Wednesday, February 29, 2012

Leap!

Just goes to show how stressful school is when I'm contemplating quitting, suicide, or self-harm when I fail a quiz for the third time in a row.

It's freakin' pharmaceutics.  Industrial pharmacy.  IT SHOULD NOT BE THIS DIFFICULT.

However, it will be extremely difficult for me to make a B in this course now.  How sad.

Work is hard.  We left the pharmacy in disarray yesterday.  The shipment was not put on the shelves.  There were still 25 fills to complete, and the pharmacist still had ~20 to final check.  I'm sure the pharmacy manager was thrilled this morning when they opened....  -_-

In other news, I'm doing rather well in my other courses, all things considering.  I'm looking at making at least Bs in everything, whereas last semester I was praying to pass with a C.  It's nice to have a buffer.

We're having legislature day next Monday in where everyone is going to the capitol to view what sort of bills they're thinking of passing.  One is requiring prescribers to check the controlled substances database to avert people from doctor shopping before they even get to the pharmacy.  Seems to be doing well and has numerous supporters.  Another is attempting to change pseudoephedrine back into a prescription, which is not getting much backing.  However, seeing how a new meth lab is found every night on the news in this state, much less the city, I don't see why not...

A couple other bills they're looking into:
  • creating a MTM and setting out funding sources for this program and requiring 3rd party payers to pay a fee to pharmacists
  • expanding immunization types to pharmacists
  • include pharmacists and pharmacies in defining "health care provider"
  • prohibit pharmacists from refusing to dispense medications without a valid reason
  • prohibit pharmacists from refusing to dispense medications unless they have told their employer the reason why they decline to dispense
  • prohibit tobacco sales from pharmacies
  • allow unlicensed personnel to administer medicines when patient is unable to do so
  • examine cases with unintentional overdose death
  • prohibit a person from having more than 2 Rxs for a specific controlled substance or any with a similar therapeutic use if they are filled within 72 hours of eachother, unless patient can provide an affidavit from prescriber
  • have pharmacies submit info to the controlled substances database within 24 hours instead of once a week
  • require name and address of person picking up for someone else if medicine is controlled
  • permit pharmacists to prescribe certain medications without an order by a prescriber
  • require Medicaid to annually review and adjust rates paid providers
  • require prescribers to prescribe Naloxone with opioids
So yeah, more than a couple, but I thought they were interesting.

Monday, February 13, 2012

Oh Silly Dreams...

I have Monday mornings off from class, so I usually get to sleep in a bit more than usual.  It was certainly welcomed after I worked for the past 4 days.

However, my brain doesn't want to shut off!  I dreamt that I was still at work.  It was awful.

I was working at the cash register, checking out patients and sending them on their way.  An older lady came up and gave me her name, "inaudible gibberish" and said she was here to pick up her prescriptions.  I asked her 3 times to repeat her name, and each time she became more aggravated.  I never did find out what her name was, but the doctor had never called in the medicines.

Right at that moment she asked me where the gibberish ice was.  I had never heard of such a thing.  She claimed that this was the worst service that she's ever gotten before, and would have me fired.  Luckily, another customer knew what she was talking about and took her to the vitamins.  For ice.  WTF?

Five minutes later she comes back to pick up her EIGHT prescriptions, which were actually ready!  I was shocked.  I asked for her name again - "gibberish"  She once again got super pissed at me and wanted to speak with the manager.

I never found out her name.

I have work again tomorrow night, but after that I'm done for the rest of the week.  I'm very excited, considering how often I've worked recently.  However, the only reason I have so much time off this week is due to the large amounts of tests and quizzes.  Bah.