tag:blogger.com,1999:blog-5133434752101334071.post4485166385945729829..comments2024-03-27T07:27:26.027-04:00Comments on Eric, Pharmacist: Chains...what are they good for?Eric Durbin, RPhhttp://www.blogger.com/profile/09170995334706647447noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-5133434752101334071.post-87243890031886598672011-07-29T01:09:37.612-04:002011-07-29T01:09:37.612-04:00I lasted 6 months in retail and that was back in t...I lasted 6 months in retail and that was back in the early 80's. I have been in hospital pharmacy ever since then and have never looked back. Why just today, I changed 4 doses due to renal function, dosed 2 patients on vancomycin IV, and probably answered at least 20 clinical questions for doctors and nurses. I review microbilogy reports daily, along with platelettes under 100 and INR > 3.5 and I am not a Pharm D or so called "clinical pharmacist", I am just your average staff pharmacist in a great hospital. These jobs are out there, you just have to look for them. Your wage may be a bit lower, but your satisfaction will be amazingly higher, your stress levels lower, and you may even enjoy your practice. Good Luck to all...and for those who love retail, you have my blessing, no offense intended, its just not for me..Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5133434752101334071.post-40058038604432592502011-07-20T23:20:32.377-04:002011-07-20T23:20:32.377-04:00I have worked both chain and independent. They'...I have worked both chain and independent. They're all the same. When I see independents hawking "weight loss" programs and bio-identical hormone therapy, etc it shows that everyone wants their piece of the pie. Everyone has done their share of devaluing this profession.lovinmyjobhttps://www.blogger.com/profile/02251424092621233215noreply@blogger.comtag:blogger.com,1999:blog-5133434752101334071.post-10964437920932944722011-07-19T11:16:55.110-04:002011-07-19T11:16:55.110-04:00Chains are terrible, sucking the life blood and di...Chains are terrible, sucking the life blood and dignity out of community pharmacy. I do not understand why folks spend all this time in school and money in student loans to be a pill jockey in a grocery store with terrible working conditions.<br /><br />We are professionals, I understand people need to pay the bills but putting up with this shit day in and day out is crazy. <br /><br />I was speaking with one of our interns yesterday and she was asking me about practice settings. I was honest in my opinions of the future of retail pharmacy and the terrible working conditions. She commented on the fact that all the pharmacists at our hospital get one hour lunches, couple breaks and the day is a mix of sitting at a desk and walking/standing in the units. Mix of clinical duties, distributive duties, and teaching duties. <br /><br />I tried to enforce to her the idea that this is not some magical setting. This is how pharmacy should be practiced and the conditions that a professional should expect. <br /><br />Giving flu shots on demand, battling insurance, being yelled at regarding copays, and running a cash register (ringing up booze and tobacco)......all this has absolutely nothing to do with pharmacy, yet in chain retail you have to deal with all of it while trying to check 300 scripts/day without doing anything close to a full DUR.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5133434752101334071.post-16242310597874995742011-07-19T02:08:52.430-04:002011-07-19T02:08:52.430-04:00I loved your blog its simply helpful & interes...I loved your blog its simply helpful & interesting. Thanks to your posts.<br /><br /><a href="http://akzmanagement.blogspot.com/" rel="nofollow">AKZ management</a>Derekhttps://www.blogger.com/profile/00327659751520210833noreply@blogger.comtag:blogger.com,1999:blog-5133434752101334071.post-45423708383968427552011-07-18T23:28:50.779-04:002011-07-18T23:28:50.779-04:00I never would have imagined that 24 years into pha...I never would have imagined that 24 years into pharmacy that I would still be standing on my feet for 13 hours without a sanctioned lunch or break either.<br /><br />secondly the profession degraded itself when it started hawking vaccines like toothbrushes..on demand. "ok I'll take this deodorant, 2 toothbruses and 1 tetanus shot..right now". WE used to do them by appointment. not good enough anymore. ON DEMAND.pharmacy chicknoreply@blogger.comtag:blogger.com,1999:blog-5133434752101334071.post-88457687078642028242011-07-18T04:45:16.944-04:002011-07-18T04:45:16.944-04:00Just heard today that our Pharmacist will be expec...Just heard today that our Pharmacist will be expected to deliver up to 30 flu shots per hour, while maintaining a script count of at least 300 fills per shift - with a hour cutbacks on seasoned staff being supplemented with kids and no Pharmacist overlap. The stress is already becoming unmanageable. The louder they bark,the further we jump,knowing full well that it only serves to convince Corporate that their demands CAN be satisfied. At the cost of increasing misery and cutting corners on regulations,record-keeping,accuracy,service,safety,....I'm sure they're RITE!!!