I lived half of every pharmacists nightmare tonight. Misfill. An absolute, tee-total, unqualified no excuses prescription filled incorrectly. Yay for me that I wasn't the one who filled it wrong. Woe for me that I was the one working when it was brought to our attention. Written for Lipitor 20mg and filled with 40mg instead. The customer was given 100% more drug than he was meant to take. Here's where it gets interesting though. You know what he did?
In a world where we have to specify that antibiotic liquids have to be taken by mouth and not put in the ear "because that's where the infection is......"
In a world where we have to be sure to tell people that they have to unwrap and remove the foil from a suppository before they stick it up their ass.......you know what this customer did?
To those of you in the profession, what I'm about to write may be the least believable thing you have ever seen on this blog, but I swear it's the truth.
The customer saw the 40mg tabs, realized they were wrong, broke them in half, and took them, 20 mg at a time, mentioning the mistake only when he came in to get his refill "because I know that type of thing is important to you"
If Nobel Prizes went to pharmacy customers, there would be no question as to its first recipient.
