It wasn't a question of what setting i wanted to choose. The original question was is it difficult to get into a hospital pharmacy if you have been working in a retail setting for at least a couple of years.
ok, then....
if you've be slaving away at a chain for the past few years and then decide to apply to my hospital, odds are we will give you an interview, and if you seem decent, we will hire you....we're a medium sized institution, non-academic, but terribly busy and short staffed....so, if you've got a pulse, a license and aren't crazy, we would probably make it work.
but...
it would probably be difficult for you to get acclimated. i worked retail for ten years, as a tech, from junior year in high school until up to a year after i graduated.....in high volume stores [one was 500/day, one was 700/day]...
i feel that you have a different skillset working in retail. except in certain cases, you will have no IV skills....yes, our techs make a lot of IV's, but there is ALWAYS the weird drug, weird compatibility needs, weird compounding process, that you will have to do. you also will need a different knowledge base as far as drugs go...we deal with "sicker" patients, ICU and post-open-heart patients, CVVH patients, chemotherapy, TPN, NICU, narcotics for palliative care....you will have some reading to do, or some serious shadowing of one of your co-workers if you make the switch....
you don't have to deal with nasty customers in an inpatient pharmacy, but working with nurses can turn your place into an "INPATIENT" pharmacy...as in they dont want to wait for anything as they want to get their med-pass done, have to chart, have to deal with nasty patients/families, actually do have an emergent patient....that's where your retail skills should come in handy...you have to be able to multitask and not let cranky people bother you!!
if you worked with me and my colleagues....yeah, we probably would "haze" you a bit...some in good fun, some trying to see if you've actually got some skillzz....but if you're willing to learn and work hard, we'll accept you and help you get acclimated!
good luck.