Hi, just a poll to see the opinion of the current students/practicing pharmacists. Please post any comments and concerns.
Wow so far surprised at the poll results.. 5 votes including my own and all 5 vote for the 1st option
My pharmacy always requires an insulin prescription to allow a pt to buy syringes without a prescription.
it was a new rule implemented by the pharmacist i'm working with now when she started. she said that before she started enforcing this, the store was almost always out of syringes no matter how much they ordered.
i guess it's relevant to add that i work in one of the worst parts of town.
My pharmacy always requires an insulin prescription to allow a pt to buy syringes without a prescription.
it was a new rule implemented by the pharmacist i'm working with now when she started. she said that before she started enforcing this, the store was almost always out of syringes no matter how much they ordered.
i guess it's relevant to add that i work in one of the worst parts of town.
Gotta love pharmacists who make up their own rules and laws!
Sometimes its not worth the public health aspect if you cater to these people. I don't want to find used syringes in a store's parking lot or bathroom. That's a risk to me and my customers who don't abuse drugs. I'd suspect some pharmacists would agree.
Sometimes its not worth the public health aspect if you cater to these people. I don't want to find used syringes in a store's parking lot or bathroom. That's a risk to me and my customers who don't abuse drugs. I'd suspect some pharmacists would agree.
Gotta love pharmacists who make up their own rules and laws!
Giving patients clean needles to shoot heroin > Spreading HIV et al.
Take a societal cost perspective on a person contracting a bloodborne pathogen and your ethical stance on not dispensing becomes quite unethical.Why are you guys making the pharmacist that doesn't give syringes to a drug addict a bad guy? I understand that we have to pay for it when they get HIV or some other lovely illness. Usually we are already paying for their healthcare. But why are you enabling them? You're doing nothing but helping worsen their drug addiction.
And you know what? Yeah, they might get clean needles now, but they're probably going to share at some point and get sick anyway because drug users are desperate and will do whatever it takes to get high. It's inevitable.
I've never once had an altercation when refusing to sell someone needles. I always say they need to produce a prescription or show me a bottle of insulin with a prescription label on it and their ID to prove its theirs. When they can't do this they always say "come on man, I'm sick and need my medicine" like any diabetic would say those exact words. You would get the rampage of "MY BLOOD SUGAR IS XYZ AND I NEED MAH INSULIN".
This thread surprised me because every single pharmacist I've ever worked with follows the same philosophy I posted...
Why are you guys making the pharmacist that doesn't give syringes to a drug addict a bad guy? I understand that we have to pay for it when they get HIV or some other lovely illness. Usually we are already paying for their healthcare. But why are you enabling them? You're doing nothing but helping worsen their drug addiction.
And you know what? Yeah, they might get clean needles now, but they're probably going to share at some point and get sick anyway because drug users are desperate and will do whatever it takes to get high. It's inevitable.
I've never once had an altercation when refusing to sell someone needles. I always say they need to produce a prescription or show me a bottle of insulin with a prescription label on it and their ID to prove its theirs. When they can't do this they always say "come on man, I'm sick and need my medicine" like any diabetic would say those exact words. You would get the rampage of "MY BLOOD SUGAR IS XYZ AND I NEED MAH INSULIN".
This thread surprised me because every single pharmacist I've ever worked with follows the same philosophy I posted...
Speaking of you, how's your business? still working at the independent as well?I'll give you the benefit of the doubt since you are pre-pharmacy and may not know that:
1. There are medical uses for syringes other than insulin. I used one last night that I bought OTC.
2. Some insulins are OTC, so just because they can't show you a prescription or a bottle with a label, it doesn't mean they aren't on insulin and don't have it at home.
3. The fact that they MIGHT share needles at some point in the future doesn't mean it's pointless to sell them clean needles now. Every instance of NOT sharing needles cuts down the risk of disease transmission. You should look up some information on public health and risk reduction. While you are at it, check out the lifetime costs of care for someone with HIV and/or HepC.
You should look for other pharmacist role models. The ones you work with see to be more interested in moralizing, judging, and making up rules than they are taking care of patients.
Speaking of you, how's your business? still working at the independent as well?
