Hold on, I need to ask a question here - my mom (who worked as a pharmacist's assistant for many years) told me that it was traditionally a doctor's role to _diagnose,_ while it was actually the pharmacist's role to _proscribe_ medicine. However, these days, the doctor's go over the pharmacist's head - thanks, in no small part, due to the pharmaceutical industry essentially marketing this stuff to doctors. Is that correct?
I just rotated wards last week (in the UK we all move in August) and the first thing I said to our ward pharmacist was "hi, really sorry for all my dumb questions and being the new bane of your existence for the next six months".
As a pathologist, I would very much prefer folks ask for help rather than generating crazy orders. Flow cytometry and cytology are not the same thing. Ordering one when you wanted the other results in a bad day for me, in either direction.
@@uglytv3417 as a construction worker, I wish MOST people just asked for help. So many things are easier with 2 people, and it never hurts to have someone double check my own work.
The portrayal of pharmacy is frighteningly accurate. You call; they are pleasant and helpful. They educate without being condescending. They solve the worlds problems, thank you, and invite you to call back any time for any reason. And then you hang up the phone and are thrusted back into the terrifying world from whence you rung. The only difference… you have one less problem.
Seriously! I adore the pharmacists. They know so much shit off the top of their heads and anything they dont know they find out within 20 minutes and often deliver the medication right into your hands. What beautiful humans.
I'm a nurse btw. So when doctors prescribe meds like, theyre NBM? okay just put it down their NG. The pharmacists are the people who tell me how to actually do that safely.
God bless the pharmacy. Doctors made sympathetic noises and threw more painkillers my way, but the pharmacist was the only one to say "Now I know shingles is awful but if you take anymore this *will kill you*, so I'm going to make the nurse get you something else okay?"
when I did IT I was always happy to help people... not because I liked helping people, but if they didn't ask I had to spend two-three times the time to fix whatever they botched up, so I'd rather do it myself in the first place (or in rare cases instruct people how to do something)
We're pretty friendly, and if you're nice, everyone in pharmacy knows who you are. She retired now, but there was an ID doctor who we absolutely adored. It made our day whenever she called. Oh it's Dr. ID? She can have whatever she wants. Guys! Who has sweet Dr. ID on hold??!!?
@@ericlefort I just rotated wards last week (in the UK we all move in August) and the first thing I said to our ward pharmacist was "hi, really sorry for all my dumb questions and being the new bane of your existence for the next six months".
I used to work with a nurse who'd previously worked on a renal (kidney, for the laypeople) unit. NOTHING was given until Pharmacy double-checked it. (For the laypeople: one of the things a body has to do with medication is get rid of it, and the kidneys are a common way to accomplish this. If a patient has poor kidney function, they can have trouble getting rid of some medications. Often doses have to be reduced or meds have to be given less frequently as a consequence.)
@@amgoudman But why does the body automatically has to get rid of medication? Maybe the molecules will disintegrate on their own and so body doesn't have to move a finger so to speak.
@@Ice.muffin Pharmacy student here. The reason your body has to breakdown medications is because the job of your liver is to inactivate and remove any foreign compounds that may be toxic and cause harm to the body. Your liver doesn’t know what is toxic and what isn’t so to be safe it processes anything you put into your body including medications. It performs chemical reactions to deactivate the drug and then make it easily dissolvable in water so the kidneys can remove it in your urine. It would be great if a drug could stay in your body and do its thing forever, but your liver is just trying to do its job to protect you from bad stuff and thats why we have to take multiple doses of medications
As an intern and resident, a page or call back from pharmacy was always something I appreciated. As I progressed, it went from "yes, thanks for that clarification", to more "thanks for the check, that is how I meant to order it because..." High five to the pharmacists for the support and collaboration!
As a nurse, I love docs who understand how much work it can be to carry out orders and try and keep things manageable. Anything by rectum every four hours is not going to make anybody happy.
Especially the patient. But of course nurses are so busy as it is. I've been in patient 2 times recently. For a week, then 5 days. I did my best to not be at all demanding, appreciative and said TY always. To all staff from the Drs on down to the tray people and cleaning people. It's all a team. My treatment by the staff (largest hospital in Maine) was outstanding. Days later I even got a TY card from the nurses! I hope to never go back, but if I do --- I'll do the same. TY 4 being a nurse at a time of chaos!!
Whenever I'm delivering a med to a nurse I like to make quick small talk. Try to put myself in their shoes, be empathetic. It goes a long way. I'm I handed the nurse the slip to sign (it was for methylphenidate) I'm like it's a bit late in the night to give him this isn't it? I'd want them all sleeping. She asked what I meant and that was the fastest I've ever seen a nurse reach for the phone to call pharmacy. 🤣 She wanted him to sleep. 🤣
@@ephremcortvrint2376 hey are you mentioning rubber ducky as in rubber duck debugging if so I as a programmer whole heartedly approve Edit(apparently I can’t spell)
@@Chzydawg I just started a job in a pharmacy and I keep apologizing for asking a million questions and the pharmacist keeps telling me that she loves it and I should never stop. ♥
As a pharmacist- Or the other way they order it is by putting in incorrect directions if they can’t figure out how to do what they want- but they include admin instructions with what they are trying to do. So we have to figure out Frankenstein’s monster
I've never been a medical professional but I supported an EMR and dear god so many providers called in with prescription rejections for the most insane orders. So many of them have their entire prescription re-written in the pharmacy note section. Some of the coding I don't really blame them like the PR/PRN or qhs but the suspensions/tablet/whatever was a constant argument.
