the pharmacist oncall

1. 29/12/08 (13.30pm) ICU DrLee asked for more noradrenaline. (DrLee very polite i likey!)
Solution: called up ShoenChuen in satellite to help settle.
2. 29/12/08 (19:15pm) ICU asked for IV Nexium.
Solution: hands trembling,braved myself and went to the hospital alone.dei,ward supply's like just next to the morgue ok shesh...


3. 30/12/08 (22:00pm) Ward 4 asked for IV Atropine for organophosphate poisoning.
(22.15pm) ICU asked for IV Atropine for organophosphate poisoning as well.o.O?!
Solution: dragged dad along.Gave Ward 4 300ampoules IV Atropine and another 400ampoules for ICU.Told them to share if needed.Hopefully will at least last through tonight ba...Ward Supply low stock liao > <"


4. 31/12/08 (06:00am) awaken by one of my worst nitemares...Ward 4 has ran out of IV Atropine.
Solution: dad again..drove to the hospital half awake.after confirming with ICU that they have sufficient supply,I gave the leftover 200ampoules to Ward 4.
came back 7am>breakie>poo-ed>bathed>8-5 in OPD *yawns*
5. 31/12/08 (11.30pm) felt asleep on the coach and was awaken by a call from ward 7. they requested for T.chlorpromazine. The nurse claimed that the patient insisted on having his medication wor. for non-pharmacist readers,the medication they wanted..is a psychiatric drug.I was so pissed that I practically cursed my way to the hospital.give him sleeping pills la..or locked him up for the night la wth > <"
Solution: searched high and low but couldn't seem to find T.chlorpromazine.Called up "the satellite specialist" MrLee and he told me satellite has no T.chlorpromazine.(actually got lor ish..) got the medication from OPD in the end.


6. 1/1/09 (12am) "hi,pharmacist on-call?Happy New Year!Ini dari A+E..nak indent orphenadrine..."
-___________-" not funny lor haiz..was half way settling the T.chlorpromazine case when I got the call from A+E.
Solution: rushed to Ward Supply and luckily the solution was written on the notice board (or else I gonna have to call up the seniors and wished them happie new year wth).Orphenadrine's substituted with Inj.Kemadrin.Gave them the pathetic 4 ampoules and hopefully don't ask me for more.
7. 1/1/09 (12pm) volunteered to pay ShoenChuen a visit in the satellite pharmacy,sambil checked whether all the departments have enough medication.Gave ICU another extra 800ampoules of IV Atropine to last them til tomorrow noon.Ward 4 claimed to have enough IV Atropine as Dr's tapering down the dose for that patient.Hopefully no Sitiawan-ians decide to kill themselves using pesticides anymore la...hanya tinggal 200 pathetic ampoules IV Atropine left in the whole hospital now. > <"

8. 1/1/09 (5pm) A+E called.Asked for Rabies vaccine.
Solution: Checked and got the vaccine from Ward Supply.wanted to double confirm the amount the Dr wanted and the Dr himself wasn't sure o.O?!!! and in return asked me back "eh normally how you all give the vaccine wan ah?" <<--- this...is EXACTLY how his sentence sounds like lor!hahaha I know I'm bad but it really sounded so funny that I nearly fainted.gosh..i seriously hoped it's the correct one lar..patient's a 9yr old kid!

being the oncall pharmacist as well as a pharmacist in OPD..I can feel the depression slowly seeping in... T_T


9. 2/1/09 (7pm+) A+E called informing that the medications we Sedekah-ed pinjam-ed from Hospital Ipoh and Hospital Teluk Intan had arrived.
Solution: picked up the phone with my fish-smelled hand(was halfway eating dinner!) and told them I'll collect it tomorrow(if no more oncalls tonight)
10. 2/1/09 (8.30pm) Ward 9 called asking for IV Rocephin, IV Azithromycin and T.Azithromycin.
Solution: Mum decided to tag along as well. Went to the Satellite Pharmacy this time to get the medications. Decided to collect the medications from A+E after that and kena commented by the MO that I looked like a patient instead of a pharmacist because of my attire -___-
"eh the big big IMU logo on my shirt cannot see izzit? ish..."
oh it was the MO who asked me about the antirabies vaccine previously!


