Dreaming

I would LOVE to hear if you are a pharmacist out there what you would do if you could do it all over again. Would you be a pharmacist? Would you be a physician? I'm super curious. My own journey was a flukey one. I had every intention of going into medicine. My entire childhood was filled with whispers from my over-achieving parents. "You will be a physician." Yes, I sort of failed them, but I'm quite alright with it. When I see tweets about having to tell a patient they have cancer or hearing about my OB missing a lot of days with her kids due to births, I relish in the fact that when I sign off for the day, I've signed off for the DAY. There are exceptions to taking the job home with you - when I was in home health and carried the dreaded black pager - but for the most part, I've enjoyed my six figure salary and even overtime stints where I've made $100/hr. Not too bad. What would YOU be? If you had the opportunity to never have to work pharmacy again... what would you do?

You Lucky Pharmacist You

How are you doing out there fellow pharmacists in an economy that is slowing down? Are your jobs secure? Do you have any fear of being laid-off or losing your job? Do you feel content where you are? On the plus side, it's easy to see how pharmacists and other medical personnel will more than likely be in demand. People continue to age and grow sick. People still need us. Perhaps they'll need us more? However, I am reading from fellow classmates that retail pharmacy is taking a bit of a hit as far as hours the stores are open. I hear that even Walgreens is shortening their hours and therefore not offering as much hours to their current staff. I'm not for sure if this is true, but things are slowing and slowing.

How slow will the grow and how much will it affect us? I'm not so sure that we couldn't find something else if we HAD to versus my husband who could not. That in itself is a good reason to sit and consider how lucky we are to be pharmacists right now. People need us. Even in bad times.

Update:  Three Years Later

I have always wanted to do this and spend the time to tell you how the pharmacy market has changed over time.  Yes, we were right.  Now there are so many pharmacy schools and pharmacy students graduating that the jobs have all but dried up.  You can't find a job.

How sad is that?

How to Make the Transition from Retail to ANYTHING Else

You've finally reached the end of the line in retail.  You've had enough of the rude public, the non-pharmacist managers, and the corporate cuts.  You are ready to have an hour lunch (maybe) and normal bathroom breaks.  You are ready to feel a little more professional.  Sorry, retail pharmacists, you know it's true.  Yes, you probably make more money than me, but at least I'm not worried about my health.  (I was working retail in a terrible part of town.  All of the good areas were full with waiting lists of pharmacists ready to transfer out just like me.  I just chose a quicker path). The first thing that is entering your mind as I'm noticing on a couple of comments here is that you think a special amount of training is required.  Let's first think about hospital pharmacy.  You can transfer from retail to hospital pharmacy fairly easily.  Hospitals can train you.  There is a lot to learn, yes, but I was up-to-speed in two months.  I worked five years in retail, if that helps at all.

You will have to learn about the hospital's formulary, allergy list, and perhaps coumadin and pharmacokinetic dosing again.  You will certainly have a lot of pharmacists willing to help.  There will be no more jerks in line waiting on you to hand them their papersack with drugs; you will merely have a function to be a part of the team that helps to heal the acutely and chronically ill.  You will revisit sterile technique to mix IVs, chemo, and TPN. (I hope, though it seems the hospitals I worked in didn't observe this at all!)

And most importantly... you will have a life back.  No more driving home from work in retail and a customer follow you home.  No more jerks waiting until 3 minutes before close to get 10 prescriptions filled... all new.

I don't regret leaving retail at all.  I do regret losing the knowledge of some of the new drugs since graduation, but it's worth it for peace of mind and life.

I hope that helps.

Are You Kidding Me?

My mouth just dropped open.  It's obvious to me that physicians do NOT read medication reconciliation forms for home meds at all.  The ones that do, kudos, but the ones that don't make my job more interesting and at times really get to me. Case-in-point:  50-something presenting to the hospital with lower GI bleed.

