Is There Any Pharmacist Who Likes Their Job????

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What I don't get is how a PA is required every single time the PBM changes on a patient's profile. This happens a lot with NY Medicaid. We have patients who have been taking Crestor for the last year and for some reason when I get a new script, it denies it and wants me to go back to Simvastatin and will not take Atorvastatin.
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SpirivaSunrise said:
Mornin! Gahhh it was cold...but I forced myself to get up early for the sunrise! Wish it hadn't have been so windy or I could have gotten a better reflection of the Aspens in the water...?
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Wow! Nice picture. I think about Colorado everyday!

If I was there now I would be out in the National Forest chopping wood like crazy trying to beat the first snow.
 
SpirivaSunrise said:
Mornin! Gahhh it was cold...but I forced myself to get up early for the sunrise! Wish it hadn't have been so windy or I could have gotten a better reflection of the Aspens in the water...

501a4562.jpg
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Youre a great photog.

Did you read the 6D release?

Im starting to hate Canon and Nikon with their frequent new release and devaluing previous models.

Seriously considering going medium format ..... eh probably not but...
 
MountainPharmD said:
Wow! Nice picture. I think about Colorado everyday!

If I was there now I would be out in the National Forest chopping wood like crazy trying to beat the first snow.
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Arent you suppose to let the wood dry for a year?
 
Its Z said:
Youre a great photog.

Did you read the 6D release?

Im starting to hate Canon and Nikon with their frequent new release and devaluing previous models.

Seriously considering going medium format ..... eh probably not but...
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Why thank you, Z!

Honestly, haven't read a single word about it (other than hearing rumors beforehand that several other bods were in the pipeline). I know where you're coming from, but at same time...not that concerned because I'm lovin the MK III so much, and will be happy with this for a loooong time.

Here's another one from yesterday I don't think I showed you (afternoon shot of the same location). Breaking some "rules" with this one.

Headed to Marble now! Wish me luck :) And dude...so wanted to try some fishing in Maroon lake.

501a4858.jpg
 
MountainPharmD said:
Wow! Nice picture. I think about Colorado everyday!

If I was there now I would be out in the National Forest chopping wood like crazy trying to beat the first snow.
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Crazy they already got a little snowfall last week (which you can see up high). It's mostly melted off now, but they're calling for another storm next week. I'll be on an 80K acre hunting ranch next week near Alamosa. Awesomeness for photos!!! :love:
 
Those are all pine trees. Can't burn them w/o wrecking your chimney. Don't see a lot of hard wood in those photos.....
 
SpirivaSunrise said:
Crazy they already got a little snowfall last week (which you can see up high). It's mostly melted off now, but they're calling for another storm next week. I'll be on an 80K acre hunting ranch next week near Alamosa. Awesomeness for photos!!! :love:
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Yep it can snow really early in the higher elevations. Pikes Peak already has a snow cap. My last year in Colorado it snowed 6 inches on the last weekend in September.

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Here's the problem with this thread, it asks who loves their job and of course there are people who love their job because in every job no matter what it is there will be people who love what they are doing.
Reality check: most retail pharmacists don't like or are ok with their jobs. Think of it as getting used to conditions somewhat.
Hospital Rph's: can vary alot depending on the setting, pay rate, hours, etc but i definitely would put hospital above retail in terms of happiness but it does come at a lower pay rate generally
 
Pharmpills said:
Here's the problem with this thread, it asks who loves their job and of course there are people who love their job because in every job no matter what it is there will be people who love what they are doing.
Reality check: most retail pharmacists don't like or are ok with their jobs. Think of it as getting used to conditions somewhat.
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I just don't think that's true. I think its the bell cuve, 10% of people love their jobs, 10% of people hate their jobs, and most people are somewhere in the middle. I think most retail pharmacists are satisfied with & even like their jobs. That doesn't mean they never complain about their jobs or that there aren't aspects they wouldn't change. Go back 10 years ago to the great pharmacist shortage.....this was the perfect time for all the retail pharmacists who hated their jobs to go into hospital. And some did, but many stayed, and some hospital pharmacists went into retail. There is a pay difference, but that doesn't account for all of it. Pharmacists in almost any practice setting make enough to live comfortably on. I think most people would agree that no amount of money is worth a job that one absolutely detests.
 
