First week as a pharmacist... aaaah!

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ndearwater

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So I've now worked for 5 days as a pharmacist (for CVS). I know, I know.

Friday and Saturday I had another pharmacist with me for extra help and moral support I guess 🙂 It was slightly stressful but not too bad because he would do things like transfers and consultations so I could really focus on getting comfortable with verifying.

Sunday was my first day alone and it wasn't horrible but very busy - I had someone waiting to with a Percocet script before opening. That's what I get for coming in early I guess. Then I ended up with a line at register (tech was late 😡) and then the drive through got annoyed with me! Grrr! I told the guy - HELLO, I'm only one person in here! But overall the day was fine.

So then I had Monday and Tuesday off and show up Wednesday and all hell broke loose. It was sooooo busy. I had still 5 pages in the que at like 8pm and THEN I noticed the QR had 27 new scripts for one husband/wife. 😱
Anyway most of them were too early anyway but still it took time to type them all out and all that stuff. I left around 10:30pm.

Thursday was probably worse. We did about 280 with two techs and me. The front store manager had to come back there for about 30 min at rush hour to help on the register. It was total madness!!! I left on time (almost) because I had such an awesome tech on the late shift and she pumped out the readyfill sooo fast and I was able to verify it all during a slow period from like 8-9pm (thank GOD it eventually slowed down).

Anyway I guess all I'm doing is rambling... but does it get any better?! I feel like I can barely keep my head above water. How do those of you who work at CVS do this?!?! CSI/PCI/emails from corporate... I don't even have time to read that crap thoroughly! I'm just trying to survive at this point!
 
So I've now worked for 5 days as a pharmacist (for CVS). I know, I know.

Friday and Saturday I had another pharmacist with me for extra help and moral support I guess 🙂 It was slightly stressful but not too bad because he would do things like transfers and consultations so I could really focus on getting comfortable with verifying.

Sunday was my first day alone and it wasn't horrible but very busy - I had someone waiting to with a Percocet script before opening. That's what I get for coming in early I guess. Then I ended up with a line at register (tech was late 😡) and then the drive through got annoyed with me! Grrr! I told the guy - HELLO, I'm only one person in here! But overall the day was fine.

So then I had Monday and Tuesday off and show up Wednesday and all hell broke loose. It was sooooo busy. I had still 5 pages in the que at like 8pm and THEN I noticed the QR had 27 new scripts for one husband/wife. 😱
Anyway most of them were too early anyway but still it took time to type them all out and all that stuff. I left around 10:30pm.

Thursday was probably worse. We did about 280 with two techs and me. The front store manager had to come back there for about 30 min at rush hour to help on the register. It was total madness!!! I left on time (almost) because I had such an awesome tech on the late shift and she pumped out the readyfill sooo fast and I was able to verify it all during a slow period from like 8-9pm (thank GOD it eventually slowed down).

Anyway I guess all I'm doing is rambling... but does it get any better?! I feel like I can barely keep my head above water. How do those of you who work at CVS do this?!?! CSI/PCI/emails from corporate... I don't even have time to read that crap thoroughly! I'm just trying to survive at this point!

First, you concentrate on the prescriptions and the patients first. Don't worry about the distractions. You have to speak to the techs. They can't be late. When the customer shows up early, they have to wait until you open. Explain to the customer, you have duties to perform so you can be ready for opening. Learn to pace yourself. Why was the night tech sop much better than the day tech? It seems like the store is not run very well and that's not a good place for a newbie..

And if you need the front store to help you ring, then have the front store help you ring. That's what they are there for.
 
Goodness... you is a pharmist now?

Time flies!

Congrats!
 
Time does fly! Yeeesh! Thanks for the advice OT.

The techs at my store are pretty good... there are a couple that really are the pillars of the pharmacy, I mean they can fix any problem! But there do seem to be some tardiness issues... 15 min late here and there. It was just like, please don't be late on my first day as the pharmacist alone! Haha!

Sometimes I wonder what I got myself into. I think the main problem is lack of hours... everything seemed pretty good while I was interning there. Then they re-did our tech budget and cut 15hrs/week even though our script counts are up 😕 Not sure why. But man can I tell a difference!

