Glorifying your creator; and then using the talents bestowed upon you to be of service.
Out of of all the things I’ve contemplated, it finally hit me one day that to really live life and enjoy it, you have to be okay with three facts. These are just my three facts that help keep me in check!
1) Its not about you! Meaning stop being self centered and consider the existence around you and make your actions lead to positive energy. Which can lead to good vibes and better outcomes.
2) Be of service! If you’ve found yourself in a rut, the easiest thing you can do is figure out how to be of service to someone else in need. In doing so, you will relieve the temptation to “beat yourself up” over past mistakes, hangups, or hurts. Being helpful not only helps others, it will help you.
3) Listen closely, so that you can learn. Everyday, wake up and and give thanks. Next, listen to the people that you meet. At the end of the day, ask yourself, “what did they teach me? What did I learn?” You will realize that you will be more mindful and respectful of others. We are all teaching each other daily. Recognize a persons good outputs and mimic those. Be a student of positives so that the negatives won’t completely tear you down. You can learn a lot by simply listening!
Leadership is difficult. The most important thing you can do on your journey to becoming a more well rounded leader is to reflect upon yourself and your own personal actions. There was a period of time in my management journey where I took cues and pages out of the book of people that “had done it before me”.
There was a mishmash of all types of leadership styles that I saw. Some of the leaders yelled. Some of the leaders might fire you before a dime hit the floor. Some leaders lead by example. Some leaders documented, documented, documented — because as this person stated “if you don’t document it, it never happened”. As you can guess, that last method created a tad bit of distrust between management and employee.
I realized my limitations very quickly as a leader. First, I lacked the knowledge of business language. And I set out on a journey reading books about business. Essentially, I kept gravitating towards the pocket MBA type of books. I looked at those books so much, that I decided to just try B-school for myself. This while helping to steer an organization that at the time was only 1 year old.
It was stressful process, working on the degree while managing the business; but I quickly learned that I enjoyed my classes. And the classes where giving me foundational pieces of information that would help me lead a more efficient business. Marketing strategy, operations management, accounting, finance to name a few were books I just kept reviewing.
B-school gave me a perspective on the science of business. At the same time, I was fulfilling a craving desire that I didn’t even realize that I had. Then, I would stumble upon those pesky management classes; that discussed managerial philosophy and the history of the industrial revolution and it’s impact on labor. How do you coach an employee to be productive? What workflows and processes do you need to have in place to effectively retain human beings? The science of business was great. While the sociology and humanism aspects of business were more difficult topics for me to decipher, because those concepts were not as black and white.
I thought about the stressors I had been under. The stress to make things happen, create, and effectively budget while leading the ship. And I realized something…. I had these high expectations of others, and what their performance should look like. However, was I looking in the mirror and evaluating my own performance? I had employed some of the wrong cues in my leadership. The leaders before me meant well, but one size didn’t fit all. I was going to have to employ new tactics to reduce my employee turnover rate.
Was it everyone else’s fault? Did they not understand what I wanted — they just don’t see my vision? Or better yet, was it my fault and I needed to learn how to be a more effective communicator. A better leader?
The moral of this story is this…
1st — Understanding the history of human resource management is by far the chapter of any management book that you must read and re-read and study most closely. Can you hire well, and then after you hire well, can you retain quality people to help fulfill the vision that you see for your organization?
2nd — If you look up one day, and you realize that everyone is making the mistake and people just can’t understand your high standards. Take a moment, pause, and reflect and ask yourself, “are they the problem or am I the problem?” It’s funny how that can happen so quickly. Leaders tend to create a bubble for themselves. Before you know it, you’re living in a bubble where everyone else is wrong, and you’re the only one with all the answers. Remember, theres more than one way to get to a right answer in the “real world.” If you think everyone is crazy and you’re the only one that is right… or better yet, if you find yourself in a time of your life when everyone wants to run from you and you can’t figure it out… Realize that you… Yes, you the magical leader that can do no wrong, needs to reflect and look in the mirror. Take a close look and maybe find some friends and family in your life to remind you of all the times you’ve been wrong!
Two points that I hope you take a moment to consider. I hope that if leadership is the path that you’ve taken, you can always take a moment to re-evaluate yourself. Please make time to be around people that don’t think like you. It will push you to be better and do better. You need the perspective of a lot of people to truly impact the lives of millions.
