Rhode Island Pharmacy Technician Certification

Treating Drug Addiction

Drug addiction is a wide and complex sector of medicine, with a large number of treatment areas in which physicians use their skills to help people with a physical dependency. The multifaceted nature of a problem like addiction means that a given addict may require a number of different forms of treatment, such as pharmaceutical and psychological, in order to get them through withdrawal and into good health, free from dependence.

Prescription Drugs

Addiction to prescription drugs – while avoiding the increased health risks which are associated with the impurity and non-specific origin of street drugs – can be similarly hard to break, and can cause some of the same long-term effects; such as venal problems (for example) in both heroin (street) and morphine (prescription) addicts. Like heroin, many prescription opioids such as morphine and codine can be treated with the very effective substitute, methadone. Methadone mimics the effect of the addictive opiates so that the patient can be free from the unpleasantness and distress of withdrawal while not attaining as much of a ‘high’ as the abused substance, meaning that it is more compatible with work and is less likely to be abused in itself. Another form of treatment is the opiate antagonist naltrexone, which negates the effect of an opioid drug, meaning that it can be used to treat overdose and to halt minor addictions.

The treatment of people who are addicted to prescription sedatives such as barbiturates and benzodiazepines is rather more serious, in that withdrawal from these drugs is very sensitive and dangerous, while only limited research has been conducted into best practice. However, it is understood that the safest way to help a patient to withdraw from sedatives is to help them to cut down slowly over a period while keeping them under close medical examination. It is also useful to assist a patient through counseling in which they can be taught to deal with stressful circumstances without resorting to sedating substances.

Heroin

Heroin treatment is one of the most important areas of drug-related medicine due to the severity of heroin addiction and – as is the case with heroin in North Carolina – because in many areas this form of abuse is increasing. In this case drug users were moving onto this dangerous drug due to the closure of certain factories which had been producing opioid pills. Heroin addiction is most commonly treated with the aforementioned methadone, an effective way to keep an addict comfortable. Suboxone is a less-common though useful form of treatment, which differs in that it is less potentially dangerous than methadone (and hence can be stored in high volume by patients) while having less potential for abuse because it does not give rise to any ‘high’ whatsoever. However, suboxone has an effective cut-off point where it will not be useful in treating more intense addictions, while methadone is not limited in this way.

Psychology

The way in which people think together with their individual psychology is increasingly used in the process of drug rehabilitation, to give addicts the support which they need to stay the course of their detox while aiming to understand what caused their addiction so to avoid a relapse. Drug withdrawal, especially with substances like alcohol, is a very emotionally stressful process, with the patient experiencing high levels of distress and discomfort. Understanding a patient’s psychology allows the physician to find out why they were unable to give up drugs before and what can be done to support them through the detoxification process, giving them the strength to continue. Further to this, by understanding the reasons why people take drugs – such as due to depression or family problems – medical personnel can understand what caused the addiction and thereby find a way to address these issues,g thus avoiding relapse.

Modern physicians have available to them a diverse and targeted range of methods for dealing with addiction which, while complicated, provide a framework which enables them to help an addict to regain their lives. With advances in the psychology of addiction, medical professionals are able to attack the route of dependency and work to resolve the underlying causes – work which is fundamental at a time when a number of drug-classes are used in increasing numbers.

interview nasm closing

Interview Question: Do you have anything in closing?

interview nasm closingQ: Do you have anything in closing?

Strategy
This is the last chance to impress the interviewer.  No time to retake the NASM test and shove a better score in their face. If you have waited until now to do it then you are in trouble. You must remain humble and thankful. Refrain from asking questions. Your answer should be 1-2 minutes in length. This is a chance to show you are passionate and articulate. Avoid begging or saying things like, “just give me a chance and I will be a great employee” that just makes you look desperate. Remember to speak with confidence and make eye contact as you close. When finished speaking wait to be excused, rise and shake hands and personally them for their time and consideration. Another piece of advice I can give you here is to not speak to other candidates about the process. Also, do not say anything negative as you are leaving the premises. You never know who is listening to you and things you say may make it back to the panel and could disqualify you.

Example
I would just like to thank each of you for the opportunity to compete for this position. This opportunity is very humbling and I must say that I am extremely honored to be considered. If accepted I will in turn honor you and this profession by diligently learning all of your policies and procedures and I will meld into your culture with an attitude of gratitude. I am very excited to move forward with the gym. Thank You.