Anyway, blah!
 
My second month at CVS and there seem to be good days and bad days. I've been trending into getting pulled away from verifying in the afternoon for counseling, phone calls and other issues and end up with ~2-3 pages in the red. The towers of baskets fill up the entire counter (about 8-10 towers deep) and I'm unable to catch up, resulting in tons of people throughout the day coming in that are verify ready... and the technician easter egg hunt starts for their basket.
Since I can never catch up, there's never any time for lunch either. 🙁 14 hour days without food is not fun. I left at 11:45p last night due to C-II log book and inventory, and trying to catch up for the next day.
 
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My second month at CVS and there seem to be good days and bad days. I've been trending into getting pulled away from verifying in the afternoon for counseling, phone calls and other issues and end up with ~2-3 pages in the red. The towers of baskets fill up the entire counter (about 8-10 towers deep) and I'm unable to catch up, resulting in tons of people throughout the day coming in that are verify ready... and the technician easter egg hunt starts for their basket.
Since I can never catch up, there's never any time for lunch either. 🙁 14 hour days without food is not fun. I left at 11:45p last night due to C-II log book and inventory, and trying to catch up for the next day.


We told you so, or at least grads and students on here. Its a tough job anymore. Its all about $$. Wait until people start complaining about getting rx's they did not want filled on ready fill. Especially fun when someone takes the meds that were discontiued and your name is on the bottle. Pages in red= bad triple s and execution= challenge store=writing a story about why its happening, who is responsible and what your going to do about it and having supervisors there weekly to make sure you bring those scores up. Pages in red are unacceptable. They will be calling you. Now you see how you can never use all the clinical knowledge that you have learned. We can all be an important part of the heath care system but not in retail with a chain.

I like the "technician easter egg hunt" term.
 
Hahaha... easter egg hunt! That is exactly what it is! I do whatever I can to keep stuff from turning red! I had about 5 people red at one time but pushed those out and then stayed on top of it after that. But by the skin of my teeth. I mean, I'd be verifying 1-2 min before something was due and we had a few people walk in looking for something that wasn't checked yet. 🙁

The readyfill nonsense is out of hand! So many people are confused about what's set up for RF or they're saying "wait I told so and so to take that off readyfill". UGH!

Does anyone ever do anything about DUR's? I know the majority are just nothing (geriatric cautions - hello, that is everyone!) but some that I see are significant IMO. But if I were to take the time to call the MD or contact the patient I would get sooo behind. RED CITY!

Usually I just put a Force Counsel and hope that it's something I can clear up with the patient when they come (duplicate therapy etc). I hate that I'm cutting corners but I don't know what else to do!

Ethyl - who were you working for before? What part of the country are you in?
 
The answer is to think of pharmacy like you were surfing. Yo have to be able to see the wave coming. If you wait too long, you'll drown. You have to make hay when the sun shines bright. Get two hours ahead in in queue. That way you can take the time to spend with people later in the day. If your only 20 minutes ahead in the queue you are so screwed. I have seen this at 1200 a week and at 5000 a week. Hustle in the AM so you can survive in the PM.

What do you do in the morning? Who does the rejects? What time do you actually start filling?
 
We told you so, or at least grads and students on here. Its a tough job anymore. Its all about $$. Wait until people start complaining about getting rx's they did not want filled on ready fill. Especially fun when someone takes the meds that were discontiued and your name is on the bottle. Pages in red= bad triple s and execution= challenge store=writing a story about why its happening, who is responsible and what your going to do about it and having supervisors there weekly to make sure you bring those scores up. Pages in red are unacceptable. They will be calling you. Now you see how you can never use all the clinical knowledge that you have learned. We can all be an important part of the heath care system but not in retail with a chain.

I like the "technician easter egg hunt" term.

The day goes by so much better with our days of overlap. The store used to be doing 500+scripts/day but it has dropped significantly due to competition. It's definitely tough and I try my best to print the DURs for duplicate therapies and check with the patient at drop off... but some people just have no clue what they're taking. Our triple S and execution are great but we are losing big $$ due to competition. I turn every person red in the queue into a waiter to help increase our score so no worries there.
It's too bad... I try to find time to read up on pharmacist letter and medscape, but I feel my knowledge from school decaying.
 
