...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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...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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...seem the same to the customer, a pharmacist and pharmacy technician are two different things. A pharmacist must check all orders before giving them to a customer to prevent any mistakes. They also speak with patients to answer questions and guide them to take their medication in the correct way. Some pharmacists may prepare customized medications. A pharmacy technician’s job is to fill out orders, prepare the labels, stock the shelves, and process the payments. Personally, I would prefer being a pharmacy technician over a pharmacist. I’ve wanted to be a pharmacist for a couple of years in middle school. In order to be a pharmacist, one must go to school for six years and earn a doctorate degree in pharmacology. This...
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...professionals including pharmacists. Patient safety is defined as ‘the prevention of harm to patients, including through errors of commission and omission’. The role of pharmacists has been clinically proven to improve many outcomes regarding patient health, including greater patient safety, improved disease and drug therapy management, effective healthcare spending, improved adherence and improved quality of life (Canadian Pharmacists Association, 2008). The focus on patient care stemmed from a 1999 US report by the institute of Medicine titled, ‘To Err is Human: Building a safer Health System’. This report detailed the costs of medical errors to the US economy and how medical errors numbered higher than deaths due to AIDS, motor vehicle accidents, and breast cancer, combined. The report went on to descried how errors can be reduced (Institute of Medicine,1999). For centuries, pharmacists have been the guardians/safeguards against "poisons" those substances which could cause harm to the public. Now more than ever pharmacists are charged with the responsibility to ensure that when a patient receives a medicine, it will not cause harm. As highlighted in a report produced in November 2009 "Pharmacy Intervention in the Medication-use Process - the role of pharmacists in improving patient safety", the involvement of pharmacists in patient safety can be as early at the prescribing phase and up to the administration of the medicines. In many cases, pharmacists are supported by programmes...
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...What is workplace violence? Workplace violence is violence or the threat of violence against workers. It can occur at or outside the workplace and can range from threats and verbal abuse to physical assaults and homicide, one of the leading causes of job-related deaths. However it manifests itself, workplace violence is a growing concern for employers and employees nationwide. Who is vulnerable? Some 2 million American workers are victims of workplace violence each year. Workplace violence can strike anywhere, and no one is immune. Some workers, however, are at increased risk. Among them are workers who exchange money with the public; deliver passengers, goods, or services; or work alone or in small groups, during late night or early morning hours, in high-crime areas, or in community settings and homes where they have extensive contact with the public. This group includes health-care and social service workers such as visiting nurses, psychiatric evaluators, and probation officers; community workers such as gas and water utility employees, phone and cable TV installers, and letter carriers; retail workers; and taxi drivers. what to do if they witness or are subjected to workplace violence, and how to protect themselves. s Secure the workplace. Where appropriate to the business, install video surveillance, extra lighting, and alarm systems and minimize access by outsiders through identification badges, electronic keys, and guards. s ...
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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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...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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...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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...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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...Carina Smith Rosemont College Week 6 paper Abstract The broad structure of this case is whether a pharmacist has the right to refuse a prescription if the pharmacist is morally opposed to a possible outcome of the use of that prescription or whether a patient has the right to have that prescription filled without the pharmacist opinion of whether the use of that medication is either ethical or moral. In America we have access to all types of things that others don’t have access to; For instance, Twitter, Facebook, weed delivery services, supermarkets bigger than the Comcast building. But yet, when a women get prescribe legitimate medication from her doctor for either HIV, miscarriage or birth control, she is being denied by her pharmacist. Pharmacist are now refusing to dispense emergency contraception based on their own religious or moral beliefs overriding women's decisions about their bodies, lives and also denying referrals from physicians. In this case it shows no right or wrong with the decision the pharmacist choose to take. A pharmacy can refuse to fill your prescription because of refusal clauses. These laws allow people and corporations to put their beliefs before your needs. Some refusal clauses even let people and companies deny you information on where else you can get the services they refuse to provide (prochoiceamerica.com). As the customer I will feel angered and stressed, because you would think that you’ll be able to get a prescription filled...
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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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...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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...purpose. According to the CVS website, the company’s mission is to “provide expert care and innovative solutions in pharmacy and health care that are effective and easy for our customers” (CVS caremark corporation: History, 2014). Clearly, CVS is in business to provide expert care, although it would appear that not all of their individual pharmacists share the same feelings. Based on research conducted, it would appear that there is a general lack of customer service training as some pharmacists have allegedly been behaving rudely towards customers. Throughout the course of this initiative, we will be discussing the gaps that have been found and we will develop a training program that we hope will help alleviate these problems and allow CVS to fully realize their mission. Part II: Needs Assessment Pharmacy Prescription Practices As a result of organizational research, we have determined that there is a distinct gap between the company mission to provide expert care, and how they are actually conducting business, as evidenced by “CVS Refused to Fill my Prescription, Is This Legal (Boyd, 2008)?” According to Danah Boyd, one pharmacist refused to fill her prescription as she had an out of town doctor that had written said...
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...1.0 Introduction: Retail Pharmacy Background There are about 8,632 registered pharmacists and 2,000 community pharmacies which is also known as retail pharmacies in Malaysia. Out of the registered phamacists, 5,288 are in the government sector while 3,344 are in the private sector (Ministry of Health Malaysia Health Facts, 2012). The ratio of pharmacist to Malaysia population is about 1: 3,355. Both Penang and Klang valley areas consists of 56% of retail pharmacies in Malaysia. To operate a retail pharmacy, the pharmacist shall need to register A-license or known as poison license in order to be able to sell prescription medicines under the Sales of Drugs Act 1952 and the Pharmacist Registration Act 1951 (revised 1989). In Penang, a total of 344 A-license are issued in 2009 which contributed to about 11.5% of total A-license applicants in Malaysia. The retail pharmacy market is currently dominated by bigger and organized chain pharmacies such as Guardian Pharmacy (382 outlets), Watsons Group (260 outlets), Caring Pharmacy (73 outlets), Constant Pharmacy (12 outlets), Aeon Wellness (12 outlets) and Georgetown Pharmacy (11 outlets). (The Star, 2012, 2014). Retail pharmacies are the bridge for consumers to obtain medication drugs, over-the-counter (OTC) drugs, health supplements, health support products and others such as organic health food which could be categorized as a specialty shop. Retail pharmacies also carries fast moving consumer goods such as toiletries, personal...
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...Running head: WHAT ARE THE REQUIRMENTS TO BECOME A PHARMACIST? 1 What are the Requirements to Become A Pharmacist? Review of the Pharmaceutical Life Insert Name Lone Star College Cy-Fair Author Note This paper was prepared for English 1301 taught by Professor Jamil Summer. WHAT ARE THE REQUIREMENTS TO BECOME A PHARMACIST? 2 ABSTRACT A pharmacist is a healthcare professional who is a expert on pharmaceutical drugs and how they act to fight disease and improve the heath of the patient. Pharmacists are responsible for the implementation of drug therapy with the intention of improving the quality of a patient’s life. Some examples of such improvements include curing diseases, reducing or eliminating a patient’s symptoms, slowing the process of a disease, and preventing disease. A pharmacist works with patients and other healthcare professionals in order to design, implement, and monitor a drug therapy plan specifically designed for that patient. Not only do pharmacists advise doctors and patients on prescription drugs, but they also provide information on the best medications that can be purchased “over the counter”. The most common goal of pharmacists is to move beyond their traditional role of simply dispensing medication and deal with patients more directly and on a more personal level. They strive to be a source of advice on medications for both heath-care professionals and patients. They also are dedicated to providing individualized services...
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