What is your worst experience dealing with MDs and other professionals?

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rxforlife2004

rxforlife2004

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So i did med-reconciliation today and it happened to be interesting to hear a response from an MD. By the way, for those who don't know what med-reconciliation means: It's a process where you suppose to sit down and look at all of the meds that patients had previously prior to admission. Most of them are PO, of course. So as an intern assigned so this task, i have to call the MD-in-charge to ask if he/she wants the pts to be on such meds...

ANyway, so i called this MD today and of course, as usual, i got the receptionist (he's at his office). She said, "The doctor is busy with a patient now...can u call back later?". So okie...i moved on with the stuff, an hour later, i called back...and she said, "He just went to a different hospital...I will page him now". I was like, "WTF?" (in my head...of course). So, two minutes later, a got a call back "This is Dr.XXXX.". Me: "Hi Dr. , i am the pharmacy intern at ABC Hospital. I am doing the med-reconciliation regarding patient AAA at hospital CCC and i am just wondering if you could have a minute to help me.". The MD: "I am busy now...Don't ever page me if it isn't an emergency situation....Okay?" Then he hung up and never called back. :meanie:

SO I signed off his patient and let the clinical pharmacist in charge to do it...Don't know if she did it...but oh well..

Anyone has such experiences before? Or with other healthcare professionals? I found they're hard to talk to and usually they look down on us.
 
LOL...

Ok..I don't know where to begin. First, that MD is a Jackass... but did you tell him that his patient has been hospitalized? Of course we can assume that he knows the patient is hospitalized since you're calling from the hospital.

The medication reconciliation process calls for the home med to be reconciled and at the same time requires a renewal from the admitting or attending physician.. most likely an internist on call for that patient, usually a hospitalist.... The MD you called may not have been on call at the time nor was he following the patient once the patient is in the hospital. If he lets the hospitalist group to take over the care, then you should have paged the hospitalist.

I had one bad experience with a doc...a nephrologist who put a dialysis patient on gent 100mg q8h. This was my first year out of pharmacy school...I told him that the regimen will cause accumulation of gent...he hung up on me. Called him right back and asked him if he would like me to dose it for him..he hung up on me again... called him right back and told him to never F*cking hang up on me again or I'll beat his ass... never heard from him again...few months later he moved out of state.
 
btw...you should have paged him right back told him it's an emergency.
 
I was putting a not in a chart one time suggesting a change to a more appropriate medication and the physician sitting nearby asked "what's that". I explained to him what it was and he basically told me that the suggestions don't help and they are only a liability if they go in the chart and malpractice becomes an issue later on, implying that if the patient doesn't recover the lawyer can look in there and use the failure to follow a suggestion as leverage. This wasn't a particularly jarring experience for me but i thought it summed up our uselessnes nicely
 
davidgayz said:
I was putting a not in a chart one time suggesting a change to a more appropriate medication and the physician sitting nearby asked "what's that". I explained to him what it was and he basically told me that the suggestions don't help and they are only a liability if they go in the chart and malpractice becomes an issue later on, implying that if the patient doesn't recover the lawyer can look in there and use the failure to follow a suggestion as leverage. This wasn't a particularly jarring experience for me but i thought it summed up our uselessnes nicely
Click to expand...

Small correction - uselesness of clinical pharmacy...
It just proves that until pharmacists can independently prescribe stuff - clinical pharmacy will be a BS.
 
easy now...

Did the attending request a consult?? If not..why the heck are you writing a recommendation on a permanent chart? When you give an unsolicited pharmacy recommendation on a drug therapy, if it's not done verbally, then you leave a recommendation which states "Not a permanent part of the chart, must be removed before filing."

Does a physician specialist give an unsolicitated consult on a patient and leave a permanent note on what and why the attending is doing something wrong? No.

It's professional courtesy... If you think clinical pharmacy is BS...then you don't understand pharmacy.
 
Apologies to Zpack - but med reconcilliation has many, many flaws, IMO.

I think its paper chasing!

Did you read the chart? Did you look to see what the admitting physician' assessment & recommendations are?

Is this a discharge or a change in level of service reconcilliation?

Likely...this MD knew exactly his/her pt was admitted & didn't have the time nor the interest to pursue the medications on admit at the time since they've all been changed based on the admitting diagnosis & physical findings & subsequent tx.

