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STATE OF WISCONSIN BEFORE THE PHARMACY EXAMINING BOARD - IN THE MATTER OF DISCIPLINARY PROCEEDINGS AGAINST NEIL T. NOESEN, RPH, LS0310091PHM

..

21. Respondent was the only pharmacist on duty at the K-Mart Pharmacy-Menomonie during the weekend of July 6 and 7, 2002. On Saturday, July 6, 2002, the patient, referred to hereinafter as “AR”, went to the K-Mart Pharmacy and requested a refill of her Loestrin FE 1/20 prescription. AR’s prescription had been previously filled at the pharmacy and was on file there.



22. Loestrin FE 1/20 is a medication used to prevent pregnancy or to regulate the menstrual cycle. It is a combination of an estrogen hormone (ethinyl estradiol) and a progestin hormone (norethindrone acetate), which prevents pregnancy by blocking ovulation, and thickens the cervical mucus and changes the endometrial lining, thereby reducing the likelihood of sperm entry and implantation. Loestrin FE 1/20 is also used to adjust hormone levels that may be contributing to irregular menstrual cycles or acne.



23. AR was using Loestrin FE 1/20 primarily for contraception purposes, as she did not want to become pregnant. She had been initially prescribed Ortho-Cyclen, a similar contraceptive medication, when she was 16 years old for the purpose of regulating her menstrual cycle.


Read the legalese - it's enlightening.

Note - the decision came down on April 13, 2005. The action was taken nearly three years ago - it's taken that long for this case to reach the courts.

Also note - pharmacist in question was not employed by K-mart, but by a registry - RPh On the Go USA, Inc. I'd drop them a note, too.

[livejournal.com profile] unclejimbo, honey - who works for registries? Go ahead, let fly. You've worked for one or two in your career.

..

I'll put my two cents in the pot. Generally speaking, they're temp agencies. Who works for temp agencies, folks? And who staffs their businesses with temps, folks?

Date: 2005-05-19 06:54 pm (UTC)
From: [identity profile] the-m0g.livejournal.com
being a temp isn't all THAT bad... I got my current job by starting out as a temp, and now I actually have clout ^_^

Course this is besides the purpose of your post, but I like taking cheap shots **pokes belly and runs**

Date: 2005-05-19 06:59 pm (UTC)
From: [identity profile] lesliepear.livejournal.com
I don't believe they are temps like you would get from Kelly Services, but independant contractors. I suspect for legal (and financial reasons) Kmart doesn't employ pharmacists directly.

The legal story is enlightening. The pharmacist was quite hostile, to the point of not transfering the prescription. And he had no way (or need) to know whether she was taking it for medical reasons or contraception. Personally if you can't deal with that sort of thing, don't be a pharamcist or work in a nursing home where you won't likely see that.

This makes the grumpy pharmacist at my usual place seem like no big deal.

Date: 2005-05-19 07:07 pm (UTC)
From: [identity profile] 7leaguebootdisk.livejournal.com
That seems like an appropriate penalty, and it will certainly make any pharmacist in Wisconsin think twice before refusing to fill valid prescriptions.

Date: 2005-05-19 07:12 pm (UTC)
From: [identity profile] caitlin.livejournal.com
Eh... temps.

I gotta do what I gotta do.

Wish I could do more, though. And they usually don't get enough (if any) respect.

C.

Date: 2005-05-19 07:16 pm (UTC)
ext_12647: (japanese icon thing)
From: [identity profile] loveanddarkness.livejournal.com
That was some interesting reading. The guy didn't follow his own stated procedures for providing alternative means for filling BC prescriptions. He deliberated obstructed the process and will probably do so again.

Date: 2005-05-19 07:18 pm (UTC)
From: [identity profile] neintales.livejournal.com
*thinks of all her temping experiences*

*head explodes*

Temp was the only way I could ever find jobs for my years in MI until I got the geekheavenly job at a comic store, which didn't pay the bills, but was the first job in my short and unillustrious career that did not drive me up the wall.

If I had fifty bucks for every "You're doing great, we may hire you in permanently!" I ever heard one week before being laid off/contract ending suddenly, I could make this month's mortgage payment.

$5 for every "Well.. if you were a permanent employee.. we could help you with that..." and "Well I'm sorry but our hired in employees don't like (your hair, your conversation, your godlessness, etc)" I could pay my credit card off too.

Date: 2005-05-19 07:26 pm (UTC)
From: [identity profile] phoenix--rising.livejournal.com
I work for a temp agency...off and on. Its good for students, I think, who need the flexibility and the lack of committments that a temp job can offer.