This is so accurate for retail pharmacy too. Especially doctors disappearing into the night and then you try to call them and can never get a hold of them, and then the patient is angry because you won’t fill their medication for a dose that is twice the therapeutically safe level.
@@sarahbeaulieu999 Oh I love it. Patient comes to us with a prescription from the ER for Ciprodex. MD didn't write an LU code for the Ontario government to cover the medication. Patient refuses to pay 22 dollars. MD has disappeared into the night. Now I'm stuck with a very angry 72 year old.
I am not in the medical field but here I learned that pharmacists are very under appreciated. I never imagined pharmacists had to deal with all kinds of egos.
This is me right now every other order. My attending just gives the, "Are you seriously asking me this?" look if I have a medication question, so I feel more comfortable asking pharmacy now haha. Intern year, so much fun.
You'll be fine. Keep doing your best for your patients and your career. Medicine is hard, both beginning and later. Just remember the good and bad when you are staff to make the next generation feel a bit more welcomed.
Medication bro was so awesome for guiding the intern and complimenting him after for a “great order”. A little validation goes a long way especially for new interns. Thank you for your awesome content!
I just got my pharmacist license this past Monday and watching this was so wholesome :’) I can honestly say the same from the pharmacist’s side though. I verified my first order today with the same hesitation as the doc in this video ordering meds
I’m a medication bro. And I’m always happy when a bone bro, or a bike bro, or a critical care ophthalmologist bro reaches out. Love talking to those bros
As a night nurse I have never felt a line in my soul the way I did "smash the keyboard with their fist, order whatever comes up, and disappear into the night."
this reminds me of the first time I gave a medication (which happened to be Tylenol) as a nursing student... they built it up to be such a big deal that I felt like I wasn't qualified enough to give it 😂
While I don't recall exactly the very first medication I ever gave in nursing school, I DO recall the first injections I ever gave (SC was heparin for a post-op patient who smoked; IM was morphine and Gravol for a patient with a bowel obstruction) and the first IV medication I ever gave (IV push Lasix for a patient with heart failure). Today I'm a nursing instructor and I have supervised many students as they gave their first medications and especially their first injections and IV meds (when I teach clinical I mostly teach medicine and surgery, which our students take after they do their long-term care clinical; they do give meds in long-term care but unless there's insulin they often don't give many injections and they aren't allowed to give IV meds at that point).
Oh man, this did not go how I expected. I thought the intern was gonna nail it due to his cautious and careful (and scared) inexperience. Probably took like 30 min to put in that order.😄 Love that it was almost a rectal administration😏, god bless the pharmacist for looking out for us nurses.😁
I love this time of year for crazy orders from newbie doctors. My previous favorites were 17.2mg of senna given as a IM and 650mg tylenol given Nasally. Think this years winner of "new born assessments" including head circumference and length order on a 80 year old is going to top the list
My favorite was the poor person who put an order for 25 Hydrocortisone suppositories. Pharmacist called me over to "ask my opinion on something". I think the doctor meant 25mg. 😅 Edit: Don't let that deter you! Sometimes we like to share funny little things with each other.
As a nurse who sometimes has to call into the void to clarify orders like that, I appreciate the caution. In my line of work, the most common "errors" are docs ordering PO meds when the patient/kiddo is solely tube fed. The worst is when the kiddo gets discharged to home... ...on a Friday... ...after office hours.
I had a nurse come to Pyxis after I refilled Depakote ER and as she removed it and started crushing said "I don't think I'm supposed to be crushing this, but that's how they've been giving it to him." I looked on in horror and told her you don't and please call pharmacy. I'm like, we carry the sprinkles...
As a pharmacist this speaks to my soul 💓😊 I feel I can speak for all pharmacists when I say: yes, please always reach out when you have any questions! We wear many hats: IT, drug expert, EMR-wizard, clinical knowledge fountain. If you wanna know how to treat hyperkalemia per your organization's guidelines you didn't know existed and how to input said treatment correctly into the EMR you're still getting used to, you've called the right place 😊 We just ask you to keep your sighs and complaints/insults to a minimum! (You called us for help!) 💟 With Love, pharmacy
As a new hospital medication bro I appreciate the video and spreading the word about what we do!! So many people still think that all we do is count pills... and that doesn't even apply to retail pharmacists as they do SO much more
Hospital pharmacy tech! You made my day! The response to "wasting time" was 100% spot on. We love people like you. Also I did not see the PRN - PR one coming. That's almost as good as the pyruvate dehydrogenase one! I love Ortho Bro and I love baby Ortho Bro. 🥰
I’d love to see some interactions between experienced nurses and interns & residents. As a retired ICU nurse, I can tell you we regularly spent time with the new interns helping them write ICU admission and transfer orders. A couple of newbies inevitably try the “me doctor, you Jane vibe every summer… my response was usually along the lines of “I’ve been working ICU for 10 years, you’ve been here how many minutes…?” Then there was the resident who refused to sign an acetaminophen order that I’d written for a patient who had a mild headache at 3 am because I didn’t wake him up for permission; I was trying to let him sleep. He insisted that he expected to be informed about every change in his patient’s status…. The following night he was updated about EVERY change in his patient’s status. By 4 am, I heard “OK, OK, I get it! Just let me sleep!” Never piss off the night nurse. 😂
This was amazing. I loved the smashed keyboard portion. It basically said, "everyone else would have let the patient get rectal Tylenol scheduled every 4 hours until called." Medication bro was my favorite part though. Thanks for what you do. We need more displays of collaboration and understanding human error.
