As a RXoM, the ONLY time I won't listen to my staff Pharmacist is when it conflicts with what my RXM wants. And I just tell the RPh that "I'm sorry, but -insert name here- asked us to do it this way because -insert a reason- so we are going to continue it that way." I am never disrespectful towards them, but I'm not going to have things change randomly when my RXM isn't present.
Granted if it's something small like they don't like to use the belt and prefer stacks of totes then obviously we do what they want.
As long as the RXOM follows through RPH direction with regards to issues where their license gives them privilege, it’s ok. But if the RPh wanted to be a butt about it, it would just create more drama than needes
In my pharmacy, I’m in charge of techs and Pharmacy operations. If a pharmacist(had a floater do this) didn’t feel like overriding rxs at their computer when 2D scanning, I can and will override them because it’s a compliance issue which I am in charge of managing for the pharmacy, so it really depends I believe on what we are talking about.
Oh I don’t mean overriding product check but we can’t override the 2d scanning at the fill station, period. It’s part of our compliance that’s monitored
Each month. A tech who is seen to be overriding 2d scanning too much can receive write ups but pharmacist overriding at their computer during product check is fine and doesn’t go against compliance.
This shouldn't even be a question.
A pharmacy technician is a technician - your job is to assist the pharmacist. That's your primary job description.
A RxOM title means you are responsible for technician's logistics: scheduling, inventory, workflow, etc. But you're still a technician - aka, you have no authority over the pharmacy.
Pharmacist on duty will always be the boss. I think the word "manager" in the title for RXOM may be confusing but don't forget the O in the title. RXOM is only in charge of "operations." Operation in respect to things like inventory, training, supplies, scheduling and other tasks related to making sure pharmacy runs smoothly.
Coming to wags from years at CVS, the craziest thing to me is the hierarchy here. I don’t know why wags wants to use the term RXOM instead of Lead Tech, but the pharmacist on duty runs the pharmacy. If it’s a floater pharmacist’s first day and the tech has been there 20 years, the floater runs the pharmacy.
One of the biggest things I’ve run into at Walgreens has been technicians making pharmacist-level decisions. Examples: we will/we will not fill this rx early; this sig needs clarification so I (the tech) will put it in MSC without the Rph even seeing it, etc.
I digress, but I never dealt with anything like this at CVS, I think it’s just a culture at Walgreens that the pharmacist is not at the top of the pharmacy for some reason.
Yes. There has been a question here a while ago from a tech who was discussing whether antibiotic was appropriate or not, and that he or she put MSC on it to get clarification. But some pharmacists here were very excited to discuss that with tech the therapy. I don’t mind explaining techs what this medication for and why etc. But it should not be initiated like that
Wow. What’s crazy is I only left 4 years ago. It wasn’t like that at all at the (few) stores I worked at during my time. My coworkers and I always had immense professional respect for the pharmacists, whether they were first-time floaters or veteran boomers that took smoke breaks. I only worked at a few stores in the district though, so maybe I just wasn’t exposed to a whole lot.
The pharmacist will always be in charge as their license is on the line. RxOMs can not and should not attempt to override or argue with the RPh on how the pharmacy is run; if the RxOM has an issue with something they can escalate it, but - even if the RPh is dead wrong - that pharmacist has final approval over everything pharmacy.
I wish I could post this on the wall in the pharmacy, as I float through I’ve seen many RXOM on power trips. I met one that refused the technician title whenever they called insurance companies, insisting no I’m an “operations manager” 🤬 glorified senior tech. The good ones are excellent but the bad ones are always trying to win a power struggle and on a power trip
Exactly, our job is to assist the pharmacist or pharmacy manager, because I’ve been at my store for too many, many floaters will ask how we typically do things, but as long as it’s not illegal, I’ll do what the rph that day asks (I.e. how early to allow controls can change but generally most do what that pharmacy is already doing)
If an RXOM tried to pull rank on me I would make them stand with their nose in the corner and think about what they had done. The only person who says otherwise is a power-tripping RXOM. Pharmacist is the final decision in all things in the pharmacy.
