First of all, I'd like to apologize for this being so long, but I have a situation that i would like to share & maybe get some opinions on. I am a home health casemanager & have had an ongoing problem with a patient's pharmacy. We make weekly visits to a patient's home (who lives 20+ miles from our office) to fill the pill box & monitor med compliance. Normally, 20 miles wouldn't be a big deal, but it's the only patient in this area. Since admission, the nurses (including myself many times) have had to call the pharmacy re: undelivered meds. This has been an ongoing problem, & I finally took all I could stand yesterday. The patient had an antibiotic called in from the MD office, I called the pharmacy & they promised it would be delivered by 2pm. I arrived at this patients home @ 2:30 to find NO MEDS!! keep in mind this was an extra skilled nurse visit specifiacally to add this new antibiotic to her pill box. I called the pharmacy & asked why he had promised me this & not delivered. He was very hostile & rude to me...so i reacted in the same manner. i regret losing my cool now...but you know what they say...hindsight is always 20/20. This was the straw that broke the camels back. I called the patient back & asked her if she was serious about transfering to a new pharmacy & she was all for it. ...i called the MD office & let them know that the patient wished to change RX also. Then i called another pharmacy & got the ball rolling to switch things over. Problem started when The owner of the old pharmacy called the patient & asked her if she "really wanted to change or was it that nurses idea?" Needless to say, she told him she didn't want to change & was satisfied with his service. The pharmacist then called my supervisor & filed a complaint against me. I don't know how to feel...I called myself going to bat for my pt, she is forgetful & unable to take these meds without us due to poor vision..(family doesn't help out @ all)...From now on, i will not stick my neck out for the patients.. This will go into my personel file & I'm up for an eval this month..wouldn't you know it? What do you guys think? Have you had a similar experience with "caring too much"? thanks for letting me vent...i feel better.