I love these videos so much. Not gonna lie, when my dad went into the hospital for some really bad stuff in my early 20s, I really got disillusioned by everything. The nail in the coffin was, after some...really bad care that resulted in an amputated arm and very nearly a lawsuit if my dad had felt up to it, was a screensaver on all the hospital computers that would pop up (to patients and family alike) and say in no uncertain terms "DO NOT DISCUSS ANYTHING ABOUT CUSTOMERS IN EMAIL OR TEXT MESSAGE BECAUSE IT CAN BE SUBPOENAED AND USED AGAINST US". it really made me question the human side of healthcare. It was a bit unfair to pin that bad set of experiences on literally every doctor and hospital in the country, but over the last several years, seeing more and more doctors engage in stuff like this, it really helped me move out of that view and accept every doctor, nurse, technician, what have you is just a person at the end of the day and there will be good and bad ones. All to say I appreciate what you do.
Saw a PO vancomycin for cellulitis today. First time for learning everything and vanco bioavailability was today's lesson. They're all going to make it 👍
That's the one that isn't absorbed by the gut right? So can only be used orally for CDiff. It's been a while but it is very very weird as a nurse to give it orally. It says IV on the vial!
I can relate so hard. I've recently been certified to give medications to my elderly patients and in the beginning I asked silly questions to. But now I'm more confident in my self. 😊
I love this so much. I'm a pharmacist and work retail. Things would be so much better if doctors did call us here and there to check their orders (even/especially in retail).
As a medication bro, really appreciate intern bone bro for checking in on the order! Can’t wait to have this intern grow into a doc as nice and wonderful as attending bone bro!
I don't post comments too often but: I'm an IM resident who's been on an extended LOA for medical reasons. It's been really hard. I went into medicine because I've always had medical problems and wanted to help people like me who are just scared and don't know what's going to happen to them next. I always thought going into medicine was more than "just a job" for me, and it's been really frustrating to be stuck at home not able to do much, especially with the pandemic going on. I've seen some friends already graduate ahead of me, some enter fellowships... all while struggling with money and my physical and mental health. Your videos help me feel like I'm still connected to the medical community somehow, and they help me laugh and forget my problems even if only for a few moments at a time. Thank you. As someone who's been a patient their whole life and a physician, I can say with full confidence it takes a truly kind person to be a good doctor. I can tell from watching your videos your patients are quite lucky to have you.
@@everentropy Thanks - in case you're interested, I ended up getting healthy enough to go back to work recently. I've been doing a lot better, and my residency training is coming along nicely.
Wholesome. I am not in any way related to the medical field, but you acting and characters are so funny, that I have watched every video over the last two weeks. Keep it up!
Honestly, I have been in practice working with residents for almost 20 years (OMG I’m getting old) and watching these shorts has given me a lot of insight to the modern resident. Thank you, I feel like I address these kids (yep I went there) in a more appropriate way!
Thanks for this! Pharmacy is always on the intern's team...and yes, please feel free to call and ask questions instead of just ordering something you aren't sure of!
My first order on my first day as an intern was for Tylenol. God I agonized over it. I briefly wondered if I should order stat LFT’s before ordering it. As a med student, dishing out benign meds like Tylenol seems like a no-brainer. But then one day you’re an MD, and you have to sign your name on the order…..
Today was my first day at my first job (not medical-related) and I was a bit embarassed of how much I asked questions to everyone, scared of being super annoying. They were all pretty cool about it and most of the clients too, all very understanding. This video helped me feel a little more ok for not knowing, it's very wholesome 💛
Very very accurate protrayal of my first month as an intern 😅 - when I met the hospital pharmacist in-person, I absolutely fan-girled and may have frightened them with my level of enthusiasm.
This ordering thing is really fascinating. Here, the head nurse orders everything that the entire department needs in bulk, my job is to just write down the patient's medications on their sheet.
If there's one thing I've learned being an Ortho Johnathan at a teaching hospital, everyone is willing to help you because everyone has made the same or similar mistakes.
I was at the Optometrist school for my annual visual field tests and eye exam. I asked the senior student if she'd heard of of Dr Glaucomflecken. Ooooo she got snarly saying NO, but every patient asks me. ( we are in Canada 🇨🇦). Suggested she chill and watch.
OMG we had an order for every 3 hours Latic acid on a patient that was not hooked up to IV. Pt was a 30-something year old with the LA running about 3ish, when I saw they had no IV fluids both the patient and I were cocking our eyebrows. The nurse looked at the order and was like "D/C that, that is ridiculous." Turns out it was entered as 999999 occurrences instead of the usual 3x.