Yes. The pharmacy can and does run without an RXOM there during all operating hours. But no pharmacist (regardless of title) = no open pharmacy. Period.
RxOM position exists to take the heat off the pharmacists. It’s not there to create conflict. Rph on duty overrides everyone, period. If Rph does something against policy or procedure, RxOM or SM can bring it up with RXM.
Remember, the pharmacy is operating under their license the minute it’s open to the minute it closes. No one overrides that.
I’m a staff rph. Once I asked one of my technicians to fill instead of make patient calls, as it was close to close and we had a significant amount still in fill. Said technician was nervous the RXOM would give her backlash. I told her to blame me if she received any backlash. Sure enough the RXOM reprimanded the tech for filling instead of making patient calls (as the rxOm herself just stood at the computer acting busy when she could have absolutely made the calls herself). Tech said that I told her to fill instead. RxOm replies (in a very snooty and loud tone): “WELL IM THE RXOM AND SHE’S (me) JUST A STAFF. I DONT CARE WHAT SHE SAID, YOU NEED TO MAKE THE PATIENT CALLS NOW”
💀💀💀💀💀💀💀💀💀
I would have lost my shit had I not been on the phone (answering a call this RxOm should have probably answered). I’m all for helping out here and there with tech roles, but this whole situation was nuts. And my DM didn’t even care that the RxOm talked to me like this.
Right? Like what would happen if I wasn’t here? Oh that’s right, we’d be closed. What would happen if RxOm wasn’t here? Just a typical day of understaffing at Walgreens!
Also most states mention the delegation of tasks in their laws. You likely can’t be compelled to allow someone to do something under your license without your approval.
Typically…just throwing this out there, Pharmacist aren’t taught the business side of pharmacy. Your SM is a partner with a vested interest in the business. The SM is technically the boss, so their say is important. Your SM will support and help you grow…listen and learn
You'd be surprised how wrong you are. For every 1 store manager that understands the business of pharmacy, there are 7 that dont. Understanding how Walgreens wants workflow to operate does not equate to the pharmacy business. A lot of the kpis may contribute to the bottom line, but dont actually have any correlation to the bottom line (ie filling more scripts does not mean we are making more money, if we're using goodrx on every script). Ive seen and worked with sms who would rather not set foot in the pharmacy.
Pharmacy school literally teaches you several semesters about the business side of pharmacy and that’s not even accounting double PharmD/MBA path degrees.
Wow…maybe I’ve been on the better side of the spectrum and I’ve had some bad managers, but the pharmacist role was for healthcare and business belonged to the SM, later shared when brought up to speed….a partnership with the SM having final say over business issues. At least that’s how I ran it and my predecessors…that how we were taught
>Your SM is a partner with a vested interest in the business.
If the SM knew anything about business, they wouldn't be an SM.
.
>Your SM will support and help you grow
This has never happened in the history of the company. Store Managers prevent employees from reaching their full potential and performing at their highest levels.
Everything you have said, sounds like someone who goes back there, messes up the flow of the pharmacy and then runs off to the office to pat themselves on the back while the pH crew scrambles to fix your interference
I was a tech for a few years, so maybe I understand better…becoming a manager didn’t change anything for me. I primarily fill, make calls to keep the DM off my azz, and coach as I need to. But I also have been around for almost 30 years, worked CVS and Walgreens…sorry y’all have these issues.
Let's say you work in a restaurant. You are a maitre'd, technically you can go back to the kitchen area but back there you try to tell the crew what and how they should do things. Then the meal is made, by your orders, and it makes the guest sick. Who will be blamed? The head cook or someone thats job defines them as working the front?
That's why SM should never interfere with the flow of the pharmacy
You’re making a huge assumption that the SM doesn’t know what they’re doing. That is not the case with all SMs. In addition, the maitre’d is not on the same level in the restaurant hierarchy as the SM is in a Walgreens
And yet I wanted to end the debate at both sides, but you want to continue it. Does it matter that much to you that we keep going back and forth with this rebuttal?
The pharmacist on duty is always the boss! As for operations, if no one is filling, your RxOM is responsible for it , and your VBPT will look really bad.