Why are you guys making the pharmacist that doesn't give syringes to a drug addict a bad guy? I understand that we have to pay for it when they get HIV or some other lovely illness. Usually we are already paying for their healthcare. But why are you enabling them? You're doing nothing but helping worsen their drug addiction.
It doesn't make you a bad guy, it makes you an *******. There is nothing you can do as pharmacist about a heroin addict. They will burglarize a diabetics house or rob you at gun point. When you are addicted to heroin, you will do anything to get it, Denying them a clean needle has NO upside and a large downside. You just cost the health care system an additional 25K per year for each new HIV patient you create by denying them a clean needle.Why are you guys making the pharmacist that doesn't give syringes to a drug addict a bad guy? I understand that we have to pay for it when they get HIV or some other lovely illness. Usually we are already paying for their healthcare. But why are you enabling them? You're doing nothing but helping worsen their drug addiction.
That means we should deny people Lipitor because they are going to eat at McDonalds. It's inevitable. Really, you can do better than that canard,And you know what? Yeah, they might get clean needles now, but they're probably going to share at some point and get sick anyway because drug users are desperate and will do whatever it takes to get high. It's inevitable.
I've never once had an altercation when refusing to sell someone needles. I always say they need to produce a prescription or show me a bottle of insulin with a prescription label on it and their ID to prove its theirs. When they can't do this they always say "come on man, I'm sick and need my medicine" like any diabetic would say those exact words. You would get the rampage of "MY BLOOD SUGAR IS XYZ AND I NEED MAH INSULIN".
This thread surprised me because every single pharmacist I've ever worked with follows the same philosophy I posted...
thisdoesn't give you or any other pharmacist the right to act as legislature, judge, and jury and make up your own **** because it's convenient for you.
Why are you guys making the pharmacist that doesn't give syringes to a drug addict a bad guy? I understand that we have to pay for it when they get HIV or some other lovely illness. Usually we are already paying for their healthcare. But why are you enabling them? You're doing nothing but helping worsen their drug addiction.
My son and I .
Why are you guys making the pharmacist that doesn't give syringes to a drug addict a bad guy? I understand that we have to pay for it when they get HIV or some other lovely illness. Usually we are already paying for their healthcare. But why are you enabling them? You're doing nothing but helping worsen their drug addiction.
And you know what? Yeah, they might get clean needles now, but they're probably going to share at some point and get sick anyway because drug users are desperate and will do whatever it takes to get high. It's inevitable.
I've never once had an altercation when refusing to sell someone needles. I always say they need to produce a prescription or show me a bottle of insulin with a prescription label on it and their ID to prove its theirs. When they can't do this they always say "come on man, I'm sick and need my medicine" like any diabetic would say those exact words. You would get the rampage of "MY BLOOD SUGAR IS XYZ AND I NEED MAH INSULIN".
This thread surprised me because every single pharmacist I've ever worked with follows the same philosophy I posted...
Based on your username and your previous avatar which I guess was your daughter.. I am guessing you made that username before you had your son but it's still funny
Why are you guys making the pharmacist that doesn't give syringes to a drug addict a bad guy? I understand that we have to pay for it when they get HIV or some other lovely illness. Usually we are already paying for their healthcare. But why are you enabling them? You're doing nothing but helping worsen their drug addiction.
And you know what? Yeah, they might get clean needles now, but they're probably going to share at some point and get sick anyway because drug users are desperate and will do whatever it takes to get high. It's inevitable.
I've never once had an altercation when refusing to sell someone needles. I always say they need to produce a prescription or show me a bottle of insulin with a prescription label on it and their ID to prove its theirs. When they can't do this they always say "come on man, I'm sick and need my medicine" like any diabetic would say those exact words. You would get the rampage of "MY BLOOD SUGAR IS XYZ AND I NEED MAH INSULIN".
This thread surprised me because every single pharmacist I've ever worked with follows the same philosophy I posted...
Why are you guys making the pharmacist that doesn't give syringes to a drug addict a bad guy?
Because in many places, such needle exchanges are legal, and as much as I loathe drug abusers, I loathe self-righteous pharmacists who contravene legally established statutes because they think they know better.
If you want to make up your own rules, go find your own fiefdom to rule.
I don't think I knew you were having another boy! Congrats and oh my!Yeah, I've been a member of the site since 2005, and my son wasn't born until last year. 2nd son due later this year.
