- Joined
- Aug 15, 2013
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- 21
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I work in a big chain, and a 3-day supply of a 'life-sustaining medication' can be given if patient has no more refills.
Patient came in yesterday, and while waiting for a transfer prescription of NitroStat SL tab from a different pharmacy, we were told the prescription had expired just a day ago. He was visibly sweating & slightly exhausted. I told him I would phone call an ambulance to come here, but he said since he's part of the VA system, the closest ER was in a city 2 hours away and a local ER wouldn't accept him (or perhaps it was a cost issue).
With NitroStat SL, once you open a vial of 25-tabs, the rest can't be used again for another patient, so I was hesitant to give him a 3-day supply. I asked if he had any chewable ASA on him, and he said yes. Got on the phone to call a local pharmacy to see what I should do but after a few moments, he had left the store.
I couldn't sleep last night, because I knew I could've prevented something from happening (if anything did). Should I have simply given him the whole vial of the NitroStat?
Patient came in yesterday, and while waiting for a transfer prescription of NitroStat SL tab from a different pharmacy, we were told the prescription had expired just a day ago. He was visibly sweating & slightly exhausted. I told him I would phone call an ambulance to come here, but he said since he's part of the VA system, the closest ER was in a city 2 hours away and a local ER wouldn't accept him (or perhaps it was a cost issue).
With NitroStat SL, once you open a vial of 25-tabs, the rest can't be used again for another patient, so I was hesitant to give him a 3-day supply. I asked if he had any chewable ASA on him, and he said yes. Got on the phone to call a local pharmacy to see what I should do but after a few moments, he had left the store.
I couldn't sleep last night, because I knew I could've prevented something from happening (if anything did). Should I have simply given him the whole vial of the NitroStat?