Interview Question: How do you deal with stress?

interview firefighter stressQ: How do you deal with stress?

The Strategy
This is a very common question and yet another chance for you to shine. It is no big surprise that firefighting/EMS is a very stressful profession, even after you nail the civil service exam by taking a firefighter practice test. Telling the panel something they already know will not set you apart. Further, many candidates say similar things. Typically candidates will list activities like exercise, prayer, meditation, or talking with a good friend. These are all good things to say but you will sound like all the other zombies the panel will interview. The candidate that will stand out is the candidate that understands what kills firefighters each and every year. Articulating strategies that combat the things that kill us will impress the panel. So what kills us? According to the United States Fire Administration there were 85 fatalities in 2010. The breakdown is below:

Nature of Fatal Injury:

  • 48 Heart Attack 56.4%
  • 20 Trauma 23.5%
  • 4 Asphyxiation 4.70%
  • 4 Other 4.70%
  • 3 Crushed 3.52%
  • 3 CVA 3.52%
  • 1 Burns 1.17%
  • 1 Heat Exhaustion 1.17%
  • 1 Unknown 1.17%

We die from heart attacks 56.4% of the time. Your answer needs to address how you understand this and how you plan to attack the risk factors associated with heart attack. Did I mention that stress is a risk factor? The following is a list of risk factors put out by the American Heart Association:

Heart attack risk factors

  • Smoking
  • High cholesterol
  • High blood pressure
  • Physical inactivity
  • Obesity
  • Stress
  • Overuse of alcohol

Did you know that when we become stressed, adrenal glands secrete a hormone called Cortisol? Each and every time the tones sound our bodies spring into action and go into fight or flight. Our blood stream is flooded with Cortisol and we are ready to handle any emergency. In the short run the Cortisol does some important things. You get a quick burst of energy, heightened memory, increased immunity, low sensitivity to pain, and it helps to maintain body homeostasis. Sounds great, however what happens to the Cortisol if we get cancelled enroute and did not have a chance to go to work? Well the Cortisol stays in your system and it can have some damaging effects. I have listed them below:

Prolonged Cortisol effects:

  • Impaired cognitive functions
  • Suppressed thyroid function
  • Blood sugar imbalances
  • Decreased bone density
  • Decreased muscle tone
  • High blood pressure
  • Lower immunity
  • An increase in abdominal fat

I would add that there are studies out there that point to the negative effects of an excess of abdominal fat on the heart. It appears that our job could be killing us. That is, our job is killing us if we fail to understand the things we can do to lower the risk factors of heart attack. Our job is killing us if we fail to understand ways to counteract the effects of Cortisol in our systems. The candidate needs to have a plan to reduce the risk factors of heart attack and lesson the negative effects of Cortisol to ensure that they will have a long healthy career.

Example Response
Thank you. It is no surprise that this is a stressful profession. Stress is a part of life and we all manifest it in our own ways. One thing is common however and that is that stress has negative effects on our bodies and in particular our hearts. What I find interesting is that the number one killer of firefighters each and every year is heart attack. Also recent research is showing that firefighters have chronic high levels of Cortisol in their blood streams due to the nature of their jobs. Cortisol has many damaging effects to the body but in particular it increases the amount of belly fat that we accumulate. This is an ominous finding because an increase in belly fat has shown to increase the risk of heart attack. I have made it my mission to live a heart healthy life style. That means I exercise on a regular basis. I have a heart healthy diet except for an occasional Little Debbie snack, dang those things are addicting. I also have a great support group of friends and family that I can talk to if things are bothering me. If I do all these things they should add up to a long, healthy, and rewarding career. Thank you.

Interview Question: What Does Customer Service Mean to You?

interview customer serviceQ: What does customer service mean to you?

The Strategy

Customer service is certainly not a new concept to the pharmacy technician community. If you have ever worked retail in your life you probably had this concept beat into your head. Have you ever heard that the customer is always right? I am sure you have. This concept has been co-opted by the ptcb and pharmacy tech industry as well. It makes some sense however it is not a perfect fit. You need to understand that the interviewer wants to hear how you will treat those in the community.  Mention the fact that you serve the public by continuing to educate yourself so that you can do a better job. You could talk about how service to you is treating the public like I expect to be treated. So in every way the relationship we have with the public is much more important than that of a customer and a business.