When someone comes in to buy syringes its the funniest thing, especially when theres a line of people behind them. Just call them out on it. I just love asking them if they need any insulin and they say, no thats ok. And everyone behind them in line is like omg they can do that.
When someone comes in to buy syringes its the funniest thing, especially when theres a line of people behind them. Just call them out on it. I just love asking them if they need any insulin and they say, no thats ok. And everyone behind them in line is like omg they can do that.
I don't let my techs and interns "call out" patients, nor make fun of them in front of other patients.
Also, there are MANY other legit medical uses for syringes besides insulin.
Don't take it the wrong way, not really 'call out' but make them aware, but actually one guy comes thru the drivethru for syringes for steroids (which i guess is illegal) but not as bad as other drugs.
Opiate withdrawal prophylaxis isn't a legitimate medical purpose?I don't sell syringes without a legitimate medical purpose. Since that's what my pharmacy manager wants, that's what I do.
I have offered to do just about anything to verify the medical purpose, even calling a vet in the middle of the night to make sure that the customer really needed syringes to give their pitbull B12 shots that was competing in a dog show at 8am that morning.
When someone comes in to buy syringes its the funniest thing, especially when theres a line of people behind them. Just call them out on it. I just love asking them if they need any insulin and they say, no thats ok. And everyone behind them in line is like omg they can do that.
I don't sell syringes without a legitimate medical purpose. Since that's what my pharmacy manager wants, that's what I do.
When someone comes in to buy syringes its the funniest thing, especially when theres a line of people behind them. Just call them out on it. I just love asking them if they need any insulin and they say, no thats ok. And everyone behind them in line is like omg they can do that.
My employer's 'official' position is that we won't sell without either a script, a record of injectible medication on file, or an appropriately labeled bottle of medication from another pharmacy.
Personally, I don't really give a rat's ass who I'm selling syringes to. Legit people will use them for legit purposes, and people using them to get high will continue down their path of slow, drawn-out suicide. I get sick of hassling the honest folks just to stymie the efforts of the junkies (who won't be deterred, no matter what I do).
Opiate withdrawal prophylaxis isn't a legitimate medical purpose?
thisI can see both sides of the issue. Sure you're giving them clean needles and they're less likely to get some sort of blood borne pathogen. On the other side, who's to say the syringes you sell to a guy aren't about to be shared by him and his buddy? Granted it's better to at least give him a few clean ones so its less likely, but those few bucks he spends on needles could go towards another hit, so maybe that pack of syringes lasts a little longer than it should. Then there is the issue of people using the needles on the premises, potentially exposing the staff and other patients. That's no good for any party, and gives your pharmacy a bad stigma. Who wants to go to the pharmacy where there are junkies hanging out and needles lying around? Obviously public health trumps a customer's opinion of your store, but it's unfair to the non-abusers to be subjected to that environment. The stores I have been at have thankfully been in non-slum areas, but the few narcotic addicts we do have disturb the other patients and make them feel unsafe. That said, I have never had to sell syringes to a patient that I definitively knew was going to abuse drugs with them. Many paper-thin stories, but they were at least plausible. Diabetics, b12 deficient, etc should still be able to access their syringes, so the rule is beneficial to those patients. I know with ESAP we have to give the handout about getting help for dealing with addiction, but I feel that if the syringes were given out at an actual rehab center or something, it would have a bigger impact.
It's important to deny a sale in order to acknowledge the problem. I believe that's the difference between a pharmacy and a bar, ie ethical responsibility.The heart of the problem isn't the needles, it's the drug use, so denying the sale doesn't get to the core of the issue.
My manager has a good reason to act like that, and if the pharmacy manager doesn't want to sell syringes without a legitimate medical purpose, then I have to do the same - to be consistent. It's hard...Smh.
It ****ing pisses me off how many pharmacists try to act like the narc police or something.
It's important to deny a sale in order to acknowledge the problem. I believe that's the difference between a pharmacy and a bar, ie ethical responsibility.
For example, I had one customer come back and apologize about the way he acted whenever he was on meth, and looking back, I'm happy that I was hard on him. I would refuse to sell PSE to him or his friends, and now, I don't have to worry that I was feeding his addiction, and he can feel comfortable talking to me about it, because he knows that I won't give in and tempt him.