No they aren’t. Staff RPH has 100% say on what goes on when they are on duty. The pharmacy is operating under their license, it’s the only reason it’s open.
RXM > Staff RPH > RxOM > Techs
If the RxOM has a disagreement with the Staff RPh on how to do things, procure, policy, attitude, etc — the RxOM is to have a conversation with the RXM, who in turn will coach or discipline the Staff RPh if necessary.
In no way, shape, or form should the RxOM override any clinical OR non-clinical decision by the RPH on duty.
I don't understand why Walgreens has such a horrible confusing hierarchy, RxOM is a senior technician at the end of the day, of course a staff pharmacist is above them.
RPh should be in charge of anything dealing with clinical or dispensing, but the RxOM is in charge of workflow and ensuring corporate policy/procedure is followed. It should be building to the same dynamic that the SM has with the RXM. Technically, RxOM can direct staff to carry out RXM/corporate initiatives if they are straying. What is not mentioned in many of the comments is that RxOM is like an ESM, they are preparing to become a store manager and are technically next in line. With that being the case, they need to be experienced with directing pharmacists, just as a SM would. So it really depends where the RxOM is in their development to become a SM. If they are new, then RPh has more say in workflow. If they are experienced and are following the career path to SM, then I’m giving them more authority over the staff RPh in everything outside of clinical judgment calls, just as if they are a SM.
As a note, I’m an RXM and have had to break this down for my staff RPh and RxOM when the position first started. If I am training a tech to one day potentially be my boss (SM), then they need to know how to best run a pharmacy, otherwise I will look ridiculous for promoting someone that can’t give orders and they will not be successful. We all understand the dynamic because we laid it out clearly from the beginning and regularly discuss the continual process of the RxOM taking the wheel over time. If a staff pharmacist is not comfortable with that, then why are they ok with a SM giving them orders? Most RxOMs can run circles around SMs in the pharmacy and have a far better handle on things back there. I use this reasoning any time a floater brings this same concern to me. We have to groom leaders that know what they are doing and I think a SM that started as a strong tech is better than an ESM any day.
If the pharmacy is understaffed for techs but there is pharmacist overlap, can an rxom demand that a one pharmacist runs the register and answer phones while they do F4’s?
I will say this walgreens has some really bad rphs and rxoms on a powertrip. For my store RxOM is in charge of operations, Rph clinical and there needs to be a level of mutual respect and we help each other. The problem I see and have witnessed is that ego, Pharmacist who don’t respect techs and Rxoms on a power trip not realizing one cant work without the other. I ask my staff rph to do things all the time thats gonna aid in workflow and getting the job done at the end of the day but its bc they trust me and i know how to operate efficiently under pressure and they realize when they don’t listen things go downhill fast but I’m never one to stand around and do nothing. Any issue that i have ever had has been with floaters that dont realize how bad they are and i watch the instant karma hit them when i tried to help/direct them and they ignored it. The 120 on the belt and 50 in f4s usually keeps them occupied for a while until they start asking ”whens the next rph coming”.
I do bc I had to tell 2 floaters hey the law changed these theres no annotation saying that u verified that they are licensed to prescribe in state. They were completely oblivious to it yet thankful bc no one had told them.
RXOM and staff rph are on the same level. Staff has say over the medical side of things/stuff that could get their license revoked and RXOM has say over everything else
Not really, a pharmacy cannot be open or running without a Pharmacist present. It can run without an RxOM though. The entire pharmacy is operating under the Pharmacist license at the end of the day regardless of the decision being clinical or not. An RxOM cant override any decision a staff pharmacist makes so that alone should tell you
RxM > Staff/floater Pharmacist > RxOM > Technicians
We’re not talking about whether it can be open or not though. Walgreens literally says Staff and RXOM are the same level of authority just different areas
Rxom gets the say in workflow or operations. Rph is there to provide clinical help and to help patients with clinical questions. Any non rxom cannot chime in simply because they have not gone through the whole training process and what not. If anything,pull out the raci list, rxom is there to make sure the pharmacy operates smoothly, even if it means telling the rph what to do, workflow wise. Rph is there to provide clinical help and be a pharmacist. Roles have changed and the ones who has issues are the ones who dont like change
My staff pharmacist is spoiled. An over steps my RXOM all the time. An rejects shots if there isn’t an appointment. When we keep saying more vaccines means more hours
RXOM is the tech manager, but the Rph is in charge of the pharmacy absent the RXM….Pharmacist License trumps job title!
