Thank you everyone who commented and offered advice, it makes me feel a lot better than before. I had already promised the PDM that I would do my best to make the pharmacy better, so I am still going to be the PIC. After spending the past couple days thinking, I am more optimistic. I also manage to clear all the faxes and paper prescriptions during the weekend, so I just have to focus on data entry and count & fill.
Currently this is what an average day is like at the pharmacy. If you have any insight or advice for me, I greatly appreciate it.
8:00-9:30 1 tech, 1 rph (total: 40-60 rx)
This time is the 2nd most crucial time of the day. I don't get many patients at this hour, so I can push as many rx out as possible. About 40-50 prescriptions gets filled at this time. One tech would be at the drop off window typing the whole time and answering phone, while I get the pick up window, QA, count & fill and answering phone.
9:30-12:00 2 techs, 1 rph (total: 120-160 rx)
When the 2nd tech comes in, I have the 2nd tech check in the order (scan new shipments into the inventory), and pull the go backs (13 days go back). Occasionally when I'm backed up at the pick up, I will have the 2nd tech help me. On average, I count, fill and QA one order for every customer I help at the pick up.
12:00-4:30 3 techs, 2 rph (total: 200-250 rx)
Nonstop line at pick up window and drop off window. I have 1 tech at the cash register, 1 at drop off window, and 1 counting and filling prescription. My job is QAing the waiters' rx, making calls to the Dr, and handling difficult patients. The manager usually goes to the office to do PIC stuff, but if the manager is around to QA, I would jump in to count and fill as well. This is the most important part of the day, we would try to take care of all the trouble shooting and push the rx count up.
4:30-8:30 2 techs, 1 rph (total: 250-300 rx)
Nonstop line at the pick up window and drop off window. Second rph leaves. If I'm closing, then I have 1 tech at pick up and 1 tech at drop off, and I tried to count & fill, answer phone, and QA as much as I can. This is usually the most stressful part of the day.
8:30-10:00 1 tech, 1 rph (total: 300-350 rx)
Still busy at the drop off and pick up window. At this point, I am just trying to get all the waiters out before the pharmacy closes. Around 30 minutes before closing, I have the tech clean up the pharmacy while I do everything else.
Currently at our drop off window, the tech takes rx, writes down DOB & pt number on rx, give 20 minutes to 2 hours wait time, takes next rx and repeat. The drop off window person also handles trouble shooting and data entry. A problem is that prescriptions would get stack up, and patients coming back either found out that it's not ready or that there was an issue with insurance, doctor or the prescription itself. What I want to do when I become the PIC is to have tech type up, process, and pull the medications while the patient is there. This would ensure that there is no problem or troubleshooting at the pick up; however, a main drawback is that I only have 1 tech that type fast, so I'm thinking maybe if an order has 3 or more items, then we can write down the wait time and process later.
Sorry for the long post, but typing all this out really helps me think about the workflow.