Sounds like when get calls for supplies, we can always tell who the new nurses are on the phone because they're so much more polite and don't get as angry when we have to tell them the item they wanted has been on backorder for 2 weeks
This right here is awesome. As a hospital pharmacist that predominately works with interns and residents, I always hope my interactions are like this. I love to educate and there is never a stupid question. Sometimes we have to remember there was a time when we didn’t know anything outside of the academic setting and it can be very intimidating.
As a nursing student, I feel this! OMG so many times seeing an active order in patient chart that is no longer needed, too small of a deal to call doctor and ask them to take it off, but it has been saying “patient refused / don’t meet parameters” for almost a week, why can’t you see them 😢
LOL. Oh the memories. The anxiety at the beeper (yes I'm old) going off 15 min after hitting the floor asking for a Tylenol order. I relied on them to help with suggestions for subs and info about allergy cross-reactivity. Unfortunately a lot of calls from them to me were to indicate that we were "critically low" in supply of one drug or another and they wanted me to sub something else. Not their fault but I was often left shaking my head about how we were "almost out" of liter bags of LR.
This one is autobiographical. The hospital pharmacist knew my voice 6 weeks into intern year 😅
@TankGuy3 Newbies have to earn their Jonathan.
Thanks for showing love to pharmacists! We often feel underappreciated in healthcare
Hold on, I need to ask a question here - my mom (who worked as a pharmacist's assistant for many years) told me that it was traditionally a doctor's role to _diagnose,_ while it was actually the pharmacist's role to _proscribe_ medicine. However, these days, the doctor's go over the pharmacist's head - thanks, in no small part, due to the pharmaceutical industry essentially marketing this stuff to doctors. Is that correct?
I just rotated wards last week (in the UK we all move in August) and the first thing I said to our ward pharmacist was "hi, really sorry for all my dumb questions and being the new bane of your existence for the next six months".
😂
'Nothing wrong with asking for help.' Great message Doc
As a pathologist, I would very much prefer folks ask for help rather than generating crazy orders. Flow cytometry and cytology are not the same thing. Ordering one when you wanted the other results in a bad day for me, in either direction.
@@uglytv3417 as a construction worker, I wish MOST people just asked for help. So many things are easier with 2 people, and it never hurts to have someone double check my own work.
You mean, 'Eye bro'
🙌🙌🙌
@@uglytv3417 good work microscope bro
The portrayal of pharmacy is frighteningly accurate. You call; they are pleasant and helpful. They educate without being condescending. They solve the worlds problems, thank you, and invite you to call back any time for any reason. And then you hang up the phone and are thrusted back into the terrifying world from whence you rung. The only difference… you have one less problem.
Seriously! I adore the pharmacists. They know so much shit off the top of their heads and anything they dont know they find out within 20 minutes and often deliver the medication right into your hands. What beautiful humans.
I'm a nurse btw. So when doctors prescribe meds like, theyre NBM? okay just put it down their NG. The pharmacists are the people who tell me how to actually do that safely.
God bless the pharmacy. Doctors made sympathetic noises and threw more painkillers my way, but the pharmacist was the only one to say "Now I know shingles is awful but if you take anymore this *will kill you*, so I'm going to make the nurse get you something else okay?"
yeah, us pharmacists want to make things easier for everyone involved : doctors, interns, nurses and , of course, patients
This makes me so happy! 🥰
"4 hourly Tylenol via PR might... irritate the nurses"
And the patient's rectum... but yknow...
Oh yeah that too
And the liver.
@@oneminuteofmyday As a nurse, exactly this.
You see the patient hopefully only once; you gotta see the nurse your entire residency.
@@wedge41388 But if the patient gets...*ahem* irritated, takes it out on the nurse so it's added on to her own irritation...hoo boy!
So wholesome and cute! I hope every intern has docs and pharmacists that are this patient and understanding
when I did IT I was always happy to help people... not because I liked helping people, but if they didn't ask I had to spend two-three times the time to fix whatever they botched up, so I'd rather do it myself in the first place (or in rare cases instruct people how to do something)
Agreed!
Yesss I love my pharmacists!!! Props to all yall out there.
Pharmacists are great, except when I order urgent hydromorphone at 8:50 on a Friday night 10 minutes before they knock off for the night
We're pretty friendly, and if you're nice, everyone in pharmacy knows who you are.
She retired now, but there was an ID doctor who we absolutely adored. It made our day whenever she called.
Oh it's Dr. ID? She can have whatever she wants.
Guys! Who has sweet Dr. ID on hold??!!?
Soooo I shouldn't be smashing the keyboard when admitting my patients? Finally I understand why all pharmacists hate me... Thanks Dr. Glaucomflecken!
My pleasure!
They understand now. They’re not going to change their behaviour or anything crazy like that but at least they understand! :)
@@ericlefort I just rotated wards last week (in the UK we all move in August) and the first thing I said to our ward pharmacist was "hi, really sorry for all my dumb questions and being the new bane of your existence for the next six months".
And you finally understand why the nurse loathe you lol!
@@JamillaF91 in France it’s in November and May !
"Medication bro" is so cute lol
I swear this guy followed me around in med school lol
I love pharmacists, super helpful. They. Know. So. Much.
Sounds like librarians
I used to work with a nurse who'd previously worked on a renal (kidney, for the laypeople) unit. NOTHING was given until Pharmacy double-checked it. (For the laypeople: one of the things a body has to do with medication is get rid of it, and the kidneys are a common way to accomplish this. If a patient has poor kidney function, they can have trouble getting rid of some medications. Often doses have to be reduced or meds have to be given less frequently as a consequence.)