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5133434752101334071.post-75589459457492599162011-07-14T01:50:55.297-04:002011-07-14T01:50:55.297-04:00Congrats on the transition to inpatient pharmacy E...Congrats on the transition to inpatient pharmacy Eric! I hope you find a great deal of job satisfaction in the position...<br /><br />Chain pharmacies have turned pharmacy into nothing more than a commodity. <br /><br />I worked retail all throughout school and now I am in an inpatient position and could not be happier. I do not deal with any insurance and my duties focus on improving patient care and improving the use of evidence based medicine throughout the hospital...what a novel concept:<br />"pharmacists focus on patient care and drug utilization in a health system"Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5133434752101334071.post-30427289196855943952011-07-14T00:52:19.772-04:002011-07-14T00:52:19.772-04:00Thank you retail pharmacy chain of mine for the va...Thank you retail pharmacy chain of mine for the varicose veins, back problems, high blood pressure,gerd, and insulin resistance that you have helped me develop over the years. And for shaming me when I cannot do the work of 4 people. For constantly reminding me of how readily and easily I can be replaced. For threatening to put me in the float pool or send me to the store from hell if I did not give flu shots, Pneumovax, and tDap. For simultaneously heaping more work upon us while decimating the staff.<br />And for making me hope that after I retire (if I do not have a stroke on the job), I will never again set foot in a pharmacy.bcmigalnoreply@blogger.comtag:blogger.com,1999:blog-5133434752101334071.post-7494160474361305042011-07-13T18:07:52.763-04:002011-07-13T18:07:52.763-04:00I think the chains have focused too much on profit...I think the chains have focused too much on profits and not enough on patient care, employee wellbeing and satisfaction, and the resulting state of retail pharmacy is a far cry from years past. And the chains thought that signing these terrible insurance contracts would be their ticket to drive out the little guys but now they realize that they can't survive making next to nothing on prescriptions. What happens in the next couple of years will be critical for the future direction of the profession but I am really worried things are only going to get worse. Healthcare has been ruined by factors like government regulation, insurance companies, a constant threat of litigation, and healthcare workers are caught in the middle between the bureaucracy and shortcoming of the system and the patients who need medical care. I've personally noticed how much more difficult retail pharmacy has become in recent years and I fear it is only going to get worse. They chains have definitely had an impact on retail pharmacy and the profession of pharmacy in general. And unfortunately for all of us that impact is almost universally negative.The Redheaded Pharmacisthttp://www.theredheadedpharmacist.comnoreply@blogger.comtag:blogger.com,1999:blog-5133434752101334071.post-27879998166545655202011-07-12T09:09:56.942-04:002011-07-12T09:09:56.942-04:00Well said. It's frustrating that the pharmaci...Well said. It's frustrating that the pharmacists who are the professionals are not making many of these decisions. It's even more frustrating that the profession is being divided. By competing against each other in such non professional ways we have no leverage against the insurance companies who are dictating what they will pay.Mikehttp://www.twitter.com/michaelwymannoreply@blogger.comtag:blogger.com,1999:blog-5133434752101334071.post-24742973446196139052011-07-12T07:53:32.220-04:002011-07-12T07:53:32.220-04:00Everything you say is correct. Your 16 years is th...Everything you say is correct. Your 16 years is the correct time frame. It has gotten lots worse in that time. There is another entity to share the blame though. We are to blame too for allowing it. For years we have sold our services to the highest bidder. As long as the money was good, we would do it. In 1974, my 1st job was $15k/yr and that was good pay. I have gone part time now but last year was ~$125K and that is nothing tremendous. My wife makes more.OldRPhBSnoreply@blogger.com