Stuff you've been written up for..

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When I was 16 years old, I was fired from Taco bell after working there for 3 months.

They have an item called "Pintos and cheese". When I served it to the customer, I said "Heres your putos and cheese". I snickered about it a bit, and it turned out that the customer understood Spanish. The customer called the 1800 number and told them about my meal name improvements. Aparently, I was the only one who thought it was funny.
 
pojman said:
when i was 16 years old, i was fired from taco bell after working there for 3 months.

They have an item called "pintos and cheese". When i served it to the customer, i said "heres your putos and cheese". I snickered about it a bit, and it turned out that the customer understood spanish. The customer called the 1800 number and told them about my meal name improvements. Aparently, i was the only one who thought it was funny.
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lmao!
 
Pojman said:
When I was 16 years old, I was fired from Taco bell after working there for 3 months.

They have an item called "Pintos and cheese". When I served it to the customer, I said "Heres your putos and cheese". I snickered about it a bit, and it turned out that the customer understood Spanish. The customer called the 1800 number and told them about my meal name improvements. Aparently, I was the only one who thought it was funny.
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Before I went back to school, I worked at Denny's for a while. We had a menu item called "Beef-a-delphia" (Philly cheesesteak) and the abbreviation we used was "BFD". One day, I was verifying the order before taking it back to the kitchen, and said that without thinking, and the men at the table thought that was really :laugh:. They may even have been the same men to whom I said, "Are you gentlemen ready to order?" and they laughed at that too.

p.s. No, I wasn't fired for that.
 
Sparda29 said:
So nurses can try and rush us or push us around but we can't? I don't answer the phone in 5 seconds, I hear about it the next day. Yet, when I call upstairs to get a clarification on an order, they can keep me on hold for 5-10 minutes?
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Yes. When you stop thinking about fairness, you'll be much happier. You're all on the same team. Kill with kindness, you know, all that.
 
Sparda29 said:
I accidentally figured out how to access the hospital overhead pager system. Wonder how much trouble I'd get into for paging doctors overhead myself instead of calling their pager/longrange beepers.
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If your hospital does not routinely overhead page physicians, then they will most likely not even realize they are being overhead paged and will not respond. If they do respond, will assume it's urgent so will stop whatever they are doing to respond (such as family meeting, scrub out of surgery, break sterility during a sterile procedure, etc). That is assuming they are inhouse.

MountainPharmD said:
Sparda you have defied all expectations by graduating. Then you defy all expectations and actually get a job. Now you appear to be doing all you can to screw up said job. You are either the luckiest dumb guy in the world or you are a genius. I know which one I am putting my money on!
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Yup. A new guy, currently not in a permanent position, antisocial per own admission, already written up by nurses, arguments with the ED/nurses/floors on a constant basis, and now thinking about abusing the overhead paging system


costanza-clap.gif
 
group_theory said:
If your hospital does not routinely overhead page physicians, then they will most likely not even realize they are being overhead paged and will not respond. If they do respond, will assume it's urgent so will stop whatever they are doing to respond (such as family meeting, scrub out of surgery, break sterility during a sterile procedure, etc). That is assuming they are inhouse.




Yup. A new guy, currently not in a permanent position, antisocial per own admission, already written up by nurses, arguments with the ED/nurses/floors on a constant basis, and now thinking about abusing the overhead paging system


costanza-clap.gif
Click to expand...

We do regularly use the overhead pager for physicians who don't have beepers but for physicians who have beepers apparently the upper people in the hospital prefer beeper use because its not as loud, lol.

The point paging someone is to make them drop everything and call you back, not call you back 1 hour later.
 
Sparda29 said:
We do regularly use the overhead pager for physicians who don't have beepers but for physicians who have beepers apparently the upper people in the hospital prefer beeper use because its not as loud, lol.

The point paging someone is to make them drop everything and call you back, not call you back 1 hour later.
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You guys don't have alphanumeric pagers? How...provincial.
 
confettiflyer said:
You guys don't have alphanumeric pagers? How...provincial.
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You mean I punch in the docs pager # into the phone as well as our line? I find they are less responsive to those than they are to hearing their name's overhead. Keep in mind, asides from the orthopedic residents, and a few regular attendings and chiefs, most of the doctors at my hospital are private practice.
 