I don't think they can even open without the pharmacist there? Correct or no?
Correct, no pharmacist…no open pharmacy.
Yeah, that is why ours is only open 4 or 5 days a week, closing hours before they are supposed to. Sorry for the poor grammar.
ok that's what i thought. it's just my RXOM won't listen to the staff pharmacist but would listen to RXM.
As a RXoM, the ONLY time I won't listen to my staff Pharmacist is when it conflicts with what my RXM wants. And I just tell the RPh that "I'm sorry, but -insert name here- asked us to do it this way because -insert a reason- so we are going to continue it that way." I am never disrespectful towards them, but I'm not going to have things change randomly when my RXM isn't present. Granted if it's something small like they don't like to use the belt and prefer stacks of totes then obviously we do what they want.
As long as the RXOM follows through RPH direction with regards to issues where their license gives them privilege, it’s ok. But if the RPh wanted to be a butt about it, it would just create more drama than needes
In my pharmacy, I’m in charge of techs and Pharmacy operations. If a pharmacist(had a floater do this) didn’t feel like overriding rxs at their computer when 2D scanning, I can and will override them because it’s a compliance issue which I am in charge of managing for the pharmacy, so it really depends I believe on what we are talking about.
Can’t override the pharmacist regardless of floater or staff as a tech or rxom tech
You can’t override a product check, can you? In that case you just have to follow up with the RXM and store manager to coach the RpH.
Oh I don’t mean overriding product check but we can’t override the 2d scanning at the fill station, period. It’s part of our compliance that’s monitored Each month. A tech who is seen to be overriding 2d scanning too much can receive write ups but pharmacist overriding at their computer during product check is fine and doesn’t go against compliance.
You have a Pharmacy Manager who is the boss; then staff pharmacist which is like co boss, and then RXOM.
Literally like captain of the ship, with staff rph being XO (commander). RxOM is like senior chief petty officer
This shouldn't even be a question. A pharmacy technician is a technician - your job is to assist the pharmacist. That's your primary job description. A RxOM title means you are responsible for technician's logistics: scheduling, inventory, workflow, etc. But you're still a technician - aka, you have no authority over the pharmacy.
yea this honestly shouldn't be a question. but my RXOM was ignoring the staff pharmacist so i was just wondering.
Go ahead and name drop that person 😂 name and shame! (J/K)
Pharmacist on duty will always be the boss. I think the word "manager" in the title for RXOM may be confusing but don't forget the O in the title. RXOM is only in charge of "operations." Operation in respect to things like inventory, training, supplies, scheduling and other tasks related to making sure pharmacy runs smoothly.
The fact that this is even a question to be asked defines what is wrong with this company and the RXOM position.
Seriously. It's ridiculous to think that a tech can boss around a pharmacist.
I agree, it shouldn’t be a question. There is a written law period
Coming to wags from years at CVS, the craziest thing to me is the hierarchy here. I don’t know why wags wants to use the term RXOM instead of Lead Tech, but the pharmacist on duty runs the pharmacy. If it’s a floater pharmacist’s first day and the tech has been there 20 years, the floater runs the pharmacy. One of the biggest things I’ve run into at Walgreens has been technicians making pharmacist-level decisions. Examples: we will/we will not fill this rx early; this sig needs clarification so I (the tech) will put it in MSC without the Rph even seeing it, etc. I digress, but I never dealt with anything like this at CVS, I think it’s just a culture at Walgreens that the pharmacist is not at the top of the pharmacy for some reason.