If this is a discharge reconcilliation...I feel it is the responsibiiity of the pharmacy dept to get the P&T committee to approve the ability for the pharmacist to transcribe (yes....it is just transcription!) of the last current & appropriate orders (not the MS prns, obviously) to the reconcilliation.

We've had different threads on this topic - but this reconcilliation is sooo awful - not just for the primary's (which you encountered) but for all those other providers who never even see this document.

IMO - it is a paper which satisfies JCAHO only & serves no other purpose (sorry Zpak!!!).
 
No need to apologize.... 2 more weeks..and I never ever have to deal with Joint Commission...ever again...until I decide to go back to the hospital..


:meanie: :meanie:
 
davidgayz said:
I was putting a not in a chart one time suggesting a change to a more appropriate medication and the physician sitting nearby asked "what's that". I explained to him what it was and he basically told me that the suggestions don't help and they are only a liability if they go in the chart and malpractice becomes an issue later on, implying that if the patient doesn't recover the lawyer can look in there and use the failure to follow a suggestion as leverage. This wasn't a particularly jarring experience for me but i thought it summed up our uselessnes nicely
Click to expand...

Can't the MD follow up with a notation of why he/she didn't follow an informed recommendation? That would cover some a**. Isn't every person who comes into contact with a patient responsible for the patient and for noting their charts accordingly?

I'm just learning about SOAP notes and I realize that my position is probably idealized. I welcome constructive comments.
 
twester said:
Can't the MD follow up with a notation of why he/she didn't follow an informed recommendation? That would cover some a**. Isn't every person who comes into contact with a patient responsible for the patient and for noting their charts accordingly?

I'm just learning about SOAP notes and I realize that my position is probably idealized. I welcome constructive comments.
Click to expand...

The idea is - if you write it - it must be dealt with in some manner.

Lets just say....the an 88 yo pt is admitted for dehydration...the pt is on multiple heart medications, diabetic medications, diuretics, dss, vitamins and received an antibiotic for a root canal which was done 2 weeks ago.

Now...the pt could have just had a GI bug...in which case....the pt needs hydration, monitoring, perhaps some readjustment of the hypoglycemic medications, etc...or the antibiotic could have changed the GI flora enough to tip the balance, .... or in some cases - there is no reason.


But...if you've mentioned that the dss could have caused diarrhea & the previous antibiotics might have caused c.difficile - now that is has been mentioned...it must be tested for & treated. Often, it can never be cultured and sometimes will resolve on its own.

But...by actually writing it in the chart - you've committed the physician to a course of pursuit.

IMO - the better route is to follow the progress notes & have a discussion with the physician personally. You can give your suggestions - they may or may not be taken to heart, but having it actually written in the notes does indeed unleash the potential for compromising the physician's plan.

And - no - you are not obligated to write your every thought in the chart.

But - that's just how I'd approach it since I know my prescribers well.
 
ZpackSux said:
No need to apologize.... 2 more weeks..and I never ever have to deal with Joint Commission...ever again...until I decide to go back to the hospital..


:meanie: :meanie:
Click to expand...

Zpack, you're an Aggie Now? What happen to being a Trojan???
 
twester said:
Can't the MD follow up with a notation of why he/she didn't follow an informed recommendation? That would cover some a**. Isn't every person who comes into contact with a patient responsible for the patient and for noting their charts accordingly?

I'm just learning about SOAP notes and I realize that my position is probably idealized. I welcome constructive comments.
Click to expand...

It really depends on the set up of the particular hospital. If they're doing paper charts or EMR with electronic progress notes, the pharmacists shouldn't really be documenting their recommendations on the chart unless a consult was requested by the physician or the patient was being seen in your clinic.

We've had instances on my psychiatry rotation where the attending psychiatrist wanted to consult pharmacy just to cover her behind. I only documented in the patient's chart when I personally spoke to the attending and my preceptor and had my recommendations accepted. Most of the time the suggestions get written in pharmacy profile anyway and should be documented there. The only other time I can think of when pharmacy writes in the chart is when we're doing therapeutic drug monitoring (phenytoin, warfarin, aminoglycosides, vancomycin) or antibiotics pharmacotherapy.

Unfortunately, a lot of documentation doesn't occur and our services go underrecognized and undervalued. I'm at an HIV rotation right now, and we have a medication support team service where we do document and research our value. However, when I'm shadowing the physicians here, I usually make at least 1 recommendation per patient which often gets accepted but undocumented.
 