Sparda29 said:
You mean I punch in the docs pager # into the phone as well as our line? I find they are less responsive to those than they are to hearing their name's overhead. Keep in mind, asides from the orthopedic residents, and a few regular attendings and chiefs, most of the doctors at my hospital are private practice.
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I think he means a text page.
 
Our lexicomp has a button on each drug monograph that will play the correct pronunciation of each drug. You may find out that you are mispronouncing some names.
 
mustang sally said:
I think he means a text page.
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Yeah, we always text page at my hospital. Plus, if we need urgent callback, we just put that into the text. Most docs read their pager as soon as it goes off and then choose when to call back based on the page. If it is not urgent (as it frequently isn't) we give them some time and then re-page.

Worst case scenario we can't get ahold of them, a quick call to the floor and convo with the patient's nurse sorts it right out...if you need something done by a doc who is ignoring you, get the nurse to complain at them until they do it! The nurses are always on our side when we explain to them the issue and we ALWAYS get a quick call back. We reserve that for if we can't get ahold of them after some time, though.
 
Carboxide said:
Yeah, we always text page at my hospital. Plus, if we need urgent callback, we just put that into the text. Most docs read their pager as soon as it goes off and then choose when to call back based on the page. If it is not urgent (as it frequently isn't) we give them some time and then re-page.

Worst case scenario we can't get ahold of them, a quick call to the floor and convo with the patient's nurse sorts it right out...if you need something done by a doc who is ignoring you, get the nurse to complain at them until they do it! The nurses are always on our side when we explain to them the issue and we ALWAYS get a quick call back. We reserve that for if we can't get ahold of them after some time, though.
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BINGO. This is what I do. It's also a CYA thing also...if I've alerted the physician then tried to go through nursing, I consider my work complete as I have other patients that need my attention and do not have prescribing authority. Easy.

I'm very conservative on the pages, however. If I have some minor issues I'll "save" them up and either page at once, or if a situation comes up where I need to talk to the physician, I'll page them to call back and at the end say "oh, by the way...for patient Carboxide in bed 2...."

Or I'll just wait until I'm rounding on the floors and catch them in person, this is my preferred method.

You'll learn the personalities of physicians though, some love to talk to you, others will ignore your page. In that case, I'll usually call the nurse for clarification first (if it's that type of problem).

Gotta place nice in the sandbox, especially if you're a temp/hot shot new grad.
 
glad i'm learning stuff in this thread and i'm not talking about the written up stuff either
 
confettiflyer said:
BINGO. This is what I do. It's also a CYA thing also...if I've alerted the physician then tried to go through nursing, I consider my work complete as I have other patients that need my attention and do not have prescribing authority. Easy.

I'm very conservative on the pages, however. If I have some minor issues I'll "save" them up and either page at once, or if a situation comes up where I need to talk to the physician, I'll page them to call back and at the end say "oh, by the way...for patient Carboxide in bed 2...."

Or I'll just wait until I'm rounding on the floors and catch them in person, this is my preferred method.

You'll learn the personalities of physicians though, some love to talk to you, others will ignore your page. In that case, I'll usually call the nurse for clarification first (if it's that type of problem).

Gotta place nice in the sandbox, especially if you're a temp/hot shot new grad.
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There's just some stuff that we have to page doctors for that we really shouldn't have to and could just interpret it ourselves.

Examples:

Metoprolol 50 mg daily. - IMO, this means they want Toprol XL, not Lopressor.

Nighttime dosing. I should automatically be able to change a drug from daily to HS if it is usually dosed at bedtime for drugs such as the statins, Flomax, etc. No need IMO to have to call the prescribers for this stuff.

Most of this stuff should go away come CPOE though.
 
Fatpharm said:
Our lexicomp has a button on each drug monograph that will play the correct pronunciation of each drug. You may find out that you are mispronouncing some names.
Click to expand...

I never knew about that and I've been using it for 3 years now!! This is so awesome.
 
man..at walgreens i got written up by the store manager for not writing up one of my technicians for coming in late. I also got written up for wearing a sweater when the heater broke in the pharmacy. Walgreens has this stupid loss/prevention division that doesn't let anyone wear sweaters in the pharmacy for fear of people putting pills in their sleeves.
 
