I think that the following (in some form) is included in the pharmacy laws of every state.
Pattern/s of misconduct in pharmacy practice must be reported to the state board if such misconduct leads to danger to the health, safety or welfare of a patient or the public.
Lawyers depend on the definitions of words to do their work.
Behavior that is not in accordance with accepted moral or professional standards
Conforming to the standards of skill, competence, or character normally expected of a properly qualified and experienced person in the conduct of a profession.
Relating to issues of right and wrong and how individual people should behave.
Why is it not misconduct when a CVS PIC works 14 hour shifts with no breaks and schedules the staff pharmacists to do the same? Clearly, this poses a danger to the public.
I suppose that a non-pharmacist manager gets a free pass on this.
Pharmacist Steve has a good point. Pharmacists who take on the liability of the Pharmacy Manager’s position may want to rethink their career goals. It seems that they are in jeopardy at every turn.
Before you read this, relax. Rita Hayworth. From the golden age. I read the Frank Langella piece in Newsweek last month. Rita had Alzheimer’s near the end.
What an idiot. I have been the naive turtle. I actually believed that the pharmacy boards had the welfare of the public as their sole mandate. Then, I heard that the Texas Board has stated, “We don’t interfere with in how a company does business”.
The preliminary hearing conducted by the North Carolina Board of Pharmacy in May will tell us a lot. The NCBOP members are all working pharmacists (+public). No chain store executives. We’ll be watching.
Perhaps, we should just give up and go directly to the legislatures and the media. Find a young state legislator (certainly moderate, liberal or progressive) who wants to make his/her bones and give him this. It could prove to be a “hot button” issue. What do you think. I gotta go. Duties with the wife call. I’ll be back.
There will be “Tech Check Tech” and I think it will be sooner than later. We cannot continue to define our jobs as what we do to run “The Prescription Mill” and still call pharmacy a profession. A this stage, we are presiding over a professional failure.
I testified at a meeting of The California Board of Pharmacy in August of 1972. The California board rotated the cities where they held the meetings. This one was in San Francisco. The number one issue that had gathered a list of maybe 15 people who wanted to testify was: Shall a new designation of pharmacy ancillary help called “Pharmacy Technician” be allowed.
People went ape-shit. The unions were there. The Guild was there. The associations were there. All of these people defined pharmacists as “Prescription Mill” minders and that was what we did in 1972. They warned that pharmacists would be out of jobs if technicians were allowed to type prescription labels. They screamed that patients would be put in danger. They all were smug and self important and then Jay Pee stepped up to the microphone. If the union chiefs had tomatoes, they would have been flinging them. The head of The Guild shook his fist at me.
My message to the board was simple, “We do this or we are dead as a profession”. You know how that turned out. Without technicians, we would be dead in the water. We would not be able to provide essential medicines to all patients in an effective, efficient and timely manner. We would be a failed profession.
We cannot afford that. When there is “Tech check Tech”, you can go do what pharmacists at mandated by law to do. I do not have to remind you of what that is because you break the law 100 times a day.
“But, Jay Pee, how can you trust technicians to deal with interactions, dosage irregularities and those types of incidences?” You don’t. That would be idiotic. When the pharmacy software stops the process and warns: Look at this. Only a pharmacist can look at it and sign off. I think you do that with a secret password. In Washington state, my password was: JPOK.
For “Tech Check Tech” to work, we need a new designation. I suggest “Advanced Pharmacy Technician”. They must be trained by the industry and not by the companies. I do not believe that all drug store/ big box/ grocery companies can be trusted. Rite-Aid will do anything to try to get a profit. CVS has a reputation of cheating. Just Google CVS in trouble. The list is huge. The APhA loves this kind of shit. Let them do it. I have no doubt that an Advanced Pharmacy Technician designation earned by working through an APhA program would produce the real deal.
Celebrate. What do you do?
You counsel. You explain to the young mother with a 4 year old asthmatic child how to use the Xopenex MDI with a spacer. In the process, you discover that the young mother is illiterate and she cannot read the dosage instructions on the tapered dose of prednisolone liquid. You go and be a professional.
I do not expect that this process will be slick and easy. It will be new. I can attest to the value of counseling, on Rx, on OTC drugs, on wound care. People like it.
There are pharmacists who will not want to do this. Go into real estate.
There are pharmacists who will not be competent. Now, that is scary. Should the pharmacists who give inaccurate counseling advice or incomplete counseling advice continue to get a six figure salary?
This is coming, you guys. Better get ready now because we want to run this ship. We do not need non-pharmacist MBA Masters of the Universe anywhere in the process.
And that Problem Is:
The Merger Has Been Approved.
I am taking a five day vacation. Be back the 11th. If it rains, I might write something here. In the meantime, what are your thoughts?