@@amgoudman But why does the body automatically has to get rid of medication? Maybe the molecules will disintegrate on their own and so body doesn't have to move a finger so to speak.
@@Ice.muffin Pharmacy student here. The reason your body has to breakdown medications is because the job of your liver is to inactivate and remove any foreign compounds that may be toxic and cause harm to the body. Your liver doesn’t know what is toxic and what isn’t so to be safe it processes anything you put into your body including medications. It performs chemical reactions to deactivate the drug and then make it easily dissolvable in water so the kidneys can remove it in your urine. It would be great if a drug could stay in your body and do its thing forever, but your liver is just trying to do its job to protect you from bad stuff and thats why we have to take multiple doses of medications
@@williamhrivnak7345 Great refreshment of my memory, good student, your teacher would be proud👌🏻.
"Nailed it."
Medical staff supporting medical staff, professionally and emotionally.
I need more of this emotional support as a third month intern
As an intern and resident, a page or call back from pharmacy was always something I appreciated. As I progressed, it went from "yes, thanks for that clarification", to more "thanks for the check, that is how I meant to order it because..." High five to the pharmacists for the support and collaboration!
As an attending for the past 31+ years, a call back from the pharmacy is STILL something I appreciate. They're just too damn smart to ignore.
@@nickdfoxy As an attending now, I feel the same.
Thank you.
That little plot twist (if you could call it one) at the end was so cute! Intern bone bro’s going to be a great doc
Intern bone bro😂😂😂😂😂
then he turns into a doc and smashes the keyboard
Awwww it's a baby Ortho! He hasn't adjusted into the Ortho Bro mindset yet, still growing into the Brohood!
Baby ortho.🤣🤣🤣
I know right 😂
few years later...he's already forgot all the things he learned about medication and just order ancef
I honestly often forget that a single person does both characters, you are so good at it.
Sometimes the whole faculty, too
plot twist. a family of identical twins
He's the first person I've seen doing skits like this that actually makes you forget it's all just one person. He does a fantastic job
What do you mean. They are different
@@hk3993 ; I see, I must have been mistaken then :p
I’m a medication bro and I approve. We don’t bite….except the antibiotic steward. They might.
Yeah, but at least it'll be a clean wound.
Personally I think they have the right to from what I'm seeing here
how can a man be so great at acting that he nails an impression of a guy trying to do an impression of a character THAT HE MADE UP
Meta 🤯
We are not worthy!😁
As a nurse, I love docs who understand how much work it can be to carry out orders and try and keep things manageable. Anything by rectum every four hours is not going to make anybody happy.
Might make some people happy…
@@iesakhanji1995 what type of weird people...
Especially the patient. But of course nurses are so busy as it is. I've been in patient 2 times recently. For a week, then 5 days. I did my best to not be at all demanding, appreciative and said TY always. To all staff from the Drs on down to the tray people and cleaning people. It's all a team. My treatment by the staff (largest hospital in Maine) was outstanding. Days later I even got a TY card from the nurses! I hope to never go back, but if I do --- I'll do the same. TY 4 being a nurse at a time of chaos!!
Whenever I'm delivering a med to a nurse I like to make quick small talk. Try to put myself in their shoes, be empathetic. It goes a long way.
I'm I handed the nurse the slip to sign (it was for methylphenidate) I'm like it's a bit late in the night to give him this isn't it? I'd want them all sleeping.
She asked what I meant and that was the fastest I've ever seen a nurse reach for the phone to call pharmacy. 🤣
She wanted him to sleep. 🤣
And THIS, ladies and gents, is what we call interdisciplinary collaboration. (I'm a nurse, for the record.)
The best part in medicine or research is helping out and/or being a rubber ducky, the spark the people get in their eyes when things click is just...
Hi!
@@ephremcortvrint2376 hey are you mentioning rubber ducky as in rubber duck debugging if so I as a programmer whole heartedly approve
Edit(apparently I can’t spell)
Being on the pharmacist side of this, I can honestly say this is the intern I love to talk to.
It's literally the same in any job, somebody that asks questions is a million times better than somebody that makes assumptions.
@@Chzydawg I just started a job in a pharmacy and I keep apologizing for asking a million questions and the pharmacist keeps telling me that she loves it and I should never stop. ♥
As a pharmacist- Or the other way they order it is by putting in incorrect directions if they can’t figure out how to do what they want- but they include admin instructions with what they are trying to do. So we have to figure out Frankenstein’s monster
I've never been a medical professional but I supported an EMR and dear god so many providers called in with prescription rejections for the most insane orders. So many of them have their entire prescription re-written in the pharmacy note section. Some of the coding I don't really blame them like the PR/PRN or qhs but the suspensions/tablet/whatever was a constant argument.
As a medication bro in training, the comments about pharmacists being kind and helpful are actively getting me through my degree
Keep up the good work! You've got this!
This is so accurate for retail pharmacy too. Especially doctors disappearing into the night and then you try to call them and can never get a hold of them, and then the patient is angry because you won’t fill their medication for a dose that is twice the therapeutically safe level.
