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It is a case of a cognition deficet. There are many causes. The best way to determine if it is a temporary deficet is to coach and counsel her.
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A coupon encourages a patient to come into your pharmacy. Customer service keeps them coming back. The coupon does not create a loyal customer, ... you do! Our competetors do what we do at a cheeper price. They do not do it how we do it. Even if they leave for the cheeper they almost always come back and pay more.
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The laws on BC and plan B are for the protection of women's reproductive choices. I live in a very conservative community, if these laws were not on the books most pharmacies would not carry plan B. Some laws are needed to protect the few.
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All certified means is that she could retain the information long enough to answer the question and acheive a high enogh score to pass. I think the problem here is no longer paying attention to the information at her disposal.
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Colorado has a Technician Taskforce that has been lost in minutia for the last 2 years with no real clear direction. There are quite a few states that do not regulate techs.
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Certification only proves that at the time of the certification test the person taking the test had the required knowledge to pass. Continued certification proves that the person is capable of compiling the required CE credits in the allowed time. As I stated in an earlier post there needs to be a narrowed definition or subspecialization of certification.
I work in a compounding pharmacy. We fill a maximun of 3% of our prescriptions as commercial mostly thyroid. If I were to work PRN at a retail chain I would need to be taught portions of the job. Those portions I don't do at all; insurance adjudication, working a drive thru, generic equivalents and anything else I don't do.
Didactic testing of skills should be ongoing. If I were an EMT I would have to recertify every two years with a didactic demonstartion of my skills. CPhT's should have to prove thier skill to recert.
The problem in a free market model, unless the fee for service was industry wide someone ( probably me ;} ) would undercut your fee for service and get a larger portion of your business. Just as with laws regulating our profession are vastly diverse so are the costs that we pass on to the patient. Consistancy is what our health care system needs from regulation through to fees for service.
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I am not sure that "making a good tech" is the goal to requiring Certification. It is a matter of responsibility. The state I live in has no requirements on techs and therefore has no recourse when a tech is found to have diverted medication or made a miscalculation etc.. the pharmacist is the only person the Board can punish. I think if our profession is to be taken seriously we should be responsible and accountable for our actions.
The first 2 situations may have to do with DBA (Doing Business As). In the last example I don't know about California ... in Colorado ... bulk chemicals must be delivered to the registered entity. No compounding pharmacy would be approved at a residence so it would be illegal.
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I agree that all tech should be certified. I feel there should be a seperation between Retail, Compounding and Sterile Techs as they use completely differnt skill sets. I also belive that State Boards of Pharmacy should license all techs. The disparagement between states is vast. In most states there is no punitave recourse for techs.
Our compounding pharmacy has created a tech training for sterile preparations based on USP 797 and ASHP's Video Guide. From start to finish it takes 3 weeks to certify a tech as competent to be in the clean room. If you would like I could send you the pacing guide.
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