The Great Hate

Posted by The *Angriest* Pharmacist as Courtesy, Disgusting, Drive-Thru, Drug Topics, Errors, Lazy People, Management, Me being a dick, Me hating others, Patient Education, Rude, TPA, Technicians, True Story, Update, Work Sucks

Two weeks ago I promised something big and failed to produce it. Sorry about that.

So, where the hell have I been the last two months? I’ve been just focusing on living my life. Everything’s fine with me. The stresses of my job are monumental, and it is getting the best of me. I cannot take it much longer. Retail pharmacy has defeated me. I’m throwing the towel in. I’m tapping out….

I’m not quitting my job just yet, but I am looking for something else. This is evident based on the post I made two months ago concerning clinical positions and residencies. I’d really like a clinical job coupled with a taste of academia. As has become evident, that is highly unlikely. I may find myself in a residency.

For now, I have requested a transfer out of my current location to a store that is less demanding….I’m not sure if that is going to be granted. I’m also concerned with the problems that is going to create with the current management.

What could possibly be so bad about retail / community pharmacy that would make me, the self-proclaimed King of Retail Pharmacy, reexamine the direction of his professional life? I’ll tell you at length:

My store is filling more than 800 prescriptions per day. We have 3.5 pharmacists. I work 40 hours per week. Jack works 30 hours one week and 40 hours the next week, and Jill works 28 hours per week (bare minimum for benefits). TheCrown works 40 too. I, of course, am a very efficient worker. I bust my ass day-in and day-out. I care about my job — my performance — customer satisfaction, safety, and outcomes.

Jack is the slowest pharmacist on the planet….he’s been outrun by molasses. He cares about the patient, but he’s in no hurry to do anything. He’s our stereotypical old-man pharmacist. He’s overly cautious and will take no chances or make no educated decisions based on past experiences. For instance, we have one doctor that continues to write PANNAZ over and over and over….even though Pannaz has been discontinued for a long ass time. He (and his office staff) has told us time and time again to change the prescription to Scopohist with the same directions. [Why he doesn't write that in the first fucking place is beyond me!] Is Jack okay with this? Absolutely not. He calls each time. He documents the date/time, who he talked to, the new drug, route, dose, and quantity. To the letter of the law, Jack is right. In a pharmacy cranking out 800+ prescriptions per day where two pharmacists are on duty at a time (except Mon and Tues) it is very very wrong. He wastes a lot of time on pointless shit like this. I’ve compiled the data on the last 30 days that he and I had worked together (alone), and I’ve typed and verified 83-85% of the scripts. There were days where he filled less than 100 scripts — that’s with a technician typing for him. He angers patients due to their long wait time, he can’t be left alone, and puts an unnecessary strain/load on me. The stats in DrugTopics said that a pharmacist makes FOUR errors in every 250 scripts. With me processing ~700 and him processing < 100, how is this safe for me or the patients *I* am caring for?

Jill, as I wrote above, works the bare minimum for benefits. She is much more efficient (when her mouth isn’t moving). Unfortunately, this soccer mom is exactly that — she’s a mom first and a pharmacist second. When the clock strikes noon, she leaves for lunch. When the clock strikes 5, she leaves for the day. Regardless of the load, or the day we’ve just had, she’s gone. She doesn’t recall the day before where I stayed after more than an hour to help her out.

TheCrown is the king. He’s very efficient, but he’s a huge asshole. He’s the manager at the store I’m at now. (I was the manager at my past location – more convenient location and I gladly gave up responsibility) I might have referenced David in the past — he was “the legend” I followed behind at the last location. TheCrown has me in the same boat. I cannot work with him. He’s the most passive aggressive cocksmoker I’ve ever worked with. If someone neglects to Dual-Bill someone’s Prevacid prescription to the coupon on file, he doesn’t say, “Hey, you forgot to Dual-Bill this. Be sure to check the notes in the comment field as you’re running through.” — He will look at the patient blankly when they ask about the copayment, say he didn’t fill it and knows nothing about it, then throw you under the bus once he sees you’re name attached to it. “Has anyone showed you how to dual bill these coupons?” I’ve been working with this company for a long as time…I’m well aware how to do that.

TheCrown doesn’t answer the phone when it’s really busy and ringing off the hook. He says aloud to the pharmacy staff, “What’s that ringing sound?”

