...I am writing to express my interest in the CPS/Mercy Hospital PGY1 pharmacy residency program. I initially learned about the program in September of 2o14 during a pharmacy administration rotation at Methodist Hospital in Merrillville, IN. When expressing my interest in pursuing a pharmacy residency, my preceptor spoke highly of the program. After further research and the opportunity to learn more about the program from a current resident and members of your team during the ASHP Midyear Clinical Meeting Residency Showcase, this program would help me achieve my professional goals and would provide an ideal environment to continue my development as a pharmacist. One of the most encouraging aspects about your program pertains to the extensive...
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...taught during pharmacy school, it seems like they are only addressed in quick lectures that don’t require much critical thinking. An option to improve this deficit would be to address the information early and often. Repetition is one of the best ways for me to commit knowledge to long-term memory. I vaguely remember one or two labs in pharmacy practice where we practiced filling a prescription and billing it through a fake third party. If this lab was repeated more often with different kinds of rejections that are common in a community pharmacy, I think that would greatly help improve comprehension. Moving forward, I hope that with more practice I will gain a greater understanding of third party billing. I plan to discuss with my preceptor or fellow coworkers any questions that arise during my rotations and throughout my...
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...interventions, along with legal limitations, the many different medical specializations and the sharp rise in the use of generic pharmaceuticals (Klepser, et. al., 2008) It is possible that a pharmaceutical professional may find themselves in vulnerable positions as well, feeling trapped between their own personal ethics and the liabilities placed on them by their profession. They may find themselves sometime questioning as to whether they can fully uphold them. Furthermore, new drug regimens have increased in complexity, generating such related professional challenges as drug interactions, drug product selection, and therapeutic drug interchanges, suggesting new professional roles and relationships for pharmacists (Buerki & Vottero,2002). Physicians and patients depend on and expect pharmacists to fill their prescriptions for treatment as...
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...incident I was working as a pharmacy technician in ________. The dilemma I was faced with involved a fellow technician who was hired at the same time as me and the two of us had become close friends during the course of our employment. Now this friend of mine was obsessed with bodybuilding to the extent that he was willing to steal intravenous steroids from the pharmacy. As a friend I tried to warn and convince him to stop stealing but because he was consistently successful in doing so, he ignored my advice.[F3] When the Pharmacy Manager was beginning (verb form: “…Pharmacy Manager began to…”) to get suspicious due to loss in inventory, he took his crime to another level,(punc.: ;) he began changing the stock quantity by using one of the pharmacists’ login and password. At this point, I was becoming more and more adamant in my warnings and was even requesting shift changes just so I would not be witness to his actions. If he would ask me why I was changing shifts (punc.: ,) I would lie and say it was due to school. So not only was I withholding the truth from my employer I was also falsifying it to my friend. After a month the manager was sure that one of the employees was stealing from the company and was almost positive it was my friend, due to his now enormous size from the steroid injections. Knowing that I was close to this individual, the manager began to question me and even hinted at firing the both of us (word choice/phrase: ‘firing both of us’, or, ‘firing the two of us’)...
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...The Ipswich Hospital NHS Trust Introduction: The pharmacy department of the Ipswich hospital recognised that the process of their operations is not at the desired level of quality. That is when they decided to take action and sent their staff on a one-day course on ‘quality for hospital pharmacists’ training. The objective of this training is to have all staff members involved and onboard to get better understanding of the mission statement of the department, the importance of continuous improvement initiatives and the get better understanding of techniques and procedures to follow or improve. The Continuous Improvement Program (CIP): The Pharmacy Department Staff covers: 13.5 Pharmacists, 16 Technicians, 5 Assistants and 3.5 Clerical workers. The CIP diagram was launched after all staff members completed the training and included of the following: 1. The steering Group comprised of: the head of pharmacy, the CIP coordinator and one member of each sectional improvement team (SIT): Clinical services, Dispensing, Manufacturing and Stores and distribution. 2. Each SIT has their selected members to discuss problem identification and continuous improvement opportunities. Each SIT has given an example of what can be improved in their area. The objective of CIP: * Increase Involvement of workers * Use their knowledge to improve systems and operations * Improvement through exposing problems * Process redesign, developing highly efficient ways to...