Anyway I guess all I'm doing is rambling... but does it get any better?! I feel like I can barely keep my head above water. How do those of you who work at CVS do this?!?! CSI/PCI/emails from corporate... I don't even have time to read that crap thoroughly! I'm just trying to survive at this point![/QUOTE]


In my area I am told they are getting rid of the older experienced pharms because they are "old school". Hiring the grads because they can train them that their system is practicing pharmacy is the right one. Does it get better? sometimes. Problem is you have to increase your speed so much it is bad for the patients. Verifying rx's becomes a mechanical thing. There are so many pseudo interations that come up on the computer that are meaningless that you begin to ifnore them, Clinical knowledge means almost nothing to them as long as all the metrics/numbers are hit. 280 scripts is childs play, wait until you work as the only pharm and do over 500. Problem is there are so many new pharmacy schools cranking out all these new pharms that there are few choices left. Not that many years ago when there was a shortage, pharmacists would just refuse to do this stupid stuff. Now, there are 20 people waiting for your job. Don't worry though 40 years will go fast.
 
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I work in southwest Florida and we are a very seasonal store (much higher volume in the winter due to snowbirds/chowder heads... 😉)

Right now, this is "off season" and last week we did 1429 to be exact. This week is looking closer to 1500. We're open 8-10 weekdays, 8-6 Saturday, 10-6 Sunday.

RPh comes in about 7:30 (I've been coming by 7:15) to clear out the QE, fill out the Workstation Assignment Board, print out PCI and CSI and check that off Workload Manager etc. Before opening, I try to print/fill/verify anything that is due before 11am. That's usually about 10 scripts or something.

The first tech comes in at 8:30 and a second comes at 9. Then someone leaves at 1 and is replaced by another at 1 so you have two techs at any given time. I think there is usually a total of 3 techs at one time on Monday, Wed and Friday but not sure if that can keep up with the budget cuts.

As far as who fixes problems... whoever sees them? I mean, if someone is dedicated Drop Off, then they fix the problems. But if that person is running to drive thru/pick up and they just put in a waiter who is now rejected, then the other tech (production) or myself will have to fix it.

Then the phone rings off the HOOK! And if no one is available to answer it, I will. But I tend to get stuck on the phone for stupid stuff... probably 2 out of 3 calls is this ... "You guys called me... why?" And most of the time it was an automated call from corporate (IVR) or they were on PCI or New Script Pick Up and then I have to go on an easter egg hunt 🙂 trying to figure out why we called and honestly it's probably just to harass them to fill something.

The phone calls are getting nuts... ONE PHARMACY CALL, TWO PHARMACY CALLS!!!!!!!!!!!!!!!! :laugh:
 
I know how you feel, I felt the same way my first week last week. I let the techs try to handle the drop off window, typing, calls and register while I would count and verify. I also answer phones and do drive thru, but only when the tech is busy. As I count, I go straight to verifying it to get it out of the way. I also come in 1 hr early to knock out voice mails, and things in the que, that way when I open, I won't be too swamped. I'd rather come in early and not get paid for it than to come in right before opening and be swamped and feel like my head is about to explode.

With the DURs, if I would check the pt's profile and see if they've been on those meds for a while and also check to see if the meds were written by different doctors and if it was new to decide if I should call. Most DURs, I would let go or put a counseling note to counsel the pt.
 
250 is childs play??????? Noooooooooo!!!!!!!! (I can't find a smiley face that is crying it's eyes out...)

That would be true if I had one extra tech back there. But I have to print/fill and verify because one tech is stuck at drop off and one is stuck at drive thru/pick up!
 
I totally understand that as I was in the same place 1 year ago. With back to back 14 hours and moving to a whole new area, it was tough.

Remember one thing, F the lines, F PCI , F all things like that, because if you F up a script, NO ONE WILL BACK YOU UP. Keep a straight head and do things right. Scores and whatever corporate says doesn't matter when you first start out.
 