ER is the worst for this
@@sarahbeaulieu999 Oh I love it. Patient comes to us with a prescription from the ER for Ciprodex. MD didn't write an LU code for the Ontario government to cover the medication. Patient refuses to pay 22 dollars. MD has disappeared into the night. Now I'm stuck with a very angry 72 year old.
Yeah how is it that even if the patient was at the doctor’s 10 minutes ago when you call they’ve *always* left??? 😂
Which makes it horrible that the AMA basically tried to threaten pharmacists who try to inquire about why something was prescribed.
ortho isn't shown here, but he's crying in the corner out of happiness
But slightly dissapointed he didn't tell the intern to add ANCEF to his order
@@pilkoso OH nooo! 🥺
Aww. I'm a nurse and I vividly remember taking a brand new interns first verbal order. It was a mess, but he was trying so hard, and so apologetic.
This was one of the most heartwarming (and extremely accurate) video I’ve seen so far. Sincerely, a hospital pharmacist
Thank you for ALL that you do. You are the Real Hero’s of the day!
aww I love this comment section! thanks for your great work
Didn't see the Ortho twist coming. Nice touch.
I am not in the medical field but here I learned that pharmacists are very under appreciated.
I never imagined pharmacists had to deal with all kinds of egos.
This is me right now every other order. My attending just gives the, "Are you seriously asking me this?" look if I have a medication question, so I feel more comfortable asking pharmacy now haha.
Intern year, so much fun.
You'll be fine. Keep doing your best for your patients and your career. Medicine is hard, both beginning and later. Just remember the good and bad when you are staff to make the next generation feel a bit more welcomed.
I don't envy you, it sounds really overwhelming and scary when you start out!
That was so wholesome, I was expecting the intern to get destroyed but it was so sweet
No, the pharmacists are always nice, just glad to help!
Pharmacist explain to you how you almost royally killed a patient in the nicest way possible
PharmD don’t destroy they put ALL the pieces back together always! They are the real heroes of today!
Pharmacists are so so helpful and nice. We love them ❤️
Medication bro was so awesome for guiding the intern and complimenting him after for a “great order”. A little validation goes a long way especially for new interns. Thank you for your awesome content!
Pharmacists and the operator are tied for being an interns best friend. They've helped me out so much here in the first 6 weeks
Pharmacy is so kind to this new bro!!! A heartwarming video!!
This is surprisingly wholesome
I just got my pharmacist license this past Monday and watching this was so wholesome :’) I can honestly say the same from the pharmacist’s side though. I verified my first order today with the same hesitation as the doc in this video ordering meds
This is very cute. We should all aspire to be as supportive as Medication Bro
I'm saving this for my next appt with a doctor whom I just adore and she will find this especially funny! You're adorable AND hilarious!
The ending was epic..
"Medications bro.."
Wasn't expecting that!! Fabulous! You got amazing creativity "eyes bro" !!
Retired hospital pharmacist of 42 years; you nailed this one. Don’t miss working in July and August with the new interns….did help a lot of them!
I’m a medication bro. And I’m always happy when a bone bro, or a bike bro, or a critical care ophthalmologist bro reaches out. Love talking to those bros
As a retired RN, can confirm I would be irritated and so would the patient’s rectum. Edit
Not as irritated as the patient's rectum.
@@General12th you are correct, I forgot to add that.
And probably also so would the patient 😁
Liked the video, but when the pharmacist told him he nailed it at the end I literally went “Awwww” out loud 🥰
As a night nurse I have never felt a line in my soul the way I did "smash the keyboard with their fist, order whatever comes up, and disappear into the night."
this reminds me of the first time I gave a medication (which happened to be Tylenol) as a nursing student... they built it up to be such a big deal that I felt like I wasn't qualified enough to give it 😂
While I don't recall exactly the very first medication I ever gave in nursing school, I DO recall the first injections I ever gave (SC was heparin for a post-op patient who smoked; IM was morphine and Gravol for a patient with a bowel obstruction) and the first IV medication I ever gave (IV push Lasix for a patient with heart failure).
Today I'm a nursing instructor and I have supervised many students as they gave their first medications and especially their first injections and IV meds (when I teach clinical I mostly teach medicine and surgery, which our students take after they do their long-term care clinical; they do give meds in long-term care but unless there's insulin they often don't give many injections and they aren't allowed to give IV meds at that point).
Sounds like they built it up so much you probably felt like you weren't qualified to take it either.
@@amgoudman t
I love the wholesome episodes just as much as the "toxic" ones lol
Oh man, this did not go how I expected.
I thought the intern was gonna nail it due to his cautious and careful (and scared) inexperience. Probably took like 30 min to put in that order.😄
Love that it was almost a rectal administration😏, god bless the pharmacist for looking out for us nurses.😁
My Nursing Supervisor Mother adores these. Keep ‘em comin’, Doc/Chief.
I love this time of year for crazy orders from newbie doctors. My previous favorites were 17.2mg of senna given as a IM and 650mg tylenol given Nasally. Think this years winner of "new born assessments" including head circumference and length order on a 80 year old is going to top the list
Could the IN Tylenol have been for a pt. with an NG tube? *Hoping*
My favorite was the poor person who put an order for 25 Hydrocortisone suppositories.
Pharmacist called me over to "ask my opinion on something".
I think the doctor meant 25mg. 😅
Edit: Don't let that deter you! Sometimes we like to share funny little things with each other.