Date: 2005-05-19 07:28 pm (UTC)
From: [identity profile] bigbigtruck.livejournal.com
But all women are supposed to churn out babies, whether they want to or not! Chop chop! *claps hands*

Date: 2005-05-19 07:34 pm (UTC)
From: [identity profile] mbwun.livejournal.com
Rite Aid actually had a chin wide announcment to the RPHs about this "class" of drugs. Basically the summary was if you feel it is wrong to dispense birth control, emergency contraceptives, or morning after pills that is fine. BUT! Where you have the option not to but under no circumstances are you to force your belief on the customer. It also instructed that they are required to find a near by pharmacy (even a *cough* WalGreens if need be) that will fill the perscription.

Date: 2005-05-19 07:35 pm (UTC)
From: [identity profile] the-m0g.livejournal.com
Yea, I feel for you on that one. I work for a bank and rolled a natural 20 on my Luck roll to get this job. I was in my temp job for 2 weeks when my supervisor said "You're intelligent. I think we'll hire you full time." So they slapped me in a position that required 3 years minimum experience.

I had two weeks experience.

Needless to say those were some fun times! (he said in a malicious demonic voice). Still here though, kicking and screaming and refusing to give up!

**slams head on desk**

Date: 2005-05-19 07:35 pm (UTC)
From: [identity profile] bigbigtruck.livejournal.com
(4) An experiment or medical procedure involving any of the following:

(a) The destruction of a human embryo;

(b) A human embryo or unborn child, at any stage of development, in which the experiment or procedure is not related to the beneficial treatment of the human embryo or unborn child.

(c) Living humans, however, can go stuff themselves.

Date: 2005-05-19 07:42 pm (UTC)
From: [identity profile] eve-dallas.livejournal.com
The biggest problem I'm having with this whole thing, though is why he would have put himself in the position to be employed where he would be asked to dispense these types of prescriptions. He should seek employment only at places that agree with his religious convictions.

For three years we were stationed at a small reserve training unit and our medical care was contracted out by DoD to a chain of Catholic hospitals. They would not write prescriptions for nor dispense contraceptives, perform procedures that would terminate or prevent conceptions and a whole list of other things. He needs to get a job there!

Date: 2005-05-19 07:47 pm (UTC)
From: [identity profile] neintales.livejournal.com
LOL.. I worked for a bank for.. um.. 3 hours through a temp service. Doing data entry in cubicles surrounded by tons of bottle blondes with Tammy Fay makeup and whatnot.

At lunch break I was asked to report back to the agency, and there I was told that I was not to return to the cubicle maze, as my vampire red hair and shimmery blue lipstick were not 'natural and professional in hue'. (And no, nothing on the bank's dress code said ANYTHING against makeup or dyed hair color.)

The whole time I was there, the person showing me the ropes for the mortgage documentation had been saying I was doing great, and she was very happy with me.. but some floor boss apparently had gotten highly offended by me. ^^

Another job where the people I worked under LOVED me and claimed they were trying hard to get me to be the one of three temps kept on I lost because I was "the last one hired". They kept two girls that I'd had to constantly HELP on instead of me. Scuttlebutt had it too that I scared some other employees because I had a gargoyle cutout I bought at an after-halloween sale on my desk, and it looked "Satanic". (No one ever had actually complained to ME of this, or asked me to take it down, but the head supervisor at the end of the week did list it as something that was horribly wrong with me and that she'd gotten complaints about.)

The list goes on and on for about 6-10 different data entry/clerical temp positions. Only one that it really was my conscious choice to leave was Amway customer service, because I couldn't take the crazy women crying at me over the phone because something got discontinued and their lives were in shambles.

Date: 2005-05-19 07:55 pm (UTC)
From: [identity profile] neintales.livejournal.com
What amuses me is the same people who would demand I start breeding like a dutiful female are the same people who'd then be absolutely TERRIFIED of how I'd raise my kid... and also would in no way be willing to help me support said kid, or even adopt said kid if something happened to me and/or I couldn't be a worthy mom.

They LOVE babies! Right up until they're born and are part of a society they have to be partially responsible for ^^

Date: 2005-05-19 08:22 pm (UTC)
From: [identity profile] bigbigtruck.livejournal.com
why he would have put himself in the position to be employed where he would be asked to dispense these types of prescriptions

Precisely so he could deny contraceptives, I imagine.

Date: 2005-05-19 08:26 pm (UTC)
From: [identity profile] eve-dallas.livejournal.com
*grins*

He could at least be more subtle about it. If he'd have dispensed sugar pills, she might never have known the difference.

Date: 2005-05-19 08:31 pm (UTC)
ext_20420: (Default)
From: [identity profile] kyburg.livejournal.com
I'll let Jim ring in on this one.

