If you were a preceptor...

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Sparda29

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  1. Pharmacist
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If you were a preceptor for an advanced practice community setting experience, what would your interns be doing?

To those who have already done the preceptor work, what have you had your interns do?

A list of things that I refuse to do:

Refilling stock/unpacking orders
Cleaning the pharmacy
Cashier/ringing up items

According to our school, we're supposed to be doing the final verification. How many of you actually allow the interns to do the final verification?
 
i let them check, it is my experience that the interns are very attentive since it is (prolly) their first time and are afraid to do anything wrong

when i was a student, i would check everything while the rph was on his laptop doing the stock market, and told me 'just call him if need be' lol

at the least, let them check the easy package stuff like zpak, proair, etc
 
Coming into a rotation with a list of things you refuse to do is a great way to get off on the right foot. Sorry, I couldn't resist. But it *is* true.

As a preceptor, I would delegate the final check ONLY to a student I felt absolutely comfortable with. It is, after all, my license on the line. Of course, you could always allow the student to do the final verification and then check it yourself. Time consuming, but would defintely CYA. In some states, the final check may not be delegated.
 
If you were a preceptor for an advanced practice community setting experience, what would your interns be doing?

To those who have already done the preceptor work, what have you had your interns do?

A list of things that I refuse to do:

Refilling stock/unpacking orders
Cleaning the pharmacy
Cashier/ringing up items

According to our school, we're supposed to be doing the final verification. How many of you actually allow the interns to do the final verification?

Dude...
Repeat after me.

Go in, get your grade (hopefully A+ if you play along), get out, get on with your life. Much less hassle that way.

edit: let it known loud and clear on your evaluation of the site/preceptor after you have banked your grade.
 
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Coming into a rotation with a list of things you refuse to do is a great way to get off on the right foot. Sorry, I couldn't resist. But it *is* true.

As a preceptor, I would delegate the final check ONLY to a student I felt absolutely comfortable with. It is, after all, my license on the line. Of course, you could always allow the student to do the final verification and then check it yourself. Time consuming, but would defintely CYA. In some states, the final check may not be delegated.

Colorado is an example. The final check is pretty much the only thing interns can't do. That doesn't mean we can't practice it, though, with the pharmacist basically just double checking.
 
Coming into a rotation with a list of things you refuse to do is a great way to get off on the right foot. Sorry, I couldn't resist. But it *is* true.

As a preceptor, I would delegate the final check ONLY to a student I felt absolutely comfortable with. It is, after all, my license on the line. Of course, you could always allow the student to do the final verification and then check it yourself. Time consuming, but would defintely CYA. In some states, the final check may not be delegated.

I have to agree... I think only a ***** would let a student check the rx's going out without re-verifying them personally. I wouldn't delegate the final check to another rph using my ID/credentials/initials/whatever.
 
I expect my intern to do whatever a pharmacist may do. If it's truck day and I'm unpacking and stocking, you are gonna help me. If I'm pulling outdates, straightening shelves and cleaning, guess what? Grab a rag!
 
I have to agree... I think only a ***** would let a student check the rx's going out without re-verifying them personally. I wouldn't delegate the final check to another rph using my ID/credentials/initials/whatever.

i re-read the script when checking the product

as long as the student does that, and they all do, I have no problems

the rest of the part is easy, any1 can make sure the pill on the computer screen = the pill in your hand
 
Dude...
Repeat after me.

Go in, get your grade (hopefully A+ if you play along), get out, get on with your life. Much less hassle that way.

edit: let it known loud and clear on your evaluation of the site/preceptor after you have banked your grade.

It's pass/fail.

I don't know if I should want CVS as a site or not.

Pro - I know the system well.
Con - It's ****ing CVS, I left it for a reason.

What we've been told that we're supposed to be doing:

-Counseling on Rx and OTC products.
-Assisting with immunizations (as opposed to administering them) since New York is a slowass state when it comes to changing things.
-Calling MDs
-Verifying medications
-Reviewing profiles, checking for interactions, making recommendations to MDs.
-Projects from school.

I've heard of some preceptors who tell the students that from 9AM-5PM, the student belongs to the preceptor and can be used as free labor and any of the projects that the school assigns to the student has to be done on their own time, and not at the pharmacy.
 
