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Do you say something like we don't fill them until 8am since our system doesn't consider it a new day until 8am for the purposes of the day early policy?
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What, for narcs?
I just fill them at midnight. It's irrelevant. Whatever time you tell them, they'll all show up at exactly that moment. I'd rather have 3 people stumble up at 12AM with narcs with no other business to attend to than at 8AM with narcs when there is other business to attend to.
Either fill when their insurance thinks it's the appropriate date, or when the prescriber's office is open if you need to talk to them. If you're too busy at midnight, just give an appropriately long wait time.Do you say something like we don't fill them until 8am since our system doesn't consider it a new day until 8am for the purposes of the day early policy?
Do you say something like we don't fill them until 8am since our system doesn't consider it a new day until 8am for the purposes of the day early policy?
This is rather simple, meet with the rxm and come up with how many days early and time. What's the worst that could happen they get upset and yell at you for a minute? They will move on to a different pharmacy or learn their times.
It's real interesting after being at a store, you know all the patients that fill on the same days with each other.
this is clearly a blanket refusal of sales on "all" narcotics. yet no one comes in here to argue and attack like the way they argue against me in other threads. Lol.
Do you say something like we don't fill them until 8am since our system doesn't consider it a new day until 8am for the purposes of the day early policy?
Why would you do that? Then they all come in at 8AM and make what is already a busy time even busier.
1. They won't come back at 8AM....these are drug addicts....8 hours is like an eternity to them....they will just drive around to every 24 hour pharmacy in the state until one fills it
2. I worked overnight, it was hell every night until I said maintenance narcotics can be picked up on the date due at 8am. All of a sudden all the 12 AM drug addicts disappeared and none drop off scripts to come back at 8am. Made life alot easier. I could start on readyfills the minute it dropped.
3. I know some would wonder, that isnt the loss of narc scripts going to lessen your job security. At CVS, scripts and job security are generally independent. Proximity to competitors gives more job security than a higher script count. Couple years ago CVS got rid of alot of 24 hour stores that did a lot more scripts than my 24 hour store, yet my store still remains 24.
4. Try this out. It will help your workflow and make life alot easier.
You don't need to explain why the policy is you just say it's your stores policy. I've been doing this a long time and allowing patients to drop off post dated narcotics to fill and have ready the next day at Xam is the only way to go.Do you say something like we don't fill them until 8am since our system doesn't consider it a new day until 8am for the purposes of the day early policy?
You don't need to explain why the policy is you just say it's your stores policy. I've been doing this a long time and allowing patients to drop off post dated narcotics to fill and have ready the next day at Xam is the only way to go.
I love snark. Allow me then to clarify old timer. Narcotics with correct date written but a do not fill stamp on them.You do realize post dated Narcotic Scripts are Illegal
I love snark. Allow me then to clarify old timer. Narcotics with correct date written but a do not fill stamp on them.
Post fill date and post written date but point taken. And yes you are the king.Clarity and precision are important..... You said Post Dated and I foolishly took you at your word.....
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You do realize post dated Narcotic Scripts are Illegal
You do realize all post-dated scripts are illegal
Why would you do that? Then they all come in at 8AM and make what is already a busy time even busier.
The pharmacy will be fully staffed at 8am or at least, it should be. There is no reason for the overnight pharmacist to deal with that. Heck, I didn't.
lmao. No.
You can LMAO all you want but we can all agree that any CVS pharmacy is better staffed at 8am than through the overnight shift. OP is going to do what makes sense to him.
I got 1 tech and about 13 times as much stuff to do at 8AM including waiters and acutes vs nothing to do but readyfills at midnight...which can be put off until later. What workflow at flipping midnight does it disrupt? I've worked in pretty much every degree of overnight pharmacy from a 1500 store to a 7500 store and its all pretty much the same. You really don't have THAT MUCH to do at midnight. ER scripts, maybe, depending on the location. And if that's the case, tell them to come back later. Let's be honest...people just find these patients annoying and don't want to deal with them. Which is fine, too, I don't care. Just don't make up a bunch of nonsense. Just say you tell them to come back later because they annoy you.
C-IIs do not count toward your script count. To CVS if you did 80 of those in one night and that's all you did. Then you did not do anything.
This right here.
Haven't worked at a 24 hour pharmacy in years (no point), does telling them you fill the day it's due not work anymore?
