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- Jun 27, 2005
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Have you worked with any pharmacists that were caught stealing drugs?
yeah if you work in a backwards hospital. Most hospitals I have been to and the one I work in puts those unit doses in a pyxis machine in the pharmacy and on the floors. In order to dispense it, it goes from the pyxis safe in the pharmacy, put into the floor pyxis machine for dispensing. All along the way, you have fingerprints and passwords to get in and alter the counts. Counts are done after removing drug from the safe, in the machine before putting it in, and when the nurse removes it. I don't think its easy at all. If the countsHospitals using the single-dose methods of dispensing medications probably have that problem. The single-dose packages are generally small enough to slip into your pocket. I don't know if anyone has ever done it at the hospital I worked at, but I've always wondered. Controlled medications are under lock and key and must be signed out so unless a person has access to someone else's access ID and password, the pharmacy department would know who took out what med at what time.
The hospital uses McKesson's Robot-RX and Accudose systems so it's not backwards or devoid of technology. I'm saying that with the amount of medications going out and coming back in, the single-dose medications can easily be slipped into someone's pockets. Are you telling me that you've seen a hospital where no technician has touched a medication, no medication has ever come back into the pharmacy, or there has never been an instance when the count for a medication in the Pyxis is wrong?yeah if you work in a backwards hospital. Most hospitals I have been to and the one I work in puts those unit doses in a pyxis machine in the pharmacy and on the floors. In order to dispense it, it goes from the pyxis safe in the pharmacy, put into the floor pyxis machine for dispensing. All along the way, you have fingerprints and passwords to get in and alter the counts. Counts are done after removing drug from the safe, in the machine before putting it in, and when the nurse removes it. I don't think its easy at all. If the counts
The hospital uses McKesson's Robot-RX and Accudose systems so it's not backwards or devoid of technology. I'm saying that with the amount of medications going out and coming back in, the single-dose medications can easily be slipped into someone's pockets. Are you telling me that you've seen a hospital where no technician has touched a medication, no medication has ever come back into the pharmacy, or there has never been an instance when the count for a medication in the Pyxis is wrong?
Yeah... I'm not talking about controls. I'm just talking about the non-controlled fast movers that are sent up to the floors via pneumatic tubes.There are so many safeguards in check to prevent that its not even funny. The real abuse potential lies with nurses. Medications are hand delievered to machines but They are signed and checked by pharmacists before they leave the pharmacy. The dispensing system is alerted when a medication is expected and how much to expect. Anytime there is a discrepancy, a report is run and we have people that work in the pharmacy whose sole job is to look at those reports and track down why and where the error in counts had taken place. They are tracked and reported. Even a single dosage unit that would go missing would be noted.
There are ways to scam the system but stealing controls in our hospital would not be easy by any means
so if you wanted to steal one pill, theoretically you could. when we do inventory, we do take into account that some pills get crushed or spilled, so not every single pill is accounted for. so even though all the cases i have seen haven't resulted in any criminal record, why risk your future? and anyway, there are a lot of doctors who are basically rx generators...bad for the profession, but good if you want to keep things legal.
How easy it is to steal money in a bank? How easy is it to skim the cash register 7-11? How easy is it to steal a car? How easy is it to rob a bank?
All are actually really easy to do. The better question is; How easy is it to get away with one of these things? Not really easy at all. You might get lucky once but you won'y be lucky every time.
doesnt seem that easyIt's incredibly easy, and I've worked with techs who sold meds on the side (they were all caught and fired).
your attempt at logic has failed
Ehh, CIIs are usually only stealable by pharmacists or whoever has access to the safe, since at our store only the pharmacists can open up the safe.
One time, we were filling a prescription for like #240 Morphine Sulfate IR. The pharmacist asked me to double count it. I did it, and I didn't put a cap on it before attempting to hand it back so while I was moving towards the pharmacist I tripped and there go 240 Morphine Sulfate IR flying onto the floor.
How easy it is to steal money in a bank? How easy is it to skim the cash register 7-11? How easy is it to steal a car? How easy is it to rob a bank?
All are actually really easy to do. The better question is; How easy is it to get away with one of these things? Not really easy at all. You might get lucky once but you won'y be lucky every time.