-Assisting with immunizations (as opposed to administering them) since New York is a slowass state when it comes to changing things.

I was under the impression interns can't do jack squat regarding immunizations, not even asking if a pt's ever had a reaction and whatnot.

I was, however, allowed to (politely) argue with a pt until I was blue in the face when she told me she wasn't getting the H1N1 vax because it "hadn't been tested enough." My being vaccinated didn't change her mind, either.

I've heard of some preceptors who tell the students that from 9AM-5PM, the student belongs to the preceptor and can be used as free labor and any of the projects that the school assigns to the student has to be done on their own time, and not at the pharmacy.

Dude.

Be grateful you're not free labor from 0600-2100. As I understand it, my preceptors are within their rights to do exactly that.
 
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A list of things that I refuse to do:

Refilling stock/unpacking orders
Cleaning the pharmacy
Cashier/ringing up items

Sparda - for some reason, I have a soft spot for you, but really, you can't walk into a rotation site all "I'm not doing XYZ". If I were your preceptor, I would fail you. I try extremely hard to avoid having my students do busy work, but EVERY job has some busy work involved. It's just the nature of the beast.

I expect my intern to do whatever a pharmacist may do. If it's truck day and I'm unpacking and stocking, you are gonna help me. If I'm pulling outdates, straightening shelves and cleaning, guess what? Grab a rag!

Yeah that.

I try to have my students do projects that will help the department and are "clinical" in nature. I also try to make sure these projects are of interest to the student, but I don't promise it. We still have work that needs to get done! I would never view a student as "free labor" because a good preceptor knows that there is a huge cost invovled. Precepting is really hard work if it's done right.

Dude, lose the attitude. Your life will be much easier for it and you'll make fewer enemies.
 
If you were a preceptor for an advanced practice community setting experience, what would your interns be doing?

To those who have already done the preceptor work, what have you had your interns do?

A list of things that I refuse to do:

Refilling stock/unpacking orders
Cleaning the pharmacy
Cashier/ringing up items

According to our school, we're supposed to be doing the final verification. How many of you actually allow the interns to do the final verification?

Kid, you're going to get kicked off of like 5 rotations.

And if you mean final verification as in, I do a final verification and THEN the hopalong intern pretend does it...that's fine. If you mean that the intern literally does the final verification unsupervised, then your school is asking the pharmacist to break the law and every shred of ethics in his or her body. I would tell your school to **** off and never send me a student ever again.
 
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If you were a preceptor for an advanced practice community setting experience, what would your interns be doing?

To those who have already done the preceptor work, what have you had your interns do?

A list of things that I refuse to do:

Refilling stock/unpacking orders
Cleaning the pharmacy
Cashier/ringing up items

According to our school, we're supposed to be doing the final verification. How many of you actually allow the interns to do the final verification?

...I would fail you for being an idiot.

No preceptor should be using you for free labor, but at the same time you should be expected to help out where needed. As a pharmacist, I have put away stock, straightened shelves, pulled out dates, etc. It is part of the job.

Interns should help with docotor calls, counseling patients, immunizations, screenings. It is not that an intern isn't smart enough to do a final check, but it would be my license, so you better believe it will go through me. Not all interns are created equal (Would you trust your license on Sparda's judgement?). They need to be supervised.
 
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Kid, you're going to get kicked off of like 5 rotations.

And if you mean final verification as in, I do a final verification and THEN the hopalong intern pretend does it...that's fine. If you mean that the intern literally does the final verification unsupervised, then your school is asking the pharmacist to break the law and every shred of ethics in his or her body. I would tell your school to **** off and never send me a student ever again.

I've been told that in NY, licensed interns can do everything a pharmacist can under supervision.
 
I've been told that in NY, licensed interns can do everything a pharmacist can under supervision.

With a pharmacist as a cosigner. You can't do the final verification without a pharmacist doing it themselves. Your school should not be telling you that this is something you should be doing on your own.
 
With a pharmacist as a cosigner. You can't do the final verification without a pharmacist doing it themselves. Your school should not be telling you that this is something you should be doing on your own.

