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management 101

Why is it more important for pharmacy schools to teach pharmacotherapy and kinetics but avoid teaching management?  While it is important to understand how a reaction between Bactrim and warfarin will change previous outcome, isn’t it equally important that a pharmacist manager knows how to manage?   I spent hours memorizing classes of drugs but never once learned the rules of being an employee or a manager.  I thought I’d go over those now…

1.  A good manager communicates well.  He not only communicates thoroughly and succintely in email, he will pick up the phone to schedule the more serious things.  Emails and text messages should only be used for short messages.  Anything serious in nature should require a phone call.

2.  A good manager will not under any circumstances make promises that can’t be delivered.  Not only does this build distrust, it also gives an employee something to bitch about.

3.  A good manager would never ask an employee to write up or monitor their peer.  Again, mistrust.

4.  A good manager thinks about how decisions affect their employees.  If the employee is going to be deeply affected, a personal touch with explanation is probably the way to go.

5.  A good manager doesn’t keep the riff raff around to use for all the crap jobs.

6.  A good manager isn’t a manager obsessed with punitive action.

7.  Remember positive feedback is more important than you think!

These are just a few of the tips I’d highly recommend a pharmacist manager begin with learning.  Be fair, trustworthy, and logical.  Care about your employees.  Call them rather than blasting off an instant message.  Don’t accuse them for lack of communicating when all of your communications are short sentence fragments via email.

Walk the walk…. don’t just talk the talk!

the pharmacy drive-thru and the demise of professionalism

What do McDonald’s and Walgreens have in common?  A drive-thru.  That’s right!  In my local city, a pharmacy drive-thru wait time can easily approach 15 minutes.  Seems to me they are counterproductive.

So for your reading pleasure, some links to drive-thru rants and observations.

I just want somehow for the pharmacist to stop trying to counsel me on new medications.

1.  Someone got trapped in one.

2.  Drive thru etiquette

3.  Pharmacists believe delays and errors more common due to drive-thru.

4.  Ban ‘em.

working together… we’ve got your back (or not)

One thing I have noticed over the years in pharmacy is that for the most part retail pharmacists work together.  Hospital pharmacists usually don’t.  I don’t mean that hospital pharmacists NEVER work together, but when it comes to the designation of “clinical” pharmacist vs. non-clinical pharmacist in the hospital setting, it’s almost a love or hate relationship.  For example, as I was working just yesterday, a clinical pharmacist paged me to ask me why it was taking me so long to enter and review an order.  Seriously?  Apparently she was waiting for me to finish.  There is a complete lack of professional courtesy or complete professional courtesy.  Love OR hate.

Why is this?  In my opinion, as I have said many times in the past, clinical pharmacists can be your jaded medical school rejects.  Maybe that particular bitterness of rejection and need for acceptance both mentally and as a clinical pharmacist drives them to be super defensive.  Perhaps it is just their personality and they are therefore WELL suited for the role.  I have met and worked with some great clinical pharmacists.

Yesterday I noticed it was more of a Yankees vs. Red Sox mentality.

Hurry up with that order you peon.  We are all waiting on it.

crime and pharmacy

I have been visiting this topic over and over… both on the internet searching around, in the local paper which shouts of a 40-something year old woman who is robbing local pharmacies (with a gun), memories from my own past of being held up at gunpoint, and discussing with a retail pharmacist this past weekend in regards to how unsafe it is.  (HERE at least).

An article quoted in full:

Local Pharmacies React To Rise In Crime As Demand For Certain Prescription Drugs Escalates

In light of the recent shooting pharmacies are on high alert.

The shooting that took place Sunday morning at Haven Drugs in Medford has caused many local pharmacists to focus on the alarming statistics that crime in pharmacies across the region is skyrocketing, as the demand for certain prescription drugs, namely strong opiate painkillers, is increasing.

Michael Hushin, owner and manager of Lakeland Pharmacy in Ronkonkoma said he has already been robbed at gunpoint about a year and a half ago.  He now has controlled substances locked away, has obtained a pistol permit and keeps a baseball bat behind the counter.

The armed robber had come to Lakeland Pharmacy for 80mg Oxycodone.

“The biggest strength they make. It’s the major score right off the bat,” said Hushin.

He was alarmed about the recent shooting which seemed to fly in the face of all reason.

“This particular case was extremely different, there was absolutely no provocation.  I don’t even know how you protect against that,” Hushin said.

When Lakeland Pharmacy was robbed, a man handed over a note, and then came behind the counter. Hushin said, “He was armed. He wanted one thing; and we tried to give him what he wanted.”

Store customer, Jessica Greig, 18, said, “I’m going into the medical field.  I would never work in a pharmacy now.”

She is also more on guard as a customer.

“If I saw someone sketchy, I would definitely run out of the store,” Greig said.

According to Hushin, some stores are considering not stocking certain medications.

“I don’t know if I’d go that far.  It’s not fair to the people who need the medicines,” he said.

Hushin said this is the second or third death of a pharmacist that he knows of occurring in the last six months, in the New York area.

“They were all robberies. Some of them very brazen, all related to pharmacy theft for opiates.”

Slater Pharmacy’s pharmacist Martin Robinson said that while they have never experienced a hold-up in their store, he was still shaken up.

“People don’t realize that just by going to work each day your life is in danger,” he said. “We’re dealing with very desperate people.”

The store has some basic precautionary measures in place such as surveillance cameras, asking customers to remove hats and sunglasses, and is considering not stocking certain medications.

“It’s hard to be helpful, and deny people at the same time,” Robinson said.

“My husband gave me a kiss goodbye because he knew I was coming to the drugstore,” said Debbie Breithaupt, a longtime customer of Slater Pharmacy. “It hit home.  It’s just another place they made us feel unsafe.”