And you probably need to vent your frustration/stress somewhere sometimes. Slam/break the phones, kick the garbage bins, play some MW2, wow, etc etc. Do whatever so you can start a brand new day tomorrow.
 
Thanks guys 🙂

Question... do you really CHECK every refill the same as a new one. New and RF look the same on the screen but I have started paying attention to the fill number and I'll be honest... when it says 04, 05, 06... I really just scan through and then check pill image to bottle. Am I the only one? 😱
 
And like OT said, don't be afraid to call for backup if you are by yourself.


A guide I always follow by, is the patient/customer always come first. Don't break laws but try to make sure every patient leaves the pharmacy happy/satisfied (-crack addicits/aholes)
 
Thanks guys 🙂

Question... do you really CHECK every refill the same as a new one. New and RF look the same on the screen but I have started paying attention to the fill number and I'll be honest... when it says 04, 05, 06... I really just scan through and then check pill image to bottle. Am I the only one? 😱

I think this question have been gone through in other threads but IMO, I put more time on new prescriptions. Priority on refills are last.
 
I also come in 1 hr early to knock out voice mails, and things in the que, that way when I open, I won't be too swamped. I'd rather come in early and not get paid for it than to come in right before opening and be swamped and feel like my head is about to explode.

1hr X ~3 early shift/week x 4 x 12 = You give them around ~150 hours/year of your time wow. If I am a recruiter, I'd hire you in a heart beat free labor!!! ^_^ NOT...
 
Hmmmm, I see what you mean Old. I've barely started 4th year and they are already pressuring us current interns to commit, and that offers will be made in september, which is a lot earlier. We were given lectures on how we already know the new culture and policies of cvs and that more programs will be launched in november and the beginning of next year, so we will make it easier to train and disseminate the 'culture' to our respective staff. Just when I thought all that talk about saturation was taking place, I was still pretty surprised that they are pushing people to commit. I had never thought of it as them trying to phase the older pharmacists out, which makes sense.
Also it was suggested by some experienced pharmacists I know that they are still pushing for people to commit because a lot of new grads are realizing the workload and most people are trying to work either as just as staff pharmacist, part time, or floaters. The PIC positions are what are suffering, because a lot of new grads are scared to assume responsibility for crazy stores. So they are pushing for people to commit with hopes of transitioning to PIC.
 
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The answer is to think of pharmacy like you were surfing. Yo have to be able to see the wave coming. If you wait too long, you'll drown. You have to make hay when the sun shines bright. Get two hours ahead in in queue. That way you can take the time to spend with people later in the day. If your only 20 minutes ahead in the queue you are so screwed. I have seen this at 1200 a week and at 5000 a week. Hustle in the AM so you can survive in the PM.

What do you do in the morning? Who does the rejects? What time do you actually start filling?

It's me and the lead tech in the morning. We both help out on the workload manager real quick. Rejects are done either by her or we get tied up by pick up or drive thru and the tech that comes in later in the morning does them. I help out on production at opening to get out the 9-11AM's. By 10A I'm full verifying. In the afternoon we will have 2 techs designated for pick up, one on drop off and one on production while the lead tech does her duties.
 
It's me and the lead tech in the morning. We both help out on the workload manager real quick. Rejects are done either by her or we get tied up by pick up or drive thru and the tech that comes in later in the morning does them. I help out on production at opening to get out the 9-11AM's. By 10A I'm full verifying. In the afternoon we will have 2 techs designated for pick up, one on drop off and one on production while the lead tech does her duties.

I don't care where you put people or what they do. Get 2 hours ahead in the queue and you can survive just about anything.
 
250 is childs play??????? Noooooooooo!!!!!!!! (I can't find a smiley face that is crying it's eyes out...)

That would be true if I had one extra tech back there. But I have to print/fill and verify because one tech is stuck at drop off and one is stuck at drive thru/pick up!

At 250 rxs/day, that's about 140 new rxs per day. At 14 hours per day that 10rxs per hour. If your drop off can't handle that and help at either production or pickup, there is something drastically wrong with this picture. Add this to the regular 15 minutes late and I can see why you are struggling.

