Today is the first day that I will wear the bar code on a badge on a chain around my neck. If I say I counseled, I WILL COUNSEL. Jay Pee 7-30-2010
The Texas State Board now requires that pharmacists “sign off” that they have counseled on new prescriptions. TSBP will have plain clothes investigators observing and failure to counsel will result in citations.
How are you handling this? Are you recording the counseling on the back of the Rx or do you have an electronic method?
I spoke with an employee of CVS last week. He reported that the pharmacists at the CVS Pharmacy where he works NEVER COUNSEL, but the computer records that the counseling DID take place. This sounds dangerous to me.
Apparently, at CVS, the timers are more important than being legal. I believe that counseling will prove to be a valuable professional service and it will be perceived as such by many patients.
I wear a nametag with a bar code on it around my neck. When new prescriptions are sold, I scan my bar code with each prescription.
This signifies that I did, indeed, counsel. It is recorded that Jim Plagakis counseled.
A patient can refuse counseling and that is recorded the old fashioned way, with paper and pen.
YOU CAN BET YOUR ASS THAT I AM GONNA COUNSEL ON EVERY SINGLE NEW PRESCRIPTION. I will not lie. I will not cheat just to satisfy the appetite of the “Prescription Mill”.
I am pleased that the company I work for does not have flashing red lights or sirens to goad me into deception. Those poor bastards at CVS who are expected to do things by the seconds are gonna get their asses in trouble.
This is important for our profession and the pharmacist jobs in Texas. You can cheat and relegate yourself into a very high-priced technician or you can man up (woman up) and do the right thing. Counsel like you are supposed to. Your style is going to evolve. If you think you can do all of these on every single Rx, you will fail. You will have to pick and choose the most important points. A young mother who does not read well will need more counseling than a 30-something RN who works at the Trauma Center.
Name & Strength of Drug
Appearance of Drug
What did your doctor tell you about this drug?
The purpose of the drug
Route of administration
How to Minimize Side Effects
What to expect from taking this drug
Do you have questions?
What did I leave out?
Be smart. Very few counseling sessions will require you attending to
all of these points.
Open a Word document on your home computer right now. Record any difficulties you have with counseling. Most important, if you work in a pharmacy that is run by timers and you are pressured by either the computer or BY A SUPERVISOR to cheat. Document that incident. Please do this. You may be a valued witness at a State Board of Pharmacy hearing one day. This can be the beginning of taking pharmacy back for pharmacists.
It is time for you “Prescription Mill” slaves to step up. Ahh,I trust that we will get plenty of comments about how impossible this will be and that there is no time.