11. 3/1/09 (9.30am) Ward 7 called asking for IV Labetalol 3mg/hr
Solution: the weather was soooooooooooo goood for sleeeeping mygosh...grr!
dragged my butt to the hospital anyway.After the Atropine case,frankly I'm quite paranoid with cases involving hourly dosing. Was relieved when I saw the sufficient amount of ampoules in WS. the nurse sounded sooo distress in the phone ok.."urgent la,patient BP dah tinggi nih..200 lebih dah..nak bagi STAT dose.."
my foot!I waited for nearly 1hr okie..ish..if really urgent,I think what's left will only be a big pool of blood (BP too high explode dy ma *roll eyes*)
So not long after I reached home..JasMin called up.I couldn't make out what exactly she wants me to do...it was a blur.Something like ward X needs me to go back to supply something but no oncall forms available.I told her that I'll need a proper call from them,and of course..the oncall form.

she called me again when i was half having lunch.sounded slightly annoyed when she realised that I was still home.To tell u the truth..I was equally annoyed.
Why on earth she insisted me to supply her medications without an oncall form?!WHAT EXACTLY SHE WANTS?

I gave in anyway and told her I'll be there.
12. 3/1/09 (11am+) received a call from Ward 8 asking for Guff. !@##$%^
Solution: whaa..?I was halfway searching for parking then...told to meet at the Ward Supply straight.Searched high and low for Guff.Vigamox while the attendant looked at me impatiently.I felt like an idiot.Told the "pakar mata" Guff.Vigamox was not available..and replaced with Guff.Ciloxan instead.
13. 3/1/09 (1pm) ICU wanted IV Cloxacillin 500mg.
Solution: ICU knew the existence of "satellite call pharmacist".So not waiting to disturb the pharmacist on-call,they decided to get it from the satellite pharmacist instead...yea the one which JasMin tried to tell me over the phone.blur case..can't blame her,considering she was doing her satellite call with..erm..the snake queenXD

the pharmacist on-call had to come..anyway.I'm undispensable LOL.
14. 3/1/09 (3pm) Ward 4 wanted to fill up their tablets supplies,IV Dopamine and IV Vitamin K 10mg.
Solution: Vitamin whaa..?!great...now I have to pinjam ubat from the hospitals nearby.but how?!!-__- armed with Ong's "oh very ma fan lo..u need to call their pharmacist on-call" as well as a few SOS calls to ShoenChuen,I phoned up HAT and HTI.

was so haaapppieee when HAT called back with a "Yes"!told me that they have already leave the medication at HAT's A+E...whoever it is..I LOVE YOU muah~*

managed to typed out the surat pinjam ubat,filled up the ambulance form and dashed to A+E to arrange for transport.
"ubat ni urgent ye..nak cepat"

half way back to the ward supply,I heard ambulance sirens..LOL!

I waited for an hour for the medication..and another 30min for the attendant from ward4 to collect it from me.tell me about urgency...X)

It was already 6pm when I reached home. I was still pretty proud of my performance when my phone rang again > <"!!!
15. 3/1/09 (7pm) Ward7 called up for IV Labetalol.
Solution: EHHH!!the amount I gave can last till monday riiite!!how come?!!
The nurse sounded apologetic,telling me that they lost the medications.LOL XDXD
laugh die me laugh die me...
but hor..I'm thinking otherwise.Considering that the Dr asked me about the strength,as well as the dilutions hehe.
ohwell...what can I do wo?get my butt to the hospital and gave them the medications...praying hard that they won't lose it this time XD

First time where Monday seemed like heaven and Sunday felt like forever. Sunday was surprisingly peaceful...no calls.Only occasional texts from friends,either congratulating me,or just checking whether was I still alive *smirks*

but yes..got number 16 -____-"

16. 5/1/09 (12.30am) Ward 9 called for IV Rocephin and IV Flagyl.
Solution: Went to the Satellite to get the medications.the hospital's like..SO COLD at night la brr. gave the wrong amount > <" only realised when I was already half asleep on the bed..ended up dreaming being buried by medication chart X)

and a good night sleep to mark the end of my 1st oncall experience. tralala~

and...if there's something I wanna change right now,it will be my hp ringtone XD.

(to be continued...)