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  • Rx Wrecks

    I'm not good at clever segues so I'll just get right to it.

    I'm a pharmacy technician. I work full time for a rather large chain of drug stores. I went into this line of work because I genuinely wanted to help people. Having been seriously ill more times than I care to remember, I know that the pharmacy is often the last stop before a recently released patient can go home. It sucks, and it sucks even more when the tech who rings you up doesn't even acknowledge your existence as a living, breathing person who is scared and in pain. I've been working at said pharmacy for about 3 years now and have developed friendships with many of my patients, especially the elderly ones. That said, there are still a handful of people who have apparently mistaken the pharmacy for a fast food restaurant. To those people, I would like to say:

    * Yes, it really does take at least fifteen minutes to get your meds ready. In that time span, we translate the prescription, bill your insurance, send it to production, fill it, send it to the pharmacist who must double check it and also look for contraindications, then bag it and send it to Pick Up. It doesn't matter if it's pre-packaged, it still has to be checked, double checked and triple checked before you take it home. This is for your safety.

    * Yes, it really does take fifteen minutes to prepare your flu shot/shingles vaccine/etc. We have to process it through your insurance. If they do not cover it, we have to override it with a series of codes. The pharmacist has to wash their hands, don gloves, draw up the shot (because we do not walk around with pre-loaded needles in our lab coat pockets), gather up the supplies (bandaids, sharps container, etc) and then finally come out to stick it in your arm. DO NOT come into the pharmacy asking for a shot unless you have at LEAST fifteen minutes to kill. Do NOT try and rush the process. We have standards we must adhere to by law.

    * We know you didn't really "accidentally" drop your narcotics down the sink/toilet. You cannot have a whole new prescription. It doesn't matter if you're willing to pay out of pocket for it. The law will NOT ALLOW early/duplicate refills on narcotics. Yelling at us will not get you anywhere.

    * We do not set the prices of your medications. Your insurance does. We're simply the messengers.

    * Put. The cell phone. DOWN. I will NOT type up your prescription until I have your full attention. I need to ask you questions about your insurance and your health. It's not a burger you're ordering - it's MEDICATION that is going INTO YOUR BODY.

    * Just because you don't see anyone in the pharmacy doesn't mean we're not busy. The phone is constantly ringing. The computer queue is almost always at least 4 pages long, and sometimes more like 9. There are 25 scripts on each page. We are ALWAYS busy. And thanks to the current economic meltdown, we are short staffed, stressed out and overwhelmed. We're doing the best we can. Patience is a virtue, dammit.

    That's all I've got for now. But believe me, there's plenty more where that came from.

  • #2
    Excellent advise here, pity the SC's don't think things like this apply to THEM!

    Comment


    • #3
      Welcome, Boomslang! You're not alone in the pharmacy biz here... you'll usually find your fellow rx techs over in the Sickbay forum.

      Enjoy all the cookies and beer you want, and we have an unlimited amount of brain bleach for your use.
      Sorry, my cow died so I don't need your bull

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      • #4
        Now this is very interesting. I've always wondered why it takes awhile to fill a prescription. I just assumed it was because there were a lot of people ahead of me. Thanks for the insight and welcome to CS!
        When you start at zero, everything's progress.

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        • #5
          As a former pharmacy tech, I can say, yelling and screaming about not getting your schedule 2's early WILL get you something.

          A visit from the cops at best, and the DEA/Attorney General's Office at worst.

          Seen it happen.

          " Put. The cell phone. DOWN. I will NOT type up your prescription until I have your full attention. I need to ask you questions about your insurance and your health. It's not a burger you're ordering - it's MEDICATION that is going INTO YOUR BODY. "

          Ten years on, that's STILL my biggest pet peeve, nothing gets them off the phone like telling them that HIPAA means I can't do anything for them until the uninvited 3rd party (on the other end of the line) is not part of our conversation.
          - They say nothing good happens at 2AM, they're right, I happen at 2AM.

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          • #6
            It's the same in Australia.

            I'm very careful with my narcotics, because I know my doctor and pharmacist have strict limits on their ability to refill them early/replace losses/whatever.

            But if I were to somehow lose them, it's not my pharmacist I'd go to first. It's my doctor. And if there was a provable reason for the loss (theft, fire, etc), I'd bring the police report information - if I were coherent enough to think of it, anyway.
            I don't know for sure, but I imagine that a police report of a fire or something would justify an early refill. I also suspect that one would have to go to the doctor, not the pharmacist, first. At least out here.
            Seshat's self-help guide:
            1. Would you rather be right, or get the result you want?
            2. If you're consistently getting results you don't want, change what you do.
            3. Deal with the situation you have now, however it occurred.
            4. Accept the consequences of your decisions.

            "All I want is a pretty girl, a decent meal, and the right to shoot lightning at fools." - Anders, Dragon Age.

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            • #7
              Quoth Argabarga View Post

              Ten years on, that's STILL my biggest pet peeve, nothing gets them off the phone like telling them that HIPAA means I can't do anything for them until the uninvited 3rd party (on the other end of the line) is not part of our conversation.
              That's also why there are really specific "wait here" markers, right? To get those fruitcakes who want get close enough to step on your heels to stay back. We had a mini health IT section in one of my classes. Basically what I got from it is HIPAA is not something to mess around with, can lead to massive fines, and I think even jail time.

