life as a pre-reg pharmacist

WE work 6day work week with occasionaly additional sunday duty.

here's a schedule of what i do in the day:\
8.30-9am: print out my patient lists for my 2 wards (abt 80 patients)
9am: go to one ward, chase and look for the IMR (inpatient emdical records) check the meds are administered correctly (allergies, contraindications, route, dose, interactions, inappropriate drugs, missing meds, correct administration) whilst checking the med trolley to see if we supplied sufficient, and order if insuff. then if neccessary check the case sheets to c why patient is on those drugs or if the drugs are appropriate for the med condition, check labs for renal/ hepatic fn/ bacterial cultures to c if need to adjust dose. if something is not correct, find the doctor to ask him to ammend, and write out the intervention sheet (unfortunately most of e time e doctor is not around = you write in a note to yr doctor and hopefully he'll see it or some other doctor see it and do the neccessary changes)
10am: rush to my other ward to repeat the above..11am: rush back to satelite pharmacy to send in my orders and pack the ward supplies/ discharge meds..11.30am-2pm: whilst my fellow collegues pack, i go to the wards to go and do discharges, then come back and pack and dischrge and the cycle continues till all the scripts that have come in have been discharged... sometimes may drag up to 2.30pm if scripts come in late. sighs.
HOW WE DO DISCHRGE: go to the ward, search for the IMR, check the meds are correctly listed, any changes from admission meds, correct dose/ duration (call doctor and change if required, if got changes, go back to sp, re-edit the labels and re-pack, re-check the contents, and go back up to the ward). now meds are ready to be given to patient, we go find patient, check name, ic, and allergies, adn other meds taking at home. Explain how to take the meds, what they are for, what to look out for/ special precautions to take, what not to take, etc...
2.30pm-3pm: lunch
3pm-6pm: checking packing at the satellite pharmacy for all the late/new orders for the wards, as the IMR flood in.
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deviations from this usual schedule would include morning/ afternoon/ evening clinical sessions.
morning: 8-9.30am (meaning i have to rush like mad at the wards)
afternoon: 3-6pm
evening 6-7.30pm
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other things i have to do once i end work
1. go my wards and look at patients case notes/ results (come on 80 patients/ 2hrs i have barely enough time to review the meds much the less look at the case sheets, so i go after work most of time, or during lunch)
2. go and clerk my cases for clinical sessions (if any) and also look at my project patients and clerk them (currently on antibiotic proj)
3. go home, read up for clinical sessions/ questions that i got shot by pharmacists during work, or own questions i am not certain abt (you better check and do reading before you ask questions, most of time, you ask 1 qn, you get at least a few qns back by the pharmacists)
4. do my case/ journal evaluations and presentaions (imagine cramming a FYP proj into 1 week)

so you can see.. inpatient pharmacists are poor creatures, so do treat them with care. =)

Now in DPIC (drug poisons and information centre), where i can finally sit down and get a com to search for ans for various qns), but still have my miscellaneous things to on top the qns that posed by doctors and pharmacists.(eg. project, clinical sessions, journal evaluation, drug evaluation, etc)

just finished my viva yesterday, sigh. was not that great but not that bad, just that i gotten a lot of the harder add-on qns that nobody else keana. sad.

shucks and nex monday got journal evaluation presentation, and thurs got new drug evaluation presentation. going to die liao. X_X


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back to finding ans for the DPIC tutorial qns