I guess we need to start asking if you pull vanc troughs for oral vanc on future interviewees. I rescind my statement about not asking clinical questions 😉
Maybe we do. I mean....er, I know we all have bad days and can't remember stuff we should know....but, there is other stuff that is just so basic.....I mean, I might call my kids by each other names, but I would never throw out a non-kid name. I might have a momentary glitch and be thinking not furosemide, the other diuretic that starts with B that is on the tip of my tongue (I'm really bad with names, but I know when I can't think of the name)
But someone being completely clueless about why po vanco doesn't need a trough (or peak! haha) level. This is as bad as Drug Topics publishing (twice!) the clinical question about a pregnant woman with hypertension, and the geriatric specialist pharm D answering that an ACE-I would be most appropriate
🙂oops:
😳😳) I always want to know what colleges are graduating these people, because that is a massive fail, when a pharmacist is clueless about extremely basic knowledge. This isn't stuff like "what is ganciclovir's half-life" or "what is the recommended PPI to take with atazanavir/ritonavir if no other options are available?"...stuff that most pharmacists wouldn't know without looking up. Or a situation where new knowledge has replaced older knowledge, and an older pharmacist wasn't aware of the change (another Drug Topics columnist who bragged about calling a doctor and getting an RX for skin infection change from Bactrim, since Bactrim isn't effective against skin infections....a later column he acknowledged his error.)
Egads, I think about all the stuff I don't know, and I feel stupid sometimes. But hey, I can remind myself that yes, even as just a BS pharmacist, I know why po vanco doesn't need a trough. Or why ACE-I for a pregnant patient, or even a patient trying to get pregnant, is a bad idea.