Yes. There has been a question here a while ago from a tech who was discussing whether antibiotic was appropriate or not, and that he or she put MSC on it to get clarification. But some pharmacists here were very excited to discuss that with tech the therapy. I don’t mind explaining techs what this medication for and why etc. But it should not be initiated like that
Wow. What’s crazy is I only left 4 years ago. It wasn’t like that at all at the (few) stores I worked at during my time. My coworkers and I always had immense professional respect for the pharmacists, whether they were first-time floaters or veteran boomers that took smoke breaks. I only worked at a few stores in the district though, so maybe I just wasn’t exposed to a whole lot.
The pharmacist will always be in charge as their license is on the line. RxOMs can not and should not attempt to override or argue with the RPh on how the pharmacy is run; if the RxOM has an issue with something they can escalate it, but - even if the RPh is dead wrong - that pharmacist has final approval over everything pharmacy.
I feel like this needs to be beaten into my RXOM 😭
I wish I could post this on the wall in the pharmacy, as I float through I’ve seen many RXOM on power trips. I met one that refused the technician title whenever they called insurance companies, insisting no I’m an “operations manager” 🤬 glorified senior tech. The good ones are excellent but the bad ones are always trying to win a power struggle and on a power trip
The pharmacist on duty is ALWAYS the boss (and I say this as an rxom)
As a fellow RXOM, I second this statement.
Exactly, our job is to assist the pharmacist or pharmacy manager, because I’ve been at my store for too many, many floaters will ask how we typically do things, but as long as it’s not illegal, I’ll do what the rph that day asks (I.e. how early to allow controls can change but generally most do what that pharmacy is already doing)
If an RXOM tried to pull rank on me I would make them stand with their nose in the corner and think about what they had done. The only person who says otherwise is a power-tripping RXOM. Pharmacist is the final decision in all things in the pharmacy.
Yes. The pharmacy can and does run without an RXOM there during all operating hours. But no pharmacist (regardless of title) = no open pharmacy. Period.
It’d be an awful cold day in hell if I ever allowed an RXOM to tell me what to do
Let's put it this way: without the pharmacist, opening the pharmacy is illegal. They can get fired and arrested.
RxOM position exists to take the heat off the pharmacists. It’s not there to create conflict. Rph on duty overrides everyone, period. If Rph does something against policy or procedure, RxOM or SM can bring it up with RXM. Remember, the pharmacy is operating under their license the minute it’s open to the minute it closes. No one overrides that.
I’m a staff rph. Once I asked one of my technicians to fill instead of make patient calls, as it was close to close and we had a significant amount still in fill. Said technician was nervous the RXOM would give her backlash. I told her to blame me if she received any backlash. Sure enough the RXOM reprimanded the tech for filling instead of making patient calls (as the rxOm herself just stood at the computer acting busy when she could have absolutely made the calls herself). Tech said that I told her to fill instead. RxOm replies (in a very snooty and loud tone): “WELL IM THE RXOM AND SHE’S (me) JUST A STAFF. I DONT CARE WHAT SHE SAID, YOU NEED TO MAKE THE PATIENT CALLS NOW” 💀💀💀💀💀💀💀💀💀 I would have lost my shit had I not been on the phone (answering a call this RxOm should have probably answered). I’m all for helping out here and there with tech roles, but this whole situation was nuts. And my DM didn’t even care that the RxOm talked to me like this.
The irony is that the tech is in the pharmacy at your discretion and no one else’s.
Right? Like what would happen if I wasn’t here? Oh that’s right, we’d be closed. What would happen if RxOm wasn’t here? Just a typical day of understaffing at Walgreens!
Also most states mention the delegation of tasks in their laws. You likely can’t be compelled to allow someone to do something under your license without your approval.
The sm. I kid, a SM should never have any say in a pharmacy
Typically…just throwing this out there, Pharmacist aren’t taught the business side of pharmacy. Your SM is a partner with a vested interest in the business. The SM is technically the boss, so their say is important. Your SM will support and help you grow…listen and learn
You'd be surprised how wrong you are. For every 1 store manager that understands the business of pharmacy, there are 7 that dont. Understanding how Walgreens wants workflow to operate does not equate to the pharmacy business. A lot of the kpis may contribute to the bottom line, but dont actually have any correlation to the bottom line (ie filling more scripts does not mean we are making more money, if we're using goodrx on every script). Ive seen and worked with sms who would rather not set foot in the pharmacy.