Once and for all we need to clarify the myth that retail pays more than hospital. Hourly rate comparison isnt the way to do it. Look at the total compensation including the benefits, pension, evening and weekend differentials, holiday pay and paid time off all need to be calculated. Only looking at the hourly rate is extremely myopic.
 
MountainPharmD said:
You can only cut standing dead trees less than 8 inches in diameter. Woods already dried out.
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What kind of tree hugging liberal foo foo crap is that??????? You want some firewood....come on my property and get you 10 cord of live oak. Have you a big wood splitter while youre at it.
 
DedicationNSU11 said:
What do you do to make that much money??? :eek:
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I work really hard but no more than 40 hours per week. I work smart and do things others cant do.
And most importantly, i make a crap load of money for my organization...im going to pay my clinical manager $80+ per hour + 30% in benefit package and bonus incentive of 15% + 4 weeks of vacation m-f no weekends and no holidays.

Completion of residency mandatory.
 
Its Z said:
I work really hard but no more than 40 hours per week. I work smart and do things others cant do.
And most importantly, i make a crap load of money for my organization...im going to pay my clinical manager $80+ per hour + 30% in benefit package and bonus incentive of 15% + 4 weeks of vacation m-f no weekends and no holidays.

Completion of residency mandatory.
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Really? What if they have 3 years of inpatient experience + BCPS certification?
 
Have you published or presented at major meetings?
Have you ever presented a clinical initiative to hospital admin?
Do you have leadership experience?
Have you managed or precepted pharmacy residents?

How do you think you will stack up against people with 5+ years of above experience?

Board certification?? Aint going to get u too far.
 
Its Z said:
What grade did you get in therapeutics?
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Usually Bs. If I had known that GPA would matter for residencies, then I'd have probably tried harder. My Cs and Ds were in other classes.

Have you published or presented at major meetings? - Nope, but I could probably publish my final research paper from school if I wanted to.
Have you ever presented a clinical initiative to hospital admin? - Couple of times.
Do you have leadership experience? - Leadership in school/work, rare. Leadership in sports, ya.
Have you managed or precepted pharmacy residents? - Nope.

Why wouldn't the board certification get me far? Isn't residency experience pretty much useless without a board certification?

I'd go for a residency if:

A - Hospital staffing experience is enough to overlook GPA
B - If they'd pay more. (Most important reason.)
 
Usually Bs? Either you got a B or you didnt.

I couldnt careless about BCPS. Thats just me.

Staffing experience wont count. Every hospital pharmacist has it.

What initiatives did you present. Name 3.

No. Im not paying residents any more than I have to.
 
The reason i dont value bcps is because im not interested in a person with worthless random clinical knowledge we can look up. Im looking for a person who can make a difference with a proven dedication and work ethics who understands healthcare system pharmacy practice...
 
Sparda29 said:
Usually Bs. If I had known that GPA would matter for residencies, then I'd have probably tried harder. My Cs and Ds were in other classes.

Have you published or presented at major meetings? - Nope, but I could probably publish my final research paper from school if I wanted to.
Have you ever presented a clinical initiative to hospital admin? - Couple of times.
Do you have leadership experience? - Leadership in school/work, rare. Leadership in sports, ya.
Have you managed or precepted pharmacy residents? - Nope.

Why wouldn't the board certification get me far? Isn't residency experience pretty much useless without a board certification?

I'd go for a residency if:

A - Hospital staffing experience is enough to overlook GPA
B - If they'd pay more. (Most important reason.)
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My god why do you want to do a residency so badly.

Does a clinicial pharmacist really make that much MORE than everyone else? :confused:
 
Its Z said:
Usually Bs? Either you got a B or you didnt.

I couldnt careless about BCPS. Thats just me.

Staffing experience wont count. Every hospital pharmacist has it.