When a patient comes to the counter and tells him they need to speak with him, he doesn’t walk up there and say hello. He tells them, “I can be with you in about 10 or 15 minutes. I got about 5 people I’m helping right now,” regardless of how busy he really is.

When pulling prescriptions out of the middle ’staging area’ to type, TheCrown never does big orders or transfers. I, Jack, or Jill get all the shitty shit.

For the volume we do, we are grossly understaffed. You know how we are staffed as far as pharmacists go. How many technicians does one need to fill 800 prescriptions. On a busy Monday, we have 2 dedicated cashiers and 4 technicians (one of them dedicated to our damn drive-thru). We have three computers that process prescriptions — and 3 printers. TheCrown’s printer works marvelously. The printer I am forced to use, however, is a piece of dilapidated shit. It needed replacing 6 months ago, but that’ll never happen because 1) it doesn’t inconvenience TheCrown and 2) It would come out of TheCrown’s bonus. He explains it away — telling me that I am not “fanning” out the pages as I load the printer. Ahh yes, that’s why this hunk of junk jams with every print. I’m not fanning the fucking pages. Give me a break. If it were his printer, there would be no issue. Why? Because he would either buy a new one or trade it out with the SECOND best printer in the building — which is how I ended up with what I have. Scenario: I HAVE a new printer. He HAS a problem. He HAS a new printer. I HAVE a problem. We traded verbs (and printers).

Our evening staff is exceedingly shitty. Why? Because he hires high school kids to work from when they get out of school until close at 8pm. You get what you pay for — and I get minimum wage intelligence with no customer service skills and no desire to learn any new tasks. (Why learn something new? You’ll just be expected to do that task in the future!) They are also complete smart asses, treat me with a huge amount of disdain, and leave as soon as the clock strikes 8. We usually get 3 or 4 HS students per night. They are fine for working a register, but they never know shit else. Why? Because TheCrown is so mean and hateful to them, they quit after a very short time. No one is around long enough to learn anything meaningful. Just when someone becomes somewhat valuable, he chases them away. I once had a girl with the makings of a KeyStone Tech. She was bright, pleasant, new how to speak to customers, how to diffuse situations, and she excelled at our someone difficult to master computer system. She got offered a new job at a competing pharmacy. She asked for 1 dollar more per hour — which would have taken her up to, MAYBE, ten dollars per hour. He said no…and away she went. I would have taken a TWO DOLLAR paycut to keep her — yet, he let her walk. Note: The Pharmacy that got her now has 4 or 5 of our employees. He waits until they’ve worked with us about 6 mos then propositions them with a similar job, less stress, nicer boss, and about a dollar more per hour…[He doesn't need any pharmacists :-( ]

The techs are just downright disrespectful to me. I’ve tried killing them with kindness. I’ve tried reprimanding inappropriate behavior. I’ve tried being a tattle tale. I’ve tried positive reinforcement (thanking them genuinely and buying lunch on my Saturday as I talked about in THE WORKER’S PLEA). I’ve tried giving them more tasks / responsibilities to keep them busy. They just don’t respond to anything. They treat him nicely enough to his face (and talk shit about him behind his back), but they treat me like shit to my face AND talk shit about me behind my back. They are insulting, rude, hateful little bitches and bastards. They challenge me for no reason. They question my decisions. They just don’t like me….and honestly, I don’t know why. One of these little assholes honestly had the nerve to tell me last week, when it was just the two of us standing on one side of the pharmacy processing prescriptions, “Ya know, Angriest, it’s kind of funny. I’m the only person in this pharmacy that can even stand being around you.” — I felt about 3 inches tall. I couldn’t believe it was said (to my face nonetheless)….what hurt me even more was that she honestly believed it to be true — regardless of whether or not it was. That was when I finally convinced myself it was time to go. It is time to move on. I’ve been called a lot of things. I’ve been talked to by customers like I was complete trash. Never before have I actually been hurt by it…never before have I actually believed it and been hurt by it….

Anyway….moving right along….

