Clinical Interventions

[Zoggite]

I take (some of) it all back: the surgery did get back to me today, they've changed the script to "Zomig 2.5mg tabs, mitte 14; take one at onset of headache"
Result!
(but then the next script from that surgery was for 8 Evorel 75mcg patches, one to be taken daily...)

[admin]

Originally Posted by kemzero

Dear comrades

Keep up the good work and more grease to your elbows......

The clinical pharmacy bit can contribute towards our CPD requirements (its been beneficial to me) it also proves that you need more than an HNC to do this job.

Kudos to you all

Can we hear some of yours if you don't mind sharing them, please.

[Linnear]

I'd been qualified about 6 months when I received a Rx for Methotrexate tds 28/7!

When I phoned the surgery to very the move from 7.5mg a week to daily the Dr said "That's what they said they took!"



Down here a number of Drs seem to miss the macrolide statin interaction. For me that generates one in three of my interaction calls to GPs.


One surgery I used to deal with didn't realise Didronel PMO was a 3 month box. One old lady got it every month. God knows what she did with them all.

[Zoggite]

I have a patient who every month gets prescribed " Napratec 56 tabs,1 BD"; after explaining the situation to the 4th different receptionist (With a pack in hand, as a visual aid) on the 6th such script, I gave up...

[admin]

Originally Posted by Linnear

I'd been qualified about 6 months when I received a Rx for Methotrexate tds 28/7!

When I phoned the surgery to very the move from 7.5mg a week to daily the Dr said "That's what they said they took!"



Down here a number of Drs seem to miss the macrolide statin interaction. For me that generates one in three of my interaction calls to GPs.


One surgery I used to deal with didn't realise Didronel PMO was a 3 month box. One old lady got it every month. God knows what she did with them all.

When you say the Dr said that was what the patient said they took, I have seen that taken to ridiculous extremes. When I worked in the hospital you saw "drugs" prescribed like "duclofelalac" because that's how the patient pronounced the name of diclofenac! It's obviously not the patients fault, but how could you put your name to prescribing a patient something like that? You'd think they'd be the laughing stock of the Dr's lounge! And how can you prescribe a person something you have obviously never heard of, because it doesn't even exist?

My sister went out with a young local GP for a while, years ago. He used to say that they were so well protected that they could get away with anything really. He also once said that it was great to work on a geriatric ward. This was because (he said) that if a person is cremeted, the Dr signing the death certificate got a payment of a strange amount, being about £28 at that time. This was because of some very old law, trying to save space on cremeting people, rather then having graves. I don't know if this has any truth to it, and he may have been having me on, but he said as you got more deaths on these wards it was a great supplement to his income.

Has anyone else ever heard of anything like this? I'd love to know if it's true or not.

[kemzero]

Admin,

Will try to share as much as poss, but I work for a PCT so it's difficult

[admin]

Originally Posted by kemzero

Admin,

Will try to share as much as poss, but I work for a PCT so it's difficult

No problem Kemzero. If you just get a bit of useful/interesting information from the posts then that's great. If you feel you have had any experience that you want to share then feel free. If you just want to read the content then that's fine as well.

[Linnear]

One shop I worked at had a dispenser who used to work at a dispensing doctors' surgery.

She was given the training and she asked what if I make an error?

Reply from senior partner: That's what the indemnity insurance is for!

When she asked if he was joking he said no. The indemnity insurance was in place so they didn't have to worry about it!



I remember a case when I was studying, so must be 14 odd years ago now! (My god I never thought I'd be this old!)

A dispensing surgery gave Oramorph 30mg/5ml on a 10mg/5ml Rx and the patient died.

So we have a dispensing error, apatient death and last but by no means least a CD supplied with no legal CD Rx.

The inquiry found that the patient was going to die anyway and they were asked to make sure that a Dr checked all CD Rxs and that was that. No-one seemed to notice that this wasn't a CD Rx!

Anyone got any ideas what would happen to a pharmacist in this case?

[admin]

Yeah

I have a real good idea about what would happen to you!

[Jeff]

Originally Posted by Linnear

Anyone got any ideas what would happen to a pharmacist in this case?

25 years ago we (doctors and pharmacists) would have just buried each others mistakes.

14 years ago the NPA insurance would have done all in it's power to keep the dispensing error secret. If the inspector and stat com got involved they'd pin something else on you.

Nowadays the contractor would put it down to SOP's and say they hadn't been followed. The PDA would blame it on poor working conditions. The Society would be more interested in how the error had been dealt with and what had been done to prevent a recurence.

Jeff