Perspective From Over The Wall

Now that’s funny

So I’m sitting in the Burbank airport the other day, waiting for my flight, when I happen to overhear the guy next to me on the phone telling tales of informatics failures at wherever he had just been. I strike up a conversation and come to find out that he works for McKesson as one of their implementation specialists.

I explain my general background including the fact that I’m a licensed pharmacist in Ohio.

He gets an intrigued look on his face and proceeds to ask me, “What is up with that crazy state board of pharmacy you have in Ohio?”

My immediate response, “Don’t even get me started.”

Outside, looking in

I complain a great deal about my friends at the Ohio State Board of Pharmacy but I assumed my beef was localized to me and a few select others. But when another healthcare professional, who works for a major healthcare IT provider that has clients in every state, calls the state board I so venomously dislike crazy, it puts things in perspective.

As it turns out he was referring to 2 specific Ohio idiotic rules/laws which he has battled (as all people in healthcare in Ohio have): positive identification and admixture service providers.

Carpal tunnel anyone?

Any RPh, MD, or RN in Ohio is well aware of the carpal tunnel, or more appropriately, tennis elbow that comes from constantly tapping your badge to the reader after each and every order, administration, or verification. FYI for those of you who have never been outside the buckeye state…most other sane places don’t have to constantly tap tap tap to reverify identity.

I’m sure the Imprivata company and the Sentellion/Xylock company has made millions off of Ohio for no other reason than our state board of pharmacy is a little off their rocker.

For those of you outsiders reading this, in Ohio, for every med ordering session, medication administration, or medication verification (or RPh order entry) a 2 factor identification solution (approved by the board) must be used. Your login and password is not sufficient. Each and every time you click sign or verify or file or whatever you call it on your flavor of computer system, you then have to tap your badge to a reader or put your fingerprint down. S

Some places use proximity badges. Those are a joke because I have never met a pharmacist who didn’t just come into work and put their badge on the reader as to remain logged in the whole shift.

Yah, it’s nuts. But that’s Ohio.

Dilaudid PCAs can be purchased?

Did you know that almost every other state in this wonderful country of ours can buy premixed pitocin drips and premixed dilaudid PCAs from outside companies? Well if you work in Ohio you probably didn’t know because in Ohio these “Admixture” pharmacies are known by the law as “compounding pharmacies” and by law, anything obtained from them has to be patient specific.

Rome had it this Ohio law was going to go away. They even a year or so ago lightened up and let pharmacies purchase some compounded items not patient specific due to critical shortages…(like sodium bicarbonate).

I think it goes without saying that after a few fungal meningitis cases later, that lightening up went away real quick. Thanks New England compounding pharmacy. Just when we thought Ohio was actually going to take a few steps forward, we took a giant leap back.

Bottom line

I’m not alone in thinking Ohio is a crazy place to practice pharmacy, even people from other states see it too.

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