dumb customers

[killingbill]

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a customer came in with a script for adderall. there was no quanity on the script so the pharmacist told the customer that the script was invalid because there was no quantity. the customer got in a hissy fit, and bitched to the pdm. the pdm came down and was considering firing the pharmacist because the customer complained. why do we let ******* customers who are strung out on who knows what control our profession and our jobs?????

 

[pinkpillowzz]

Nonsense

 

[sanrevelle]

that sounds pretty harsh.

 

[Sparda29]

I'm glad that our PDM doesn't give 2 ****s what dumb customers have to say, he'll just give them a gift card and sends them on their way.

 

[Quiksilver]

this is why hospital is awesome

 

[MountainPharmD]

this is why hospital is awesome

...and why retail has gone completely to hell.

 

[Fuzzychickens]

a customer came in with a script for adderall. there was no quanity on the script so the pharmacist told the customer that the script was invalid because there was no quantity. the customer got in a hissy fit, and bitched to the pdm. the pdm came down and was considering firing the pharmacist because the customer complained. why do we let ******* customers who are strung out on who knows what control our profession and our jobs?????

The pdm should be fired.

 

[Requiem]

if that actually happened, i'd quit.

Seriously, you may as well bend over??? What a joke

 

[Aznfarmerboi]

Where has that PDM been? To be fair though, if the store does less than 300 scripts, I would have called the doctor for an oral order unless it is a narc. Other than that, I would have given the PDM my 2 weeks.

 

[Quiksilver]

...and why retail has gone completely to hell.

right. somewhere in middle management purgatory you got some MBA ruling over a pharmacist calling all the shots because apparently that MBA prepared them to understand what dispensing medications is all about and then calls all the shots. Lame...

I tell you what, I am never looking back at retail. no way.

 

[Sparda29]

Yeah, just the other day this guy who normally comes in every month for #180 Oxycontin 40mg 1T;PO;Q4-6H brought in a script at 9PM on a Sunday for #18 Oxycontin 40mg 1T;PO;Q6H.

Okay, this is NYS so we gotta drop the quantity based on the SIG code from 180 to 120. The patient flips out.

 

[Fuzzychickens]

Yeah, just the other day this guy who normally comes in every month for #180 Oxycontin 40mg 1T;PO;Q4-6H brought in a script at 9PM on a Sunday for #18 Oxycontin 40mg 1T;PO;Q6H.

Okay, this is NYS so we gotta drop the quantity based on the SIG code from 180 to 120. The patient flips out.

I actually enjoy it when this happens because the only thing some patients seem to understand is the law. I explain what the law is, let them know what their options are and let them decide - if they start acting stupid and start cussing we have police on campus waiting to haul them off.

 

[prevacid]

i just call the md and get the quantity, and if its pain pills after hours with no quantity and they have been on it chronically, i just fill it for the quantity they normally get (which is almost always 120)

whose looking?

 

[prevacid]

in fact, almost all cases i will try to do the stuff in the pharmacy, and almost never give the rx back to pt and turn them away

the only one i do is tussionex, i get scripts (i work in pa and oh), always written by a doc from bronx, ny...and i look at it, just lie to the patient (its a set group of people) i dont have it, and send them out...nobody in my area writes that much for tussionex that ive seen

 

[Seouldds]

I had a situation just like it once when working at a retail store -part-time... just plain and simple... Rx no good, you can get a new script from MD or go to another Rx store... got to follow the rules...

 

[Sparda29]

Actually, we've been given instructions by the NYPD that if we believe that a prescription is forged, tell the patient that it will be in after 12:30PM the next day (don't give the script back to the patient) and call up the NYPD number we were given, and when the patient comes back, the fuzz is there waiting for them.

 

[samuricool]

Actually, we've been given instructions by the NYPD that if we believe that a prescription is forged, tell the patient that it will be in after 12:30PM the next day (don't give the script back to the patient) and call up the NYPD number we were given, and when the patient comes back, the fuzz is there waiting for them.