504poboy said:
man..at walgreens i got written up by the store manager for not writing up one of my technicians for coming in late. I also got written up for wearing a sweater when the heater broke in the pharmacy. Walgreens has this stupid loss/prevention division that doesn't let anyone wear sweaters in the pharmacy for fear of people putting pills in their sleeves.
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Oh, geez. 🙄 I suppose they don't want anyone wearing clothes with pockets, people bringing purses or backpacks into the pharmacy, etc.? My BFF was fired from there in December after nearly 15 years, and we all think they did him a huge favor.
 
504poboy said:
man..at walgreens i got written up by the store manager for not writing up one of my technicians for coming in late. I also got written up for wearing a sweater when the heater broke in the pharmacy. Walgreens has this stupid loss/prevention division that doesn't let anyone wear sweaters in the pharmacy for fear of people putting pills in their sleeves.
Click to expand...

you can wear a sweater. It just has to be under your coat or scrubs.
 
I've gotten in trouble for pulling the 14 days, wanting to verify a control prescription and telling a customer we didnt have a narcotic when we did.
 
Sparda29 said:
There's just some stuff that we have to page doctors for that we really shouldn't have to and could just interpret it ourselves.

Examples:

Metoprolol 50 mg daily. - IMO, this means they want Toprol XL, not Lopressor.

Nighttime dosing. I should automatically be able to change a drug from daily to HS if it is usually dosed at bedtime for drugs such as the statins, Flomax, etc. No need IMO to have to call the prescribers for this stuff.

Most of this stuff should go away come CPOE though.
Click to expand...

In our hospital it's policy to dose statins HS. The pharmacists automatically change it. Also, it's policy to dose most BP meds Q12H instead of BID, and PPIS QAM AC if it's a once daily dose,
 
owlegrad said:
Easier to lie I guess? IDK, I am not the RPh.
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owlegrad said:
There are many doctors we won't fill for, plus what you said.
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I never lie. I either tell patients, "I'm not able to fill this script" or "We don't fill for Dr. PillMill" and just leave it at that. I also don't argue. Have not had too many problems, but also don't work full time, so...
 
All4MyDaughter said:
I never lie. I either tell patients, "I'm not able to fill this script" or "We don't fill for Dr. PillMill" and just leave it at that. I also don't argue. Have not had too many problems, but also don't work full time, so...
Click to expand...


In chain pharmacy, I heard of horrible consequences when my friend said similar sentences like what you wrote: "We don't fill for Dr. PillMill."
What happened next?
Patient complained to Doctor, saying to doctor something like "I would never go back to your office, doctor, because pharmacies banned you. You will lose money."
Doctor then complained to headquarters that this pharmacist costs doctor money and reputations.

Now, headquarters has memo to never say that about any doctor.

Here's how I often try to do:
To build up sympathy for another human being and minimize the chance that this patient will fight back,
First, I imagine the patient just got hit by a drunk driver, patient is now in pain with broken bone and bleeding red blood inside
Second, I say with super soft voice...
I am very sorry that I can not help you today because this prescription does not meet the requirement for controlled substance that is controlled by the DEA and police.

Please try another pharmacy.
There are many pharmacies around here that have easier rule."
Again, sorry, if I could help you, I would.

Why?
Mentioning DEA and police remind abuser to cool down and not fight back.

I also roll my eyes to the left side and right side and look up to the camera or toward the ceiling.
Why? I am using non-verbal language to set up mysterious tone and sending the warning message so that they think this conversation is remotely watched by the police or loss prevention team. Yet, because of my soft voice, they will just not push me harder to the point that the police will drive to store and wait for them at the door. I have to combine verbal and non-verbal language to deal with abuser.

All4MyDaughter said:
.............I also don't argue. .................
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I agree. I don't argue because I already imagined this person just got hit by a drunk driver, patient is now in pain with broken bone and bleeding red blood inside......
I am sure all of us will never argue with any TRUE patient like that.
I AM SURE YOU HAVE SYMPATHY. You are pharmacist.
Agreed?
Now, Imagine.......YOUR best friend or kid just got hit by a drunk driver, patient is now in pain with broken bone and bleeding red blood inside......and your loved one is in front of me....What do you expect me to say?
I am very sorry that I can not help you today because this prescription does not meet the requirement for controlled substance that is controlled by the DEA and police.

