Our pharmacist is having quite a tough time and things are set to get worse.
This morning the pharmacist is doing a medication reconciliation and asks one of the GP partners for advice. The query relates to whether or not a patient should get aspirin. The consultant, via the discharge letter, has asked for the patient to receive aspirin 300mg in combination with clopidogrel 75mg for three years post-myocardial infarction. The patient is 78 years old and is not taking any gastro-protective medication.
Our pharmacist asks the advice of the one of the GPs suggesting that maybe the risk of bleeding is too high here over that proposed period of time. The GP snaps at our pharmacist that he should follow the instructions from the consultant. This conversation was never recorded. Our pharmacist follows this advice and writes and signs the prescriptions.
18 months into treatment the patient is admitted to hospital due to blood in his stools. Whilst in hospital he has a catastrophic bleed and dies.
On investigation of the incident, the GP denies the unrecorded conversation and blames the pharmacist for not intervening to prevent the bleed.