Not too long ago I caught a couple of scripts for xanax and oxycodone that were faked and copied from a local doctor. Something didnt feel right when they came up and I told the pharmacist, she told me to tell them we would have to order them and that they would be in the next day. If they decided to have them filled we were going to call and check with the doctor and then contact the authorities, but they took them back and wanted to try another pharmacy.

Anyhow, two hours later we received an email from corporate about fake scripts that were described just as those two. Sure enough, 30 minutes later, different guy, similar scripts. He took them back also, and went down the street. We called around and alerted other pharmacies of the situation in case they havent heard.

My point is, I suppose the 'smarter' criminals know the rules and that we cant keep them even if we know they are fake. Only if they decide to have them filled can we bust them. I hate the justice system sometimes.

 

[VCU2011]

Not too long ago I caught a couple of scripts for xanax and oxycodone that were faked and copied from a local doctor. Something didnt feel right when they came up and I told the pharmacist, she told me to tell them we would have to order them and that they would be in the next day. If they decided to have them filled we were going to call and check with the doctor and then contact the authorities, but they took them back and wanted to try another pharmacy.

Anyhow, two hours later we received an email from corporate about fake scripts that were described just as those two. Sure enough, 30 minutes later, different guy, similar scripts. He took them back also, and went down the street. We called around and alerted other pharmacies of the situation in case they havent heard.

My point is, I suppose the 'smarter' criminals know the rules and that we cant keep them even if we know they are fake. Only if they decide to have them filled can we bust them. I hate the justice system sometimes.

This happens quite frequently at my store. We just tell them it'll be 25 mins. That way we have 10 mins to check on the script and 15 mins for the cops to get there if needed. No need to wait till the next day...

 

[Markovnikov]

something similar happened at the pharmacy I work at.

We looked into her profile and noticed she got the same rx filled every month so we just assumed the sig code should be the same (since the sig code was too difficult to read for both the tech and pharmacist)

 

[Loquacious]

a customer came in with a script for adderall. there was no quanity on the script so the pharmacist told the customer that the script was invalid because there was no quantity. the customer got in a hissy fit, and bitched to the pdm. the pdm came down and was considering firing the pharmacist because the customer complained. why do we let ******* customers who are strung out on who knows what control our profession and our jobs?????

I think that the complaint could be a valid one if the pharmacist that informed the patient did it in a way that was unprofessional/rude/condescending.

There are ways to explain situations that won't make the patient happy, but also not infuriate them.

There is one thing that you can't help... that is INSANE/IGNORANT people. You can't reason with either.

 

[farmist]

Yeah, just the other day this guy who normally comes in every month for #180 Oxycontin 40mg 1T;PO;Q4-6H brought in a script at 9PM on a Sunday for #18 Oxycontin 40mg 1T;PO;Q6H.

I don't think I would fill a Rx for Oxycontin every 4 hours period. It's indicated for q12. I read articles supporting q8 in chronic pain patients. I cringe when I see q6, but still may fill it. I suspect foul play in this case.

I agree that there is no need to wait to the next day. Also, if you get a fake call in you can call the police and ask them to have someone in the area. If there using drive thru don't forget to record the license plate.

I had a large woman walk in with a Percocet Rx from the ER. I looked at her profile and asked her about the 90 Vicodin she got from her PCP earlier that day. She explained that the Vicodin were for her back pain and they gave her Percocet for her ruptured achillies tendon (sprained ankle according to the nurse). The pt seen me on the phone became belligerent and demanded her RX back. Apparently this has happened before. I gave the Rx back to a patient before I could get the Dr on the phone to cancel it. It was graveyard shift, so I called across the street and let them know the Dr wanted it cancelled. I also left it billed to insurance the rest of the night just in case she went elsewhere.

