I finally got a job....

[WVUPharm2007]

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Well...I could had one several hours away 2 days a week, but I found something better closer to home. It's this joint I did a rotation at. Somehow they found out I was looking for a job and they were all over me. I guess I made a nice impression on them when I was there.

Anyway, it's 30 minutes from home, it's a 4 days a week position, I get paid more than the pharmacists at WVU Hospitals (and, yes, I've already begun mocking my friends) and they are giving me $3,000 just to accept the job (no time commitment). Plus I get $5,000 a year every year I stay for 5 years. Freakin' eh! Loan repayment without a commitment. I've never heard of something so awesome. Plus, they are expanding their department like crazy and they need (and this is a quote), "analytical people like you" to help staff the positions on the floor that they could mold into some sort of uber-pharmacist cyborg thing. Which sounds kinds cool.

Plus the PHYSICIANS took me aside during my interview to tell me how much more involvement they need and want from the pharmacy. They spoke about how they wanted pharmacists that were assertive and not afraid to confront prescribers when they did something that wasn't optimal. I mean, I'm sitting there talking to a physician that wants me to know that I'm expected to slap his wrist when needed. WTF? This is like...unbelievable.

So the department essentially has a blank check to get the department to the highest level as they can with the blessings of the hospitalists. All of the technicians are experienced - I'm talking 10+ years each, I got along great with everyone there, nobody is a WVU fan so I can get off for all of the games this fall with no worries, I get 25 paid days off. It's like some sort of magical Oz world. I couldn't say no.

I'm actually excited about a clinical job. WTF? I swear to God, Armageddon by the end of the week.

 

[RxWildcat]

Thats crazy! I'm jealous as crap.

 

[Old Timer]

I finally got a job....

The world is spinning off it's axis as we speak.

 

[njac]

awesome! hire me this time next year, k?

k thx bye.

 

[mike36]

What a sweet deal! Congratz!

 

[Glycerin]

awesome! hire me this time next year, k?

k thx bye.

But that means moving to...West Virginia. 😱

 

[WVUPharm2007]

But that means moving to...West Virginia. 😱

Actually, it's in PA. For those afraid of Best Virginia.

 

[njac]

Actually, it's in PA. For those afraid of Best Virginia.

Pennsyltucky I assume?

 

[117296]

Actually, it's in PA. For those afraid of Best Virginia.

Does such a place exist?

 

[mustang sally]

Congratulations! I hope I can find such a great job in four years' time!

 

[WVUPharm2007]

Pennsyltucky I assume?

Depends on what your definition of "Pennsyltucky" is. If it's everything outside of Yinzertown and Philly, then yes. If it's just "the middle", then no.

 

[Pharmacy Kid]

Congrats, good things do come to those that wait.

You could have gotten a job right after graduation right, but you waited a couple months until this came along?

 

[WVUPharm2007]

Congrats, good things do come to those that wait.

You could have gotten a job right after graduation right, but you waited a couple months until this came along?

Yup. Several, in fact. LTC pharmacies, retail pharmacies, temp work, I actually could have done an unfilled residency, too. It's a lesson for ya's. Don't compromise.

 

[stevephhs016]

Plus the PHYSICIANS took me aside during my interview to tell me how much more involvement they need and want from the pharmacy. They spoke about how they wanted pharmacists that were assertive and not afraid to confront prescribers when they did something that wasn't optimal. I mean, I'm sitting there talking to a physician that wants me to know that I'm expected to slap his wrist when needed. WTF? This is like...unbelievable.

Wow, we need more physicians like that. I just finished my first rotation at a hospital in philly rounding with the team. I'm not sure if I've seen one physician yet that really "appreciated" the clinical pharmacist there.

Nice find!

 

[WVUPharm2007]

Does such a place exist?

I could explain it....but just note that "B" and "W" aren't anywhere near each other.

 

[Pharmacy Kid]

Just curious, WVU. If this dream position didn't appear and another month had passed by, what would you have done? Work in a community store, do a residency, continue waiting?

 

[WVUPharm2007]

Just curious, WVU. If this dream position didn't appear and another month had passed by, what would you have done? Work in a community store, do a residency, continue waiting?

I still wouldn't call it a "dream" position, but realistically, a better one isn't going to come down the pike anytime soon. If it didn't come about, I'd have probably done temp work for a while and moved somewhere else.