Please try another pharmacy.
There are many pharmacies around here that have easier rule."
Again, sorry, if I could help you, I would.

Take that feeling....keep it...apply to my loved one.....
Imagine.......MY best friend or kid just got hit by a drunk driver, patient is now in pain with broken bone and bleeding red blood inside......and my loved one is in front of you....What do you expect YOU to say?

I am very sorry that I can not help you today because this prescription does not meet the requirement for controlled substance that is controlled by the DEA and police.

Please try another pharmacy.
There are many pharmacies around here that have easier rule."
Again, sorry, if I could help you, I would.

Take that feeling....keep it...apply to this human.....
Now, in front of you is a drug abuser. If you say the wrong way, this abuser will suffer withdrawal and will report you to headquarters.

What do you expect YOU to say? Simple, picture...broken bone....blood..... open your lips .....lower your voice...

I am very sorry that I can not help you today because this prescription does not meet the requirement for controlled substance that is controlled by the DEA and police.

Please try another pharmacy.
There are many pharmacies around here that have easier rule."
Again, sorry, if I could help you, I would.

Do No Harm, fellow pharmers....
Now, let's get back to checking medication safely for another human

DNH
 
LearnerSharer said:
In chain pharmacy, I heard of horrible consequences when my friend said similar sentences like what you wrote: "We don't fill for Dr. PillMill."
What happened next?
Patient complained to Doctor, saying to doctor something like "I would never go back to your office, doctor, because pharmacies banned you. You will lose money."
Doctor then complained to headquarters that this pharmacist costs doctor money and reputations.

Now, headquarters has memo to never say that about any doctor.

Here's how I often try to do:
To build up sympathy for another human being and minimize the chance that this patient will fight back,
First, I imagine the patient just got hit by a drunk driver, patient is now in pain with broken bone and bleeding red blood inside
Second, I say with super soft voice...
I am very sorry that I can not help you today because this prescription does not meet the requirement for controlled substance that is controlled by the DEA and police.

Please try another pharmacy.
There are many pharmacies around here that have easier rule."
Again, sorry, if I could help you, I would.

Why?
Mentioning DEA and police remind abuser to cool down and not fight back.

I also roll my eyes to the left side and right side and look up to the camera or toward the ceiling.
Why? I am using non-verbal language to set up mysterious tone and sending the warning message so that they think this conversation is remotely watched by the police or loss prevention team. Yet, because of my soft voice, they will just not push me harder to the point that the police will drive to store and wait for them at the door. I have to combine verbal and non-verbal language to deal with abuser.



I agree. I don't argue because I already imagined this person just got hit by a drunk driver, patient is now in pain with broken bone and bleeding red blood inside......
I am sure all of us will never argue with any TRUE patient like that.
I AM SURE YOU HAVE SYMPATHY. You are pharmacist.
Agreed?
Now, Imagine.......YOUR best friend or kid just got hit by a drunk driver, patient is now in pain with broken bone and bleeding red blood inside......and your loved one is in front of me....What do you expect me to say?
I am very sorry that I can not help you today because this prescription does not meet the requirement for controlled substance that is controlled by the DEA and police.

Please try another pharmacy.
There are many pharmacies around here that have easier rule."
Again, sorry, if I could help you, I would.

Take that feeling....keep it...apply to my loved one.....
Imagine.......MY best friend or kid just got hit by a drunk driver, patient is now in pain with broken bone and bleeding red blood inside......and my loved one is in front of you....What do you expect YOU to say?

I am very sorry that I can not help you today because this prescription does not meet the requirement for controlled substance that is controlled by the DEA and police.

Please try another pharmacy.
There are many pharmacies around here that have easier rule."
Again, sorry, if I could help you, I would.

Take that feeling....keep it...apply to this human.....
Now, in front of you is a drug abuser. If you say the wrong way, this abuser will suffer withdrawal and will report you to headquarters.

What do you expect YOU to say? Simple, picture...broken bone....blood..... open your lips .....lower your voice...