Rick Ammirati, owner of Friendly Drugs, said he hasn’t experienced any increase in criminal activity, or heard of anything unusual in the area.  He does, however, have friends in the industry that have had robberies.

“It just puts you on high alert to take a second look at everybody that comes in now,” said Ammirati.  “It’s heightened awareness.”

 

————————

 

There IS a rise in pharmacy crime.  It IS riskier to be a retail pharmacist today than thirty years ago.

news of the weird

Texting may help you quit smoking

Diet Coke and weight gain

Montana medical marijuana causes some confusion

— the last one really does cause confusion, eh?

gunned down in the pharmacy

There they are.  The two arrested for the horrific pharmacy murders.  Apparently the female here had an oxycodone habit that her husband was trying to feed.  This is the face of the people that retail pharmacists across our country has to face day in and day out.  It’s a matter of time before the next one flips out and does the same thing.

Here are three of the four victims.  I hope that both of these horrible criminals get exactly what they deserve.  However, the accused have more rights than these three victims had killed at point blank range.

A pharmacist, a mom of three getting ready for her wedding, and a lady graduating from high school just days later killed FOR NO REASON.  (also not pictured an elderly man was gunned down as well).

 

Generic Drug Company Win

By a 5-4 vote,  the justices gave a victory to Israel’s Teva Pharmaceutical Industries Ltd, Mylan Inc’s UDL Laboratories and Iceland-based Actavis Inc by overturning U.S. appeals court rulings that allowed such lawsuits.

Liberal Justices Sonia Sotomayor, Ruth Bader Ginsburg, Stephen Breyer and Elena Kagan dissented.

“It was impossible for the manufacturers to comply with both their state-law duty to change the label and their federal law duty to keep the label the same,” Justice Thomas wrote in a 20-page opinion.

The high court on Thursday ruled against Gladys Mensing, who had sued PLIVA Inc. and other generic drug manufacturers.

She alleges that taking metoclopramide gave her tardive dyskenesia, but none of the generic drug’s manufacturers and distributors made any effort to include warnings on the label.

Generic drug makers say government regulations require them to have the same label on metoclopramide as is on its brand-name equivalent, Reglan. Reglan did not have a warning about tardive dyskinesia. The drug is often taken for heartburn.

the oxycodone addict & crime

Pharmacists have all heard of the oxycodone addict coming in their pharmacy and demanding their drug of choice at gunpoint.  I have been removed from retail for many years but have had the firsthand knowledge through close colleagues and numerous reports of pharmacies no longer stocking oxycontin, oxycodone, and other narcotics frequently sought out by addicts.

On Father’s Day, this past Sunday, four people died in a corner drugstore.

Raymond Ferguson, 45, a pharmacist opened the store with a teen pharmacy technician, Jennifer Neijia, 17.  Jennifer volunteered to work for an adult tech who had kids and wanted to celebrate Father’s Day.  Two customers were also killed senselessly, 33 year old Jamie Taccetta who was the mother of two daughters and was about to celebrate her own wedding and Bryon Sheffield, 71.

The problem with the addict is that all thought processes change.  The drug fiend who massacred four people at the pharmacy coldly executed them one by one at close range before filling a backpack with pills and strolling away.

It is safe to say that the corner pharmacy is definitely a dangerous place to be.

the ideal pharmacist

 

In a perfect medical world, solely by my own opinion, the ideal pharmacist would do a lot more than he/she does now.  In fact, what we do now, based on the current education and training, doesn’t even TOUCH what we really know.  Pharmacology.  Pharmacokinetics.  We are experts.  Physicians know diagnosing… treatment can sometimes be just what is memorized and recited to them by the latest pharmaceutical rep.  So here I go…

In a perfect medical world, a patient would go to the physician looking to find out what is wrong with them.  The physician would run his/her tests, question the patient, and do their normal diagnostic research.  Bingo.  Diagnosis is given…  “high blood pressure.”  The physician would write down this diagnosis on his pad and then pass the info along (or electronically – hey it’s 2011!) to the pharmacist that is also in their office working.  The pharmacist would consult with the physician immediately concerning the diagnosis and best possible drug choice based on the patient rather than what the Eli Lilly rep brought last week.

The patient would drive to the retail pharmacy he/she chose based on what is covered or who they prefer and pick up their med.

Why is there a gap in care?  Why does a physician diagnose AND prescribe alone?

I’ve never agreed with this model and never will.
Checks and balances folks… checks and balances.

Discuss.

{rite aid failure}

When will big retail pharmacy chains learn?  Rite Aid deserves a slap on the wrist for what it has promised potential customers.

Really Rite-Aid?  Really?  You’ve stooped to an all new low trying to compete with CVS and Walgreens.  Yes there are reasons that won’t qualify a patient for the $5 reward for the pharmacist not complying…  but guess who gets to explain to every patient the rules?  That’s right!  Your employee.  Way to make working for Rite-Aid to be the worst possible retail company to work for.

Stock is worth less than $1.50.

Instead of making your employees hate you Rite-Aid, how about coming up with something not so dangerous?

I suppose Rite-Aid is imagining most stores do less than 200 rxs/day.  Are they hiring more pharmacists to help meet this demand?  What steps are put into place to ensure this is something a pharmacist can do SAFELY.  So a company whose shareholders have stock at $1.00 a share wants to give away more of their money when the RULE isn’t met?

RITE-AID YOU FAIL.  You fail on every level.  You fail on appearance, professionalism, and ethics.

It won’t be long though and Rite-Aid will be off the street for good.

This is Rite-Aid’s hail mary pass.

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