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RE: hospitals dispensing medications

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We are not allowed to dispense from the inpatient pharmacy at our
institution, either.  We do, however, have an outpatient pharmacy that is
open from 0730 - 2300 so that gets most people's needs met.  When I lived
in Austin TX, the hospital where I worked was just like Arkansas
Children's - couldn't dispense from the inpatient but could from their OP
pharmacy.  Don't know if this has changed or if they just still have to
have an OP pharm.

Anne Weir
Arkansas Children's Hospital

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From:  pedtalk-owner[SMTP:]
Sent:  Sunday, November 16, 1997 1:32 PM
To:  pedtalk
Subject:  hospitals dispensing medications

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I am wondering if the following is just a Texas thing or not.  The Texas
state law does not allow for hospitals to dispense medications to
patients
that are not inpatients or actually in the ER.  For example if I have a
patient in the hospital who I have transitioned to oral  antibiotics and
the child does well and is going home the hospital is not allowed to give
the rest of the bottle of antibiotics to the parents for  the child to
finish his treatment course and the family has to have a new prescription
filled even though they "bought" the whole bottle in the hospital and the
only thing that is going to happen with the already opened bottle is that
it is going to get thrown out.  Of course this always stinks but is
especially hard to swallow when the child is uninsured and the parents
are
paying for this out of their own pocket.  I can sometimes get around this
by either providing samples or asking the parents to fill the Rx while
the
child is in the hospital with an order "may use meds from home".
 Needless
to say this just makes for more work for all.  In the same vein I will
occasionally get a call on the weekend that a child is out of her asthma
meds or needs a phenergan suppository and none of the pharmacists are
available to meet the parents at the drug store.  I usually keep samples
of
these sorts of meds at home to "make it 'til morning" but boy, it would
be
nice to be able to call the hospital and ask them to sell the parent a
unit
dose of albuterol or a phenergan suppository.  Anyway, a long winded
note--
thanks for letting me get it off my chest.  Kim Burlingham, MD


group.