Monthly Archives: December 2011

Copy and paste

I am going to flashback to my time at university and talk about plagiarism. Its not big and its not clever but it happened. It probably still does.

Here are four examples that I witnessed.

John had to write an essay and copied a large chunk from the Internet. John was not caught. A year later, Darren, who was in the year below, copied John’s essay and was questioned for plagiarism from the internet.

Zaf and Anas were in the same practical class. They had different people marking their lab reports. Zaf did his and passed it on to Anas. Anas changed the name at the top and submitted it for marking. Zaf got a C grade and Anas got an A grade.

Rachel and Sarah were in the same group. They had to undertake a project together. They were allowed to submit a draft for feedback. Sarah asked Rachel if she could borrow her draft. Rachel said yes. They got their feedback and were both strongly warned that there were similarities. It was revealed that Sarah had copied a lot of Rachel’s work. Rachel told Sarah off and told her to change hers.

Rachel finished her work a few days before the deadline. She went to Sarah’s house the night before the deadline. Sarah had also finished hers laminated and polished ready for submission. Rachel saw Sarah’s work, gathering that Sarah had not changed the draft. Rachel was furious that Sarah was stupid enough to ignore the tutor’s advice. Rachel’s anger rushed Sarah into last minute changes.

Richard and Mike were in the same group and did a project together. Richard asked Mike for help and Mike sent Richard a copy of his work. Again, the day before the deadline, Mike saw a copy of Richards work. It was strikingly similar. However, Richard had already handed his work in for marking. Mike spent all night changing his own work so he would not get caught for plagiarism.


I hope systems have improved for detecting plagiarism!


NPSA alerts

There are lots of NPSA alerts relating to pharmacy. We have a choice of Opioid, Warfarin, Lithium, Methotrexate, Insulin and Paraffin based emollients.

I would be interested to know if pharmacists do any, all or none and why?

A missing Rx

Two days ago, I was at work happily (not really) checking away. I shouted John Smithson’s name out. No one answered, I repeated myself. There was still no answer. I carried on checking.  Then I realised that a woman had been sat in the waiting area for a very long time. I asked what name she was waiting for. She said John Smith (not his real name) and that she had been waiting for 45 minutes!  I assumed that she was absent when I had called out and that she had now returned or that she had not heard me.

I did not remember checking a prescription for that name so I looked on the computer.  Generally, I forget patient’s names but remember medications they are taking. John Smith had last had his prescription dispensed in November. Then I remembered John Smithson’s prescription. Is there a chance that we had made the fatal mistake of labelling under the wrong name? It happens unfortunately.

The woman was collecting the prescription for her husband. I dug out the prescription and showed her the reverse asking if it was her signature. She said yes, ending the moment of panic. I told her that this was not the prescription she asked for, by possibly breaking patient confidentiality and telling her the name on the prescription and that it was similar. This was wrong. However, I was glad that it was not our mistake. It was the receptionists. She had given her the wrong prescription…

I marched over to reception and spoke to the receptionist explaining that the woman had been given the wrong prescription. The receptionist was in shock. Claiming she had confirmed the address with the woman before she gave it out.  I paused and shrugged my shoulders. I turned over the prescription verifying the credibility of this situation by double-checking if it was his signature. She said it was, as far as she knew. Aware of the growing queue at the pharmacy, I left it for the receptionist to sort out.

I went back to the pharmacy and took delight in telling my staff what had happened. It was not our fault. The woman was quietly waiting for 45 minutes. She would probably still be there if I had not spoken to her!

Then someone turned up asking for John Smithson’s prescription. After confirming the address and drug I handed it to him. My Sherlock Holmes moment was now upon me, I  was very puzzled and even more curious Where was John Smiths prescription and why had the woman signed for John Smithson’s?

At our pharmacy, waiting prescriptions are placed in white baskets. I spotted a white basket in the far corner of the dispensary. Gazing at the basket I walked over slowly, and there, was John Smiths prescription! WHAT THE HELL WAS GOING ON?!?!!? I turned it over and compared the signature to John Smithson’s. They were not identical but similar. During the second round of questioning, the woman had mentioned the signature was his AS FAR AS SHE KNEW!

The woman returned holding a reprint prescription for John Smith. My pharmacy assistant started talking about finding it, I shushed her. I processed the prescription and apologised for it taking an hour and the woman left.

 I decided to shred the original and no one would be none the wiser. That’s before my conscience got the better of me. Telling me I should have been honest with the woman. I decided to apologise to the receptionist. I took that mornings purchase of Galaxy Caramel chocolate over to the receptionist and explained that I had found the prescription. She was a lady about it and was glad that it had been found. She refused the chocolate, but accepted a mutual sense of confusion, as we both pondered on why the woman could not recognise her own signature!

Later I ate my Galaxy bar whilst reflecting on the events. I concluded that 1) Pharmacy is never dull place and 2) chocolate makes you happy….

Drive safely

There is an article in the latest issue of The Prescriber about Diabetes and Driving. It discusses changes to the standards for UK drivers with Type 1 diabetes.

If diabetics get severe hypoglycaemia during sleep, then they could lose their driving licence. This has happened to 10% of the diabetics who have lost their licence since the rules began due to hypo’s. Severe hypoglycaemia is when you need the assistance of someone else. Even if someone prompts you to take glucose then this is classed as ‘third party assistance’. Recurrent hypoglycaemia can also lead to loss of a licence. This only needs to happen twice in a year.

So how does this affect pharmacists? I went to a LPF meeting a few weeks ago and the speaker mentioned that there may be medico-legal issues if we have not counselled on hypo’s when dispensing insulin or sulphonylureas. Also in an MUR, do you ask patients if they ever get hypo’s? And if you do, then they will probably say no as they don’t know what hypo’s are. If you ask them if they ever shake, tremble, sweat, ‘pins and needles’ in lips and tongue, get confused or get double vision then they may say yes. Also they may not want us or their GP/diabetic nurse to know that they do as we may be obliged to report it to the DVLA.

We should record on their PMR record or MUR that we have asked them about hypo’s and their answer. This could also be incorporated into the NMS.

What do you think?