 

[bacillus1]

Nice! Clinical jobs without PGY1 seem to be getting rarer.

 

[ItsOverZyvox]

Well...I could had one several hours away 2 days a week, but I found something better closer to home. It's this joint I did a rotation at. Somehow they found out I was looking for a job and they were all over me. I guess I made a nice impression on them when I was there.

Anyway, it's 30 minutes from home, it's a 4 days a week position, I get paid more than the pharmacists at WVU Hospitals (and, yes, I've already begun mocking my friends) and they are giving me $3,000 just to accept the job (no time commitment). Plus I get $5,000 a year every year I stay for 5 years. Freakin' eh! Loan repayment without a commitment. I've never heard of something so awesome. Plus, they are expanding their department like crazy and they need (and this is a quote), "analytical people like you" to help staff the positions on the floor that they could mold into some sort of uber-pharmacist cyborg thing. Which sounds kinds cool.

Plus the PHYSICIANS took me aside during my interview to tell me how much more involvement they need and want from the pharmacy. They spoke about how they wanted pharmacists that were assertive and not afraid to confront prescribers when they did something that wasn't optimal. I mean, I'm sitting there talking to a physician that wants me to know that I'm expected to slap his wrist when needed. WTF? This is like...unbelievable.

So the department essentially has a blank check to get the department to the highest level as they can with the blessings of the hospitalists. All of the technicians are experienced - I'm talking 10+ years each, I got along great with everyone there, nobody is a WVU fan so I can get off for all of the games this fall with no worries, I get 25 paid days off. It's like some sort of magical Oz world. I couldn't say no.

I'm actually excited about a clinical job. WTF? I swear to God, Armageddon by the end of the week.

Congrats Mike. So are you the one responsible for NPSG 3E implementation at your institution?

 

[WVUPharm2007]

Congrats Mike. So are you the one responsible for NPSG 3E implementation at your institution?

I sure as hell hope not. When I was there on rotation, I do recall them giving Hep 5000 to everyone, too. So I know they at least needed to make changes. I can just see their meeting minutes, too.

July milestone plan: Hire some sap, make him do it.

That was seriously my hire date, too. I'll just walk in and be like, "Heparin!?!? Ain't he one of them rappers you see on TV cursin' up a storm?" Then when pressed, I'll try to convince them that you don't HAVE TO have JCAHO approval....technically....

That'll be a good thing to bring up on the first day though to make me look with it and ****. Cool.

 

[ItsOverZyvox]

Remember, NPSG 3E only pertains to anticoagulation therapy that changes lab values which means VTE prophylaxis is not a part of this program since Heparin 5000 units is used for prophylaxis and has a minimal effect on aPTT.

It's mainly for LMWH, Warfarn, and Heparin infusion commonly used to "treat". You could argue that warfarin is use to prevent or "prophylaxis" but it changes INR.

Next to come will be DTI (direct thrombin inhibitors) such as Refludan and Argatroban...and throw in Arxitra.

Though, you still have to address "Prophylaxis" in SCIP guideline and Core Measurse.

Welcome to the world of clinical pharmacy.

 

[ItsOverZyvox]

BTW, July 1 was the deadline to have a "Plan" or Gap Analysis in place. Ask your DOP or the clinical manager if he has a written Gap Analysis with an action plan for NPSG 3E.

Come October 1, a pilot program has to be launched in one of your units.

 

[Priapism321]

Remember, NPSG 3E only pertains to anticoagulation therapy that changes lab values which means VTE prophylaxis is not a part of this program since Heparin 5000 units is used for prophylaxis and has a minimal effect on aPTT.

It's mainly for LMWH, Warfarn, and Heparin infusion commonly used to "treat". You could argue that warfarin is use to prevent or "prophylaxis" but it changes INR.

Next to come will be DTI (direct thrombin inhibitors) such as Refludan and Argatroban...and throw in Arxitra.

Though, you still have to address "Prophylaxis" in SCIP guideline and Core Measurse.

Welcome to the world of clinical pharmacy.

Is that what you have been off doing? Administrating things?

 

[ItsOverZyvox]

Is that what you have been off doing? Administrating things?

Small part of it... There is so much going on that I laugh when some of the doofuses complain about "not staying little late" because they're closed.

Miller Time is when the work is done. Not dictated by what the clock says.