We have a nephrologist who is pretty high and mighty at our hospital. She likes to write TPN order changes at 9-10 pm - changes are due at noon.
She doesn't appreciate being asked for clarifications of her orders for ANY reason. She screamed one time something to the effect of "if pharmacists are so smart, they should've went to medical school"....I just laughed.
 
pharmboy30 said:
We have a nephrologist who is pretty high and mighty at our hospital. She likes to write TPN order changes at 9-10 pm - changes are due at noon.
She doesn't appreciate being asked for clarifications of her orders for ANY reason. She screamed one time something to the effect of "if pharmacists are so smart, they should've went to medical school"....I just laughed.
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You need a better dop who doesn't allow this stuff.

There is absolutely no reason a tpn needs to be changed on a routine basis like this & absolutely no reason for disrespectful attitueds on either side.

If her pt has a high K+, hypoglycemia due to too much insulin, etc.....taking the tpn down & running D10 is sufficient for 12 hours & will do no harm nutritionally.

Part of hospital pharmacist's jobs are to make therapy not just be rational, but also economical. Your dop is not doing his/her job!
 
sdn1977 said:
You need a better dop who doesn't allow this stuff.

There is absolutely no reason a tpn needs to be changed on a routine basis like this & absolutely no reason for disrespectful attitueds on either side.

If her pt has a high K+, hypoglycemia due to too much insulin, etc.....taking the tpn down & running D10 is sufficient for 12 hours & will do no harm nutritionally.

Part of hospital pharmacist's jobs are to make therapy not just be rational, but also economical. Your dop is not doing his/her job!
Click to expand...

sorry for my lack of knowledge but what is a dop?
 
Sosumi said:
It really depends on the set up of the particular hospital. If they're doing paper charts or EMR with electronic progress notes, the pharmacists shouldn't really be documenting their recommendations on the chart unless a consult was requested by the physician or the patient was being seen in your clinic.

We've had instances on my psychiatry rotation where the attending psychiatrist wanted to consult pharmacy just to cover her behind. I only documented in the patient's chart when I personally spoke to the attending and my preceptor and had my recommendations accepted. Most of the time the suggestions get written in pharmacy profile anyway and should be documented there. The only other time I can think of when pharmacy writes in the chart is when we're doing therapeutic drug monitoring (phenytoin, warfarin, aminoglycosides, vancomycin) or antibiotics pharmacotherapy.

Unfortunately, a lot of documentation doesn't occur and our services go underrecognized and undervalued. I'm at an HIV rotation right now, and we have a medication support team service where we do document and research our value. However, when I'm shadowing the physicians here, I usually make at least 1 recommendation per patient which often gets accepted but undocumented.
Click to expand...

Personally, I don't equate lack of chart documentation with underrecognized & undervalued - but that's just me.

I've got lots & lots of prescribers who call or come to ask my opinion on something. It may or may not change therapy......but, I do know they value my input.

Unfortunately.....some educators teach these "external" trappings are how we measure our value, which is not the case. In fact, I've never seen an outcomes study which looks at the number of chart entries compared with change in therapy - whether positive or negative. However, I've participated in many, many (miserable - I might add!) studies in which I've had to document my interventions & outcomes. Fortunately...someone else complies & evaluates the data.

But.....I would caution that the chart is a permanent, legal documentation of that individual's stay - just as our own pharmacy records are. So....it is not the place for "thoughts" or "suppositions" - only that which you might want to see 5 or 6 years later when you are sitting at a desk answering questions during a deposition on what you wrote in that chart.

Which brings up another, but related topic (I guess I should start a thread...) - how do you continue to give yourself positive feedback in our profession? This has been a problem among some of my colleagues over time & sometimes a frustration with new graduates when they realize the real world is not a reflection of what their school years were like.
 
dumbguy said:
sorry for my lack of knowledge but what is a dop?
Click to expand...

Zpack may have left of the E😀 . I've seen it often enough I'd say it's safe to suppose it's the pharmacy director (director of pharmacy). Essentially the boss of the various pharmacists in a hospital setting (OR, ICU, NICU, Peds, Onc ,Nuc, etc) Responsible for updating protocols, directives, scheduling, etc.
 
