One of last year’s batch of GSK swine flu vaccines stopped being used because of some reactions that were noticed. Fair enough, the odd part is the comment made by the spokesman for Canada’s health minister who said “We’re not seeing any thing wild or spooky or crazy about our vaccine at all.”

I’m not sure that’s the best possible wording as an official statement from a government health representative. But mildly entertaining nonetheless. Much like when you refer to drugs as “this stuff” to an elderly customer and they look at you like you just swore at them by using casual language. I get it, people are very touchy about their drugs. We have a way of getting complacent about our attitude towards drugs because to us they’re just meds, to others, it is “their” medication for “their” bodies. Which is something we need to consider when we talk to people. While with a younger person we can be more causal in our approach, but with our more senior customers, we need to take a more serious, still friendly, but respectful attitude when we refer to the medications. I have seen flippant attitudes given, sometimes accidentally when a staff member is in a hurry to get to the next customer, but it will leave your customer with a bad impression..

University was the good life. Even if you were working in a pharmacy at the time your technical knowledge didn’t really have to be up to scratch. We probably don’t like to admit it, but as a pharmacy student and intern, you mostly expected to not know things. As soon as that day clicks over and you are what it says on your degree, you suddenly need to know everything. While I say that with a sense of absurdness, no one can know everything, there is definitely that expectation particularly from the non-pharmacists you deal with. Not only are you expected to know about drugs, but pretty much anything medically related.

Copyright 20th Century Fox, and Apple...I guess?

It’s great that our inner geek enjoys learning about the strange ways in which some of the medications on our shelf have come about, but customers might not necessarily get the same kick out of it as we do.

Some of the more chattier of us when counseling might go into a little too much detail about the medication we are talking about. We might be encouraged by the patient’s curiosity and questions that we might find ourselves letting them know some unnecessary information into the production process of their cute lil pink tablet. Warfarin is one where I’ve heard someone mention to the customer that it came from rat poison, or basically is rat poison. While that’s kinda interesting for us, it isn’t very reassuring to the patient. If they already haven’t heard that about warfarin, and many people have, their next question is how does it work as a rat poison, to which you say “well the rats basically bled out etc….now please have this tablet with your lunch. Right-o then, off you go, enjoy.” (more…)

It seems customers have lost the plot when it comes to owings. I am not sure if this is the same general term used overseas, but in Australia, when we give a few tablets to get someone by if deemed urgent enough if they don’t have a script (but we have evidence of their medication history), we give them an ‘owing’ (usually between one and three days supply).

I get that this image isn't totally relevant to the post, but I like it, so there.

I’m not sure about you, but I try to keep my customer details private. Whether that is when I am counseling them on a new script or talking about a product while in the shop area. I’m not sure if one direction I’ve noticed recently is the best to preserve confidentiality…

SHHH. ZIP IT!

Do you think we are given an “allowance” for how many mistakes, or how serious a mistake, we can make before we need to be deregistered? A Detroit website has posted an article regarding a family suing Rite Aid over a dispensing error (http://www.clickondetroit.com/news/22035731/detail.html). The family are also chasing up the oncologist for writing an incorrect script.

The article  is an interesting read, a very sad read, but one that makes you think about what is an appropriate punishment for these and other dispensing errors. At what point does a license get taken away and you are deemed not competent to work? Even if it’s the first mistake in your career, if it’s a significant one that a reasonable person, or a peer, would think that one of the safeguards or processes in your dispensing should have alerted you to it – should you be deregistered? (more…)

Dispensaries are meant to be the professional hub of the pharmacy, sure you might have an inflated polar bear attached to a shelf to advertise the latest cooling arthritis gels, or a big Brittany Spears cut out because you’re stocking her fragrance (and sure, she’s the closet to a friend you get while working the late lonely hours) but the dispensary is where that stops.

Yes ma'am, we're the 'Before' pic model for Better Homes and Gardens magazine.

Hey to all you slackers, clowns and jokers out there with B.Pharm’z, RPh’z and various other pharmaceuticool qualifications. While we really do like working with you and you make the dispensary a somewhat more pleasant place and less like a factory conveyor-belt, you gotta know where to draw the line.

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All too often, and I am guilty of this myself, we persist to try explain to a customer on the phone the situation so they can fully comprehend it. In our minds, we are optimistic, we think “Yes, if I explain it very clearly and slowly, they will finally understand!”, however, this doesn’t happen.

These phone calls come from regular customers, strangers who pointed at the first pharmacy number in the phone book, and new customers who have never received a drug before. The topics range from anything to trying to explain why it is not out fault Pfizer stopped producing a drugs twenty years ago, or why that segment on the current affairs show about that drug that turned the lady blue is not relevant to them, and is reversible anyway (true story). The problem is that it’s in our nature to try make people understand. This is what we are told to do, counsel, educate, be a valuable asset to the community as a beacon of drug information – a lighthouse in the storm of pills, if you will.  What actually happens in a lot of cases…the customer does not care what you are saying, they just like talking out loud and are waiting for you to say “Oh yes, you’re right, I’m wrong, want a pack of free jellybeans?!” (more…)

We’ve had a change of direction here at ‘Ask a Pharmacist’. Initially this site began as a place anyone can ask any question on pharmacy, drugs and so on. That was all this site was about, but it has evolved since then. Almost eight or so months on, we have decided to change our function.

Due to the demand for drug questions, we cannot give the adequate amount of time to answer the questions coming through from the public. Since the launch of the site around May 08, it has since turned into a blog about the industry, with particular commentary on the industry in Australia for locals and as a source of information for our overseas pharmacists who are curious how the industry here operates – and the pros and cons of the system. While Australian based, it is aimed at pharmacists worldwide. (more…)

It’s not as simple as saying there are good interns and bad interns. There are a variety of traits and behaviors which can affect the level of excellence or suckiness that you, as a new Pharmacist Intern, will possess. For those starting the new year as an intern, you might get some ideas from this article that will make you get a little more from your year.

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Instead of trying to come up with my own descriptions of drug recovery/rehab programs, I thought I’d borrow some I’ve come across, this is not original work, and you can google a phrase if you need the reference, but it’s food for thought, however, keep i in mind to speak to your General Practitioner, local health professional, or local health clinic for more information and to discuss your individual needs.

Description 1: (more…)

I recently was involved in a discussion around whether the old style dispensaries should be changing to something with less barriers to the public, both from seeing what we do and with speaking to us. A chain in Australia experimented with that and I explain why it didn’t work. However, the practicality of dealing with people barking their drug orders to you, as well as the advent of robotic dispensing, things may change again.

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How many times have you wanted to call the doctor and say “Seriously dude, really? Is that what you wrote?” While I have avoid saying “dude” in my professional conversations, that about captures what goes through my mind. Doctor’s handwriting – this is an old and much discussed topic of frustration, but still worth a mention. Just because it’s frustrating, yes that’s one reason, and I like to complain, but also because the chance of an incorrect drug being selected also increases.

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We tend to have a natural skepticism toward drugs reps, but we really should be skeptical about the information and not make it personal with the rep…

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