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Omnicare Pharmacy-discuss



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No. 10
from ktwlpn
Old Jan 31, 2009, 08:18 AM

Default Re: Omnicare Pharmacy-discuss
The chain is in 47 or 48 states.I've seen stories on CNN about them and medicare fraud.We are a county run facility and we had to go with the lowest bidder.The DON is hoping to get rid of them when the current contract is up but with the state the economy is in we doubt she'll be successful. Just recently they changed the labels.I'm good with that-they have high lighted the pertinent info,the name of the med is larger.However when the first boxes came through they had put the labels on in-correctly.Instead of starting to apply them from the top and going around the side they started applying them from the side first which meant when you looked down into the drawer at the top of the box you saw nothing that told you anything about the box of meds.Talk about stooopid! The names of the med,the resident and the RX number were all on the side of the box and the boxes open on the top..Guess what our DON said when I took a box to the office? "Good-this will make some of your co-workers actually read the label" Talk about insulting....Anyway-coincidentally our pharmacy consultant came in later that day-I showed him the problem and it was fixed by the next day.
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No. 11
Old Feb 01, 2009, 07:11 AM

Default Re: Omnicare Pharmacy-discuss
My suggestion with all these problems- document them to your DON, keep copies.
Make sure the Thursday nurse checks that all the meds are available for the weekend .
Can you order spare?
Can you borrow from another pt or unit if you need?
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No. 12
from debRN0417
Old Feb 01, 2009, 11:56 AM

Default Re: Omnicare Pharmacy-discuss
I am not sure about other states but in Virginia you cannot borrow medications;
Federal Regulation : F492- following state and local laws----and 12VAC5-371-300 Pharmaceutical Services: A. Provision shall be made for the procurement, storage, dispensing, and accounting of drugs and other pharmacy products... B. The Nursing facility shall comply with the Virginia Board of Pharmacy regulations related to pharmacy services in long term care facilities (see part XII 18VAC110-20-530).. 18VAC110-20-530: 3. Ensure that the drugs for each patient are kept and stored in the originally received containers and that the medication of one patient shall not be transferred to another patient...
Also if it is a narcotic there are regulations under the Controlled Substances act and pharmacy regarding the "borrowing of these medications" it could be considered drug diversion....
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No. 13
Old Feb 01, 2009, 12:01 PM

Default Re: Omnicare Pharmacy-discuss
No one can legally borrow medications. Everyone does if they want their patients properly cared for. Except narcs, and we had a lock box for those.

As Achot Chavi said, the nurse on days on Thursday was expected to make sure everything was ordered, and on Firday make sure it was in.
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No. 14
Old Feb 01, 2009, 02:08 PM

Default Re: Omnicare Pharmacy-discuss
So if you dont want to borrow (cause its illegal) and dont have the medication (cause it wasnt ordered) - I guess you have to call the doc to report this and possibly send the pt to the ER.
Good Luck
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No. 15
from debRN0417
Old Feb 01, 2009, 03:29 PM

Default Re: Omnicare Pharmacy-discuss
We've all done it...just saying we are not supposed to and if its found out...well enuf said....
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No. 16
Old Feb 02, 2009, 05:39 AM

Default Re: Omnicare Pharmacy-discuss
Yesterday I got a call from a nurse- the day staff didnt order Tribemin and the patient would raise hell- the patient is blind and deaf (honestly not facetious) so I told them to give a similar round multivitamin instead so he wont notice and I had to report it to the doc who said "Why are you bothering me for"...
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No. 17
from morte
Old Feb 02, 2009, 08:28 AM

Default Re: Omnicare Pharmacy-discuss
Originally Posted by ktwlpn View Post
The chain is in 47 or 48 states.I've seen stories on CNN about them and medicare fraud.We are a county run facility and we had to go with the lowest bidder.The DON is hoping to get rid of them when the current contract is up but with the state the economy is in we doubt she'll be successful. Just recently they changed the labels.I'm good with that-they have high lighted the pertinent info,the name of the med is larger.However when the first boxes came through they had put the labels on in-correctly.Instead of starting to apply them from the top and going around the side they started applying them from the side first which meant when you looked down into the drawer at the top of the box you saw nothing that told you anything about the box of meds.Talk about stooopid! The names of the med,the resident and the RX number were all on the side of the box and the boxes open on the top..Guess what our DON said when I took a box to the office? "Good-this will make some of your co-workers actually read the label" Talk about insulting....Anyway-coincidentally our pharmacy consultant came in later that day-I showed him the problem and it was fixed by the next day.
it has to be the lowest bidder that will PROVIDE THE CONTRACTED SERVICE....document that they are not doing that...
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No. 18
Old Feb 03, 2009, 02:47 PM

Default Re: Omnicare Pharmacy-discuss
Most pharmacies that have many nursing homes as clients are huge entities and they are getting bigger. Pharmerica always was fantastic until they merged with Kindred pharmacy. Add this to the fact that my facility isn't near anything (unless you count the Atlantic Ocean). We were always having to call and call and call again to get meds. I've solved some of the problem by ordering a gigantic E-Kit. It has almost every drug we'd ever use.
Borrowing is not allowed and if we sent a resident to the ER...close to 90 minutes away for missing ONE medication, we'd never hear the end of it. I know it's a huge problem, but let's face it. Most of these people take way too many medications as it is. Call the doc and let him know the med was not given.
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No. 19
from ktwlpn
Old Feb 03, 2009, 05:43 PM

Default Re: Omnicare Pharmacy-discuss
The DOH dinged us for not having meds during a survey a few years ago so we had to write a new P and P-if we circle a med on the MAR and document "not available" we have to call the doc,call the s/o right an order that is is ok to "hold" the med until it's available,notify the pharmacy and complete a 3 page incident report....See the pickle we are in? Sure-many of these residents have a pill,potion,lotion,nostrum,drop or spray for every complaint and orifice but the DOH says we have to provide them-we can't miss even a multi vit...So basically what most of us do is illegally borrow meds from another resident and then try to remember to replace them. We have gigantic e boxes stuffed full now-they would have to be the size of a coffin to hold all of our common meds.It's just all such a pain in the booty...
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