https://www.doximity.com/doc_news/v2/entries/11034750
I spoke with a pharmacist the other day who told me her job was messing up her life.
Her favorite pharmacy tech was being transferred to another location, and she was convinced that her manager didn’t understand the implications for her or the pharmacy.
Pharmacists, especially those in a retail setting, are feeling the pressure. Burnout is happening at higher and higher rates and the result is low productivity and high turnover. Pharmacists in any community setting will confirm they are incredibly busy, extremely distracted, and they often don’t have time to take a break or even use the bathroom. The long-term result is a loss of talent.
In the face of these circumstances, some businesses callously suggest that the pharmacists themselves carry the blame for burnout because they don’t handle pressure well.
To me, that thought is appalling. I would argue that if you put any pharmacist in a community store with a requirement to fill more than 400 prescriptions a day with the help of only one pharmacy tech, over the span of 5, 10, 20, or 30 years, you will create a burned-out pharmacist.
It’s worth mentioning, too, that these pharmacists successfully completed the PharmD degree, which requires 4 years of stressful professional work in addition to the undergraduate requirements. It’s a huge accomplishment, and that level of perseverance suggests that working in a pharmacy should be no problem for pharmacists.
Unfortunately, I would argue that it’s the work environment that has created burnout in more than 50% of practicing pharmacists. There are exceptions to this, of course, but it isn’t a certain niche of pharmacy that is experiencing the burnout. It’s the profession as a whole.
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Distractions
Beth Lofgren wrote a piece for Pharmacy Times about how many times she was distracted in a single day while working in a hospital setting. She recorded more than 150 distractions in one day, including ringing phones, personal conversations, busy doorways, background music, and out-of-stock medications.
In fact, a University of California study found that it takes workers an average of 25 minutes to return to an original task after distraction.
Unfortunately, pharmacists are barraged with distractions. Within the health care industry, they may have the most distracting job of all. The danger, of course, is that distraction can cause fatigue, and fatigue can reduce efficiency, resulting in a failure to complete all the day’s requirements.
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Constant Multitasking
Think of multitasking as a single drop of water falling on a rock. One drop of water will leave no visible marks on the stone, but hundreds of drops a week will eventually wear a hole in the rock. In the same way, multiple distractions in a day lead to decision fatigue: a deteriorating quality of decisions that results from long sessions of decision-making. In the wake of such fatigue, simple decisions such as what to eat for dinner become overwhelming.
David Meyer, in a University of Michigan study, found that switching tasks midstream increases the time required to finish both tasks by 25%.
Furthermore, a study in England revealed that task-switching in pharmacies can lead to dispensing errors, which affects both pharmacist and patient.
The multitasking problem is a system issue rather than a personal issue, and it leads to pharmacist burnout.
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High Demands and Insufficient Time
Pharmacists constantly tell me they are being asked to do more work with fewer resources. Stated another way, they don’t know how to meet their managers’ demands because they haven’t been given the means to do so.
Pharmacists have extremely high demands on their time and their decisions. The priorities in one day often exceed the time needed to complete them, so sometimes high-priority tasks are neglected for lower-priority tasks. The result could mean compromised patient care.
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Lack of Training
Pharmacists on the front lines are often told what to do by management without being given a viable plan of action. One pharmacist told me she had more cases than she could humanly handle within one day. With no plan of action, it was impossible to do all that was required of her.
As a result, she was constantly behind in her work and fearful of losing her job.
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Lack of Connection to Company
I’ve never met a single pharmacist who absolutely loved his company: a pharmacist who was able to state the company’s vision statement and core values. I know they exist, but there aren’t many of them.
Pharmacists who don’t feel connected to their company often feel alienated from the company’s larger purpose. They aren’t able to identify with the company’s larger, altruistic mission and they aren’t able to see how they fit within that purpose. Without that purpose for their job, they feel distant, which ultimately leads to a negative company culture.
What Burnout Feels Like
Can you blame pharmacists for being negative at work? There are numerous demands on their time and countless ways for them to feel as though they are failing. They feel naturally pessimistic. They are frequently yelled at by patients, doctors, nurses, and managers. They never win and they never feel as though they can get ahead. Pharmacists are victim to an endless raid on their attention and ultimately, they feel trapped.
Independent pharmacists .. the pt is their BOSS… they don’t have a whole ladder of supervisors and management… they also do have all the expensive of supporting all of that infrastructure. Most will instead invest in ancillary staffing and the best ancillary automation… all of that means is that they are able to provide better customer service both in regards to prompt and personal service.
Here is a website that can help you locate a independent by zip code http://www.ncpanet.org/home/find-your-local-pharmacy
most accept most insurances and your out of pocket copays are generally the same, and on top of that… these locally owned stores all the money stays in YOUR COMMUNITY.
Filed under: General Problems
When my pharmacist of 30 years,,up and retired,,I was semi-shocked.Our last phone conversation was about how disgusted she was w/the way the world views the medically ill and how inhumane/cruel the new laws,regulation on our medicines have become.I think she saw the writing on the wall….If their going after us,,our medicines and our doctors,,by making the innocent guilty,,,it was just a mater of time until she was next..Get out now,,,before the corrupt laws,inhumanity in his country took all she worked for,,,,for 30 years,,,,maryrw
Here the body of an email sent to me from my supervisor at Big Box Club. Burn out? Fear of retribution? Public endangerment? You decide.
Karl Deigert – KDEIGER.sXXX
Subject: Fwd: Pharmacy Order Performance Opportunity Report for Market XXX
Please respond by Monday COB
Team
Going forward starting with Friday’s On Time Order Performance Report we will begin daily reporting to me.
When the report comes out I will send it to the Pharmacy.
If you are below 70% on time you will need to report the following to me:
1. From the Business Summary
a. How many Rx were available to be completed prior to 10am
b. Number of Completed Fills
c. Number of Completed Visual Verifications
d. Number of Completed Prescriptions
e. Number of not Completed Prescriptions
2. Who worked during the first hour (Tech and Pharmacist)
a. If you are a double coverage store I will need to know the arrival time of the first Tech and Pharmacist (should be 8am)
3. What held us back from completing on time in the first hour but also through the day
This will be tracked by Pharmacist and Tech with the number of days that we are not meeting Patient Expectations.
This will be used for Teaching and Training, Evaluations, and potentially Member Service accountability.
Just a reminder of our First Hour/Power Hour priority and Plan
1. First Technician should be filling first- knocking out the fill Queue
2. Pharmacist should be doing Visual Verify and Bagging
a. Once a Visual is completed then immediately bagged after
3. Remember that a Rx is not completed in the Order performance until it is Bagged
I am Happy to Help!
Just my opinion- such pressures on middle management causes them to drive their Pharmacy teams to BURN OUT. Nothing new here. I’ve been practicing since 1985 after graduation from Maryland. Push back my friend. Your health and the profession deserve the effort.