June Newsletter

Message from the Board
By: SPA Executive Vice President Steven Webbenhurst

Time is flying and the longest day of the year (sunrise to sunset) is just around the corner on June 21st!

Did you know that on that day, we have 15 hours, 59 minutes and 33 seconds between sunrise and sunset in Spokane? We miss having 16 hours of sunlight by a mere 27 seconds! That is more than 7.5 more hours of sunlight than our shortest day in December.

Think of those people that live further north in the world. The difference is even more dramatic. A few years ago I was fortunate to travel to Alaska for work twice during that summer. Daylight lasted forever it seemed. I was in Anchorage for a total of about 5 weeks and loved that it was still dusk at midnight, but the long days really messed up my mind’s perception of when I should go to bed. We would be out eating dinner and enjoying the city and suddenly realize it was 11pm!

Of course the opposite is true in the winter when they have less than 5.5 hours of sunlight in Anchorage. Residents there told me that people force themselves to be active in the winter so that they don’t go crazy. There are lots of evening activities planned so that people don’t hibernate for the winter.

Our summer days are shorter here in Spokane than they are in Anchorage, but we still enjoy the late sunsets. It seems easy here to be active during those evenings. Summer can be a busy time with trips planned and active kids to watch over, but summer for most of us is an enjoyable time. For those in the education world, it is a break from the stresses of school.

The Spokane Pharmacy Association also takes a bit of a break during the summer. We typically don’t have continuing education programs or promote drug-company sponsored dinners during July and August. Social/networking events don’t start again until fall.

The board hopes that all of our members enjoy their summer, but hope you also look forward to those events starting again in the fall. We will be in touch again before summer is over, alerting you to what great things we have planned for the fall.

Have a great summer!

May Newsletter

Message from the Board
By: SPA Executive Vice President Steven Webbenhurst

Last month I referenced the phrase, “April showers bring May flowers.” Spring is a great time because many things come back to life or bloom. As students graduate, it really is their time to bloom. All of the hard work that went in to this event (including being exposed to much fertilizer I’m sure the students would say) has finally paid off.

Pharmacy techs are in high demand in the area and can easily find jobs. But the same isn’t true for soon-to-be pharmacists. The increased number of pharmacy schools and greater enrollment numbers at each institution have taken us from a shortage of pharmacists a few years ago, to a surplus in many locations this year.

Those entering the job market are finding employers aren’t looking for additional pharmacists. It seems to me that for those looking for traditional positions in retail or hospital, are finding more success if they were interns for those employers. I think that there are two reasons for that. Most importantly, while working as an intern, employers see it as a great way to observe if that intern is a right fit for their organization. It’s similar to IPPE and APPE rotations. Employers and preceptors evaluate students and determine if they would be good hires. And secondly, I think employers are more likely to create positions or make part-time positions into full(er) time positions if they are familiar with candidates.

But as the pharmacy world changes, I think we as pharmacists (and technicians and students) need to help drive the future of pharmacy. Who better to steer our profession than those of us in practice? When I graduated pharmacy school, clinical pharmacist jobs were new. Think how far we’ve taken that concept. And when you consider jobs involving MTM (medication therapy management), immunizations, third party, specialized disease state management, anti-coagulation clinics and so many other areas, we’ve made huge progress in making our profession broader.

As the supply of pharmacists exceeds demand, it is a perfect time to expand our profession further. What ideas do you have? Are there untapped opportunities that need the attention of pharmacists? I think there are. It’s up to us to be creative and use our knowledge to become an even more important piece in healthcare.

April Newsletter

Message from the Board
By: SPA Executive Vice President Steven Webbenhurst

We’ve all heard the phrase, “April showers bring May flowers.” And we all know the answer to, “What do Mayflowers bring?” Of course the answer is Pilgrims!

I think we are all happy that the showers we are having are rain showers and not snow showers. Spring is a time of rejuvenation outdoors. Trees bud, flowers bloom and our attitudes become sunnier as well. We are also familiar with the phrase “spring cleaning” which is sometimes long overdue. Maybe this spring we should all vow to rejuvenate our work routine and clean out our bad habits.

I know I fall into the habit of regurgitating patient consultation information on common drugs as if I were a robot. I have to watch myself to make sure I’m providing the information pertinent to that individual patient with each consultation. I have to ask myself, “What information would I want presented by a pharmacist if it was my family picking up a prescription?”

