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By Rachel Bishop posted 07-05-2023 09:54

  

As the profession of pharmacy has progressed, the roles of technicians are changing, the emergence of a worldwide pandemic, and now with the extreme shortage of technicians, it seems like the training of technicians has fallen by the wayside. Now, we see new technicians who have only worked for a few weeks training the new hires themselves. When did we lose our focus on the training of our technicians and how do we correct it?

As the pandemic swept the world, healthcare workers took the brunt of the workload.  If you were not infected with the virus, you likely were filling in for those that were, as well as working your shifts. As the pandemic slowed, healthcare workers were burned out and disgruntled about working conditions as well as compensation. Pharmacy technicians were no exception. After working for two straight years during the pandemic, being paid the exact same pay, and being overworked, many experienced technicians quickly exited the profession and moved into positions that paid higher. One example was the fast food industry. The need to fill positions quickly became the priority and not how to properly train these technicians. With no experienced technicians to train, and the experienced technicians working in advanced positions, the training model quickly disappeared, and it became the sink-or-swim model.

Now that the pandemic is over, we are still in dire need of quality trained technicians. How do we achieve this, when most pharmacies are just trying to take care of their patients with the minimal staff they have? To solve a problem, you first must identify the root of the problem. The root of poor or no training comes down to the pharmacy technician shortage. Without many technicians, who else is left to train, but those left behind?  If we address some of the reasons for the technician shortage, we can work on correcting them and improve the training of new hires.

Employers

  • Employers need to develop a training model and be consistent with all new hires.

    • Create a training manual that has clear and established policies, procedures, and protocols.

    • Have a designated trainer.  Having multiple trainers that have different methods and opinions of how things should operate often confuses and frustrates the new hires.


Establish hiring standards

  •  Are you willing to hire someone off the street, with no experience or training? Too many times, pharmacies will hire anyone that has a license, invest in their training, only to have the new hire quit within three months.

Create a conducive learning environment.

  • Pharmacy is inherently stressful, but adding to the stress by being short-staffed can often create a toxic environment that new hires do not want to work in.

          Education

Require pharmacy technicians to have formal education.

  • A technician that has formal education already has a foundation of the general workflow, medications, and general pharmacy regulations and policies. This offers the pharmacy a strong candidate that will pick up on the training faster and potentially become a career technician.

Compensation

  •  As a professional that must be certified and licensed with the state board of pharmacy, pharmacy technicians should be compensated as other healthcare providers that are certified and licensed.

Recognition

  • Pharmacy technicians are the backbone of the pharmacy, and they should be recognized as such.  Being classified as a paraprofessional is no longer acceptable.

  • Having the recognition as a professional and being compensated as such will entice more employees to stay in the profession, rather than using it as a stepping stone to another career.

Just like building a house, we need to establish strong guidelines and a strong foundation.  To improve our training of new hires, we must have quality technicians already on staff.  It’s a never-ending circle that continues feeding itself. We need to recruit and retain quality technicians so that new hires are properly trained to become the next quality technician.

The comments in this blog reflect my thoughts and not necessarily those of ASHP or of my employer. 

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11-16-2023 10:49

I've kept coming back to this...and this may ruffle some feathers...but while I agree with your points for better retention, I want to throw out there that new technicians training newer technicians is really no different than the "layered learning model" that has been preached at us for pharmacists. If we are willing to let a PGY-1 resident (AKA still in a training program and often a licensed pharmacist <1yr) train a pharmacy student, but are unwilling to have a technician who finished training a week ago train a new technician, what does that say about how much we value the training of our pharmacists?

This is not to say there are not pros to the layered learning model - it both saves the upper level people time, and may help the trainer think more critically about why they do what they do, but as noted above, training by a newer staff member may not consistently get trainees to the same level as if they were trained by the expert.

07-13-2023 12:20

Great suggestions that are all "do-able".  I especially agree that investing in quality training (procedures and trainer) are vital. This is where expectations, precedence and support are all clear from the beginning. Good training sets us all up for success.

Can NOT recognize our pharmacy technicians and staff enough. Their contributions to patient safety and quality care is priceless - and they should hear it each and every day!