Farmercyst said:
Zpack may have left of the E😀 . I've seen it often enough I'd say it's safe to suppose it's the pharmacy director (director of pharmacy). Essentially the boss of the various pharmacists in a hospital setting (OR, ICU, NICU, Peds, Onc ,Nuc, etc) Responsible for updating protocols, directives, scheduling, etc.
Click to expand...


Pig!

:meanie:
 
You do med rec as an intern? I have yet to start on that train of scutwork.

The most recent horrible experience:

I'm working phone triage. Some guy calls, right before I'm about to leave for a break. Let's call him Total Dick, since I don't know if he was a murse or an dingus EM resident. Either way, he is arguably a "professional."

Me: Pharmacy, this is PsychoAndy
TD: Hi, can I speak to a pharmacist?
Me: What can I help you with? (As most of you know a lot of things pharmacists get asked on the phone could be answered by a tech or lovely intern like myself...)
TD: Are you a pharmacist?
Me: No...but what's your question?
TD: Can I speak to a pharmacist?
Me: Look guy, I have to triage the phone calls. Tell me what your concern is and if I can answer it, I will, and if not, I'll bounce you over.
TD: IT HAS TO DO WITH AMIODARONE I DONT HAVE TIME FOR THIS I'M IN THE ED AND I NEED TO SPEAK TO A PHARMACIST

So at this point I'm like, whatever, transfer Total Dick to the RPh covering. I go on break, come back 5 minutes later, and ask the pharmacist what Total Dick wanted. Apparently, Mr. TD called to let us know that he would be faxing an order down for a peripheral IV amiodarone...that's it. Because as an intern or tech I would have absolutely no control over this, regardless of the fact that we would get the orders first and have them entered in, as well as making it...I expected at least somewhat clinical questions like "whats our typical loading dose for a peripheral line" or "i need this super stat". Friggin Jagoff.

Other than that, all of my "horrible experiences" have to do with me bothering MDs about PAs, after their staff bothers me about it, that they dont care/have no idea about. However, I feel that I get more crap from nurses than anyone else.
 
sdn1977 said:
You need a better dop who doesn't allow this stuff.

There is absolutely no reason a tpn needs to be changed on a routine basis like this & absolutely no reason for disrespectful attitueds on either side.

If her pt has a high K+, hypoglycemia due to too much insulin, etc.....taking the tpn down & running D10 is sufficient for 12 hours & will do no harm nutritionally.

Part of hospital pharmacist's jobs are to make therapy not just be rational, but also economical. Your dop is not doing his/her job!
Click to expand...


I completely agree. I have been fighting the TPN battle for over 1 year. When other co-workers don't want to follow the policy, I get to be the jerk and tell them we are not making TPN's at 10pm.

We just got a new DOP, had an interm for 6-7 months who did nothing.
The best part is our "supervisor/manager" - just graduated from pharmacy school, has a MBA, trained in the pharmacy for like a week, has no idea about how things work or how to make a fair schedule (already plays favorites with the youngest female pharmacist who hasn't worked a weekend in 7 weeks, but we are on every 3.), creates drama, etc...... i need a new job.

best one I got lately - our diltiazem drips are 125mg/125ml. Nurse from tele floor calls - "my patient is supposed to get 5mg/hr. What is the rate??"
I said - "there is ONE mg per ONE ml"
she said - "ok - how fast do I run it??"
 
pharmboy30 said:
I completely agree. I have been fighting the TPN battle for over 1 year. When other co-workers don't want to follow the policy, I get to be the jerk and tell them we are not making TPN's at 10pm.

We just got a new DOP, had an interm for 6-7 months who did nothing.
The best part is our "supervisor/manager" - just graduated from pharmacy school, has a MBA, trained in the pharmacy for like a week, has no idea about how things work or how to make a fair schedule (already plays favorites with the youngest female pharmacist who hasn't worked a weekend in 7 weeks, but we are on every 3.), creates drama, etc...... i need a new job.

best one I got lately - our diltiazem drips are 125mg/125ml. Nurse from tele floor calls - "my patient is supposed to get 5mg/hr. What is the rate??"
I said - "there is ONE mg per ONE ml"
she said - "ok - how fast do I run it??"
Click to expand...

It would be interesting to get Zpaks take on this.....but, I've got lots of opinions on how pharmacy administration should run - and after 30 years - I don't hesitate to state them.