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...for community action, social gastronomies and related human interactions. Explained in great detail by Joseph Fink (2012), during the early 1800's a group of concerned Philadelphia based apothecaries met to discuss the declining trade environment and ways to enhance scientific standards to protect public safety and welfare, as well as to provide improved competency levels of training for apprentices and students within the industry. The result of this meeting was the establishment of the first college to train pharmacists in the United States known as the Philadelphia College of Pharmacy, and a prescient foretelling of changes to come. There are two main contenders in the first drugstore in America game. The first claim is attributed to a drug store located in Fredericksburg, Virginia, a rural establishment that Martha Washington was supposed to have frequented as a patient around the time of the Revolutionary War. This drug store did not maintain a licensed Pharmacist, which lends closer scrutiny to a second claim. During 1804, the State of Louisiana enacted a law that mandated licensing requirements for...
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...Hiring a pharmacist for a rural 100-bed hospital does not leave a CEO many options for alternative dispensing of medications. There are usually only a few pharmacist in the hospital and in the town itself. The pharmacist is mandated by standards that manage their practice. The physician writes an order that is specific and in good standing for a patient. The pharmacist checks the order and other medications the patient is on at the time of the new prescription. The pharmacist must make sure that there is no interaction between any of the medication. A pharmacist is obligated to contact the physician if there is any other medication in the system that is not a good interaction with the new medication. A pharmacist must now offer all patients a consultation regarding their new or old medications. When hiring any employee, it is not legal to ask them their religious beliefs therefore, one cannot know if prescribing a certain type of medication would be against those beliefs. As a CEO, she would have to come up with an alternative plan for dispensing these medications. The CEO would need to meet with the affected parties. In a small hospital, this would be any other pharmacists, director of nursing and possible other pharmacists in the community. This would need to be a confidential meeting. The pharmacist that is refusing to give certain medications due to religious reasons does not need to vilified...
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...f. patient counseling, g. the provision of pharmaceutical care, and h. the responsibility for compounding and labeling of dispensed or repackaged drugs and devices, proper and safe storage of drugs and devices, and maintenance of proper records. | “active practice of pharmacy” | the performance of the functions set out in this section by a pharmacist as his or her principal or ordinary occupation | “pharmaceutical care”Note: CAN enter into practice agreement | the provision of drug therapy for the purpose of achieving therapeutic outcomes that improve a patient's quality of life, including include a. the cure of disease b. the elimination or reduction of a patient's symptomatology c. the arrest or slowing of a disease process d. the prevention of a disease or symptomatology | Equipment and Reference material requirements for operating a pharmacy | * Not very specific anymore * Up to judgment of pharmacist based on what they will be doing in the pharmacy * References must be up to date, in either printed or electronic form, and available at all times while the pharmacist is practicing for that pharmacy. * The orange book or an equivalent reference is necessary | Credential to practice may be denied, refused renewal, or have disciplinary measures taken: 1. misrepresent facts (not reporting felony, etc) 2. immoral conduct 3. abuse, dependence, active addiction on drugs/alcohol 4. failure to comply with a...
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...I. INTRODUCTION Capsule is a new digital-only pharmacy that focus on delivery of prescription drugs. The startup was founded in May of 2016 by Sonia Patel, a former pharmacy manager for Sam's Club and Eric Kinariwala, a former Bain Capital analyst. The company’s mission is to make everything about visiting a pharmacy easier or just save the customer the trouble of visiting one at all. Capsule is grounded in a belief that patients deserve more from their pharmacy than long lines, out of stock prescriptions, and antiquated technology. Capsule has a friendly, caring pharmacy team that handles all communication with physicians and consumers. It delivers medication to the patient’s home or office for free throughout Rio de Janeiro and Sao Paulo....
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...Pharmacy tech is the trade that I’m in. This is a good trade to be in if you really like are very good in Math and Reading. The reason I choose this trade because in the future I would like to be on the medical field. This was one of my long term goal that would benefit me as I get older in life. Another reason I choose this trade so I can have a better life for me and my family. The hardest thing about this career is that you have to do a lot of converting and the different type of math. It would will take time to learn how to convert you measurements that you are using. Learning the different types of drugs will take a lot of time to get in your head without you needing the paper to know them. There are different types of drugs that I will have to know and what they are used for. In this career you make up to 9,347 monthly, and yearly you make 112,160. The benefits of a pharmacy job with rxpro health associate and finding out the benefits of working for one of the most respected and skilled pharmacy staffing companies in the business. If I think back and even now the reason I really have an interest in the medical field is the suffering I see in the elderly and some young people my age. How big business has affected the pharmacy business and how medication cost have inflated. I would like a better understanding of the transfer of cost and why prescription medications are sometimes extremely too high for some and extremely accessible to others. I would like to be able to recognize...
