Nursing Homes in California Confront Pharmacists' Errors

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Very sad for that patient and family.

I just finished annual dose reduction recommendations at our nursing home. How about an investigation into how often the pharmacists' recommendations are ignored by the physicians? It has happened to me - frequently. I made repeated attempts to discontinue Avandia in an elderly woman with worsening heart failure. All ignored.
 
This is really sad. This also stuck out at me - "At Hillside Senior Care nursing home in Fremont, for example, a consulting pharmacist was billed at a rate as low as $16.24 an hour, and no more than $19.16 an hour, between January and May 2011. In the same period, according to state investigators, a pharmacist at Hillside contradicted a doctor’s request to cut back antipsychotic medication."

Am I understanding that clearly? a pharmacist was being paid around 20 bucks an hour??
 
The problem is that we see "powerful drugs" prescribed so much that it seems to be the norm rather than the exception. When it comes down to it, the prescribers know what they are prescribing pretty well. While it can be seen as an excuse, most doctors dont give a damn about our opinion and will just say dispense it.
 
Welcome to the LTC world. I feel that antipsychotics are overly prescribed in the elderly and our recommendations land on deaf ears when we try to intervene.

Document, document, document.
 
I see this **** all the time where I work (nursing home). We constantly send recommendations to the docs to discontinue, but they just continue to prescribe the ****.

Patient's being loud and combative, oh lets give em a sedative and antipsychotics to shut them up. Hell if I was a resident at this place, I'd be loud and combative too.

Who the **** wouldn't be combative about having to share a room that smells like ****, be forced to watch the same TV shows everyone else is watching, eat food that tastes nasty, and be treated by nurses who aren't even remotely good looking.
 
I see this **** all the time where I work (nursing home). We constantly send recommendations to the docs to discontinue, but they just continue to prescribe the ****.

You work in a pharmacy within a nursing home?

Patient's being loud and combative, oh lets give em a sedative and antipsychotics to shut them up. Hell if I was a resident at this place, I'd be loud and combative too.

Who the **** wouldn't be combative about having to share a room that smells like ****, be forced to watch the same TV shows everyone else is watching, eat food that tastes nasty, and be treated by nurses who aren't even remotely good looking.

lol...why no more GIFs from you lately?
 
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