I am very sorry that I can not help you today because this prescription does not meet the requirement for controlled substance that is controlled by the DEA and police.

Please try another pharmacy.
There are many pharmacies around here that have easier rule."
Again, sorry, if I could help you, I would.

Do No Harm, fellow pharmers....
Now, let's get back to checking medication safely for another human

DNH
Click to expand...

1367153854233.jpg
 
BMBiology said:
Someone who can't pay or not willing to pay $10 for his medication is not going to "buys $100 dollars worth of junk from the store every week". This manager is not making a business decision. He just doesn't want this customer to call corp and complain.
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It is a business decision, because if the customer calls corporate, corporate will berate both managers & tell them to give the customer a $25.00 gift card. So, the manager chose to lose $10 instead of $25, sounds like a good business decision to me.
 
Guess you all were wrong about @Sparda29 since I think he still has his current job. Anymore write ups?
 
Jibby321 said:
Guess you all were wrong about @Sparda29 since I think he still has his current job. Anymore write ups?
Click to expand...

I was actually written up for being consistently 1 minute late a few months ago. Still got my transfer to the premier pediatric center for the health-system. 😀
 
Got almost written up for borrowing a drug from another hospital. (I thought it was out of stock, checked the usual places for it but didn't check the returns bin.) Got a call at 10am in the morning when I'm dead asleep asking why I borrowed the drug and cost the hospital $80 for the transport service. Apparently when the DOP checked the return bin, he found over 40 unopened vials of the drug in there.

I don't get it. It's ****ing benadryl IV. We should be stocking over 200 vials of this stuff.
 
Sparda29 said:
I wasn't written up by pharmacy ppl, it was a nursing complaint, just like the million of complaints we make about nursing like the one I recently wrote up nursing for writing an illegible telephone order.
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so you really didn't get written up for it?

We have a variance system - I can write up anything I want - but it is not really a "write-up" in the way it goes in your file for disciplinary purposes .

I write up people all the time for messing up orders in the CPOE system and for making mistakes on med recs- but they is to improve safety (or at least my goal).
But I do have to call you on your attitude - I get flustered and pissed, but you NEVER raise your voice, in my hospital if you get two of those write ups you have to go to anger management class (proud to say I have sent two MD's to anger management class for telling me to tell my boss that "P&T effing blows" I did - and they got a day unplanned vacation from work.
 
Sparda29 said:
I was actually written up for being consistently 1 minute late a few months ago. Still got my transfer to the premier pediatric center for the health-system. 😀
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hell if this happened were I work half our staff would be gone - I do wish we enforced the issue because we have one chick who never is at work until 15 min after her shift starts
 
I'm pretty sure I was written up for this, or something like that:

Patient calls, says their blood glucose is over 500 and they are having severe symptoms and they need to have their insulin filled ASAP. I said we could fill insulin but they should really hang up and call 911/have someone take them to ER. They hung up and went to the ER, then later reported me for not being willing to fill their insulin and causing them an unnecessary visit to the ER.

I was a P1 intern. My pharmacist agreed with what I said. Nothing came of it.
 
Just had to comment after today:

1)I'm an inpatient floater (mostly clinical), so I was written up for not leaving signouts. Usually I don't leave signouts unless it's something imporant. If it's a vanc or warfarin issue, I just log it in the warfarin and vanc spreadsheet and hope that whoever works after me looks at it like they're supposed to. But now apparently if I have any patient that needs PK or warfarin monitoring, or any order I flagged, I need to sign out, or else I won't be "fully successful" on my performance standards and could be fired.

2)Not writing a vancomycin note for a patient who I didn't make any recommendations for--not joking. I logged him into the vanc spreadsheet because the medical team said that he's being discharged on the next day, so I logged him in just so the pharmacist after me would know to monitor level if pt is not discharged. Oh yeah, and I wasn't the one admitting the pt in the first place. Well, I got written up for not writing a whole progress note for that. Again, if I have any issues like that subsequently (warfarin or vanc), I could be fired.

Well, at least my metrics are good...(yes, we have lots of metrics, such as number of notes to write per month, average amt of time to process an order, and percentage of pts who need to have discharge notes, etc...)
 
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