Wasn't my school that told me that we can do it on our own. It was one of the pharmacists that I worked with at CVS :/. (His store was constantly ranked #1 in all the SSS ratings, and other stuff. He's a preceptor for St. John's though.)
 
i hvae decided i will not precept recently opened for profit diploma mill pharmd programs.
 
If you were a preceptor for an advanced practice community setting experience, what would your interns be doing?

To those who have already done the preceptor work, what have you had your interns do?

A list of things that I refuse to do:

Refilling stock/unpacking orders
Cleaning the pharmacy
Cashier/ringing up items

According to our school, we're supposed to be doing the final verification. How many of you actually allow the interns to do the final verification?


When I did my retail/community rotation, my preceptor (now my boss) trained me as if I was his next manager. That means doing all he did, including the 3 tasks you mentioned above. We would discuss (and sometimes debate) drug therapy, patient care, ethics, giving each other shots, and sweeping the floor at the end of the day. We are still doing those things together until today. Schools (including yours and mine) are sometimes very delusional about the real world. The secret to succeeding rotations is to do whatever the preceptor tells to you (unless it's illegal or unethical) not what the school does.
 
When I did my retail/community rotation, my preceptor (now my boss) trained me as if I was his next manager. That means doing all he did, including the 3 tasks you mentioned above. We would discuss (and sometimes debate) drug therapy, patient care, ethics, giving each other shots, and sweeping the floor at the end of the day. We are still doing those things together until today. Schools (including yours and mine) are sometimes very delusional about the real world. The secret to succeeding rotations is to do whatever the preceptor tells to you (unless it's illegal or unethical) not what the school does.

Yeah, there was an incident last year at one of the CVS pharmacies. The pharmacist (not preceptor/just another staff pharmacist) didn't want to do the PCI calls, so they asked the student to sign their name stating that it was done, without actually doing it.
 
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I've been told that in NY, licensed interns can do everything a pharmacist can under supervision.


That's part of the problem...you don't know the law of what you can and can't do. You've been told is not going to cut it with the state board
 
I expect my intern to do whatever a pharmacist may do. If it's truck day and I'm unpacking and stocking, you are gonna help me. If I'm pulling outdates, straightening shelves and cleaning, guess what? Grab a rag!

I own my goddamn store and i gotta take the trash out and vacuum sometimes...I even do deliveries...I did all that when I was at CVS. See, thats the problem with some of you, you think because you're an intern or about to be a pharmacist, you feel that you are above techs or other interns...You have to be humble...Just do it all....

That being said, if i were a preceptor, the student would be working on MARs and reviewing charts at the ALFs. If there was paperwork, they would do paperwork; if there was cleaning to do, maybe 10-15 mins worth, then id ask them to do it. if they said no, then i would know to never consider them to ever be a partner in future ventures...i guess i feel that you should get your hands dirty a bit...
 
I own my goddamn store and i gotta take the trash out and vacuum sometimes...I even do deliveries...I did all that when I was at CVS. See, thats the problem with some of you, you think because you're an intern or about to be a pharmacist, you feel that you are above techs or other interns...You have to be humble...Just do it all....

That being said, if i were a preceptor, the student would be working on MARs and reviewing charts at the ALFs. If there was paperwork, they would do paperwork; if there was cleaning to do, maybe 10-15 mins worth, then id ask them to do it. if they said no, then i would know to never consider them to ever be a partner in future ventures...i guess i feel that you should get your hands dirty a bit...

I guess it depends what kind of cleaning you're talking about. I do get annoyed when the pharmacy counter is all cluttered and when the shelves are all disorganized and whatnot.

What I would probably refuse to do is clean a bathroom, or sweep/mop.
 
I guess it depends what kind of cleaning you're talking about. I do get annoyed when the pharmacy counter is all cluttered and when the shelves are all disorganized and whatnot.

What I would probably refuse to do is clean a bathroom, or sweep/mop.

A bathroom i would probably NOT have you do, especially since you are handling medication etc...but sweep? I have swept before...Mop...ehh...again, mopping with dirty water...but sweeping is ok with me...
 