What initiatives did you present. Name 3.

No. Im not paying residents any more than I have to.
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Yeah, I got an A the first time I took it it got harder from there. My weak classes were things like kinetics, epidemiology, biostats, immunology, virology.

Initiatives - Vanco Weight Based Dosing, Anticoag guidelines, Insulin pharmacodynamics and dosing. (Do medical chiefs/attendings/residents/DOPs/clinical pharm count as administration?)
 
SHC1984 said:
My god why do you want to do a residency so badly.

Does a clinicial pharmacist really make that much MORE than everyone else? :confused:
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I don't wanna do a residency if I don't have to. I want a clinical position though. Now, the type of position I want, I'm not sure if it will remain the same the way I saw it on rotations.The way I saw it on rotations, clinical pharmacist rarely spends time in the pharmacy, spends most of the time out on the floors/nursing stations doing chart reviews and making recommendations and rounding.

They make a bit more but they are usually salaried, meaning you get paid the same whether you've been working 10+ hour days or 8 hour days.

I prefer it because, minimal dispensing, get to sit down for most of the job (my knees are messed up), get to spend more time out on the floors.
 
Sparda29 said:
Yeah, I got an A the first time I took it it got harder from there. My weak classes were things like kinetics, epidemiology, biostats, immunology, virology.

Initiatives - Vanco Weight Based Dosing, Anticoag guidelines, Insulin pharmacodynamics and dosing. (Do medical chiefs/attendings/residents/DOPs/clinical pharm count as administration?)
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Vanco weight dosing? Is there any other way? So what about vanc dosing?

Anticoag guidelines? What drug and what guidelines?

Insulin pharmacodynamics?? What about it....how how do u dose it??? Insulin infusion??

So on your transcript it shows A and B for therapeutics I and II?
 
Its Z said:
Vanco weight dosing? Is there any other way? So what about vanc dosing?

Anticoag guidelines? What drug and what guidelines?

Insulin pharmacodynamics?? What about it....how how do u dose it??? Insulin infusion??

So on your transcript it shows A and B for therapeutics I and II?
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I think he's just talking about student presentations. Not actual real world initiatives or recommendations for changes to clinical practice, new protocols, etc.
 
All4MyDaughter said:
Maybe Z is not looking for a clinical coordinator who will install special software and modifications on his office computer to facilitate gaming on the job?
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I dont mind computer savvy. But dont f**k with corporate IT. The person who believes they know more about IT than IT is a fool. Computer at work is for work and nothing else. Surf the web on your own time
 
All4MyDaughter said:
I think he's just talking about student presentations. Not actual real world initiatives or recommendations for changes to clinical practice, new protocols, etc.
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Cmon.....dont rain on my trolling/baiting...
 
Its Z said:
Vanco weight dosing? Is there any other way? So what about vanc dosing?

Anticoag guidelines? What drug and what guidelines?

Insulin pharmacodynamics?? What about it....how how do u dose it??? Insulin infusion??

So on your transcript it shows A and B for therapeutics I and II?
Click to expand...

Well, the docs at this hospital were ordering vanco without really going for a loading dose and titrating based on trough levels. So I proposed a policy for that.

Anticoag guidelines(heparin, enoxaparin, warfarin, dabigatran), wasn't really developing any guidelines, it was more of looking them up and compiling them all together and putting them up at all nursing stations to make life easier.

Insulin, it was part of a push to eliminate/minimize usage of oral diabetes drugs. The docs (residents) didn't know much about how to dose so it was a project given to me by clinical pharmacist and attending to present to the residents.
 
Its Z said:
I dont mind computer savvy. But dont f**k with corporate IT. The person who believes they know more about IT than IT is a fool. Computer at work is for work and nothing else. Surf the web on your own time
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I think people vastly underestimate the lost productivity due to non-work related web surfing during work hours. I work from home, so my computer and my time are my own to play with, and I definitely notice how much time I spend just looking around online. Today I noticed that of the techs from my former job were on Facebook all day, just hanging out, chatting, posting memes and stuff. They were all at work, too. That place is super busy, too. I don't know how they get anything done.
 
