So I was reviewing the "counseling rubric" for the CRAPPE and realized that we're supposed to not only open the vial and show the patient tablets/capsules -- but we're supposed to place them in the vial lid. Sorry Policastri, but I counseled on Actonel, and if my patient is looking for their Actonel they can identify it by being a single tablet in a hugeass package that says "Actonel" all over it -- no need for this crap. Also, I'm not even sure that in an informal counseling session that its appropriate to pull this shit. Its not like they aren't carrying the medicine out the door in a well-labeled bottle to form the connection at home. Also we should counsel on non-drug measures, and my preceptor found this hilarious. I quote: "Wear loose clothing? The only time I see that being valid advice is if they're....taking Cialis or something..." Also, the counseling points in lab included "Telling the patient the drug and dose." When is it ever appropriate to tell the patient how many milligrams of X drug that they're taking? They don't understand potency, how these shits are dosed or anything -- further enforcing the fact that the professor's in lab are so removed from practice that they don't understand "Pharmacy away from their academic ivory tower" as my preceptor puts it.
Another pharmtard had the same idea as me to snatch empty stock bottles from the pharmacy and fill them with M&M's, Skittles, etc. His preceptor stopped him and asked him what he was doing and then explaining that we was just asking "because some people like to take lortab bottles, swish alcohol through them, soak the alcohol into napkins and then eat the napkins." WTF? Thanks for not only letting me take them, but giving me stepwise instructions on how to get high.
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