Again, your experience is all of a sudden the golden rule. When I worked overnights, all I did until 2am was cleanup the mess that the evening people had left behind. I do mean 30+ pages of red. So I had plenty to do and did not always have an overnight tech. The latest that tech ever stayed was 1 or 2am.
If someone shares an experience different than yours, your default shouldn't be that it is a bunch of made of nonsense. Maybe you should consider that you did have it easy when you worked overnights and that isn't the case everywhere. That is why there are still stores that are open 24 hours. And we all know the reason those stores are open 24 hours is not to cater to people refilling their pain meds 3 days early. C-IIs do not count toward your script count. To CVS if you 80 of those in one night and that's all you did. Then you did not do anything.
Most people want to show up right at midnight and it throws a wrench on the workflow of the overnight pharmacist who already has enough nonsense to deal with.
You got a regular customer that comes every month. They are waiting. You take care of them. It doesn't matter if you have 30 pages of red. Are those people in your waiting room? No. Again, you just don't want to deal with them. Which, again, is fine. I'm not judging you on that at all. Just don't make up a bunch of nonsense excuses as to why you can't do it is all I'm saying. Just be honest.
So, no it doesn't?
The expectation is that those 30 pages of red are gone by 8am. Yes, in some districts here I was told many times "that's what the overnight pharmacist is here for". There are many things that need to be done and prioritized. Refilling the scriptpro. The day shift would not touch it to the point that they would tell patients they were out of stock when in reality the scriptpro was empty and "the overnight rph is supposed to refill it".
Yeah, overnights are expected to be magicians making all ques clear on top of all the maintenance work. Still producing stuff that should have been done during your sleep even after midnight...Begs the question what the hell do daytime actually do besides phone calls? Yeah, if scriptpro stuff isn't replenished daytime people will just OOS it not even bothering to look at the shelves. Yep 10am standard time it is
The issue is not the date. The issue is the time.
The expectation is that those 30 pages of red are gone by 8am. Yes, in some districts here I was told many times "that's what the overnight pharmacist is here for". There are many things that need to be done and prioritized. Refilling the scriptpro. The day shift would not touch it to the point that they would tell patients they were out of stock when in reality the scriptpro was empty and "the overnight rph is supposed to refill it".
So no, I am not making up a "bunch of nonsense". Your experience and mine were clearly different. You did not see me nit picking your post and claiming that your experience was a bunch of made up nonsense. Instead, I thought "sure, he likely worked at a much slower store and didn't have to deal with that many C-II scripts to begin with". The whole "that's a bunch of made up nonsense" is likely something you've been saying since kindergarten when your narrow view of reality fails to explain the question at hand.
THANK YOU!!! Daytime staff becomes very lazy and complacent when they have an overnight pharmacist. Where I worked, they would not even wash their own dishes after compounding or take out their own trash. "The overnight RPH will do it". I quickly put an end to that. The way I see it, we all walk by the dumpster on our way out. That was a lot of nonsense.
On days that are like that, if you don't do that CII now, then they have to do it in the morning. Whatever you don't do, they have to do. So you aren't really solving anything but shuffling around the work you don't feel like doing. It's impossible to get 30 pages plus Readyfill done by yourself. If whoever is expecting you to do that doesn't know that then they are an idiot. And you have to be exaggerating if 30 pages of red scripts is your typical night. I get that pharmacies have periods in which there is a **** staff situation where this becomes the norm for like a month or so. We've all been there. I walked into a store that was at over 50 pages one time. If that's your typical night for a sustained amount of time, WTF is wrong with your PIC, supervisor, and regional manager?
Look, I've worked at the entire gamut of night shift pharmacies. It's what I do. Literally the busiest on the entire East Coast (which honestly wasn't too bad) to the one an hour and a half away from Philly that had 4 techs quit the same week and 50 pages when I walked in to one that only got 5 pages of Readyfill at midnight. There isn't a truly justifiable reason to not fill a CII for a regular, problem free patient that wants to wait at midnight other than you just don't feel like it. Just like there isn't a reason to not fill an antibiotic from the ER at midnight for a patient that wants to wait.
To find that many red pages was the rule until I turned into an @$$ and wouldn't let the evening pharmacists go home until they got the queue caught up.
The pharmacy will be fully staffed at 8am or at least, it should be. There is no reason for the overnight pharmacist to deal with that. Heck, I didn't.
This is too funny, most pharmacists I know would laugh in your face if you tried to not let them leave.