The worst I got was a pregnant woman that got 30 days worth of Duragesic and oxycodone 15mg a week prior from her pain clinic. She brought in Oxycontin 20 QID, and Pecocet 10mg from her OB/GYN. She explained theat the oxycodone 15 wasn't handling her BTP so they were increasing it to 20mg. I informed her Oxycontin was an extended release formulation and not to be used in this manner. She insisted that the Dr knew it was an ER formulation but was using as immediate release. The Dr didn't know about the other scripts and cancelled them. She wasn't showing and I didn't know she was pregnant until I spoke with the Dr. I seriously doubt she gave birth to a healthy baby, but didn't want to dispense the Rx responsible for killing her child.

I had a woman come in with her IBU 800mg I filled earlier. She was demanding I give her the correct drug. I checked it again, it was correct.
She said it wasn't and pointed out that it said on the label that it causes drowsiness. She took three 800mg, "800 motherf'n mg's," pills and wasn't tired so it couldn't be correct. I informed her that it doesn't cause drowsiness, she could take the rest of the bottle and wouldn't become tired, but she may destroy her kidneys and develop an ulcer. In the end I gave her poison control's number and told her to take it up with them.

 

[Pharmavixen]

The Oxycontin won't kill the fetus, but opioid WD could, and the pt's PCP could be liable if he fostered opioid addiction in a pregnant woman who subsequently lost her baby due to WD. A pregnant woman needs to be transitioned onto methadone, and the baby can safely be withdrawn after it's born. And these kids do okay. Seriously; in terms of harm to the fetus, it's better a pregnant woman mainlines heroin than drinks EtOH.

Years ago, I was hesitating to fill an rx for something that was pregnancy category C (forget what it was; this was in the 90s). So the pt told me it didn't matter what she took because she was going to have an abortion.

Not sure I am capable of being surprised by what pts say anymore.

 

[Sparda29]

I don't think I would fill a Rx for Oxycontin every 4 hours period. It's indicated for q12. I read articles supporting q8 in chronic pain patients. I cringe when I see q6, but still may fill it. I suspect foul play in this case.

I agree that there is no need to wait to the next day. Also, if you get a fake call in you can call the police and ask them to have someone in the area. If there using drive thru don't forget to record the license plate.

I had a large woman walk in with a Percocet Rx from the ER. I looked at her profile and asked her about the 90 Vicodin she got from her PCP earlier that day. She explained that the Vicodin were for her back pain and they gave her Percocet for her ruptured achillies tendon (sprained ankle according to the nurse). The pt seen me on the phone became belligerent and demanded her RX back. Apparently this has happened before. I gave the Rx back to a patient before I could get the Dr on the phone to cancel it. It was graveyard shift, so I called across the street and let them know the Dr wanted it cancelled. I also left it billed to insurance the rest of the night just in case she went elsewhere.

The worst I got was a pregnant woman that got 30 days worth of Duragesic and oxycodone 15mg a week prior from her pain clinic. She brought in Oxycontin 20 QID, and Pecocet 10mg from her OB/GYN. She explained theat the oxycodone 15 wasn't handling her BTP so they were increasing it to 20mg. I informed her Oxycontin was an extended release formulation and not to be used in this manner. She insisted that the Dr knew it was an ER formulation but was using as immediate release. The Dr didn't know about the other scripts and cancelled them. She wasn't showing and I didn't know she was pregnant until I spoke with the Dr. I seriously doubt she gave birth to a healthy baby, but didn't want to dispense the Rx responsible for killing her child.

I had a woman come in with her IBU 800mg I filled earlier. She was demanding I give her the correct drug. I checked it again, it was correct.
She said it wasn't and pointed out that it said on the label that it causes drowsiness. She took three 800mg, "800 motherf'n mg's," pills and wasn't tired so it couldn't be correct. I informed her that it doesn't cause drowsiness, she could take the rest of the bottle and wouldn't become tired, but she may destroy her kidneys and develop an ulcer. In the end I gave her poison control's number and told her to take it up with them.

I actually got it wrong, my memory was a little hazy from that night. I think it might have actually been Oxycodone IR but I don't remember the strength. All I remember is that it was a pain convincing this guy that the doctor didn't match up the directions and quantity correctly to get a 30 day supply.

 

[Quiksilver]

enjoy
http://www.xtranormal.com/watch?e=20090618170553186