Argh..what would you feel, just when you have written a super-long-with-deep-thinking post, only to find that it wasn’t saved right after a click? It is like #^*^%*$^&(&$( ok!! I really put in my heart and soul in writing a genuine reflection on my stint in hospital pharmacy this month. However, it was so potong stim =( so I left the com on and went for dinner and tv.
I do not think I can re-write the whole thing so I will focus on my thoughts; however I will shed some lights on inpatient and outpatient pharmacy.
Taken in outpatient pharmacy. I will upload more pics once my friend, ling ling (whom I met in pharmacy), send me those pics. Stay tune…
Inpatient pharmacy is where we prepare medication for inpatients (e.g. those who are hospitalised). We prepare the medication according to the prescription and then pack them in a plastic bag, which we label with the ward number and patient’s name. The medications that are available here and not outpatient are injections (broadly divided to intravenous and intramuscular) and infusions.
The irritating thing in inpatient pharmacy is you get nurses ‘yelling’ ‘c710 medication dah siap tak?’ and when you reply ‘tidak ada di sini’, they keep saying ‘C710 stat (to be taken immediate), kita dah send prescription tadi!!’ The pharmacist, annoyed (because all of us are super busy with work-charging, dispensing, couselling, packing, attending to calls with similar questions like ‘dah siap ke belum, D504?’), replied, ‘tak faham bm ke? tak ada di sini. Check dengan mereka di atas!!’
Outpatient pharmacy is where we attend to customers/patients who walk in, or have come to hospital to visit the specialist clinic. We do a lot of counselling there, as opposed to inpatient pharmacy whereby we prepare medication for wards’ patients.
The irritating thing here, or challenge (putting it in a positive way), is having to deal with bitchy difficult customers. You get datins and datuks who go about picking on little things and threatening to make a big fuss due to the service provided (they want immediate attention, which is not found in places where we practise ‘1st come, 1st serve).
Having been there, done that, I get to observe how the pharmacist deals with difficult situation. I see how calm and composed she is when attending to patient’s complaint, always smilimg at them courteously and apologising if the fault is on our part. Then I see how the pharmacist builds rapport with the staff by cracking jokes with them; and on the other hand, showing her strictness when they have made mistakes.
Suffice to say, I get to confirm the true reality, that pharmacists are working for the doctors (doing the dirty job, if you shall put it). I am not sparking a war on who is better, do not get me wrong. Truth is, there are some caring and ethical doctors whom I look up to; though there are some arrogant and stubborn doctors whom I do NOT respect simply because they do not respect pharmacists.
In the hosp i am working, a dr prescribe 2 eye-drops, one a lubricant and another an antibiotic.Which one to use first??
The pharmacist told the patient to use the lubricant first (to clease the eye from dust etc..) then only use antibiotic. The patient said the dr told him the other way round. So the pharmacist called up the dr in front of the patient but the dr insisted that he was right..wat to do…followed dr only. The pharmacist later added to me that there is another dr who tells patient to use lubricant first (The right way).
Some ppl may say that this case is not life-threatening. but STIll?? Another case. a dr prescribes aspirin to pregnant ladies in the hosp I am working in. the pharmacist told me it is a ‘dumb thing to do’ coz aspirin causes bleeding!! (it is an anticoagulant). So if the dr wants to use it as antipyretic or pain reliever, there are other choices ah!!!!
I have nothing against drs, hehe in fact I don’t mind to have a bf who is a dr. lol *blush* but what I ‘geram’ at times is dr who think they are a class above pharmacists and are stubborn to suggestions given.
However, being an optimist, I always believe that there is power in individual. Even if it is just you alone, you can make the difference in people’s perceptions towards a certain career. There may be rotten eggs in the medical field, but I still believe that there are genuine people who are pursuing medicine with their passion. There may also be some half-past-six pharmacists, but there are also many pharmacists who really know what they are doing.
Did you know that pharmacists in overseas go for ward rounds WITH doctors? Did you know that they can refuse to dispense a medication if the dr.’s handwriting is not legible? (because it may cause dispensing error) Did you know that there are special pharmacists known as ward pharmacists in charge of a certain ward? (say, diabetic ward, whereby the pharmacist does drug-monitoring and sees to the patient’s diet) Did you know that there is such thing as A & E (Accident and Emergency) pharmacists who play an important role when it comes to history taking etc..to avoid drug interaction for the patient, which in turns, helps the dr. in giving the right medication?
Such is the patient interaction that I really look forward to. I understand that pharmacists in malaysia really has a long way to go to achieve that kind of recognition among the people. It doesn’t help when our healthcare is not so widespread-we have shortage of clinics /hospitals in rural areas to begin with, let alone enough staff to do separte dispensing? But let us all hope for the best, and STRIVE for the best!