I guess it depends what kind of cleaning you're talking about. I do get annoyed when the pharmacy counter is all cluttered and when the shelves are all disorganized and whatnot.

What I would probably refuse to do is clean a bathroom, or sweep/mop.


Dear god, you are SUCH a princess! You won't sweep the floor? I do that all the time at my current employer because I don't like to work with crap all over the floor. We have a cleaning crew that comes in at night to mop and do the bathrooms, but if I owned my own pharmacy or other small business, I might just do that myself if it was faster/cheaper. Or I'd hire a clerk who wasn't whiny/entitled and was willing to make that part of their job description.
 
I guess it depends what kind of cleaning you're talking about. I do get annoyed when the pharmacy counter is all cluttered and when the shelves are all disorganized and whatnot.

What I would probably refuse to do is clean a bathroom, or sweep/mop.

I am in awe. you are the epitome of entitlement.

"no, i won't apologize to a customer who is complaining about a mistake made by another pharmacist/intern"

"who cares what hours i'm scheduled for my rotation? i'll come in when i please"

"clean the bathroom?! are you kidding!? i'm a pharmacy student!"

seriously dude you sound like a 12 year old girl.
 
I just have a internal cringe when I hear pharmacists sweeping, vacuuming, or cleaning. I've never seen a nurse or physician doing that. If they own their own practice, and decide not to hire a cleaning crew, that's fine. But if a pharmacist is an employee and has to do those things . . . then I just don't know.
 
Dear god, you are SUCH a princess! You won't sweep the floor? I do that all the time at my current employer because I don't like to work with crap all over the floor. We have a cleaning crew that comes in at night to mop and do the bathrooms, but if I owned my own pharmacy or other small business, I might just do that myself if it was faster/cheaper. Or I'd hire a clerk who wasn't whiny/entitled and was willing to make that part of their job description.

Who needs a broom when you have a vacuum.
 
I just have a internal cringe when I hear pharmacists sweeping, vacuuming, or cleaning. I've never seen a nurse or physician doing that. If they own their own practice, and decide not to hire a cleaning crew, that's fine. But if a pharmacist is an employee and has to do those things . . . then I just don't know.

Sweeping and cleaning are minimum wage type jobs.

Just think...by doing that, you are getting over on your employer by making them overpay you for your work.

Haha!
 
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I just have a internal cringe when I hear pharmacists sweeping, vacuuming, or cleaning. I've never seen a nurse or physician doing that. If they own their own practice, and decide not to hire a cleaning crew, that's fine. But if a pharmacist is an employee and has to do those things . . . then I just don't know.

Don't nurses have to deal with bedpans and such? I will take sweeping any day of the week.
 
If you were a preceptor for an advanced practice community setting experience, what would your interns be doing?

To those who have already done the preceptor work, what have you had your interns do?

A list of things that I refuse to do:

Refilling stock/unpacking orders
Cleaning the pharmacy
Cashier/ringing up items

According to our school, we're supposed to be doing the final verification. How many of you actually allow the interns to do the final verification?

I tell you what I told the last student who told me interns don't vacuum the floor. I told him he had three choices:

1) Voluntarily vacuum the floor
2) Go home and don't come back
3) Stay, then I'll shove the handle of the vacuum up your ass and push you around the pharmacy.

To think you would walk in like a prima donna and tell me what you won't do is ludicrous. If you are doing something all the time that is not educational, you can speak to the preceptor. But a preemptive strike of arrogance, that's not the way to go. I mean, it's not out of character for you, but really. I guess you could look like a bigger ******* on your first day of a rotation. Maybe you could where a free Palestine shirt to Cohen's Pharmacy, but that would be about it.
 
I tell you what I told the last student who told me interns don't vacuum the floor. I told him he had three choices:

1) Voluntarily vacuum the floor
2) Go home and don't come back
3) Stay, then I'll shove the handle of the vacuum up your ass and push you around the pharmacy.

To think you would walk in like a prima donna and tell me what you won't do is ludicrous. If you are doing something all the time that is not educational, you can speak to the preceptor. But a preemptive strike of arrogance, that's not the way to go. I mean, it's not out of character for you, but really. I guess you could look like a bigger ******* on your first day of a rotation. Maybe you could where a free Palestine shirt to Cohen's Pharmacy, but that would be about it.