The doctor signed off to CONTINUE HER HOME MED OF PHENTERMINE FOR WEIGHT LOSS.  Are you kidding me?

I guess the nurse could have written "Purina Dog Chow - take one cup by mouth daily" and the physician would have signed off on it.

Way to go Joint Commission on putting in a requirement with no means of adhering to any sort of THINKING for anyone involved.

Except for the pharmacist of course to wade through the BS and find what is really needed.

I really like the one where the physician wanted to continue the patient's viagra while in the hospital.  THAT should keep the nurses on the floor on their toes running from a man who is looking for some fun.  Not good.

Medication reconciliation forms.  The bane of my existence.

What advice I would give students graduating from pharmacy school

Seems others are doing the same, so I'll put in my 2 cents. 1.  Don't assume that all of pharmacy is retail.  Yes, you will make the most bucks in retail and if you have gone the way of borrowing your way into a huge hole, then it may be your only way to make it out and then find something else.  Perhaps retail is your goal, and you love it, but personally, I found 3 years of retail to be enough pharmacy prostituting that I could do.  The bucks WERE nice, but the abuse to my body from standing 14 hours a day, lack of bathroom breaks, treatment from STORE managers who have barely any sort of education, abuse from patients, and abuse from non-caring technicians, I look back now and say RUN -- no I SCREAM RUN!  There are some great jobs out there that don't involve retail at all.

2.  If you DO choose retail know that the longer you stay IN retail, the less likely you'll ever get out.  It's like getting hooked on a drug.  You keep doing it saying you'll quit, but by the time you are ready to leave, it's almost too late, unless you are lucky and some poor sweet manager in a different realm of pharmacy sees the pain you have experienced and wants to throw you a lifeline.  I had one of those - a female pharmacist that I am forever indebted to.... thanks J!

3.  Make pharmacy a hobby somehow.  Read and read and read.  The only difference between you and the girl (since girls are taking over ;)) standing next to you is that you somehow have made yourself marketable... you are reading publications and keeping up.  You are giving a rats ass about pharmacy and all the crap going on...  You know how to find anything FAST...  you can think on your toes.  Who care what you made in Biochem.  No one cares.  But do you know the difference between using Primaxin/Fortaz vs. Tygacil in different situations?  Can you think critically?

My top advice... DO NOT GO INTO RETAIL!!!!!!!!!!!!!!!!!!!!!!!!!!!

Night Shift Pharmacists

Looks like working the night shift is carcinogenic.  Can't you hear it now?  The lawyers on TV asking, "Have you been working the graveyard shift for such-and-such years?  It's not called graveyard for nothing!  Call 555-5555 and file your claim today against your company!" Article here and here.

Still training...

I don't know how many of you are interested in the work at home setup and how it works, but basically we use a program to Remote Desktop into several servers and work just as though we were sitting in the actual hospital verifying orders.  There's no mixing of IVs, chemo, or TPN...  you miss the hospital environment of wearing scrubs, walking to the cafeteria to buy food and saying hello to fellow nurses, social workers, physicians, etc...  but there's this peace to it. I am now verifying/entering hospital orders for three hospitals.  There are several more to learn, but so far so good.  I'm still realizing that every hospital has their own fingerprint or way they like to do things.  One likes you to enter patient's own meds one way, another not at all.  It's remembering those rules that makes it a little more challenging, I suppose... especially when it is entirely possible to flip from one hospital to the next minute to minute.

So far, I'm not regretting a moment of taking this particular job.  The other that I was interested in is in fact relocating and merging with another company down the road in long-term care, but I just didn't feel it when I worked there.  This would be the same place in the end where I interviewed awhile back with the manager who I knew through a mutual pharmacist friend.

