What would you do if a patient brought in a faulty inhaler, namely Qvar Easi-Breathe 50mcg, and requested a replacement? Would you put it on the patient's PMR?
What would you do if a patient brought in a faulty inhaler, namely Qvar Easi-Breathe 50mcg, and requested a replacement? Would you put it on the patient's PMR?
Patient First
If patient has spare I would ask them to use that, then contact wholesaler or manufacturer.
If patient has no other, I would replace.
I would let patient know that we have to keep a note of these things, so would record an intervention on PMR.
If there is a history of faulty inhalers I would check technique, as them if they are 'test firing'.
Some Nurses tell patient to test fire inhaler, which they then do before each dose!
(Meant to be when they start a new inhaler)
Any of the above, would ask if they wanted an MUR.
Where am I?; In the Pharmacy.
Who are you?; The new Number 2.
Who is number 1?; You are number 6.
What do you want?;..................
Naturally they will expect the new inhaler to be FOC, as 'they don't pay'.
johnep
Just give them another one and send the faulty one back to wholesaler for credit.
Note date etc on PMR just in case defects are found each time the inhaler is due to run out.
Almost happened on more than one occasion.
Helps locums with information to notice any patients who are devious and opportunistic.
But then all our patients are practically perfect in every way, so this would never happen here.
Where am I?; In the Pharmacy.
Who are you?; The new Number 2.
Who is number 1?; You are number 6.
What do you want?;..................
Hi philly,
what's wrong, the device or the product?
inhaler does not release a dose when the patient breathes in
have they used an Easi-Breathe product before? if they have and had no problems then possibly the device is faulty OR the "hole" may have become blocked with residue? if they have NOT used an Easi-Breathe before then they may NOT be using the device properly OR they may not be able to generate sufficient force of inhalation to trigger to device to release dose! if it's they later i would suggest mur etc
Faults do occur and large pharmacy chains don't often back the locum for a stance meant to save them money if it means the loss of a 17 item script and a previously loyal patient badmouthing tham everywhere - so I would usually swap it. A note on the PMR is a wise move. I might try sending it back if it wa as expensive as a Qvar but when this has happened to me on cheaper products I have not bothered.