Were you paying the student or was it a rotation?
 
Were you paying the student or was it a rotation?

I was paying the student. I wouldn't say that to a guest. But I would have the same attitude.

If you are on a rotation, the preceptor has something you want, experience. You need to be nice to get him/her to give you the maximum experience. If you act like an *******, you will be pretty well treated like one.
 
Well, when you are being paid money, you pretty much do whatever the boss asks, short of sexual favors and murder.

On rotations, you're paying to be there.

Well when you are an employee you get money. When you are a student you get a grade. Ether way I would just do whatever was asked.
 
Well, when you are being paid money, you pretty much do whatever the boss asks, short of sexual favors and murder.

On rotations, you're paying to be there.
I do agree here. If I'm being paid, I'll do anything I'm asked, no problem. If I'm paying to do it... sure I'll still do it, but I would have a problem if I didn't get some solid educating during the rest of the day.

Preemptively saying "I'm not doing this, so don't ask," isn't going to work. If it's normally a tech doing it, and they put it on you instead, that's kind of crappy. If it's just you and the preceptor, and it's gotta be one of you, you're low man on the totem pole.
 
I do agree here. If I'm being paid, I'll do anything I'm asked, no problem. If I'm paying to do it... sure I'll still do it, but I would have a problem if I didn't get some solid educating during the rest of the day.

Preemptively saying "I'm not doing this, so don't ask," isn't going to work. If it's normally a tech doing it, and they put it on you instead, that's kind of crappy. If it's just you and the preceptor, and it's gotta be one of you, you're low man on the totem pole.

I'm not gonna walk in there and tell them "hey my name's Sparda, by the way I'm not doing this stuff". If they ask me to do something that I don't think I should be doing on rotations (like cashier work... counseling yes, ringing up and bagging the stuff with the chips, soda, etc no) I'll let em know.
 
I'm not gonna walk in there and tell them "hey my name's Sparda, by the way I'm not doing this stuff". If they ask me to do something that I don't think I should be doing on rotations (like cashier work... counseling yes, ringing up and bagging the stuff with the chips, soda, etc no) I'll let em know.


Sounds great in theory but in reality how are you going to accomplish this? You go over to the register to counsel a patient on their meds and they have other stuff to purchase and all the techs are working on other stuff? You're going to take care of the meds and then holler for a tech to come over and complete the purchase? Sounds like a great way to fail the rotation for lack of teamwork.
 
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I tell you what I told the last student who told me interns don't vacuum the floor. I told him he had three choices:

1) Voluntarily vacuum the floor
2) Go home and don't come back
3) Stay, then I'll shove the handle of the vacuum up your ass and push you around the pharmacy.


To think you would walk in like a prima donna and tell me what you won't do is ludicrous. If you are doing something all the time that is not educational, you can speak to the preceptor. But a preemptive strike of arrogance, that's not the way to go. I mean, it's not out of character for you, but really. I guess you could look like a bigger ******* on your first day of a rotation. Maybe you could where a free Palestine shirt to Cohen's Pharmacy, but that would be about it.

That is great...especially option #3, that made me laugh hard.

I do think doing a rotation with Old would be fun (completely serious.)

Yeah, I'm not going to sit there and tell a preceptor what I will and will not do, however I would answer an evaluation truthfully...it's up to the school to decide what tasks they want students to be doing in a rotation experience.
 
Sparda - your parents did you a huge disservice by raising a child with such a selfish, entitled attitude. You need a spanking. Seriously. A dozen people here are telling you to stop being such a prick, consider why that is. It's not because we are all crazy, the common denominator here is you. If you act the way you post, you won't get very far before someone gives you the smackdown you need. I only wish I could be there when it happens.

On rotations, you're paying to be there.
To whom are you paying tuition? Not your rotation sites. Some schools do pay, but the preceptor doesn't see that personally and it's a pittance compared to the time you invest. Many schools don't pay rotation sites at all.

Jesus.
 
Sounds great in theory but in reality how are you going to accomplish this? You go over to the register to counsel a patient on their meds and they have other stuff to purchase and all the techs are working on other stuff? You're going to take care of the meds and then holler for a tech to come over and complete the purchase? Sounds like a great way to fail the rotation for lack of teamwork.

