the worst bit of pharmacy

[ramroum]

You measure and serve methadone to addicts all day long every day.

[Rafael]

hmmmmm please watch the language! they are called substance misusers, not addicts. actually some of the members here are sub-misusers. i used to call them as addicts, till a locum pointed out for me that the word can be taken offensive by some misusers. Then Jeff pointed out that i fail to see addiction as a chronic condition just like any other chronic condition.

you would not say that if you were a contractor! 'serving methadone drinks' pay a huge part of the bill.

Regards

[ramroum]

Standing up all day checking and checking then checking.
(Why can't community pharmacist sit down and use conveyor belt for meds' trays?)

[Rafael]

John mentioned something about possibility of providing MURs at patient's home. if PSNC negotiate such a deal, you can always forget about community pharmacy and do MURs for your neighbours at 27 quids/MUR. again i think there will be an anual limit (what a shame)

[Tony Schofield]

You have a master degree to work as a waiter serving methadone (drinks) to addicts all day long every day.
(This service should be done at drug addiction centres and drinks served by less qualified people to release some pressure from community pharmacy.)

In most shared care schemes, where pharmacists are properly engaged in this service, they do more than "serve drinks". They report missed doses to prescribers, comment on the general health of the patient and even assist in correct doses being prescribed:- if a patient is in withdrawal the prescriber wouldn't know until the next appointment, if a patient is intoxicated they may be using opiates on top (in which case a dose increase is required) or the prescribed dose may be too high. Psycho social interventions are hugely influenced by pharmacists interventions. Pharmacists see the patient every day, not just when a prescription is written.


Do not minimise the contribution made by pharmacists.

[hadfield]

You can’t use: Oops! very often.

lol I will a make sure I include that in my personal statement

[GAZ]

"my personal statement"? may be i've missed something....(?)..but what do you mean by this? who is this personal statement to? should i have one of these?

[p-rog]

The worst part about pharmacy here in the US is the mindset of the American consumer. They have this mentality that anytime they pay for something, they automatically get to "have it their way". And since you're selling something that people actually need, you will honestly get treated worse than the 16 year old that works the drive-thru window at McDonalds if you work retail.

[johnep]

Don't worry. UK pts just the same even though its all free. They also expect putting meds into dosage trays and delivering them plus a few requested groceries to be free as well.
johnep

[Sir_Dispensalot]

In most shared care schemes, where pharmacists are properly engaged in this service, they do more than "serve drinks". They report missed doses to prescribers, comment on the general health of the patient and even assist in correct doses being prescribed:- if a patient is in withdrawal the prescriber wouldn't know until the next appointment, if a patient is intoxicated they may be using opiates on top (in which case a dose increase is required) or the prescribed dose may be too high. Psycho social interventions are hugely influenced by pharmacists interventions. Pharmacists see the patient every day, not just when a prescription is written.


Do not minimise the contribution made by pharmacists.

Been there, done that Tony - i constantly try to give updates to the local CDT's key workers both about doses missed and the general welfare and well-being of my service users. All to be met by a 'thanks' with no follow-up. To the point that i can speak to a key worker about a service user's situation and them not have the foggiest that we spoke about similar circumstances recently.
I frequently chase lost (at the CDT's end) scripts, suspended treatment due to key workers being on their hols, incorrect doses, surprise new starters dropped on me with zero warning, and even outright lies to my face, in person with one specific key worker.
At some point i might get angry and go do the necessary training then undercut the CDT. Just to show them how it should be run.