We can easily update or alter how we talk to patients. Perhaps you’ve read something new about a drug, share that with your staff and your patients if appropriate. Are we remembering to ask patients about new allergies, OTC drugs they might be taking and about issues they may be experiencing with their drug regimen?

I also find that I become complacent with how things are arranged in my pharmacy. I’ve been there for five years now, and just recently relocated some things in my pharmacy to improve workflow and rid our setting of unnecessary clutter. I guess that was my form of spring cleaning!

I think with the freshness of spring, we need to look at our work and see what we do with a fresh perspective. We all have the power to spruce up our work environment, weather it is cleaning dusty areas, rearranging things or as simple as looking at what we are wearing (ink stained white lab jackets, scrubs that are too big or small, tears or rips in our uniforms, dirty nametags, etc).

Let’s make spring a time for our professional renewal this year!

March Newsletter

March Madness
By: SPA Executive Vice President Steven Webbenhurst

It’s that time of year again as the days get longer, we “spring ahead” with our clocks, and March Madness overtakes the weather as the hot conversation topic. March Madness brings together some of the top college basketball teams in the country, showcasing superior athletic talent. Competition runs rampant and most people have a favorite team they cheer for. Some teams always seem to reach the “Sweet 16” and there are always a few underdogs that make it, and are the new kids on the block.

When I moved to Spokane in 1993, I was part of the new kids on the pharmacy block. Walgreens was new to Spokane and some of the regulars weren’t so happy to have us here. I remember calling to transfer prescriptions from competitors only to be told there were no refills remaining, yet the patient’s bottle showed something different. We were competition, and especially for independent pharmacies, we changed the pharmacy landscape in Spokane.

But just as that landscape has continued to change, so has the attitude of pharmacists and pharmacies. Every day I transfer prescriptions in from other pharmacies and transfer some out to others as well. My focus is that I want what is best for the patient. Sure I hate to lose business by transferring prescriptions out to other pharmacies, but in many cases it just makes sense. Perhaps the other pharmacy is more convenient for a patient, or is their “regular” pharmacy. Being located in a medical complex, I fill a lot of prescriptions for patients that are being dismissed from the hospital or from one of the providers in my building (so it’s convenient at the time for the patient).

But I think the mindset in pharmacies has changed in the last few years. As we perform MTM services, vaccinate patients, facilitate prior authorizations, coordinate patient care and other functions for them, I think we all have what is best for the patient at the forefront of our mind. I see this regularly in my IPPE and APPE student pharmacists as well. This is a focus for them in pharmacy school, and WSU does an outstanding job.

Although there will always be competition between pharmacies for business (so that we all stay in business), I think the real competition today is to provide the best service and care for our patients. That is the focus in pharmacy today: service and care for our patients.

Trivia Night at Liberty Ciderworks

April 15, 2019

Trivia Night!

Come join us for a fun night of trivia while you taste some great ciders!

Pharmacists, technicians and students welcome. First 10 student members to register are FREE!

When and Where

6:30 – 8:30 p.m.
Monday, April 15, 2019

Liberty Ciderworks
164 S Washington Street, Suite 300
(just north of Dutch Bros coffee)
Spokane, WA 99201

Cost

$10 per person.
First 10 student members are free!

Relax after a hard day at work or after a day of block testing with friends and future friends while playing trivia and enjoying some great ciders from Liberty Ciderworks (included with admission).

Register Now!

February Newsletter

By: SPA Executive Vice President Steven Webbenhurst

When I say February, what comes to mind first? For me, it is Valentine’s Day. As you walk through almost any retail store, from Home Depot to the Dollar Store, you see something reminding you that Valentine’s Day is approaching. Pink and red hearts surround you as you pass by the displays, reminding you to get something for those you love.

Love–a word we use often. We love people, places, pets, hobbies, foods, almost anything. But do we love our jobs? Pharmacy has changed significantly since I graduated in 1984. Back then, most of my classmates entered the job market with positions at independent pharmacies or retail chains. About a quarter of them went into hospital pharmacy with a small minority finding clinical positions that were relatively new at that point.

As I said, the pharmacy world has changed. There are far fewer independent pharmacies these days and most pharmacy chains are booming. But that’s not the only difference. The healthcare world has opened up so many new opportunities for pharmacists over the last decade or two. Long term care positions have expanded. We have pharmacists that specialize in so many areas including nuclear, ambulatory care, MTM, compounding, manufacturer clinical liaisons and specialized pharmacists in all the disease states. And as the size and number of pharmacy schools has increased, so has the need for pharmacy faculty.