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...APhA-ASP national president visits student pharmacists By Matt Chen (Class of 2018) and Kara Paulachak (Class of 2019) Every year, members of the American Pharmacists Association – Academy of Student Pharmacists (APhA-ASP) National Executive Committee and APhA Student Development Staff visit APhA-ASP Chapters across the nation to not only assess the strengths of each Chapter but to also assist Chapter leadership in planning for a successful year. This Fall Semester, Kelsea Gallegos, APhA-ASP National President, paid a visit to the Hawai`i APhA-ASP Chapter. During her visit, she met with the Hawai`i APhA-ASP Executive Board, Chapter Advisors Dr. Jarred Prudencio and Dr. Paula Zeszotarski, Interim Associate Dean Supakit Wongwiwatthananukit,...
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...uestion #: 1 Which of the following does a Pharmacy &Therapeutics Committee do? (Select all that apply) A. Educates patients about medications on the formulary used at the hospital B. Dispenses medications that are on the formulary used at the hospital C. Makes decisions on whether a drug should be added to the formulary used at the hospital D. Manages the formulary to be used by physicians, nurses and pharmacists at the hospital Item ID: 1911 / 2 Item Description: Final Exam Pharmacy and Therapeutics Committee ____________________________________________________________________________ Question #: 2 In a road accident in Times Square, Manhattan, the driver of one of the cars suffered a concussion which the NYPD deemed as requiring...
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...Potential Drop Off Problem: No one manning drop-off station [pic] Data Entry At each hour, tech took scripts from that hour’s slot and entered all required data into pharmacy info system (so no one looked at script until 1 hour before pickup) Info logged in: Patient contact info Doctor contact info Third party payor info – insurance companies, employers Drug name Dosage Number of doses Number of refills System performed an automated Drug Utilization Review: Automated check of script against all other prescriptions in CVS database for patient; looking for harmful drug interactions and appropriateness of drug for patient given age, weight, gender, etc. Hard Stop = fulfillment process cannot proceed until DUR reviewed by pharmacist if automated review reveals any potential problems Hard Stop Good for patient safety Hard Stop Bad for slowing down process, lowering efficiency Insurance check was done after DUR. Checking to make sure insurance still valid, script matches drugs on formulary, customer not trying to refill too soon, etc. In most cases, script would still be filled even if there was a problem with insurance - customer would simply be told to pay full amount at pickup. Potential Data Entry Problems: Tech couldn’t read handwriting on script, No refills allowed on script (6%), DUR hard stop (20%), Insurance problems (17%) [pic] Production Scripts were...
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...Pharmacy Errors MAT 510 Instructor: Dr.Guo August 1, 2015 Simply knowing statistical tools and methods is not enough; one must understand the role that the science of statistics plays in managerial decisions. Managers need to think statistically. Statistical thinking is a philosophy of learning and action based on the following three principles: all work occurs in a system of interconnected processes, variation exists in all processes, understanding and reducing variation are keys to success. Understanding processes provides the context for determining the effects of variation and the proper type of managerial action to be taken. By viewing work as a process, we can apply statistical tools to establish consistent, predictable processes; study them; and improve them. While variation exists everywhere, many business decisions do not often account for it, and managers frequently confuse common and special causes of variation. We must understand the nature of variation before we can focus on reducing it. In this paper, the processes of prescription filling for HMO pharmacy will be analyzed. A process is defined as a grouping, in sequence, of all the activities involved to accomplish one particular outcome and consists of suppliers, customers, material input, information inputs, transforming activities, inspections, delays, storage, transports, and outputs. To increase the chances of a successful project, mapping of key business processes is one of the most useful tools for...
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...two in order to assist my past supervisor. Not only did I deal with the stress of having a job and finding balance in life, I then I had to deal with stress at the workplace. While working at the pharmacy we changed suppliers, computer systems, inventory regulation systems, how items were filed, insurance company policies and many other aspects of the business. I was a fresh mind exposed to the stress of change. I instantly noticed that each person I worked with had a different way of dealing with the change. The owner of the pharmacy would have a hard time keeping calm and often lose her patience when someone was not understanding a new ‘rule’ or policy. One of the pharmacists was able to keep calm during the change, but had a difficult time teaching others how to run the new system. Another pharmacist was entirely distracted by the change and only focused on learning how to work with it, rather than the normal day-to-day functions. At this point in time, I realized that I must master a way of dealing with change in the workplace that is positive and beneficial to all. I asked questions, I was patient, I admitted when I was wrong and...
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