SHC1984 said:
My god why do you want to do a residency so badly.

Does a clinicial pharmacist really make that much MORE than everyone else? :confused:
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Yes...my clinical manager is going to make more than most retail pharmacists While never having to work weekends, past 5pm and holidays. Except for mandatory all paid trips to ashp midyear and another meeting if choice.
 
Its Z said:
I dont mind computer savvy. But dont f**k with corporate IT. The person who believes they know more about IT than IT is a fool. Computer at work is for work and nothing else. Surf the web on your own time
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I dunno about that. I'd say that most high school/college geeks/gaming nerds are better at IT than most guys at the IT departments in hospitals.
 
All4MyDaughter said:
I think people vastly underestimate the lost productivity due to non-work related web surfing during work hours. I work from home, so my computer and my time are my own to play with, and I definitely notice how much time I spend just looking around online. Today I noticed that of the techs from my former job were on Facebook all day, just hanging out, chatting, posting memes and stuff. They were all at work, too. That place is super busy, too. I don't know how they get anything done.
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This is only true if you're one of those people who believe in "there is always something to do". Now if I'm standing there doing order entry, and there are no more orders in the queue/fax, yeah, I'd probably surf around until another order comes down. But, I'd only do that at the independent where I work. At the hospital, I could probably use that time to do IV-PO switches and put them into my intervention log. There is a bonus based on how many interventions you've logged at this hospital.
 
Sparda29 said:
I dunno about that. I'd say that most high school/college geeks/gaming nerds are better at IT than most guys at the IT departments in hospitals.
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Wrong. Those kids and geeks now work healthcare IT. Thats your problem you think rules dont apply to you....getting paid cash...violating rules and regs..

It is not ok.
 
Sparda29 said:
This is only true if you're one of those people who believe in "there is always something to do". Now if I'm standing there doing order entry, and there are no more orders in the queue/fax, yeah, I'd probably surf around until another order comes down. But, I'd only do that at the independent where I work. At the hospital, I could probably use that time to do IV-PO switches and put them into my intervention log. There is a bonus based on how many interventions you've logged at this hospital.
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Like I said, people vastly underestimate and minimize the lost productivity. By making excuses like the one you just laid down. And guess what. There is almost always something to do.

Its Z said:
Wrong. Those kids and geeks now work healthcare IT. Thats your problem you think rules dont apply to you....getting paid cash...violating rules and regs..

It is not ok.
Click to expand...

:thumbup:
 
Its Z said:
Wrong. Those kids and geeks now work healthcare IT. Thats your problem you think rules dont apply to you....getting paid cash...violating rules and regs..

It is not ok.
Click to expand...

I was one of those geeks. Would have gone into IT but I found it boring when it didn't apply to gaming.

What's wrong with getting paid cash? That's my day-day expenses, food, poker/casino bankroll.
 
Safety rules, and other regs and policies are put in place for reasons and good intentions. Once you break it once and get away with it or when simply walks by a violation, it becomes the next standard.

Sparda unfortunately this was allowed to happen many times in your life. Its going to bite you in the ass just like your failure to get a residency due to your lack of effort and bad grades. You aint no dummy. Youre just misdirected. People in your life including yourself failed to set you straight.

Youre probably a smooth talker and well liked but dont Bs a Bser...we can see right through you.

Do the right thing as said by your fellow country man russel peters. And make an effort everyday to be a good human being. It will reward you.
 
Passing bcps was a walk in the park compared to my residencies.

There are some phenomenal clinicians out there who didn't do residencies. But they weren't phenomenal 2 or 3 years out of school. That takes time.

Also, as a clinician I spend very little time sitting.
 
Sparda29 said:
I was one of those geeks. Would have gone into IT but I found it boring when it didn't apply to gaming.

What's wrong with getting paid cash? That's my day-day expenses, food, poker/casino bankroll.
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Income tax evasion is still illegal as far as I know.

Plus, your employer is ripping you off and cheating the government. A match made in heaven, I guess.
 
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