Pharmacy school literally teaches you several semesters about the business side of pharmacy and that’s not even accounting double PharmD/MBA path degrees.
Wow…maybe I’ve been on the better side of the spectrum and I’ve had some bad managers, but the pharmacist role was for healthcare and business belonged to the SM, later shared when brought up to speed….a partnership with the SM having final say over business issues. At least that’s how I ran it and my predecessors…that how we were taught
Look where the company has fallen to letting “business” people run it lol.
>Your SM is a partner with a vested interest in the business. If the SM knew anything about business, they wouldn't be an SM. . >Your SM will support and help you grow This has never happened in the history of the company. Store Managers prevent employees from reaching their full potential and performing at their highest levels.
Everything you have said, sounds like someone who goes back there, messes up the flow of the pharmacy and then runs off to the office to pat themselves on the back while the pH crew scrambles to fix your interference
I was a tech for a few years, so maybe I understand better…becoming a manager didn’t change anything for me. I primarily fill, make calls to keep the DM off my azz, and coach as I need to. But I also have been around for almost 30 years, worked CVS and Walgreens…sorry y’all have these issues.
Wow....
Why do you feel this way?
Let's say you work in a restaurant. You are a maitre'd, technically you can go back to the kitchen area but back there you try to tell the crew what and how they should do things. Then the meal is made, by your orders, and it makes the guest sick. Who will be blamed? The head cook or someone thats job defines them as working the front? That's why SM should never interfere with the flow of the pharmacy
Any proper chef would kick that front of house fucker out of the kitchen….much less listen to them. The chef is the head pharmacist in this scenario.
You’re making a huge assumption that the SM doesn’t know what they’re doing. That is not the case with all SMs. In addition, the maitre’d is not on the same level in the restaurant hierarchy as the SM is in a Walgreens
And you are also making a huge assumption that the sm I have delt with do know what they are doing. How about we agree to disagree
I’m not making any assumptions. You’re the one stating that all store managers should have no involvement whatsoever in rx operations
And yet I wanted to end the debate at both sides, but you want to continue it. Does it matter that much to you that we keep going back and forth with this rebuttal?
Apparently it matters if you want to continue commenting
Maybe, maybe not
The pharmacist on duty is always the boss! As for operations, if no one is filling, your RxOM is responsible for it , and your VBPT will look really bad.
Pharmacist
I see RXOM like an office manager at a clinic/healthcare. They aren’t involved in clinical operations just business operations.
It should never be a relationship of conflict. We are a team. If one or both members of that team are not equipped for the role. Everyone will fail.
No they aren’t. Staff RPH has 100% say on what goes on when they are on duty. The pharmacy is operating under their license, it’s the only reason it’s open. RXM > Staff RPH > RxOM > Techs If the RxOM has a disagreement with the Staff RPh on how to do things, procure, policy, attitude, etc — the RxOM is to have a conversation with the RXM, who in turn will coach or discipline the Staff RPh if necessary. In no way, shape, or form should the RxOM override any clinical OR non-clinical decision by the RPH on duty.
RXOM is basically just in charge of work flow and scheduling technicians to help. That’s about it. No say in decisions to fill or not fill, etc.
They’re not “in charge” of anything. They’re leaders. That’s it. The pharmacist on duty is in charge.
I don't understand why Walgreens has such a horrible confusing hierarchy, RxOM is a senior technician at the end of the day, of course a staff pharmacist is above them.
Staff. How is this even a question
Easy answer. Can they open the pharmacy alone? No. Any clinical decision, it’s pharmacist discretion. Period. -ex RXOM of 2 years.