How many pharmacists in the world get their schedule for the next week on Wednesday or Thursday night? Is this not absolutely asinine? It’s ridiculous! I’ve complained a million times to him, the district manager, Jack and Jill, and no one cares. Jill is on a set schedule. She knows what she’s working — period. Jack is, obviously, an old man who lives and breathes pharmacy and doesn’t care. TheCrown doesn’t mind it because he WRITE THE FUCKER! If he has plans, he just schedules himself around it! Why would he care? The DM drew up a skeleton schedule for us to follow recently. I converted this text document into a nice orderly spreadsheet. I even went as far as scheduling hours to match Jill’s schedule and that it was fair for myself, Jack and TheCrown (open, close, and weekends etc). Was he pleased with that? Ohh hell no. That conflicts with the game he had running so long of getting whatever he wanted. Jack is such  a pussy, he’d never speak up — that’s why everyone walks all over him. How did TheCrown deal with this? He told me that he didn’t know what I did to the schedule the DM wrote, but I had it ALL messed up. So, he tore it up and continued with the game he played for so long. I printed another copy and told him to fix the errors — then I made him compare the two with me standing there — and of course there were none. He followed it for some time. Now, we’re back to whatever he wants and I get screwed over. Fortunately, since I’m hosed most of the time, he has the courtesy to give me either a 3 day weekend every weekend or succumb to my every wish in terms of switchs, swaps, or days off. The shred of humanity shines through!

I’m working 4 ten-hour days….which is physically killing me. What sucks about my tens is that they turn in to 12’s. I come in early to get a little ahead and stay late past my time to get off (even if I’m not closing) because Jack can’t keep the store afloat on his own. Sometimes he begs me to stay late knowing that he’d be boned without me doing all the work. Or, I come in on time on days that I close and stay 2 hours after close to do the simple tasks required of me that we’d NEVER have time to do during the business day. [Like checking email, dealing with store to store inventory transfers, returning drugs that aren't moving to our DC, and any other task that requires full attention at one time rather than 10 second spurts all day long]  —  I hate it and so does my family.

When I wake up in the morning, I ache…I hurt…my first steps of the day are excruciating. This is likely due to the fact that I stand all day on hard ass floors with poor “padding” that is falling apart — again, because TheCrown doesn’t want to spend any money replacing those spongy carpets….resulting in heel spurs or plantar fasciitis for me.

Much like Jim P said in Drug Topics a month ago, I’ve got HURRY SICKNESS. I’ve always got to have 10 things on my plate. I’m rude to my family and friends. I’m impatient. I’ve got more problems than some of my patients, and it’s because my job is breaking me — physically, emotionally, psychologically.

What other options do I have? This job is killing me from the inside out. It’s ruining every aspect of my life. I thought I loved retail…I thought the money would make it worth it. It’s not.

Pick-2 Pharmacy

Posted by The *Angriest* Pharmacist as Drug Seekers, Errors, PHARMACY SECRETS!, store

The question every person should be asked prior to getting a prescription filled.

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My latest Tweet

Posted by The *Angriest* Pharmacist as Work Sucks

@iamdiddy – Hey Puff-A-Luff, I bet you’re tight with Kanye West (both of you are rich, whiny, punkass bitches that dress like jack-off, white fraternity boys). Please tell him to shoot himself for my amusement!

• молодых трахают

He is one of the WORST people in the world and doesn’t deserve to smell the sulfur expelled from my DOG’S ASS! ноги порно

Please let me know what you think of this fuckwad. I’ve hated him since, well, as long as I can remember. I guess now I, “tw-ate” him!

http://www.twitter.com/TAestP

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What a Putz

Posted by The *Angriest* Pharmacist as Drug Companies, Engrish, Government, Insurance Companies, Me being a dick, Politics, Stupid People, True Story, Welfare

Yup…sure would hate to see that…

To be completely honest, while I have my issues with them, Medicare and Medicaid are well-run programs. They allow their money to be spent all helter-skelter, they are the most efficient programs in the entire government. The overhead of CMS is abysmal compared to your other big players like BCBS, Paid, Anthem, and Caremark.

I’m not sure why the post office is always busy. I’m not sure why the DMV is slow as hell — these are subcontracted out anyway, so blaming the government is stupid. It’s like blaming Dr.Reddy’s for having to wait too long for your Glimepiride in my pharmacy.

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You can see the video or the original comments in its entirety here. In all honesty, it was probably just a slip of the tongue. But, calling someone else stupid and making fun of them makes me feel better about myself…:-) просмотор порно

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