As far as administrative stuff, I need to make sure DOPs and the clinical managers implement...but my team is responsible for putting out the program. But there are hundreds of different programs to put out.

 

[SpirivaSunrise]

Remember, NPSG 3E only pertains to anticoagulation therapy that changes lab values which means VTE prophylaxis is not a part of this program since Heparin 5000 units is used for prophylaxis and has a minimal effect on aPTT.

It's mainly for LMWH, Warfarn, and Heparin infusion commonly used to "treat". You could argue that warfarin is use to prevent or "prophylaxis" but it changes INR.

Next to come will be DTI (direct thrombin inhibitors) such as Refludan and Argatroban...and throw in Arxitra.

Though, you still have to address "Prophylaxis" in SCIP guideline and Core Measurse.

Welcome to the world of clinical pharmacy.

Awww...I miss this stuff...

 

[ItsOverZyvox]

Then when pressed, I'll try to convince them that you don't HAVE TO have JCAHO approval....technically....

If it's a critical access hospital, then you may not need TJC (no longer called JCAHO) accredidation. However, if you're not a critical access or rural hospital, without TJC accredidation, you aint going to get paid...

Regardless, if you're not doing TJC stuff, then you probably won't pass the CMS audit.

BTW....what are you talking about needing to change because Heparin 5000 is used??

 

[ItsOverZyvox]

Awww...I miss this stuff...

Hush... men talking.

 

[njac]

you'll have to explain the new screenname to me. I knew why ZPackSux but why is it over for Zyvox?

 

[SpirivaSunrise]

BTW....what are you talking about needing to change because Heparin 5000 is used??

Unless he's talking about it being administered after bolus...either SC or continuous IV...either way, 3E would still apply.

 

[SpirivaSunrise]

Hush... men talking.

Heck...I may even miss that.

 

[WVUPharm2007]

Remember

Heh. Remember. I never knew. I just know it's a new JointCo thing where they want patients anticoagulated. And someone told me that they "couldn't just give everyone Hep 5k anymore", so maybe I was just misinformed. I figure I should read an overview online or something...

 

[ItsOverZyvox]

you'll have to explain the new screenname to me. I knew why ZPackSux but why is it over for Zyvox?

overhyped bacteriostatic drug now with a resistance problem.

 

[WVUPharm2007]

Awww...I miss this stuff...

Yikes.

If you want a job, they are still hiring plenty more. $3k to walk in the door. The fact that I get a finders fee has nothing to do with anything...mmmhmm.....

 

[ItsOverZyvox]

Unless he's talking about it being administered after bolus...either SC or continuous IV...either way, 3E would still apply.

Only if it's a bolus as a part of an infusion protocol. I think Mike is talking about VTE prophylaxis which doesn't apply to 3E.

 

[ItsOverZyvox]

heh. Remember. I Never Knew. I Just Know It's A New Jointco Thing Where They Want Patients Anticoagulated. And Someone Told Me That They "couldn't Just Give Everyone Hep 5k Anymore", So Maybe I Was Just Misinformed. I Figure I Should Read An Overview Online Or Something...

You Mean School Didn't Learn You This Stuff??? Hot Dang.. How Bout That...

 

[SpirivaSunrise]

Yikes.

If you want a job, they are still hiring plenty more. $3k to walk in the door. The fact that I get a finders fee has nothing to do with anything...mmmhmm.....

Think I already live close enough to you...there're WVU license plates everywhere!

 

[ItsOverZyvox]

And someone told me that they "couldn't just give everyone Hep 5k anymore",

why not.. did Aventis (lovenox) rep bring lunch to this person?

 

[WVUPharm2007]

If it's a critical access hospital, then you may not need TJC (no longer called JCAHO) accredidation. However, if you're not a critical access or rural hospital, without TJC accredidation, you aint going to get paid...

We are going to open the world's first luxury hospital. Free Asian "massage" twice a day! To hell with JointCo. And, no, it's actually a 250-ish bed almost regional level type of place definitely accredited by the JointTokers.

BTW....what are you talking about needing to change because Heparin 5000 is used??

Actually, now that I think about it, I think that I'm thinking about the plan another hospital said person from before works at that actually finished all their plannig crap and their plan thingy sometimes doesn't go with the Hep 5000 and he's pissed that he would have to not use it in various situations. People tell me random **** all the time that gets jumbled up in my head and is remembered as the opposite of what it originally was all the time, too.

