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Atom M.
Every day is extra....live them to the fullest.
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Atom M. Jul 15
Replicate what a medicine resident would do
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Atom M. Feb 3
Replying to @LeilaRosa
Negative. New football league, XFL, starts this Saturday and goes through end of April
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Atom M. Jan 29
Replying to @LeilaRosa
No
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Atom M. Dec 24
Replying to @ketaminh
Austin is much nicer
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Atom M. Nov 27
Replying to @iEMPharmD
In attempting to fix it, I think it kind of matters who's to blame
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Atom M. Nov 26
Replying to @LeilaRosa
I second this
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Atom M. Oct 7
Replying to @LeilaRosa
What class?
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Atom M. Oct 4
Replying to @iEMPharmD
Congrats, man
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Atom M. 21 Sep 19
Replying to @chrisdelia
I'll throw down with you lol
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Atom M. 27 Aug 19
Replying to @LeilaRosa
Speechless 🤨
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Atom M. 27 Aug 19
As long as your ? seems to implicate that you condone cheating, I'll mention that the "normal" way predisposes a dude to getting caught, whereas a complete stranger is less likely to care and is a more controllable situation. Disclaimer: 0 experience; simply logic
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Atom M. 27 Aug 19
Replying to @LeilaRosa
Excited? WWE hairy savage? What kind of guys are you into? I'll pray for you
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Atom M. 4 Aug 19
Just like I would never deprive a patient of a medication they needed because of cost, I would never deprive OR even delay a needed medication to a patient because of some inpatient pharmacy protocol, or because someone less informed disagreee. That's why I quit.
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Atom M. 4 Aug 19
Grab 1g vial from ED ADC, give to nurse, tell to push, repeat until desired dose is given for specific patient, or no more can be given cause PT in OR. Use clinical judgment, not checklists, without reprimand, work with team, abolish Rx tunnel vision. Sign off
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Atom M. 4 Aug 19
Agree too. Except if your facility is doing some dumb shit like continuing to dispense 100ml ivpb of cefazolin from rx for ppx in trauma patient in ED. No bueno. My point here would be that something less than ideal from guidelines has to be done if no other way.
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Atom M. 4 Aug 19
U can follow your algorithm perfectly, but with all variables in chaotic situation, are they admin. with appropriate timing? Right dose + frequency? How often you think it actually happens according to ideal? Often, best is getting sumthing in without delay, however possible.
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Atom M. 4 Aug 19
I get it. I aggressively caution against the textbook, tunnel-vision, 'but that's not exactly what the guidelines say' side of thinking, seemingly exclusive to the pharmacy profession. What happens at the facility level If that algorithm isnt followed to a tee? Reprimand? Fired?
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Atom M. 4 Aug 19
Mentioned pushing 2g... follow up with a third whenever feasible via IVP 15-30 minutes after initial or immediately via piggyback. Point though: do what you can... it'll be okay
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Atom M. 4 Aug 19
Last thought: just give some cefazolin, dude. Enough with ur crazy algorithms. Anything further just complicates a complicated and chaotic situation even more. Have it available and ready to give. Fast. Period. Emerge out of Rx tunnel vision. Everyone will thank you. Welcome.
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Atom M. 4 Aug 19
Last thought: just give some cefazolin, dude. Enough with ur crazy algorithms. Anything further just complicates a complicated and chaotic situation even more. Have it available and ready to give. Fast. Period. Emerge out of Rx tunnel vision. Everyone will thank you. Welcome.
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