I'm not sure if I would get register numbers anyway. Even if they give me register numbers, would I be held responsible if the drawer turns up short on cash? Even if I'm being payed for the job, I avoid the register like the plague because I do not want to deal any potential issues with the cash register.
 
Sparda - your parents did you a huge disservice by raising a child with such a selfish, entitled attitude. You need a spanking. Seriously. A dozen people here are telling you to stop being such a prick, consider why that is. It's not because we are all crazy, the common denominator here is you. If you act the way you post, you won't get very far before someone gives you the smackdown you need. I only wish I could be there when it happens.


Haha, it is like the episode of the Office a week or two ago where Michael flips out and bends his nephew over the desk and spanks him like a 2 year old in front of everyone.

Coming fall 2010 to a pharmacy rotation site in NYC.
 
Sounds great in theory but in reality how are you going to accomplish this? You go over to the register to counsel a patient on their meds and they have other stuff to purchase and all the techs are working on other stuff? You're going to take care of the meds and then holler for a tech to come over and complete the purchase? Sounds like a great way to fail the rotation for lack of teamwork.
Actually, this one seems to work out, since most companies have a "register training" that they want you to go through, and for the number of hours that you're in a rotation, it's certainly not worth it to be "register trained." That's how it is for me right now at Wegmans (although they have like 10 techs on while I'm there anyway). It took half of the summer before Kmart put me on the register too, but since that was a paid internship and not just a rotation, they got around to it eventually.
 
Actually, this one seems to work out, since most companies have a "register training" that they want you to go through, and for the number of hours that you're in a rotation, it's certainly not worth it to be "register trained." That's how it is for me right now at Wegmans (although they have like 10 techs on while I'm there anyway). It took half of the summer before Kmart put me on the register too, but since that was a paid internship and not just a rotation, they got around to it eventually.

How long does it take to get register trained? I am not arguing that running a register is a good use of rotation time, but really it takes like what 2 hours tops to learn how to run a register? Less really. Now it takes longer than that to become proficient at it, but the basics of checking someone out? That doesn't take long at all.
 
Man, I think a two-year tour in the military is a needed life-changing experience for some people.

I went in naive and inexperienced and came out someone who knew how to work as part of a team. You ever see a turd floating across the floor? When a ship's head floods, the ship keeps moving. You just now have a mini-pond in your restroom, and guess who's responsible for getting it back to normal?

The biggest way to make yourself a target is to walk into a situation with (unspoken) demands of "I will do this and I won't do that." Even if you don't say it outright, your attitude will make your intent crystal clear to your supervisor, and they'll act on it.

Some would be lazy and just write you off as an individual. I'd give you a cleaning checklist that would need to be completed prior to the completion of each of your shifts. :meanie:
 
How long does it take to get register trained? I am not arguing that running a register is a good use of rotation time, but really it takes like what 2 hours tops to learn how to run a register? Less really. Now it takes longer than that to become proficient at it, but the basics of checking someone out? That doesn't take long at all.

It's not hard to learn. But do YOU want the responsibility of the money in the register? The cash register has been a pain in the ass everywhere I've worked. Radioshack, CVS, the local supermarket, Costco, etc. Every time the register goes short, it's a ****ing hassle, and I don't want any part of that.

Maybe if I'm the credit card only register person.
 
It's not hard to learn. But do YOU want the responsibility of the money in the register? The cash register has been a pain in the ass everywhere I've worked. Radioshack, CVS, the local supermarket, Costco, etc. Every time the register goes short, it's a ****ing hassle, and I don't want any part of that.

Maybe if I'm the credit card only register person.

I didn't say I wanted to run a register (although I don't consider it such a big deal), it's just the idea of it not being worth it to train someone because of how long it takes to train them sounded odd to me. It shouldn't take long at all.

I don't understand the aversion to be honest. If money is short the only thing you need to worry about is if you might have made a mistake. As long as you know you are doing what you are supposed to there is nothing to worry about. This has always been my attitude with register shortages; in my experience it always works itself out.
 
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