More irritations from the night
from hell on call.
I called in an order for a patient to the local Walgreen’s pharmacy. We contract with them for after hours pharmacy supply.
The order I received was:
Ativan 0.5mg – 1mg every 4-6 hours as needed
Easy enough, yes?
The Pharmacist says “Which is it? 0.5mg or 1mg?”
I say, “Either – – the doc wants the patient to have the option of both, if needed”
Pharmacist: “Well you can only do one or the other — the med comes in 1mg tabs. So I can either fill it with 1mg tabs – – or break them in half and fill it with 0.5mg tabs?”
Me: “Well, the patient either breaks the 1mg tab in half…or take two of the 0.5mg tablets — either way – – the order reads 0.5mg – 1mg. Fill it however you want to – – but the 1/2 tabs would probably be easier for him to manage”
Pharmacist: “What kind of order is this? Are you a nurse?”
Me: (at 1:45 a.m. in the morning) “Well, yes – are you a Pharmacist?”
Pharmacist: “I’ll call the doctor and clarify the order to read “0.5mg – one to two tabs”
Me: “Actually – you don’t have to call him to clarify – – that’s the order he gave me.”
Pharmacist: “You said he gave you 0.5mg – 1mg”
Me: “Yes, and if you fill 0.5mg tabs – – then common sense would dictate that you’d advise the patient to take one or two, right?”
Round and round we went until I finally just told him to go ahead and call the doc for a clarification order. Hell, what do I care if the Pharmacist calls and makes an ass out of himself asking whether he should fill it with whole tabs or half tabs. Either way, it doesn’t matter which one – – as long as the patient gets the right med at the right dose.
I really should sleep, hey? I’m pretty wired.