              If people think that general suckiness will work on pharmacists the same as say, a cashier at MalWart, they are mistaken.
              Replace anger management with stupidity management.

              Comment


              • #8
                Adds my greeting, welcome to the forum. You can rant and vent as much as you want here! I just made some peach jam in my crock pot. Its still warm, so I'll just spread it on some bread for you.

                Like most of the folks here, I understand. People in pain are not going to be very patient, but people who have regular refills are usually smart enough to call them in a day or so in advance. The ones who aren't should be hit with a clue by four several times until they either get the concept or go to another store.

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                • #9
                  Preach it!!!!!!!

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                  • #10
                    Why your prescription takes so long to fill (a must read):
                    http://drugmonkey.blogspot.com/2006/...-done-you.html

                    Comment


                    • #11
                      Quoth Boomslang View Post
                      * Just because you don't see anyone in the pharmacy doesn't mean we're not busy. The phone is constantly ringing. The computer queue is almost always at least 4 pages long, and sometimes more like 9. There are 25 scripts on each page. We are ALWAYS busy. And thanks to the current economic meltdown, we are short staffed, stressed out and overwhelmed. We're doing the best we can. Patience is a virtue, dammit.
                      to Boomslang!

                      I can add something to the phone ringing bit. It's not just people in the community who keep the phone ringing. It's health care providers calling in scripts (when we don't send them electronically, which is why the computer queue is always 9 pages long), and health care providers calling back to clarify scripts that were poorly written or simply illegible (yes, docs still write them by hand).

                      When I worked for hospice, calling the pharmacy was a big part of my job, usually when the case managers goofed and didn't make sure their patients had enough of their meds to get them through the weekend/night. I don't have the ability to ask for a refill electronically, I must call it in and usually the patient needs it quickly (because they were in pain or had an active symptom that needed management), so I never liked leaving a message on the answering machine because I had run into problems with pharmacists so overwhelmed they never got to listen to the messages on the machine.

                      When I call in a script to a pharmacy (anything not controlled, those had to be faxed in by the physician), I have to talk to the pharmacist. I can't talk to the pharmacy tech; they're not allowed to take prescriptions over the phone (out of their scope of practice). That means the pharmacist (there's usually only one) has to stop what he is doing to talk to me. That means the patients in the waiting room have to wait.

                      Unless I am actively having the symptom I need the med for, I usually opt not to wait, and come back to pick up my meds the next day. Not because I think it will be more than 15 minutes (it almost never is) but because I'm not in a hurry and I'd rather they got to deal with the folks who really do need it fast.

                      Quoth EvilEmpryss View Post
                      Welcome, Boomslang! You're not alone in the pharmacy biz here... you'll usually find your fellow rx techs over in the Sickbay forum.

                      Enjoy all the cookies and beer you want, and we have an unlimited amount of brain bleach for your use.
                      And bacon! Don't forget the bacon!
                      They say that God only gives us what we can handle. Apparently, God thinks I'm a bad ass.

                      Comment


                      • #12
                        Quoth notalwaysright View Post
                        That's also why there are really specific "wait here" markers, right? To get those fruitcakes who want get close enough to step on your heels to stay back. We had a mini health IT section in one of my classes. Basically what I got from it is HIPAA is not something to mess around with, can lead to massive fines, and I think even jail time.
                        No one is going to jail for allowing HIPAA protected information to be overheard at the pharmacy. Fines, hell yeah. Jail, no. Jail time is for the dumbasses who dump medical records in the dumpster, or who steal protected information to sell.

                        Quoth Slave to the Phone View Post
                        <snip> people who have regular refills are usually smart enough to call them in a day or so in advance.
                        Oh, how I wish this were true Picking up after hospice patients whose families did not do this was a huge headache for me when I worked weekend triage.
                        They say that God only gives us what we can handle. Apparently, God thinks I'm a bad ass.

                        Comment


                        • #13
                          Quoth notalwaysright View Post
                          That's also why there are really specific "wait here" markers, right? To get those fruitcakes who want get close enough to step on your heels to stay back.

                          Sadly, we do not have those signs in our pharmacy. The end result being that most patients simply stand right up the ass of the patient I am currently attending to.

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                          • #14
                            Quoth Sapphire Silk View Post
                            Unless I am actively having the symptom I need the med for, I usually opt not to wait, and come back to pick up my meds the next day. Not because I think it will be more than 15 minutes (it almost never is) but because I'm not in a hurry and I'd rather they got to deal with the folks who really do need it fast.
                            Will you marry me?
                            Last edited by MadMike; 06-21-2015, 10:22 PM. Reason: Excessive quoting

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                            • #15
                              Quoth Sapphire Silk View Post
                              No one is going to jail for allowing HIPAA protected information to be overheard at the pharmacy. Fines, hell yeah. Jail, no. Jail time is for the dumbasses who dump medical records in the dumpster, or who steal protected information to sell.
                              Yeah, sorry I had switched over to what we walked about in my class, which was regarding unencrypted electronic records. Although, from what I understand, the difference between civil and criminal is basically if it was unwillingly or willingly. Saying something which might possibly be overheard would be unwillingly. Yelling something across the room would be willingly. IDK if it's only referring to actual written records... But still, it's nothing to mess around with.
                              Last edited by notalwaysright; 06-21-2015, 05:59 PM.
                              Replace anger management with stupidity management.

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