Actually, they are. Yes, they've passed licensure, but in a lot of cases, they are people who 1) can't be employed due to past performance issues and 2) won't "lower themselves to work for anyone else."

The ones who do this for a living, of course. Most of us who've had to temp, do it to find a job and quit looking for one. These guys? Fuggettaboutit.

Date: 2005-05-19 08:33 pm (UTC)
ext_20420: (HAHAHA)
From: [identity profile] kyburg.livejournal.com
Yeah, except the packaging (and the results) would have tipped her off....

Date: 2005-05-19 08:34 pm (UTC)
ext_20420: (Default)
From: [identity profile] kyburg.livejournal.com
*nods* And it's a great way to find a lot of help, really quick.

However.

Would you like your doctor to be a temp?

Date: 2005-05-19 08:35 pm (UTC)
From: [identity profile] mbwun.livejournal.com
^_^ Sugar pills would have landed him in a whole mess of trouble that would make this look like a sneeze

Date: 2005-05-19 08:37 pm (UTC)
ext_20420: (Default)
From: [identity profile] kyburg.livejournal.com
If you found the dream job, and it was a temp to perm, you wouldn't keep temping, would you?

These guys scare me. Mom used to deal with registry nurses; Jim worked for a registry briefly before starting with Kaiser - and it goes on and on.

These guys just go from job to job to job, taking nothing with them but their own opinions (usually pretty low) of their fellow man. They're bodies with dead presidents in the back pocket, folks. And that's what they think of the people who pay them.

People they have to care for? *yawn*

Date: 2005-05-19 08:42 pm (UTC)
From: [identity profile] lesliepear.livejournal.com
Not good.

Makes me glad I know my pharamcists. But this does explain the ones I don't recognize that show up from time to time. Fortunately I've been ok when they do show up.

Date: 2005-05-19 08:43 pm (UTC)
ext_20420: (AUGH)
From: [identity profile] kyburg.livejournal.com
Living people? Not his problem. Get out of his way, he's got another shift to get to.

Yeah, these guys make me want to spit up.

Date: 2005-05-19 08:46 pm (UTC)
From: [identity profile] betnoir.livejournal.com
I double-ding-dong-dare this guy to pull this stunt again.

Why?

Cos' it will be his last.

Given the wording that the licensing board used in this reprimand, I suspect they would be less than amused if he tried it again.

Lack of amusement to the point of yanking his license altogether.

Date: 2005-05-19 09:22 pm (UTC)
From: [identity profile] the-m0g.livejournal.com
Wow, those are some experiences! I wonder what would happen if I walked in with pink hair one day. **summons mental image** bwuahaha! The look on my boss's face would be priceless!

It is definately a... unique environment here. I'm only 25 and the youngest in this entire BUILDING much less the floor. 85% of the people I work with are women. Of those, 90% are between the ages of 45 and 60, walk slowly, work slower, and talk way to bloody loud. The other 10% range from 30-40, spend most of their time bad mouthing men, go to tanning beds in an attempt to look younger, and wear clothes that show a little too much jello for this Cosby to handle!

Date: 2005-05-19 09:31 pm (UTC)
ext_20420: (Default)
From: [identity profile] kyburg.livejournal.com
You'd do really well here - me, at 45, is one of the oldest people in the company.

Date: 2005-05-19 09:53 pm (UTC)
From: [identity profile] phoenix--rising.livejournal.com
The smart alec part of me says: Sure, as long as its for free, cuz I can't even afford to have a doctor or healthcare. (Canada or bust)

But the smart part of me agrees with you completly. When I can afford a doctor, I'm sure as hell not going to want a doctor from a temp agency. I wasn't aware that Doctors are in over-abundance...

Date: 2005-05-19 10:06 pm (UTC)
ext_20420: (Default)
From: [identity profile] kyburg.livejournal.com
It's part of the shortage - they can work for whoever they want, so why should they work for anyone? ME FIRST!

strange....

Date: 2005-05-20 07:11 am (UTC)
From: [identity profile] tomlemos.livejournal.com
I used to know folks who worked for RPh on the Go.

Re: strange....

Date: 2005-05-20 01:21 pm (UTC)
ext_20420: (Default)
From: [identity profile] kyburg.livejournal.com
Operative words, "used to."

It's the guys who make a career of this that worry me the most.

Date: 2005-05-22 05:18 pm (UTC)
From: [identity profile] poetpaladin.livejournal.com
He's gonna effectively get black-balled - with that reprimand and with the fact that he has to give a copy of the reprimand and order to every potential employer five days before hire.

Qood riddance.

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