The course will be completed using your standard textbooks and my lesson manual.
I will upload my personal lecture audio under this post throughout our 8 weeks together.
The lesson manual includes content covering 8 lessons, quizzes, previous final exams, and information pertaining to how to conduct yourself on externship. Please use this manual as your guide to complete this course. It will take both in class and out of class studying to complete each of the 8 lessons. Each lesson should take you at least 4 hours to cover.
Please refer back to the lessons as needed.
I will not print lessons, it is up to you to follow the material accordingly. The links are below.
Quiz 1 will be given on May 14, 2019. You will have 45 minutes to complete the quiz (9am – 945am). There will be a brief break and then a review of the quiz by your instructor for the remainder of the class.
Quiz 2 for May 15, 2019 will be rescheduled. We will instead cover Lesson 3 and go into more depth review of the material thus far. We will also have a lab to get hands on knowledge of the material covered.
Homework — please continue to keep studying the top 200 drugs from your text. You should now be memorizing pages 4, 5, and 6 of the top 200 from your workbook.
Quiz 2 will be next Wednesday May 22, 2019 over the top 200. Use previous quizzes from last year to study for Quiz 2. There will be 75 questions on quiz 2 and you will have 1 hour to complete the quiz.
To receive extra credit on quiz 2, please look over the top 200 and type up a summary on 25 drugs of your choice. For each medication — list the brand name of the drug, the generic name of the drug, the classification of the drug, and the body part the drug acts on.
For example… ProAir HFA is an inhaler and is classified as a respiratory agent, the generic name is Albuterol HFA and the body part that the drug acts on is the lungs. The drug acts in a manner to open the airways so that a person can breath normally.
If you type up 25 drugs and do it as I’ve asked you, you can receive up to 25 points extra credit on quiz 2. Remember, it must be typed!!! And you must turn this in on Tuesday May 21, 2019 to receive credit.
Please continue to look over the externship material. Sign the final page of the agreement, informing me that you’re committed to a 40 hour externship, and please talk to DHR and/or JCCEO to inform them of your intentions to become a registered pharmacy technician — you need to be registered prior to going on externship. This costs $103.
Tuesday May 21, 2019 we reviewed Lesson 3 and began covering Lesson 4. We finished the first problem in Lesson 5. Please work on the second question in Lesson 5 and read Chapter 6.
Audio from Tuesday May 21, 2019:
Wednesday May 22, 2019 the second quiz for this session was administered.
After taking into account the 25 point bonus — the class average for quiz 2 was 77.8%
A review of Chapter 6 continued during this lecture post quiz. Please continue to work on Chapter 6 and review Lesson 1-Lesson 5 for class next week.
Tuesday May 28, 2019 the third quiz was administered by Janiece. All those present received a 100% on the quiz.
Wednesday May 29, 2019 we completed Lesson 7 — please continue to review Lesson 7. We reviewed Lesson 5.
Lecture Audio May 29, 2019:
For Quiz 4 prepare in this way:
Memorize section A conversions from Lesson 5
Be prepared to answer multiple choice questions that relate to prescription examples Baby Girl Roberts, Janet Jackson, and Henry Ford from Lesson 5.
Lastly, review the Alligation Hydrocortisone example that can be found on page 184 in your text. This example will be used for your quiz.
June 4, 2019 the quiz will be 25 questions. We will then review Quiz 4 –> proceed to a lab on compounding –> and review Lesson 8.
Please review your syllabus, our time together is nearing the end.
June 4 — Quiz 4 and practical compounding lab
June 18 — Final Exam
June 19 — Review of the Final Exam administered on the 18th and Final Grades
Please continue to study, work diligently on your pharmacy technician registration, work on your resume’, and begin submitting applications to local pharmacies
If you find a job as a pharmacy technician or as a pharmacy cashier prior to externship, you will not have to complete an externship.
50 point extra credit!!!!!!
Write two paragraphs describing each lesson that we have completed thus far. We have completed Lessons 1, 2, 3, 4, 5, 7.
Give 2 examples from each lesson and why each example is important in becoming a pharmacy technician.
