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patient counseling areas in community pharmacies--are they measuring up?
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Paul Trusten, R.Ph.
medicine forum beginner


Joined: 11 Aug 2005
Posts: 32

PostPosted: Sun Jun 04, 2006 4:19 pm    Post subject: patient counseling areas in community pharmacies--are they measuring up? Reply with quote

A few years after OBRA'90 took effect, I noticed a local Brooks Pharmacy
(when the company was still owned by the Maxi-Drug folks) erecting a
pharmacy office next to the prescription counter. Well, by gum, I thought,
it is really happening---the chains are going to get serious about helping
pharmacists comply with the new law. But, a few months later, I saw what I
feared would happen: the new pharmacy office was being used as a storeroom
for empty plastic totes!

I suppose many are reading the post and saying, "What did you expect?" To
that, I answer here, I still expect a lot, and I'd like to find out if those
in power anywhere in pharmacy share this goal. To what extent are any
community pharmacists, anywhere, structuring your pharmacy to allow for REAL
solving of drug-related problems, i.e., a separate, private office for the
pharmacist for patient interviews?

Thanks for your replies.
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Estrace161
medicine forum beginner


Joined: 04 Jul 2005
Posts: 4

PostPosted: Sun Jun 04, 2006 7:16 pm    Post subject: Re: patient counseling areas in community pharmacies--are they measuring up? Reply with quote

"a pharmacist in the U.S.A." <trusten@grandecom.net> wrote in message
news:12862162cd4eu88@corp.supernews.com...
|A few years after OBRA'90 took effect, I noticed a local Brooks
Pharmacy
| (when the company was still owned by the Maxi-Drug folks) erecting a
| pharmacy office next to the prescription counter. Well, by gum, I
thought,
| it is really happening---the chains are going to get serious about
helping
| pharmacists comply with the new law. But, a few months later, I saw
what I
| feared would happen: the new pharmacy office was being used as a
storeroom
| for empty plastic totes!

As a pharmacist for 30+ years I have seen lots of ideas come and go.
The only problem that I have with "private rooms" as described above
is that while I am in there, for the privacy of the patient, I am also
responsible for all that is going on outside the room even though I
can't hear it. I monitor all the conversations that my techs are
having with patients - either in person or over the phone. The only
way I could comply with both sets of responsibilities at the same time
is to do ONE AT A TIME. And we know that is not going to happen.
Pharmacists are multi taskers but we do only have one set of ears. I
don't think the public (or our employers) would like it if we demanded
nothing happen while we are out of ear shot in that little "private
room".

An for those of you that work with multiple pharmacists on one
shift....go for it. But until there are more pharmacists to decrease
the pharmacist:technician ratio I am responsible for all that goes on
in the pharmacy while I am on shift......and I want to hear it all.
So my private counselling booth is used as a storage area for patient
pamphlets etc.

A Canadian Pharmacist on the West Coast
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Bob G.
medicine forum addict


Joined: 09 May 2005
Posts: 62

PostPosted: Mon Jun 05, 2006 1:38 pm    Post subject: Re: patient counseling areas in community pharmacies--are they measuring up? Reply with quote

Snip Snip Snip>
Quote:
An for those of you that work with multiple pharmacists on one
shift....go for it. But until there are more pharmacists to decrease
the pharmacist:technician ratio I am responsible for all that goes on
in the pharmacy while I am on shift......and I want to hear it all.
So my private counselling booth is used as a storage area for patient
pamphlets etc.

A Canadian Pharmacist on the West Coast


As a semi retired Pharmacist (I still put in one evening a week)
who has seen many changes over the 40 or so years I have been
"Practising" ....All I can say is that UNTIL someone finds a way to
Put money in the Cash Register there is no way a Pharmacy Owner
or a Chain can afford to utilize a Pharmacist to counsel...

When I first was licence I practiced in the back room ...never saw a
patient unless I was called out front..(Honest) Then moved on and
worked in an elevated area totally enclosed in glass where I could see
the patient but had to open a window to even say hello... Today I am
at least out in the open and have contact with patients (not private
unless the both of us do a little walk over into a corner...)..

But the truth is I have to fill at least 20-30 Rx's PER hour just to
pay my own salary (no benefits at all) and filling that many Rx's
is not only scary from a safety standpoint but also very limiting to
what I call Knowing your Patients...

Just my opinion...

Bob G.
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