She asked me, "What does your husband think of you looking for another job?"  I was working for a company down the road from this one that was and still is experiencing major hardship.  I told her that my husband was generally more conservative and personally would probably stay put but would probably support whatever it is that I decided to do.  That manager used that against me even telling someone who would have been my peer who later told me, "Yeah, uh the manager said that your husband didn't want you changing jobs right now."  That is not what I said at all.  But it did shed some light that somehow my name had been brought up and talked about from manager to peer (peer meaning we would have been equals and in fact good friends that we had worked together before in the same struggling company, go figure!).  I also believe in hindsight that I was NOT hired because I was competing with a male and there is some probability that I may have children one day.  My friend has this "thing" where he has no patience for a female pharmacist who calls out because her child is sick.  He just doesn't get life emergencies.  He's not married and never will have children.  We're not really sure if it's that he's a homosexual or not, and I don't care if he is, but it adds to the whole element of him not relating to another group of people and probably vice versa.

Well of to work...  sorry for the hiatus.  Had a vacation that went horribly and now back.

First day on the job...

I have a lot of hope for this one.  Blonde Pharmacist may have found her calling in the profession though I can remember several times in the past where I'm stoked up front, and then it all comes crashing down with SOMEthing.  Last job was the horrible boss with no personality and expectation of job being the number one priority in your life.  Job before that was such a negative atmosphere, I felt stifled.  The one before that was great.  They have continued to lay off more and more pharmacists where now there are only two full-time pharmacists.  Sad since I started there with over 20.  2007 has been a rough year for me professionally.  My resume looks like absolute hell.  You can't really hide the fact that you worked two jobs back-to-back - one for 4 months and the other 1 month.  That really bothers me.  It's all explainable in an interview, but it's not too much fun sweating through it.

I did find out that I won't be handling neonatal, TPN, or chemotherapy orders.  That's  a load off as far as liability. 

Oh the end is near... finally... finally...

It's been a long month and a half since I put all my eggs in one basket for a job that JUST didn't pan out in a timely manner.  I have to work today through Thursday at a LTC facility where I literally stand up all day - 30 minute lunch - but I do get to listen to my iPod which usually results into me humming a few tunes from Patty Griffin or Kings of Leon.  I had my drug test and background test done, so now just waiting on "orders" from the new job.  There are some negatives.  I have PSLs to our city's NFL team.  I'll miss some games, I'm sure.  At least I can prop a TV up in the room where I work and see the game in the background though.  It's still ok to work from home at times!  I can crank up the music louder without worrying about bothering the cubicle next to me.  I can rush to the bathroom, leave the door open, and sing if I want!  It just sounds more comfortable, right?

So I'm sitting here struggling this morning because I need to get ready and make the long commute to this staffing gig just THREE more times.  Just three more times.

And the staffing comes to an end...

The staffing company I work for has nothing for me next week.  Unreal.  Out of all the shortages out there, not a single job.  The next week has a few but all about a 3-4 hour roundtrip commute.  Not even worth it.  With that said, I'm still waiting on my current offer to continue through.  I have to fill out background check information and a drug test.  Easy enough.  I really cannot wait to get back into looking at hospital orders.  It is much more interesting than tablets and more tablets.  Drips and IVs are so much more festive, chemotherapy more thought provoking, and TPNs more challenging... in the world of pharmacy anyway.  The latest fun thing for tablets are the new combination products that drug companies are making to overcome the brand names losing their trademarks.  Avandia/Amaryl, etc... 

I turned down the LTC offer.  Ironically the manager (who is not a pharmacist) told me that my reason for turning it down (long commute) wouldn't be an issue as they were relocating near where I am in 4-9 months.  And, oh please, don't let my employees know what I just confided in you.

That raised an immediate red flag.

Hey employers, you HAVE to take care of your staff first.  They have to be top priority.  You don't tell a possible hire something that you haven't told your own employees and then ask someone who doesn't even have your loyalty not to tell.

No, I didn't tell.  No, I won't tell but still!  Is it just me or should he have least told his employees of the possible relocation?

I still turned the job down.

I still am going to work from home.