I hope you love your job as much as I love mine. If you don’t, there are so many areas to explore. There may be an area you have never considered that might be perfect for you. A great way learn about other areas is by attending one of our events (CE talks, social/networking events, annual banquet) and talking with other pharmacy professionals.

A number of years ago, North Idaho College was looking for a pharmacist to help with their pharmacy technician program. I ended up teaching 8 credit hours at NIC for several years in addition to working 42 hours a week as a pharmacy manager for Walgreens. I am still on their Pharmacy Technician advisory committee. When I was a district pharmacy supervisor for Walgreens, I stumbled across an early training session to become an immunizer and later became a trainer for the APhA program. I currently work at the Walgreens located on the Deaconess campus and we specialize in HIV and HepC. Having been a pharmacist for nearly 35 years, I attribute my job satisfaction to the various roles I’ve had over the years including my time serving on the Spokane Pharmacy Association board.

So my words of advice to both young and experienced technicians and pharmacists is to love your job, or find one that matches your skills and interests. That job is out there! Find it and live it!

January Newsletter

By: SPA Executive Vice President Steven Webbenhurst

As 2018 came to a close, and 2019 approached, I was reminded of Y2K. For those of you in your 20’s, Y2K was the term that was used to refer to the year 2000 in the preceding decade. Although computers had become common in the ‘90’s, most computer systems hadn’t been programmed to deal with the change in the year format, from 19XX to 20XX. Although a lot of work was done to ensure programs wouldn’t crash as 1999 rolled over into 2000, many people were skeptical. We weren’t sure if bank ATMs would function, gas pumps would work, if we’d have power and water, and if businesses would be able to operate. Our Y2K fears proved to be unfounded.

Many things in our lives have changed in the last 19 years. First thing that comes to mind is the way cell phones have changed over those years. From simple phones with keypads similar to traditional phones, to ones that connect us to the internet, control our TVs and lights, and our course, allow us to text friends. Another thing that has changed is the way we practice pharmacy.

One thing that stands out is how pharmacy and pharmacists have impacted the health of our patients by providing immunizations. Pharmacists have always been famous for being accessible their patients, and that made us perfectly aligned to provide immunizations. Last year, roughly 30 million flu shots alone were administered by pharmacists/interns. And Idaho has begun a program allowing trained technicians to administer immunizations under the supervision of a pharmacist.

There are many other areas in pharmacy that have changed as well. The role of technicians continues to expand and they have become an integral part in the operation of pharmacy. Medication therapy management (MTM) has become more commonplace. Collaborative practice agreements have allowed pharmacists to pursue areas that interest them, from health testing to prescribing select medications and beyond. These are just a few of the changes I’ve seen.

On a day-to-day basis, it seems like pharmacy remains relatively stagnant. But looking back to a prior time (like Y2K), reminds us of how far pharmacy has come.

My two questions for you are, “Where do you envision pharmacy 19 years from now? Where can we take it?”

January 2019 | St. Luke’s

By: Anastasia Corolenco

Pharmacy Focus this quarter is on the St. Luke Rehabilitation Institute in Spokane.

St. Luke’s Rehabilitation Institute is considered one of the most technologically advanced and one of the largest rehab centers in the Inland Northwest. Each year more than 7,200 people throughout the state use St. Luke’s to recover after stroke, brain, and spinal cord injuries, as well as chronic pain and workplace or auto injuries. As the only Level 1 trauma rehabilitation hospital in the region, St. Luke’s provides a wide variety of services focused on pain management, occupational, speech and physical therapies, and also cardiac and pulmonary rehabilitation. It allows each patient to gain the strength, skills, function, and confidence needed to live their happiest, most fulfilling life.


St. Luke’s organizes support groups onsite to assists patients with post-LSVT, dystonia, Parkinson’s, muscular dystrophy, etc. on a regular basis. It’s an opportunity for patients, caregivers and family members to share their experiences and concerns, receive valuable advice, enjoy special speakers, and learn from others.

St. Luke’s also has several outpatient programs for patients in all stages of rehabilitation. Aquatic therapy helps speed up and improve the healing and recovery for patients weakened by pain, injuries, surgeries, and other conditions. Treatments take place in a climate-controlled, therapeutic-grade water temperatures and are supervised by St. Luke’s compassionate rehabilitation experts. St. Luke’s provides an assessment for “at-risk drivers.” Patients who need a reevaluation of their driving skills after head injuries, stroke, decline in vision or memory, decreased mobility, etc. St. Luke’s can help patients to restore function after on-the-job injuries and return to work safely and quickly. Onsite clinical psychologists work on teaching patients and their family members to overcome heartbreaking life experiences and traumas by improving communication, implementing pain management techniques or adjusting to lifestyle changes.

