Whats more fun than a kick in the balls? More exciting than seeing plastic bags full of random pill bottles plunk on your counter? More uplifting than seeing that 65 year old who cant tie her own shoes walk in the front door with yet another barrage of same questions she asked yesterday? More hilarious than watching an Alzheimer’s patient go greeting card shopping?
Thats right! Pages upon pages of fun!
Let me explain why they frustrate the hell out of us:
If they are phoned in, they are usually called in by a nurse (i use that term VERY VERY loosely) who cannot speak english. They usually involve 20 some-odd drugs, and the nurse cant figure out how to fax them over, and demands to just verbally give them. After 20 mins of ‘eye tink dats hydoxyzyzine (?!?!?)’ sort of mayhem, they want you to READ back to them all of the medications they called in, upon which they somehow get really confused and make you start over not once, not twice, but three times. Did I mention that she cannot read the doctors handwriting, so shes GUESSING at most of these? Yanno, people really throw the term ‘Nurse’ around like it means something now days.. You a MA? You’re a NURSE! You’re a Nursing Assistant? NURSE FOR YOU! You clean the floors? NURSE! If I were a ‘real’ RN-type nurse, and associated with these types of ‘nurses’, i’d be pissed. Of course I’m in the camp that gets pissed when PharmD’s call themselves “Doctor”. Anyhoo, I digress, back on track.
When you are fortunate enough to get a REAL nurse who calls you and spends all of 30 seconds getting your fax number and saying “i’ll send it over” (thank you, we love you). One of the following will (not maybe, will) happen:
Now all of these are really that bad, so why do we hate discharge orders?
Because the patient picked up all of his medication from your store…. Last week…. And they’re all on this discharge sheet… All changed…. I can hear the collective sigh from pharmacists across the nation. Here is why we’re screwed in this case:
So yeah, for pharmacists, its a lose-lose situation. You’re getting screwed by the insurance company; you’re getting screwed by the patient who has the understanding of a turd when it comes to what medication does what and changes; and you’re just bending yourself over to just have this all happen again in 2 weeks when he has an appointment with his primary care doctor.
DrugNazi/Monkey – Lets go out drinking. Seriously. I dont care where you are, I will drive, fly, hitchhike, etc to you. We need to meet up, plunk down a few hundred on a nice bottle of expensive scotch, and see who’s store is more hellish. email me: firstname.lastname@example.org
Oh, and the rest of the internet is posting these wierd numbers on their webpage, so I will too dammit! I’m internet hip! Maybe i’ll win a prize or something.