The Lloyds Ruling
For my opinion...
I just can't see how you can blame the pharmacist in this. Yesterday I had a woman prescribed fexofenadine 180mg BD. When I told her I would have to phone the Dr as it was an overdose she screamed the bloody shop down. She told me her Dr would not make a mistake, he knew more about drugs then me, etc etc. I obviously stood my ground so she stormed out of the shop. Putting the patient first - very tough sometimes!
How can you phone a Dr every time a dose increases? I usually ask the patient if they know their dose has increased, but in a large volume pharmacy thats impossible. I often work for Lloyds and haven't seen anything in their SOP's about doses. I haven't the time to type every label, from a repeat screen or not, and if a dose is within the acceptable level I think it's reasonable to say that most pharmacists would dispense it.
I personally believe that the woman will have been told to go after Lloyds because Dr's are a much harder target to hit then we are, and the lawyers know that.
You can't call staff morons because they don't put a note on that a dose has increased. I have worked in one store that did over 800 items, 75 meth, and a needle ex scheme. Notes on drug increases, what kind of place gives you the time to do that? Show me it and I'll work there.
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