You, IMO, are suffering for administrators of your dept who are "academically" trained - which means - an administrative, clinical residency or MBA, or other degrees - but who have absolutely no experience in the actual workings of a pharmacy. If they've never "walked in the shoes" - they don't have any idea of the burdens & stressors this puts on a staff. I could go on and on about residencies & how well they prepare you for actual job situations - but this is not the place!

The ability to have the dop step in (or whomever the dop assigns - like the ICU/critical care pharmacist, OR pharmacist, snf pharmacist, etc..) & say - NO! We will not do this or that....we will do ..... whatever & be able to substantiate it with actual practical experience is paramount in not only having the respect of the medical staff, but also the respect of the pharmacy staff. But - that dop needs to be willing and able to support staff education & intervention.

It is demoralizing to become a puppet & have the dop actually say - you must be this puppet. Now - that is not to say you can always decide when & when you won't do something - that is not always the case. But - certainly, in cases like the tpn which you illustrated - no hospital which compounds over 15 tpns/day will tolerate a new tpn at 10PM at night - at least in my area.

Perhaps these folks will empower the pharmacy staff to develop the particular strengths of all its members. But, from what you say - perhaps that is wishful thinking. Unfortunately, on the job training as a dop or supervisor rarely is a good thing.

So....develop your resume - become the guy everyone can rely on without a quick, sharp word or becoming bitter. And - keep your eyes open for other opportunities - where you are may be a dead end. Its hard to see it when you're in it - believe me - it took me 3 years to finally get out of one...but - this does not have to be your only job!

Good luck and stay positive!!!! You don't want to leave on a sour note.
 
1) TPN, Order is due at 15:00.. if it comes in at 15:15..heck.. go ahead and do it. if it comes in at 21:00.. hang a D10. Tell your DOP to grow some balls.

2) Schedule: Permanent evening pharmacists work M-F. Everyone else including the DOP will staff and rotate weekends. No exception. This is just my rule...except it pissed off my clinical manager who felt her job was M-F 9-5. Sorry.. it won't fly.
 
ZpackSux said:
1) TPN, Order is due at 15:00.. if it comes in at 15:15..heck.. go ahead and do it. if it comes in at 21:00.. hang a D10. Tell your DOP to grow some balls.

2) Schedule: Permanent evening pharmacists work M-F. Everyone else including the DOP will staff and rotate weekends. No exception. This is just my rule...except it pissed off my clinical manager who felt her job was M-F 9-5. Sorry.. it won't fly.
Click to expand...


i second both those motions!
👍
 
ZpackSux said:
1) TPN, Order is due at 15:00.. if it comes in at 15:15..heck.. go ahead and do it. if it comes in at 21:00.. hang a D10. Tell your DOP to grow some balls.

2) Schedule: Permanent evening pharmacists work M-F. Everyone else including the DOP will staff and rotate weekends. No exception. This is just my rule...except it pissed off my clinical manager who felt her job was M-F 9-5. Sorry.. it won't fly.
Click to expand...

That sounds good to me, except our DOP and "manager" leave between 3:30-4pm. I WISH at least the new grad "manager" would staff.....he's a tool.
 
ZpackSux said:
No need to apologize.... 2 more weeks..and I never ever have to deal with Joint Commission...ever again...until I decide to go back to the hospital..


:meanie: :meanie:
Click to expand...
so in other words...give it 4 weeks before zpack makes his return when he finds out some dude name slaver oversees him
 
Caverject said:
so in other words...give it 4 weeks before zpack makes his return when he finds out some dude name slaver oversees him
Click to expand...

Slaver couldn't comprehend my line of pharmacy work...
 
ZpackSux said:
No need to apologize.... 2 more weeks..and I never ever have to deal with Joint Commission...ever again...until I decide to go back to the hospital..


:meanie: :meanie:
Click to expand...


Hrrm, I must have missed it. Where you headed Z-man? ...and can I come?
 
Allow me to jump in here. I have never had this problem in a teaching hospital. There are times where I can come off "high and mighty" as it has been called. When I did work in a community hospital, I had those issues.

