Good or Bad Luck with Hospice Pharmacia? | allnurses

Good or Bad Luck with Hospice Pharmacia?

  1. 0 When you call to get advise with meds, do you have good luck with Hospice Pharmacia?
  2. Visit  Vtachy1 profile page

    About Vtachy1

    Vtachy1 has '25' year(s) of experience and specializes in 'BNAT instructor, ICU, Hospice,triage'. From 'Illinois'; 43 Years Old; Joined Dec '08; Posts: 405; Likes: 241.

    11 Comments so far...

  3. Visit  SappyRN profile page
    We use HPS and the pharmacists are great with advice. We also make sure all of the staff has copies of the formulary.
    Vtachy1 likes this.
  4. Visit  mrr5745 profile page
    I have the worst luck with HP! The other nurses on our staff get through to great people, but I always managed to get someone who either a) requires me to repeat the same information at least three times, b) talks to me like I'm 5, or c) interrupts me constantly to ask questions completely irrelevant to the issue at hand. I'm cursed!!!
    esperanzita, Carebear77, and Vtachy1 like this.
  5. Visit  Vtachy1 profile page
    I had one, when I asked for advise for a cream to rub on aching joints ( I was thinking along the lines of ketoprofen or something Voltaren) and he insisted on ibuprofen or naproxen when the terminal diagnosis for my patient is renal failure, even after I argued that my protocol says no NSAIDs for renal failure patients.
    mrr5745 likes this.
  6. Visit  curiousauntie profile page
    I usually have great success with HP. Every once in a while I will have someone who just doesn't get what I am asking, and will be talking about oranges while I am talking about apples (or even cherries!) but that has been rare. When I think I am getting no where, I will (opps!) disconnect the call. Then I call back in a minute or 2 and start over.

    The HP pharmacists have been god sends when I am stumped with symptom control questions. The last time a few weeks ago was a man with awful terminal agitation (or as I have seen it called here, agitated terminal agitation) who every time I thought we were giving him enough Morphine and Haldo and Ativan to get him under control he would burn it all off and ramp up again. The pharmacist upped the dose of Haldol much more than I felt comfortable asking a doc for, but once she said that 4mg q hour until he was sedated then 4 mg q4 hours...I had the confidence to say that to the doc and he was all for it. I do find that if I say to a reluctant doc that I spoke to the Hospice Pharmacia pharmacist, they are usually very willing to order drugs and amounts that they otherwise might not even consider.
    esperanzita and dosamigos76 like this.
  7. Visit  mrr5745 profile page
    The last time I asked an HP pharmacist for a dose recommendation, she told me the doctor needs to decide what is most appropriate for the pt, not her. See? I'm cursed!
    esperanzita and wearyLPN like this.
  8. Visit  Alvindudley profile page
    I loved hp when we used them! We switched to one point and they just stink. I know hp was more expensive but honestly!
  9. Visit  jerseyRN profile page
    Quote from Vtachy1
    When you call to get advise with meds, do you have good luck with Hospice Pharmacia?
    Call back if you need to. They have some amazing pharmacists picking up the phone. Call back until you get one of those.
    esperanzita likes this.
  10. Visit  sandiegored profile page
    Your thoughts were right on with treatment choice. I would ignore the NSAID suggestion.
  11. Visit  Capco56 profile page
    Has anyone used Procare pharmacy and what did you think? I have had times where I'll wait close to an hour for someone to call back; always get a machine and have to leave my number. If I'm at a patients house, that's a long wait. Also, not that impressed with their recommendations. Anyone have feedback?
  12. Visit  Phar81 profile page
    Has anyone tried nate's Pharmacy? what's your experience with them? I heard they are great
  13. Visit  tewdles profile page
    I have used HP, they are more connected via the internet than Hospiscripts. Each system has drawbacks and benefits.
    I always go to the doc with med recommendations, even after the HP consult.

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