The one thing I can tell you is, depending on the layout of your pharmacy, be careful when you are checking your own work. You trust yourself not to make mistakes, don't. Check anything you produced even more carefully than checking others.
 
I'd be ecstatic if we could ever get that ahead. Might actually get to eat some lunch!

Pay more attention to the time and less attention (though not none) to the number of scripts in the queue.

By the way, it takes 10 minutes to eat a sandwich, If you are an hour or two behind, what's an additional 10 minutes? You can't possibly function at your best if your blood sugar is on the floor and your stomach is in knots from hunger. I don't care how busy you are, an army moves best on a full stomach.

If it's completely bonkers, get Pizza for you and your staff, they will work harder for you if you try your best to take care of them.
 
maybe im out of touch. no, i know im out of touch with retail practice...but yall really dont have time to eat or piss for reals? do yall even utilize any pharmacotherapy knowledge you gained in school or is it all processing insurance claims?


Pay more attention to the time and less attention (though not none) to the number of scripts in the queue.

By the way, it takes 10 minutes to eat a sandwich, If you are an hour or two behind, what's an additional 10 minutes? You can't possibly function at your best if your blood sugar is on the floor and your stomach is in knots from hunger. I don't care how busy you are, an army moves best on a full stomach.

If it's completely bonkers, get Pizza for you and your staff, they will work harder for you if you try your best to take care of them.
 
maybe im out of touch. no, i know im out of touch with retail practice...but yall really dont have time to eat or piss for reals? do yall even utilize any pharmacotherapy knowledge you gained in school or is it all processing insurance claims?

:laugh: pharmacowhat?

I've had some questions from people that I turn into drug info questions and research on my time off and get back to them the next day. Other than that, I'm a machine on autopilot that occasionally prints out DUR's and staples them to prescription bags. Although, everything feels better today because it was pay day. 😳
 
First, you concentrate on the prescriptions and the patients first. Don't worry about the distractions. You have to speak to the techs. They can't be late. When the customer shows up early, they have to wait until you open. Explain to the customer, you have duties to perform so you can be ready for opening. Learn to pace yourself. Why was the night tech sop much better than the day tech? It seems like the store is not run very well and that's not a good place for a newbie..

And if you need the front store to help you ring, then have the front store help you ring. That's what they are there for.

Yes, but then you might have to return the favor if the front store is getting rammed and everyone in the pharmacy is sitting there chilling.
 
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Pay more attention to the time and less attention (though not none) to the number of scripts in the queue.

By the way, it takes 10 minutes to eat a sandwich, If you are an hour or two behind, what's an additional 10 minutes? You can't possibly function at your best if your blood sugar is on the floor and your stomach is in knots from hunger. I don't care how busy you are, an army moves best on a full stomach.

If it's completely bonkers, get Pizza for you and your staff, they will work harder for you if you try your best to take care of them.

👍 gain their loyalty...
 
:laugh: pharmacowhat?

I've had some questions from people that I turn into drug info questions and research on my time off and get back to them the next day. Other than that, I'm a machine on autopilot that occasionally prints out DUR's and staples them to prescription bags. Although, everything feels better today because it was pay day. 😳


^^^This! It's sad but true.

And as for 10 new scripts/hr, it doesn't quite work that way. They all come at once and you're slammed. And then the phone is off the hook. And drive thru. I mean, if someone was just typing, little to no interruptions, yeah it would be a cake walk.
 
when do you have time to administer the flu shot?!! :scared:


Why they are done on demand of course. If someone come in and wants one you put them in the line of waiters and when they come up in the computer you give them their shot. To avoid red in the que you may want to be gloved, masked, have alcohol swabs and syringes in your smock and a sharps container near by at all times. I don't think it should be any problem or disrupt your workflow or concentration. You may have to stop in the middle of the shot to get the doctor line or drive thru but not a problem.
 
maybe im out of touch. no, i know im out of touch with retail practice...but yall really dont have time to eat or piss for reals? do yall even utilize any pharmacotherapy knowledge you gained in school or is it all processing insurance claims?

I eat every single day. I use my skills every single day. I go to the bathroom whenever I need to. But I have been doing this for forever so I am really good at figuring what's important and what's not. It takes time to figure that out.
 