We had a guy come in and say he was an anesthesiologist and he wanted a box of narcotics. He had no ID. I threw him out and refused the box. It was an emergency. The nursing supervisor ordered me using ehr authority as administrator in charge to dispense the medication. I said no, closed the pharamcy, and had her to sign out the box under her authority as a nursing supervisor. I reported the physician to the state medical board for not having his wallet identification and he got a through dressing down that was communicated to the entire medical staff. They never screwed with any other pharmacist in that hospital ever again.

If someone treats me in a hostile fashion on the telephone, I will go up there and speak to the person in the nurses station or wherever they are. If it is during business hours, I'll bring a Rx manger or DOP if they are available. After hours, I bring a nursing supervisor. I document the situation and make sure it is referred to the chair of the department. Keep in mind, I don't dispense anymore, so most of this is advice coming from someone who has a nip it in the bud mentality.

As for the chart, I always make my recommendations written. This way there is no question and my butt is not placed in some sling. I have seen depositions of physicians who are arrogant. Documentation gets them eaten alive. The ones who follow-up the documentation perform well under the depositions and generally are not eaten alive.

Always DOCUMENT!
 
AnonFaculty said:
If someone treats me in a hostile fashion on the telephone, I will go up there and speak to the person in the nurses station or wherever they are. If it is during business hours, I'll bring a Rx manger or DOP if they are available. After hours, I bring a nursing supervisor. I document the situation and make sure it is referred to the chair of the department. Keep in mind, I don't dispense anymore, so most of this is advice coming from someone who has a nip it in the bud mentality.
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I think I need to try this out. If only I had the balls to drag the DOP or managers...assuming I could actually find them when they aren't at a P&T/management/executive meeting, or going on retreats.

This reminds me of another snarky RN. I went to deliver some IVIG or rabbit ATG, really expensive stuff, to transplant at say, 19:00. I walk into the unit and the RN immediately yells at me because nursing apparently gives it at 08:00, as opposed to 20:00, and says "well by the time we need to hang it it'll go bad, thanks for wasting the pt's money!" I was in such shock since I know it's really expensive, and I had no idea what to say other than "hey i'm just bringing this up." It's not like I entered it in, made it, and brought it up fully knowing the situation.

Anyways, once I realized what a miserable wench she was, I started bitching to the techs I was working with, and the pharmacist covering the unit overheard me, and gave the nurse a piece of my mind for me! Probably better in this case that she went for me, since i'm just a worthless peon and she's the resident transplant RPh queen.
 
AnonFaculty said:
Allow me to jump in here. I have never had this problem in a teaching hospital. There are times where I can come off "high and mighty" as it has been called. When I did work in a community hospital, I had those issues.

We had a guy come in and say he was an anesthesiologist and he wanted a box of narcotics. He had no ID. I threw him out and refused the box. It was an emergency. The nursing supervisor ordered me using ehr authority as administrator in charge to dispense the medication. I said no, closed the pharamcy, and had her to sign out the box under her authority as a nursing supervisor. I reported the physician to the state medical board for not having his wallet identification and he got a through dressing down that was communicated to the entire medical staff. They never screwed with any other pharmacist in that hospital ever again.

If someone treats me in a hostile fashion on the telephone, I will go up there and speak to the person in the nurses station or wherever they are. If it is during business hours, I'll bring a Rx manger or DOP if they are available. After hours, I bring a nursing supervisor. I document the situation and make sure it is referred to the chair of the department. Keep in mind, I don't dispense anymore, so most of this is advice coming from someone who has a nip it in the bud mentality.

As for the chart, I always make my recommendations written. This way there is no question and my butt is not placed in some sling. I have seen depositions of physicians who are arrogant. Documentation gets them eaten alive. The ones who follow-up the documentation perform well under the depositions and generally are not eaten alive.

Always DOCUMENT!
Click to expand...

Nice..you delayed patient care...
 
AnonFaculty said:
Allow me to jump in here. I have never had this problem in a teaching hospital. There are times where I can come off "high and mighty" as it has been called. When I did work in a community hospital, I had those issues.

We had a guy come in and say he was an anesthesiologist and he wanted a box of narcotics. He had no ID. I threw him out and refused the box. It was an emergency. The nursing supervisor ordered me using ehr authority as administrator in charge to dispense the medication. I said no, closed the pharamcy, and had her to sign out the box under her authority as a nursing supervisor. I reported the physician to the state medical board for not having his wallet identification and he got a through dressing down that was communicated to the entire medical staff. They never screwed with any other pharmacist in that hospital ever again.
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This is a nightmare scenario which you made the poorest professional judgment. And immature. Very.

