1. Communication and the pharmacy technician As a pharmacy technician you will come into contact with many different people and situations. Often times you must tailor your message to the patient and/or client. You should be informative to the best of your ability and be within your zone of authority. This requires communication skills and empathy. I.e. a customer comes to the pharmacy and their prescription is denied by their insurance. You tell the customer : “your prescription was denied by your insurance. Your price is $365. Cash or credit?” Customer: why was it denied? Technician: you need prior authorization Customer: what’s prior authorization? Technician: your doctor needs to call the insurance. Customer: why? Technician: because he has to provide a medical reason for you to have this particular prescription. He will then call us with a PA number and we can fill your prescription. Customer: Oh, Ok. Why did not tell me that in the first place?

2. Communication is a key attribute as a pharmacy technician. Your patients/customer will always appreciate your forthrightness. Be direct and empathetic in your approach. The prior example can be handle by explaining in detail the issue with the client’s issurance and offering to assist with the issue or giving the client the option to pay. Shoe on the other foot: You need an emergency operation for acute cholecystitis You go from the emergency room to the OR in severe pain. You are in the recovery room and you hear the surgeon discussing your case with the attending physician and you hear him say that your serum amylase is still markedly elevated. You then hear him say that he will start a dilaudid drip 100 mg/100 ml at 1 mg/hr and start vancomycin 1 gram every 12 hours IV. You begin to panic and fearing that you will die because your grandmother who had cancer also had a dilaudid drip. The resident see you crying and later you explain your concern to the resident. He explains to you that diluadid is a pain killer and vancomycin is an antibiotic and that the medications are just routine meds for this condition? How does it feel to be on the short end of the communication loop?

3. Initiative as a pharmacy technician attribute Initiative is defined as a desire to go beyond what is normally expected of you to show your work ethic. A professional profess a code of ethics and that times strives to do beyond what is normal expected. Possible scenario: often times as a technician you will receive ancillary training in other areas (for example computers and ADC functionality. The mental health department in your hospital has a malfunction in its ADC cabinet. RN calls the pharmacy frantic and says she needs her/his haloperidol for severe patients. You have some idea of what might be wrong so you grab some haloperidol vials and some tools when your collegue stops you and says “why bother its not in your job description let biomed handle it”. You have some training and know you can fix the problem quickly and help the RN complete her/his medpass.

4. Initiative Continued A month later you are called by the senior VP of the hospital, thanking you for your quick action because a patient in the MH department was about to break free of his restraint and was going to cause a problem for the hospital due to his high profile. A month after that you are offered a position with hospital administration.

5. Cultural competence and the pharmacy technician In a hospital setting or in a community setting, one must understand a patient’s or customer’s culturally background when discussing a patient’s or customer’s medical issues. Doing so, you will be realized as a culturally competent health care professional.

6. Cultural beliefs affecting dealing with patients and customers Asian/Pacific Islander: Older family members are honored and respect and their authority is unquestioned. Chinese: chinese clients will not discuss symptoms of mental illness or depression; this will bring shame to the family Japanese: belief that improper care of the body causes illness; use family decision making in relation to therapy. Hindu and Muslims: Indians and Pakistani people don’t readily accept mental or emotional illness as a diagnosis since it effects the ability of other family member from becoming married. Hispanic: older family members are consulted on issues of health. Belief that illness is a result of God’s unhappiness and sin. African American: family and church oriented. Health prevention through church life, herbs and cleanliness. Wear copper and silver bracelets to prevent disease.

7. Cultural beliefs Developmental disabilities and the Bill of Rights Act of 2000 define cultural competence as “service that are provided in a manner responsive to the beliefs, styles, attitudes, language, and behaviors of individuals” In certains hospital, chinese americans are usually not assigned a room with the number “4” because the number sounds like the chinese word for death. Being aware of people’s cultural differences will help communication more effectively with patients and customers.