Apr
My turn…
Posted by The *Angriest* Pharmacist as Doctors, Insurance Companies, Lazy People, Me being a dick, Stupid People, True Story, Work Sucks
Just about everybody has taken their shot at “Why does my prescription take so long to fill?” Now, I will end this argument once and for all. For starters, here is the short version: “IF YOU WANT M&M’s, BY ALL MEANS - GTFO! KTHX”
Now, I really like PharmacyTales Version (WHERE DID YOU GO, PT?), but the problem with it is that it is much too wordy. A visitor to the normal, American pharmacy would see that, scream TL;DR and run away screaming. The American public wants lists and pictures. I will now provide the perfect document to give to patients explaining WHY THEIR PRESCRIPTION TAKES SO DAMN LONG TO FILL!
==========================
Dear Pharmacy Visitor,
Recently, we’ve noticed an increase in prescription wait time due to many factors. To ensure all our patients have full knowledge of our policies and procedures, we’ve developed this list-type document so that each and every person knows the time and effort put into every prescription.
Prescription Filling Process:
Drop-off of Prescription(s) by Patient [Usually 1 to 15 New Rx's or Refills]
New Patient Addition (OR Existing Patient Information Verification)
New Insurance Addition
Scanning of New Prescription (In some of our locations)
Input of Prescription into Computer System
Pharmacist Verification of Typed Prescription
Computer-Based Drug Utilization Review (DUR)
Pharmacist Acknowledgement, Review and Resolution of DUR Issues
- These range from wrong/missing drug, dose, route, quantity, to drug interactions, poor doctor handwriting, unsigned prescriptions, and early/late refills.
Billing and Insurance Adjudication via Online Processes
Resolution of Various Insurance Issues (or Lack Thereof) via Phone Call to Insurance
Resolution of Other Ins. Issues via Phone Call to Doctor’s Office for Info/Change
Selection of Correct Drug/Dose from Shelf
Counting of Correct Quantity
Placement in Bottle/Labelling
Pharmacist Verification of Tablet Dispensed to Original Rx
Printing of Supplemental Patient Drug Information
Bagging of Prescription(s) With Correct Pamphlets
Cashier Verification of Correct Patient
Ringing of Prescription/Additional Store Items
Correction of “Patient Issues” with Billing Amount
Patient Signing for Insurance Payment/HIPAA Policy
Patient Payment for Rx/Other Items
Pharmacist-Patient Private Consultation
Other Pharmacy Related Tasks — Not *Directly* Related to Your Prescription:
All of the Above Steps for the Person(s) in Front of You in Line
Numbering/Sorting of Older Prescriptions for our Filing System
Shelving of Incoming Drug Orders/Stock Replenishment
Stocking/Straightening of OTC Drug Shelves
Calling of Drs. for Rx Refills for Other Patients [as a Courtesy]
Calling of Drs. for Order Clarification/Prior Authorizations/Etc
Answering of Patient OTC Drug Questions
Answering of Assorted Store-Related Questions
Answering of Phone Calls Concerning ANY Issues
Taking Refill Requests from Pts Refusing to Use Computer-Automated Refill
Taking of NEW Prescriptions from Doctor’s Offices
Ringing out of Items Not Related to Rx Sales
Ringing out/Logging of Pseudoephedrine Sales
Printing Rx History Forms for Patients for Tax Purposes
Cleaning of Pharmacy Area
LUNCH - We get one just like you!
Bathroom Breaks - We gotta go sometimes, too!
If you think you can help us optimize any of these steps, feel free to give our toll-free number a call at 1-888-ANG-REST.
Sincerely,
Your Phriendly Pharmacist
*Clearing paper jams out of stupid ass printer
*refilling vial drawers/labels/bags
*walking people through the use of debit card machine (i hate that one the most)
*waiting for person to write check, then balance check book at counter
*waiting while you dig through your pocket lint, wrappers, various other crap for correct change
*watching while you slowly sign the sig-cap device then listening to you bitch about how awful your sig is
*showing you that YES that is the correct price and NO you didn’t pay less last month, in fact the price had been the SAME for the last YEAR
*waiting while person decides in the middle of wring-out that they need a gallon of milk
*searching the shelves for out-dates
on a side note: this I really hate. Been working my ass off all day, its been really busy. Wait! A little break in the action! No customers at the counter! Pain-in-the-ass customer comes sauntering up to the counter “You look bored! I have some work for you to do! Been kinda slow today, huh? Is that all you do is eat back there?”
I can’t tell you how many times customers walk up and expect me to just hand them the prescription because it comes in a box…..yes zpack comes in a box, no it still takes 20 mins…..
*Standing there at the drop off trying to “haggle” a wait time or pick up time with me. If I told you 20 minutes, 20 minutes is what it will be in the best case scenario. Accept it and leave my counter so I can help the person behind you.
We’ve had consistent 1 hour + times lately due to a lot of snowballing issues (lost a full time tech, had one go on vacation, one sick, then another sick, then the first one to get sick totaled two vehicles in a span of 3 days…). Yet volume is still increasing. People gripe about 20 minute wait times sometimes, but people don’t understand that if we COULD get their script out immediately we would. It’s not like I ever enjoy telling someone please come back after an hour and a half…but realistically that’s how long it takes if there are 40 “in stores” ahead of you and we’re short staffed. *sigh*
Also, training a new person who was supposed to have experience, but struggles with making change for a $5 is so ftl.
You get to eat?! Lucky
Do technical difficulties count? Today I walked in at 2 pm, to find out that our server had crashed. Everything: patient profiles, active prescriptions, things already filled, prescriber lists, drug location database…everything was fucking GONE. We had to wait eleven hours for the files to finish reloading from the corporate mirror server nine states away. In the meantime, we had people coming in, which we had to keep telling “We can have this filled tomorrow, or you can go to the Rite-Aid across town to fill them.” Once everything started working again, we called all the off-duty techs and went mad filling everything before closing time. I think we broke a record: 300 scripts filled in under 2 hours. I want a freakin’ medal.
You get bathroom breaks?!?! ;)
@DB: I have found that when checking stock, you should NEVER lay your hand on the item on the shelf. Look, but don’t touch.
As you point out, this goes double for boxed items like eye drops or topicals, because that’s their cue to say “Oh, can I have it right now? Why not? But you have it right there in your hand! Can’t you just give it to me? Can’t you put it in the computer later?”
Um, no to all the above.
Not bad.. if its there I missed it:
“Inventory management tasks”
To all,
Even if you handed out that filling-time explanation to each patient, or pasted it on surface of the Goodyear Blimp, or even on the side of the Sears Tower, the public wouldn’t give an airborne intercourse about any of it.
BTW—NEVER do a “show and tell!” If someone needs a prescription for something, and you have it in stock, just say so, NEVER “show so!” jeeze, don’t SHOW them the thing! If you do, they feel egregiously wronged at the sight of it, like a little kid who can’t have a toy.
You forgot one… leaving the pharmacy to punch in the code so the bathroom door will open for a customer because the front store asst. mgr. told the customer to tell the pharmacy she was TOO BUSY.
Quilt Lady sure got that one right. After working for years,dancing around about to piss my pants,the idiots who designed the pharmacy decided to put the public restroom near the pharmacy. They never ask the front store employees to use it. Oh, and don’t forget selling stamps at the drive thru.
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