It is the responsibility of the hospital to credential every physician and notifiy the entire hospital staff of who the physicians are. In the pharmacy should be a Medical Staff Log with their DEA#, Signature, and a picture. It is the fault of the pharmacist who didn't recognize the particular physician in an emergency.

If this was an emergency surgery case where the anesthesiologist simply forgot his wallet, then perhaps it was more important for him to rush to the hospital than trying to go find his ID. The fact that that nurse supervisor had to use the administrative authority to order you to dispense tells that the physician is legit. Even then you refused. Guess what...if the patient's appendix ruptures and dies because anesthesisa staff couldn't get the drugs, then the responsibility falls on you as well.

This is one of the most obnoxious tunnel vision decision that can be made by an uppity pharmacist who somehow has forgotten the Pharmacist Oath # VII. Your interest did not lie in patient care. What was more important to you were the technicality of medication distribution and that pharmacy not "messed" with.

I hope the community hospital terminated you for this incident. I surely would have fired you on the spot for jeopardizing patient care and defying administravie order. The nurse supervisor on call's decision is on behalf of the CEO of the hospital.

I sincerely hope you made up this story... and if so, I apologize for my comment. If this is a true story and you felt the need to boast about it significanly diminish very little professional respect I had for you.

Think about it...if it was you or your family member lying in the OR needing an emergency surgery..but delayed because of lack of medication...why? Because the pharmacist threw out the anesthisiologist out of pharmacy then closed the pharmacy on the house supervisor. How do you like that?
 
...wait for it...
 
groovey..I'm going to work for a GPO as a clinical consultant... will be leaving the hospitals for a while...

I thought you had asked where I was going on some other thread..
 
ZpackSux said:
This is a nightmare scenario which you made the poorest professional judgment. And immature. Very.

It is the responsibility of the hospital to credential every physician and notifiy the entire hospital staff of who the physicians are. In the pharmacy should be a Medical Staff Log with their DEA#, Signature, and a picture. It is the fault of the pharmacist who didn't recognize the particular physician in an emergency.

If this was an emergency surgery case where the anesthesiologist simply forgot his wallet, then perhaps it was more important for him to rush to the hospital than trying to go find his ID. The fact that that nurse supervisor had to use the administrative authority to order you to dispense tells that the physician is legit. Even then you refused. Guess what...if the patient's appendix ruptures and dies because anesthesisa staff couldn't get the drugs, then the responsibility falls on you as well.

This is one of the most obnoxious tunnel vision decision that can be made by an uppity pharmacist who somehow has forgotten the Pharmacist Oath # VII. Your interest did not lie in patient care. What was more important to you were the technicality of medication distribution and that pharmacy not "messed" with.

I hope the community hospital terminated you for this incident. I surely would have fired you on the spot for jeopardizing patient care and defying administravie order. The nurse supervisor on call's decision is on behalf of the CEO of the hospital.

I sincerely hope you made up this story... and if so, I apologize for my comment. If this is a true story and you felt the need to boast about it significanly diminish very little professional respect I had for you.

Think about it...if it was you or your family member lying in the OR needing an emergency surgery..but delayed because of lack of medication...why? Because the pharmacist threw out the anesthisiologist out of pharmacy then closed the pharmacy on the house supervisor. How do you like that?
Click to expand...

GASP! I agree with Zpak here. IF this story is true (a big IF), at my hospital that pharm would be thrown out on his ear and probably reported to appropriate boards. It is NOT your responsibilty to nitpick if someone's life is in danger. You should err on the side of doing your job (esp AFTER the DON tells you to hand over the meds...don't you thinking SHE would do that only if she knew the doc was legit)?? What is wrong with you?? Things can be sorted out later, not while pt care is hanging in the balance. Chances are this poster is either completely making this up or embellishing to make his role seem bigger than it really is. Honestly, this whole story makes no sense, to deny a doctor AND a DON meds, just do your freaking job!
 
ZpackSux said:
groovey..I'm going to work for a GPO as a clinical consultant... will be leaving the hospitals for a while...

I thought you had asked where I was going on some other thread..
Click to expand...

No worries. I thought you were leaving for some top secret government organization.

And I was waiting for this thread to explode after your response to Anon. Hence, the wait for it response. 😀
 
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