As a nurse who sometimes has to call into the void to clarify orders like that, I appreciate the caution. In my line of work, the most common "errors" are docs ordering PO meds when the patient/kiddo is solely tube fed. The worst is when the kiddo gets discharged to home...
...on a Friday...
...after office hours.
I had a nurse come to Pyxis after I refilled Depakote ER and as she removed it and started crushing said "I don't think I'm supposed to be crushing this, but that's how they've been giving it to him."
I looked on in horror and told her you don't and please call pharmacy. I'm like, we carry the sprinkles...
As a pharmacist this speaks to my soul 💓😊 I feel I can speak for all pharmacists when I say: yes, please always reach out when you have any questions! We wear many hats: IT, drug expert, EMR-wizard, clinical knowledge fountain. If you wanna know how to treat hyperkalemia per your organization's guidelines you didn't know existed and how to input said treatment correctly into the EMR you're still getting used to, you've called the right place 😊
We just ask you to keep your sighs and complaints/insults to a minimum! (You called us for help!) 💟 With Love, pharmacy
As a new hospital medication bro I appreciate the video and spreading the word about what we do!! So many people still think that all we do is count pills... and that doesn't even apply to retail pharmacists as they do SO much more
Hospital pharmacy tech! You made my day! The response to "wasting time" was 100% spot on. We love people like you.
Also I did not see the PRN - PR one coming. That's almost as good as the pyruvate dehydrogenase one!
I love Ortho Bro and I love baby Ortho Bro. 🥰
Great video! Definitely finished watching and I'm not writing this in the middle of the video.
Meds Bro is probably my favourite of the secondary/tertiary cast members. He's just always so reasonable. :-D
I’d love to see some interactions between experienced nurses and interns & residents.
As a retired ICU nurse, I can tell you we regularly spent time with the new interns helping them write ICU admission and transfer orders.
A couple of newbies inevitably try the “me doctor, you Jane vibe every summer… my response was usually along the lines of “I’ve been working ICU for 10 years, you’ve been here how many minutes…?”
Then there was the resident who refused to sign an acetaminophen order that I’d written for a patient who had a mild headache at 3 am because I didn’t wake him up for permission; I was trying to let him sleep. He insisted that he expected to be informed about every change in his patient’s status…. The following night he was updated about EVERY change in his patient’s status. By 4 am, I heard “OK, OK, I get it! Just let me sleep!”
Never piss off the night nurse. 😂
Heh heh. Nice work! 😄
You did the right thing there.
This tracks. Pharmacists have always been super kind in my experience.
The ortho intern twist at the end was beautiful lol
This was amazing. I loved the smashed keyboard portion. It basically said, "everyone else would have let the patient get rectal Tylenol scheduled every 4 hours until called."
Medication bro was my favorite part though. Thanks for what you do. We need more displays of collaboration and understanding human error.
I love these videos so much. Not gonna lie, when my dad went into the hospital for some really bad stuff in my early 20s, I really got disillusioned by everything. The nail in the coffin was, after some...really bad care that resulted in an amputated arm and very nearly a lawsuit if my dad had felt up to it, was a screensaver on all the hospital computers that would pop up (to patients and family alike) and say in no uncertain terms "DO NOT DISCUSS ANYTHING ABOUT CUSTOMERS IN EMAIL OR TEXT MESSAGE BECAUSE IT CAN BE SUBPOENAED AND USED AGAINST US". it really made me question the human side of healthcare. It was a bit unfair to pin that bad set of experiences on literally every doctor and hospital in the country, but over the last several years, seeing more and more doctors engage in stuff like this, it really helped me move out of that view and accept every doctor, nurse, technician, what have you is just a person at the end of the day and there will be good and bad ones. All to say I appreciate what you do.
Pharmacists were my saviors all throughout my residency. It’s always a team effort with one goal in mind.
Saw a PO vancomycin for cellulitis today. First time for learning everything and vanco bioavailability was today's lesson. They're all going to make it 👍
That's the one that isn't absorbed by the gut right? So can only be used orally for CDiff. It's been a while but it is very very weird as a nurse to give it orally. It says IV on the vial!
@@orangew3988 You got it. IV to PO is generally good practice for antimicrobial stewardship but vancomycin is an exception
Wait six months and it'll be shortened to "meds bro"
He’ll get there
This is so sweet and wholesome - carry on baby bone bro
That was actually really wholesome and didn't involve any berating attendings! Love that
I can relate so hard. I've recently been certified to give medications to my elderly patients and in the beginning I asked silly questions to. But now I'm more confident in my self. 😊
I love this so much. I'm a pharmacist and work retail. Things would be so much better if doctors did call us here and there to check their orders (even/especially in retail).
As a medication bro, really appreciate intern bone bro for checking in on the order! Can’t wait to have this intern grow into a doc as nice and wonderful as attending bone bro!
Inpatient clin pharmacy manager, after a 12 hr day, this was the LOLetol I needed. Thanks doc for slowing down my HR.
Just burst in the laughter in the end of the video. Spilled my tea... That was a good one
I don't post comments too often but: I'm an IM resident who's been on an extended LOA for medical reasons. It's been really hard. I went into medicine because I've always had medical problems and wanted to help people like me who are just scared and don't know what's going to happen to them next. I always thought going into medicine was more than "just a job" for me, and it's been really frustrating to be stuck at home not able to do much, especially with the pandemic going on. I've seen some friends already graduate ahead of me, some enter fellowships... all while struggling with money and my physical and mental health. Your videos help me feel like I'm still connected to the medical community somehow, and they help me laugh and forget my problems even if only for a few moments at a time. Thank you.
