the SAME FUCKING MISTAKE you have made 5 times, you should fucking LEARN NOT TO MAKE IT!!! Also, just because a drug is NEW does not mean its BETTER or COVERED. Give me your credit card number and i’ll fill the newest drug that some drug rep scum sucked you off on so you’ll write for it.
The staff are idiots. I swear, the county hires the lowest of the low. Called the ‘public trough’ by some, they hire barely compentant staff, and provide too much red tape to actually fire them. Huge payroll with people barely doing enough to justify their existance. Just to give you an example. We fill some county clinic Rx’s with a separate stock. Mostly condoms, foam, and birth control shit. We use their stock, but we bill them a dispensing fee. The accounting department doesnt want any sort of patient information (Medical record numbers, names, etc) due to HIPAA on the bill. So in theory I could bill them for 1.8 trillion dollars, and they would happily pay it because they have NO verification of the patients serviced. The other side of the billing department wants the patient list so they can see the usage and by whom, but dont want any billing information given because its ‘not their department’. Left hand, I would like to introduce you to right hand. Another example of employee douchery involve a bunch of the staff who got the novel idea to take our faxed refill requests, highlight the name of the patient, the Rx number, and the drug with a dark colored highlighter (because the highlighters are paid for with MY FUCKING TAX MONEY) and then fax it back. They were completely unaware that the fucking highlighter make the text appear BLACKED OUT like some secret government document. 5 faxes saying “DONT HIGHLIGHT PATIENT INFORMATION” and the finally got it. 5 faxes.. FUCKING 5!!@#!
English + medication names + me = this blog. Ive bitched about this enough, so I dont need to rehash it. But I will say that if you cant speak english, you have no business calling in prescriptions. The Rx’s from that place are already so fucked up initially, that garbling drug names with your accent really doesn’t help the situation. I’m glad you immigrated to this country, i’m glad you’re working rather than leeching off the sys..er..scratch that. But the harsh reality is that if you fuck up, your license that you spent 7 years of college is not on the line. Your 4 month program at a community college might be, but not your pharmacy license. Trust me, get someone who can speak fucking english. You wouldnt want your parents getting Rx’s called in by you, I dont either.
Why dont I just throw 1/3 of my paycheck into the air and let the retarded rejects of the medical profession (if you want to associate them with that) pick up the free money?
Now i’m just going to be talking about the county hospital in my county. This may or may not apply to yours. Where should I start bitching:
Anyone who is in favor of socialized medicine needs to deal with a county ran hospital. They can fuck up a free lunch. If the county ever hired someone with any management brains over there, there would be a whole shitpot full of walking papers given.
As I said before, there are a ton of county workers who really do work hard, and do a really good job to keep that place together. Whats even funnier is that the inpatient/outpatient pharmacy there is the island of sanity and dignity that place has. My hats off to them, they must drink and take more medication than I do.