Eh.

 

[WVUPharm2007]

Only if it's a bolus as a part of an infusion protocol. I think Mike is talking about VTE prophylaxis which doesn't apply to 3E.

Yup, sure was...

 

[SpirivaSunrise]

overhyped bacteriostatic drug now with a resistance problem.

Vive le résistance! Like we couldn't see that one coming...

Well, the name definitely suits you.

 

[WVUPharm2007]

overhyped bacteriostatic drug now with a resistance problem.

Just come out with "AntibioticsSux" and be done with it.

 

[WVUPharm2007]

You Mean School Didn't Learn You This Stuff??? Hot Dang.. How Bout That...

I don't know, maybe. If they tried, I likely slept through it. Though I at least heard about it and had a vague idea of what it was about.

 

[ItsOverZyvox]

We are going to open the world's first luxury hospital. Free Asian "massage" twice a day! To hell with JointCo. And, no, it's actually a 250-ish bed almost regional level type of place definitely accredited by the JointTokers.





Actually, now that I think about it, I think that I'm thinking about the plan another hospital said person from before works at that actually finished all their plannig crap and their plan thingy sometimes doesn't go with the Hep 5000 and he's pissed that he would have to not use it in various situations. People tell me random **** all the time that gets jumbled up in my head and is remembered as the opposite of what it originally was all the time, too.

Eh.

Wouldn't it make your lives easier for someone to bring in a completed implementation package for every little different clinical program and help you implement? And save you a load of money at the same time?

 

[SpirivaSunrise]

Wouldn't it make your lives easier for someone to bring in a completed implementation package for every little different clinical program and help you implement? And save you a load of money at the same time?

Wait..who does that? These guys?

http://www.cardinalcts.com/NPSG3E/

 

[ItsOverZyvox]

Just come out with "AntibioticsSux" and be done with it.

Antibiotics are one of the few drugs that actually cures disease state, yo.

And some antibiotics are still great.. Metronidazole, Tobramycin, Vancomycin, Pip/Tazo... Cefazolin...

And most antibiotics when used appropriately work well...

Only when it's overhyped with marketing and overused, it becomes "Sux."

 

[WVUPharm2007]

Think I already live close enough to you...there're WVU license plates everywhere!

All the way to the Bay? Wow. That used to be Penn State territory back in the mid-90s before JoePa became senile, then Twerp territory in the late 90s and early 00s beore Friedgen became a ******, then VPI territory in the early 00s-Mid 00s back before the Vick brothers turned into felons...which makes me wonder if, like, Noel Devine is going to get arrested for terrorism or something...I don't like where this pattern is going....not one bit....

 

[WVUPharm2007]

Wouldn't it make your lives easier for someone to bring in a completed implementation package for every little different clinical program and help you implement? And save you a load of money at the same time?

Nah, it'd be easier to find detailed programs already written up by other institutions for free by using quality searching abilities on Google and just implementing those. Or, getting friends to fax you whatever the hell WVU Hospitals did.

 

[Priapism321]

Antibiotics are one of the few drugs that actually cures disease state, yo.

And some antibiotics are still great.. Metronidazole, Tobramycin, Vancomycin, Pip/Tazo... Cefazolin...

And most antibiotics when used appropriately work well...

Only when it's overhyped with marketing and overused, it becomes "Sux."

Except pip/tazo's breakpoint for Pseudomonas susceptibility needs to be revised, misleads clinicians quite often looking at a micro report.

Published in last month's AAC, a group from Northwestern found a good correlation between linezolid consumption and enterococcal insensitivity. Our latest antibiogram shows 6% faecium isolates resistant to linezolid, I would like to see the proportion of intermediate strains.

 

[WVUPharm2007]

Antibiotics are one of the few drugs that actually cures disease state, yo.

And some antibiotics are still great.. Metronidazole, Tobramycin, Vancomycin, Pip/Tazo... Cefazolin...

And most antibiotics when used appropriately work well...

Only when it's overhyped with marketing and overused, it becomes "Sux."

Yeah, whatever. Give it 200 years, none of them will work anymore. You could be a damned prophet.

 

[WVUPharm2007]

LOL, nurses aren't allowed to split warfarin tabs in half anymore. You have to have a pharmacist so he/she can use the master pill cutter blade guiding abilities they spend 4 semesters perfecting back in pharmacy school.