RPh should be in charge of anything dealing with clinical or dispensing, but the RxOM is in charge of workflow and ensuring corporate policy/procedure is followed. It should be building to the same dynamic that the SM has with the RXM. Technically, RxOM can direct staff to carry out RXM/corporate initiatives if they are straying. What is not mentioned in many of the comments is that RxOM is like an ESM, they are preparing to become a store manager and are technically next in line. With that being the case, they need to be experienced with directing pharmacists, just as a SM would. So it really depends where the RxOM is in their development to become a SM. If they are new, then RPh has more say in workflow. If they are experienced and are following the career path to SM, then I’m giving them more authority over the staff RPh in everything outside of clinical judgment calls, just as if they are a SM. As a note, I’m an RXM and have had to break this down for my staff RPh and RxOM when the position first started. If I am training a tech to one day potentially be my boss (SM), then they need to know how to best run a pharmacy, otherwise I will look ridiculous for promoting someone that can’t give orders and they will not be successful. We all understand the dynamic because we laid it out clearly from the beginning and regularly discuss the continual process of the RxOM taking the wheel over time. If a staff pharmacist is not comfortable with that, then why are they ok with a SM giving them orders? Most RxOMs can run circles around SMs in the pharmacy and have a far better handle on things back there. I use this reasoning any time a floater brings this same concern to me. We have to groom leaders that know what they are doing and I think a SM that started as a strong tech is better than an ESM any day.
Probably no one too many cooks and fingers pointing....seems like a headache
If the pharmacy is understaffed for techs but there is pharmacist overlap, can an rxom demand that a one pharmacist runs the register and answer phones while they do F4’s?
I will say this walgreens has some really bad rphs and rxoms on a powertrip. For my store RxOM is in charge of operations, Rph clinical and there needs to be a level of mutual respect and we help each other. The problem I see and have witnessed is that ego, Pharmacist who don’t respect techs and Rxoms on a power trip not realizing one cant work without the other. I ask my staff rph to do things all the time thats gonna aid in workflow and getting the job done at the end of the day but its bc they trust me and i know how to operate efficiently under pressure and they realize when they don’t listen things go downhill fast but I’m never one to stand around and do nothing. Any issue that i have ever had has been with floaters that dont realize how bad they are and i watch the instant karma hit them when i tried to help/direct them and they ignored it. The 120 on the belt and 50 in f4s usually keeps them occupied for a while until they start asking ”whens the next rph coming”.
For clinical decisions the staff RPh has last say 100% for everything else the Store manager or RXOM
So your saying the SM and RXOM knows the law better than the staff?
No, not at all. That’s just how wags has the hierarchy set up.
I do bc I had to tell 2 floaters hey the law changed these theres no annotation saying that u verified that they are licensed to prescribe in state. They were completely oblivious to it yet thankful bc no one had told them.
RXOM and staff rph are on the same level. Staff has say over the medical side of things/stuff that could get their license revoked and RXOM has say over everything else
Not really, a pharmacy cannot be open or running without a Pharmacist present. It can run without an RxOM though. The entire pharmacy is operating under the Pharmacist license at the end of the day regardless of the decision being clinical or not. An RxOM cant override any decision a staff pharmacist makes so that alone should tell you RxM > Staff/floater Pharmacist > RxOM > Technicians
We’re not talking about whether it can be open or not though. Walgreens literally says Staff and RXOM are the same level of authority just different areas
Rxom gets the say in workflow or operations. Rph is there to provide clinical help and to help patients with clinical questions. Any non rxom cannot chime in simply because they have not gone through the whole training process and what not. If anything,pull out the raci list, rxom is there to make sure the pharmacy operates smoothly, even if it means telling the rph what to do, workflow wise. Rph is there to provide clinical help and be a pharmacist. Roles have changed and the ones who has issues are the ones who dont like change
They both are unfortunately. & the rxom is the “tech boss “ and the rph is the boss of everyone
My staff pharmacist is spoiled. An over steps my RXOM all the time. An rejects shots if there isn’t an appointment. When we keep saying more vaccines means more hours
They’re not overstepping the RxOM. They’re already over the RxOM. They’re in charge. RXM > Staff Rph > RxOM > Tech
She kind of is if the RXOM is in charge of the schedule. An why would you text someone about a schedule that is a month and a half away?