For example in your paragraph you describe Pharmacy Technician Registration in the State of Alabama…
In Lesson 1 we discussed how to become registered as a pharmacy technician. It is important that pharmacy technicians know that in the State of Alabama we register by using albop.com. The annual fee is $103 with renewals occurring in odd years.
Remember 2 examples from each lesson, each example should be 1 paragraph in length. This must be typed. 12 point font. Times New Roman. Double spaced.
If anytime remains we will begin covering Lesson 8.
Externships will be emailed out this Friday June 8, 2019. It is your responsibility to contact the Pharmacy Managers/Lead Technicians to setup days that you can complete your 40 hours of training. You will have 3 weeks to complete training. You are exempt from externship if you have found a job in Pharmacy.
June 11 2019 — Janiece will cover Lesson 8/Discuss Externship
June 12 2019 — Practice Final Examination/Discuss Externship
Link to practice final exam — please use your books and internet to study
Teaching is difficult. Teachers — especially the great teachers, they just don’t receive enough credit. I have actively been teaching a non credit pharmacy technician class the past 8 weeks, while also performing Preceptor duties for 4th year Pharmacy School students.
What have I learned while doing both simultaneously?
Obviously the biggest difference is that teaching in the community pharmacy is a more hands on experience in that there’s real life scenarios and people versus teaching in the classroom where there’s only the lecturer, student, book, and white board/chalk board to convey the message.
In the classroom there’s the “audience effect”. You’re lecturing, and you can easily become the only speaker if there’s not a question you give your audience to answer. Thus, you have to exert more of your body and brain energy into focused segments to convey an effective message.
This burden of energy expenditure being on the speaker/lecturer can be lightened only by actively engaging the student by using the white board, computer, or book to create examples and questions of real life scenarios.
Energy expenditure while teaching in the pharmacy is reduced in comparison to the classroom. The drugs, the patients, the real life scenarios are there to be be used as living examples of why the student must study physiology, pharmacology, infectious disease, pharmaceutics, and so on and so forth.
The student can easily view the drug by going to the shelf. They can learn the pharmacology and use of the drug by simply looking at the package insert that comes with the drug. They can observe the practicing pharmacist or pharmacy technician and learn from their behaviors, movements, speech, and thought process in working together as a team to produce the appropriate final product. The examples do not have to be created in the pharmacy — because the examples are there to be observed, studied, learned, and memorized for the present and future use with patients that day and the days ahead.
This accumulation of knowledge by the pharmacy student and pharmacy technician while on externship can produce a foundation of knowledge for how to talk, when to talk, when not to talk, and when to act.
First point… Good teaching isn’t a lecture, it’s a conversation.
Second point… Good teachers find common ground with the student — so that the thoughts expressed by the teacher can be easily understood by the student.
Third point…Good teachers find out what their student’s baseline of knowledge is. By understanding their current knowledge or lack thereof — the Good teacher can elevate and motivate the student to an appropriate and/or desired level of competency.
Conclusion — I have a long way to go in becoming identified as one of the “good teachers”. However, I’ve identified these three points too consider while playing this role.
The Dispense As Written Codes that I use regularly in my practice are:
DAW 0 = NO PRODUCT SELECTION INDICATED
DAW 1 = SUBSTITUTION NOT ALLOWED BY PRESCRIBER
DAW 9 = SUBSTITUTION ALLOWED PLAN REQUESTS BRAND
Why is this important?
Dispense as written codes are important in billing/filing claims correctly to a patient’s insurance plan. Claims must be billed/filed correctly so that patients receive the appropriate drug products at the correct price.
For me… DAW 0 is used most of the time (this holds true for most pharmacists), while DAW 1 is used sparingly; a drug example for those who are not Pharmacists as to when a Pharmacist uses DAW 1 is seen in the case of prescribing Brand Name Synthroid. Prescribers often write for Brand name Synthroid instead of Levothyroxine because this drug has a Narrow Therapeutic Index (NTI). Due to the NTI, formularies often include both the Brand and Generic products on their formularies so that patients receive appropriate pharmaceutical treatment for their thyroid conditions.