As someone who's been a patient their whole life and a physician, I can say with full confidence it takes a truly kind person to be a good doctor. I can tell from watching your videos your patients are quite lucky to have you.
As a disabled person as well I really appreciate you going into medicine- so often we have doctors that just don't GET it
@@everentropy Thanks - in case you're interested, I ended up getting healthy enough to go back to work recently. I've been doing a lot better, and my residency training is coming along nicely.
Wholesome.
I am not in any way related to the medical field, but you acting and characters are so funny, that I have watched every video over the last two weeks. Keep it up!
Honestly, I have been in practice working with residents for almost 20 years (OMG I’m getting old) and watching these shorts has given me a lot of insight to the modern resident. Thank you, I feel like I address these kids (yep I went there) in a more appropriate way!
Thanks for this! Pharmacy is always on the intern's team...and yes, please feel free to call and ask questions instead of just ordering something you aren't sure of!
The pharmacist is the most wholesome of the bunch. Love it!
My first order on my first day as an intern was for Tylenol. God I agonized over it. I briefly wondered if I should order stat LFT’s before ordering it. As a med student, dishing out benign meds like Tylenol seems like a no-brainer. But then one day you’re an MD, and you have to sign your name on the order…..
This was a nice change seeing the pharmacist be nice to the intern. Brightened my day!
As a pharmacy technician this cracks me up and warms me. You never miss 🏥
Today was my first day at my first job (not medical-related) and I was a bit embarassed of how much I asked questions to everyone, scared of being super annoying. They were all pretty cool about it and most of the clients too, all very understanding. This video helped me feel a little more ok for not knowing, it's very wholesome 💛
Aw we love a supportive pharmacist, I didn’t know we did until just now but we sure do!
The pharmacists are so helpful to us nurses and docs! Thank you!
“How did I do?”
“Nailed it”
Classic loved this
Very very accurate protrayal of my first month as an intern 😅 - when I met the hospital pharmacist in-person, I absolutely fan-girled and may have frightened them with my level of enthusiasm.
This was the most wholesome and happy thing I’ve encountered today. Thank you for making my day!
Oh my goodness that ending was the perfect wholesome conclusion to a heartwarming exchange 😄
This ordering thing is really fascinating.
Here, the head nurse orders everything that the entire department needs in bulk, my job is to just write down the patient's medications on their sheet.
Hospital pharmacists are the best! Whenever I call they are so happy to help with anything.
If there's one thing I've learned being an Ortho Johnathan at a teaching hospital, everyone is willing to help you because everyone has made the same or similar mistakes.
Even if you don't learn anything this year, just learn this : "Upsetting the nurses is never an option"
End of lesson.
Baby orthopaedic surgeon is my new favourite
Telling ortho baby that he nailed it = Golden! 👌🏾
I was at the Optometrist school for my annual visual field tests and eye exam. I asked the senior student if she'd heard of of Dr Glaucomflecken. Ooooo she got snarly saying NO, but every patient asks me. ( we are in Canada 🇨🇦). Suggested she chill and watch.
As a patient, these skits are so enlightening. I will have much more understanding and tolerance of both providers and physicians.
OMG we had an order for every 3 hours Latic acid on a patient that was not hooked up to IV. Pt was a 30-something year old with the LA running about 3ish, when I saw they had no IV fluids both the patient and I were cocking our eyebrows. The nurse looked at the order and was like "D/C that, that is ridiculous." Turns out it was entered as 999999 occurrences instead of the usual 3x.
Sounds like when get calls for supplies, we can always tell who the new nurses are on the phone because they're so much more polite and don't get as angry when we have to tell them the item they wanted has been on backorder for 2 weeks
This is so cute. I'm watching this during my 10 min break while I prepare for Step 1. Thankyou so much! ❤️
This right here is awesome. As a hospital pharmacist that predominately works with interns and residents, I always hope my interactions are like this. I love to educate and there is never a stupid question. Sometimes we have to remember there was a time when we didn’t know anything outside of the academic setting and it can be very intimidating.
You absolutely did nail it. Great job!
As a nursing student, I feel this! OMG so many times seeing an active order in patient chart that is no longer needed, too small of a deal to call doctor and ask them to take it off, but it has been saying “patient refused / don’t meet parameters” for almost a week, why can’t you see them 😢
specialty term of today: "Medication bro"
omg i love these names!
As a patient, I wish pharmacies were this understanding when communicating with me...
LOL. Oh the memories. The anxiety at the beeper (yes I'm old) going off 15 min after hitting the floor asking for a Tylenol order. I relied on them to help with suggestions for subs and info about allergy cross-reactivity. Unfortunately a lot of calls from them to me were to indicate that we were "critically low" in supply of one drug or another and they wanted me to sub something else. Not their fault but I was often left shaking my head about how we were "almost out" of liter bags of LR.
Ask them to compound from a bag of NS and a "handful" of road deicing salt from maintenance. They'll love the suggestion!
This is my favorite one yet. Pharmacy is MVP