Team St. Luke’s are experts, who are committed to making a daily difference in the lives of the patients.

Trivia Night at Craftsman Cellars

January 14, 2019

Trivia Night!

How much do you know? Come join us for a fun evening of trivia, appetizers, beer, and wine!

Pharmacists, technicians and students welcome. First 10 student members to register are FREE!

When and Where

6:30 – 8:30 p.m.
Monday, January 14, 2019

Craftsman Cellars Tasting Room
1194 West Summit Parkway
Spokane, WA 99201

Cost

$10 per person.
First 10 student members are free!

Wine tasting and light appetizers included.

Come test your knowledge. Space is limited to 30 people. Registration is now closed.

May 2018 | Mann-Grandstaff Veterans Affairs Medical Center

Pharmacy Focus this quarter is on the Mann-Grandstaff Veterans Affairs Medical Center (VAMC) Pharmacy, in Spokane. It is named after two local Veterans who sacrificed their lives for their country and each received the Congressional Medal of Honor.

The Mann-Grandstaff VAMC Pharmacy Services supports the mission of the Veterans Health Administration by providing accurate, cost-effective, efficient, and safe pharmaceutical care to each Veteran served. Its core values are expressed through the acronym, “ICARE,” which stands for Integrity, Commitment, Advocacy, Respect, and Excellence. These core values guide employees’ actions on a daily basis to ensure they are providing the best care anywhere to Veterans by:

  • Integrating the concept of pharmaceutical care into all phases of the pharmacy practice aimed at improving employee engagement and Veteran experience.
  • Employing a systems-thinking approach to continuously improve processes and behaviors aimed at increasing value and developing best practices.
  • Increasing patient educational efforts, particularly as they relate to medication related outcomes.
  • Providing clinical pharmacy support to fulfill National VA PBM Formulary compliance and optimize outcomes with medications.
  • Being good stewards of limited organizational resources and operating cost-effectively within the allocated medical center budget.
  • Providing timely service for prescriptions filled at the pharmacy.
  • Using clinical pharmacy specialists who practice at the top of their license to manage chronic diseases in primary care and specialized care for behavioral health.

The Mann-Grandstaff VAMC pharmacy department is composed of about 30 pharmacists and 23 pharmacy technicians. The pharmacy operates a full service outpatient department dispensing prescriptions and counseling patients. They also have an inpatient department providing unit dose and IV services. Inpatient pharmacist coverage after hours is provided through a remote link to Puget Sound VAMC. During after hours, inpatient medication services are provided through fully stocked Omnicell machines and ward stock. In addition, the pharmacy provides clinical pharmacy specialist services to the primary care and specialty clinics during regular business hours, assisting providers in the treatment of anticoagulation, diabetes, hypertension, hyperlipidemia, tobacco cessation, and in formulary management.

The Mann-Grandstaff VAMC serves as a rotation site to students for six different advanced pharmacy practice experiences (APPEs). Two of these rotations are ambulatory care, one in the primary care setting and the other in long-term-care/hospice. There are also rotations in acute care, community pharmacy, management, and (new for the 2018-2019 cycle) urgent care.

The Mann-Grandstaff VAMC has been providing an ASHP accredited PGY1 Pharmacy Residency Program for the past six years. Each year the Mann-Grandstaff VAMC receives applications from candidates all over the United States. A pharmacy team conducts interviews and chooses only two residents from a pool of highly qualified candidates. An ideal candidate for this position should possess not only a strong academic record, but also leadership abilities, a commitment to community, and good emotional intelligence. In other words, pharmacy residents are hired for their attitude and trained to develop their skills. Residents can get experience in outpatient, inpatient, clinical, administration, and long-term/palliative care. They also have the opportunity to select electives in infectious diseases, behavioral health, home-based primary care, and academia. Interested applicants must participate in the ASHP Residency Matching Program (The Match) and the Pharmacy Online Residency Centralized Application Service (PhORCAS).

The Mann-Grandstaff VAMC allows pharmacists and pharmacy technicians to practice at an advanced level to contribute to excellent patient care. Pharmacists at the Spokane VAMC have the highest “All Employee Satisfaction Scores” for the last two consecutive years. As a team member in the VAMC, it is important to have strong communication skills, emotional intelligence, and the ability to build long-lasting relationships.