DAW 9 is increasingly becoming popular and being put into place by Pharmacy Benefit Managers (PBM’s). Typically generics have been dispensed because the generic product is the cheaper alternative when compared to the brand name product. However, increasingly manufacturers have been offering PBM’s rebates for the monies that they pay the pharmacies on the drugs cost.
In short…even when prescribers write a prescription and sign Product Substitution Permitted — the pharmacist must dispense the brand name product for the product to be covered by the patient’s insurance. This is done by changing the computer DAW code from a 0 to a 9.
So you may be asking, “how is it more profitable for the PBM’s to have higher priced drugs on their drug formularies?” I found a great article published by NCPA entitled “PBM Revenue Streams and Lack of Transparency”. The article is a quick read and outlines why Brand Name products continue to be on formulary even when a generic competitor enters the market.
Examples of using DAW 9 in my practice (Generic Drug — Condition Treated)
Dexmethylphenidate ER — ADHD
Diazepam Rectal Gel — Seizures
Methylphenidate ER — ADHD
Budesonide Respules — Asthma
What’s the effect on people and the market?
In my practice this leads to a major consultation point…
You and/or your family member is on a drug that insurance is requiring that Brand Name be dispensed (DAW 9). I’m not sure if your local pharmacy carries the Brand Name or Generic product. Thus, it is imperative that you contact your pharmacy days in advance to ensure this product is in stock when you attempt to refill your medication. If you don’t call ahead of time, this could potentially delay when you receive your medication, which could lead you to become non-compliant with your medication(s).
The reason that this is so important…
Finding the medication for your patient is important…but ensuring that your patient has access to this medication is just as important. If they can’t obtain or access the medication, then you can’t ensure their compliance on the medicine. And non-compliance ultimately can lead to hospital readmission.
When patient’s transition from an inpatient admission to being discharged to the outpatient setting, prescribers are often unaware of what’s on or not on the patient’s drug formularies. This can lead to confusion and delay and/or impede discharge planning which can potentially lengthen their hospital admission.
DAW 0 versus DAW 9 seems like such a trivial issue, but the increased prevalence of this small change can impact our patient’s compliance and can drive up the cost for providing healthcare.
If you have Questions related to this topic? Please feel free to leave a comment.
The interview begins—and you have already reviewed the candidate’s resume’. They meet all the qualifications, and even have some excellent references. You hire the candidate, and around six months to one year later after their up and down performance you and the employee decide that it’s best to part ways.
So what happened? The interview went well…check. The references seemed to be great…check. Yet, once the candidate got the job — they had a fatal flaw that was impossible to overcome.
They just didn’t seem to care.
They didn’t care about the customers, didn’t care about their daily performance, didn’t even seem to care about their evaluations… Which ultimately meant that the product they were serving up to your loyal base was average at best. They had just enough good days to make you think maybe it would work out, interspersed with enough bad days to make you shake your head.
It’s pretty weird when you think about it. And naturally, you have to feel a bit disappointed. Typically, I’ll even replay their interview over in my mind; trying to figure out what I missed during my evaluation. Going through this process forces the manager to ask themselves what checkboxes are the most important to be checked before making a commitment to offer the candidate a position.
A few days ago, a colleague reminded me of her words on the hiring process prior to me taking on a management position. She’s held multiple management positions. And she said, “when you hire someone, find a person with good customer service…if the person has good customer service, you can typically work around some of their deficiencies…”
I would add to her statement — that the job candidate’s deficiencies can even be remedied with appropriate teaching and training. So, then the manager must ask themselves, “am I a good enough teacher/trainer to remedy the candidate’s deficiency or do I currently have someone on staff that can be an appropriate educator/mentor for the job candidate?”
I don’t know of any degrees/diplomas to my knowledge that are being conferred by colleges and universities in the field/study of CARING @ WORK. Thus, what questions could be asked to determine if a candidate meets your standards? I guess… you could simply just ask the magical question, “do you care… or will you care? But, unfortunately you will most likely just get a canned answer.
So I suggest going through what-if scenarios with your candidate using a diagram for what you consider to be right and wrong answers for each of your scenarios. This I believe is the best method for gaining a little more insight into determining if a candidate truly possesses the traits required to serve your customer base.
Learning how to write in plain English has been one of the most useful concepts I have learned. Effective written communication is a business litmus test. If done well, it can help the business professional build their personal brand.