This is not the neighborhood pharmacy. It is the hospital pharmacy.
Um, i have worked at both. I was talking about both.
Your fantasy is more than a little at odds with reality.
And the hospital pharmacist most definitely knows the diagnosis. They know everything the physician knows. All the labs. All the input from specialists. What every doctor is saying in the chart.
Nope. A lot if that is privileged information. Most of it is not something the pharmacist needs in order to fill a prescription.
It is definitely not his job to second guess the doctor.
You can't just give people the wrong medication and get away with it.
That just is not true. There are many steps to find error, but some of them don't come into play until after the patient is dead.
Others only come into play if there is a suspicion about mistakes or deliberate mis-prescribing. And in some cases, she might give the right medication, but the wrong dosage and the best that a review could show is that she may have misjudged slightly.
There is a very visible paper trail of everything you are doing and every decision you make is being looked at by the supervising physician.
I mentioned nuclear weapons before. Every documentary i have ever seen, and most tours ever given, mention the various safeguards in the weapon system to prevent the inadvertent, or deliberate unauthorized release of nuclear weapons.
I always smile at that part, because I knew how to circumvent more than a few of them. I would never have done it, but system knowledge leads me to believe many safety measures can only work if everyone is at least trying to comply.
There can be no absolute protections against evil intent.
It is naive stupidity to think this was more than a very empty threat.
What she intended is meaningless. She made a threat.
The admins HAVE to treat it as at least possible. It would be irresponsible of them to shrug it off until someone dies.