^^^This! It's sad but true.

And as for 10 new scripts/hr, it doesn't quite work that way. They all come at once and you're slammed. And then the phone is off the hook. And drive thru. I mean, if someone was just typing, little to no interruptions, yeah it would be a cake walk.

It's still only 140 new rxs per day. That means they have to be able to help at other stations. If they get 20 in 1 hour that means there are hours where they have less. Your staff is not operating at peak efficiency.
 
.

If it's completely bonkers, get Pizza for you and your staff, they will work harder for you if you try your best to take care of them.

Just hope the pizza doesn't give anyone indigestion. :laugh:
 
At 250 rxs/day, that's about 140 new rxs per day. At 14 hours per day that 10rxs per hour. If your drop off can't handle that and help at either production or pickup, there is something drastically wrong with this picture.

Ah but what if you are doing 150 scripts a day and your dropoff, production and pickup are the same person for half of the day (and dropoff and production being the same person for the other half)? Also, is the front end allowed to help out with the pharmacy at CVS? At the chain where I work, they are not allowed since they are not HIPPA trained.
 
Ah but what if you are doing 150 scripts a day and your dropoff, production and pickup are the same person for half of the day (and dropoff and production being the same person for the other half)? Also, is the front end allowed to help out with the pharmacy at CVS? At the chain where I work, they are not allowed since they are not HIPPA trained.

Depends on what you mean by 150, 150 new or 150 total? It also depends on the store layout. At an old CVS linear store, it's no problem. If it's a giant store with 50' between the drop off and the drive through, it's a pain in the butt.
 
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Ah but what if you are doing 150 scripts a day and your dropoff, production and pickup are the same person for half of the day (and dropoff and production being the same person for the other half)? Also, is the front end allowed to help out with the pharmacy at CVS? At the chain where I work, they are not allowed since they are not HIPPA trained.
We do 200 on mondays, closer to 150 rest of the week. We have one pharmacist, one tech, and one cashier from 9-5. Sometimes we luck out and the cashier is a tech who can help with other tasks, but usually not. At 5, another tech comes in and it's them and the pharmacist until 9. Doesn't ever seem to get very hectic, we all eat/go to the bathroom prn, and I have plenty of time to work on whatever little projects the SP or DM wants me to look into (inventory outlook reports, maintaining order points, correcting negative inventory, etc).
 
14 hours?!?!? Is that even safe? I remember being trashed (and really, REALLY having to pee) at the end of 8 at WAGS. I'm much too delicate of a flower for CVS. Kudos to those of you can handle it.
 
Were you working yesterday during the 2 hour outage? I bet you really enjoyed that if you were. Good times, good times.
 
14 hours?!?!? Is that even safe? I remember being trashed (and really, REALLY having to pee) at the end of 8 at WAGS. I'm much too delicate of a flower for CVS. Kudos to those of you can handle it.

I've heard it gets easier once you've given your soul away.
 
Were you working yesterday during the 2 hour outage? I bet you really enjoyed that if you were. Good times, good times.

I was. That SUCKED. It was me, (an inexperienced tech) and the newly-licensed assistant pharmacist. Thankfully, bad weather kept us from being too busy and having to turn away too many rx's.
 
I was. That SUCKED. It was me, (an inexperienced tech) and the newly-licensed assistant pharmacist. Thankfully, bad weather kept us from being too busy and having to turn away too many rx's.

Luckily we slowed down a bit too, but still lost some business to people who decided not to wait.
 
My preceptor went to the bathroom whenever she felt like it. She also had lunch everyday. She would spend time on the computer in the back room doing other work. We would have conversations and she would teach me while leaving the computer alone. I don't understand the part about pharmacists not taking a piss or eating. That must be hell.
 
Yeah the store I was most comfortable in did 800 on mondays....the store i struggled in did 200-250. all depends on your staff and how "well oiled" your workflow is.
 
Were you working yesterday during the 2 hour outage? I bet you really enjoyed that if you were. Good times, good times.

It was no problem for me. When Rx Connect came back up, I had zero in red.... Worked 8-10 and did about 300 rxs....
 
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