Example Response

Passing a ptcb practice test shows you have the knowledge, but customer service is a skill that you cannot teach.  Customer service is treating others like you would like to be treated. It is used in the business world to remind employees that if you don’t provide excellent customer service people will take their business elsewhere. This concept translates to the pharmacy technician industry well.  Our communities trust us to handle their medication and take care of them in their time of greatest need. So to me customer service is an attitude of public service that I take on as my life’s work. It is a personal oath I take to be trustworthy, educated and to treat members of my community the way I would treat my own family.

Interview Question: What is more important, Fire or EMS?

interview fire vs emsQ: What is more important, a firefighter or an EMT?

The Strategy

A candidate that I recently mentored was asked this question and was blindsided by it. It is a question that can bring to the surface any bias you may have and quickly sink you. To answer this question you need to know a little about how a city funds fire and how EMS raises funds. Also, you must show that you have some empathy for the person who called 911. Here is how it works. First, of all, in a city a tax base pays for fire services for the most part. So when you call 911 for a water leak and an engine company comes out to shut your water off and salvage your furniture we do not send a bill for our service. You already paid when you paid your taxes. EMTs and Paramedics, who study using EMT-B Practice Test and Paramedic Practice Test and working through EMS is a different story. An ambulance is a for profit enterprise. Your taxes do not provide you ambulance service. If you call 911 for an ambulance you will receive a bill for service. So cities are obligated to provide fire protection and that is their priority. Now the taxpayer does not usually understand this fact. All the taxpayer knows is that when they call 911 they want help. To the taxpayer fire and EMS are equally important and you need to remember this fact. Whatever you are called for is a crisis to whoever called, period. Remember that you are a public servant and have pledged to serve no matter what the situation. This fact dictates that you show impartiality when it comes to how you serve no matter if it is fire or EMS.

Example

That depends on your perspective. To the city fire services are the priority because they receive taxes to support the service. Services provided by EMTs and Paramedics through EMS are usually not supported by a tax base and are usually a bill for service situation. Therefore, the city or district is obligated to provide fire protection. Now, to the person calling 911 there is no distinction. When someone calls 911 all they know is that they have a crisis and they need help. The day they call 911 is their worst day. So to the taxpayer, fire and EMS are equally important. In that fact lays the answer. As a member of your organization I am a public servant. I have pledged to serve the public on their worst day with empathy, skill, and impartiality. It is my honor to do so I might add. Therefore, as far as I am concerned, there is no distinction. In closing I would just say that it is my honor to serve the public in whatever capacity the situation dictates.

Interview Question: How do you handle difficulty in the pharmacy?

interview pharmacy technician confrontationQ: How do you deal with conflict? Have you successfully worked with a difficult person in a pharmacy setting?

Strategies

The strategy here is to let the interviewer know that in conflict there are things you can control and things that you cannot, especially in a pharmacy setting. One thing you can control in conflicts is your emotions. In essence you can exercise self-control. Trying to control someone else’s feelings is a losing battle and not one you should entertain. I would add here that it is incumbent upon you to control yourself. That is an act of maturity. Another thing you can control is the framework that you operate within on a daily basis. What I am saying here is what rules do you live by that will influence how you will deal with conflict when it arises. I have personally made three rules that I live by and I present those to the panel. My rules are don’t think more highly of yourself than you should, treat other pharmacy technicians like you want to be treated, and refuse to be offended. Let the interviewer know that when you choose to control yourself and live by your three rules, 90% of conflict goes away. However, that leaves 10% of the time that you will need to find a solution to a conflict. 10% of the times you will need to rely on good communication to resolve the conflict. It is key to mention that you will try to handle the matter at the lowest level possible within the chain of command. Another thing I have done over the years that has served me well is to always critique in private but praise in public.

Example

First, let me say that conflict has more to do with me as a pharmacy technician than anything else. When a conflict of any kind arises I have to make some choices. I realize that I can only control my emotions and myself and to try and control someone else’s emotions is a losing battle. So I choose to control my emotions and myself first. I live by three rules. First, I don’t think more highly of myself than I ought to. Second, I treat other pharmacy techs like I would like to be treated. Finally I refuse to be offended. I have found that if I choose to control myself and live by my rules 90% of conflict will resolve. Now that leaves 10% of the time I am going to have to deal with conflicts. The key here is communication. If at all possible with dialogue I am hoping to resolve the conflict at the lowest level between myself and the other party. If this is not an option I will utilize my chain of command and bring the matter to the next person in the chain for mediation. Again, conflict is 90% about my attitude and my emotions. If I continue to realize this and live by my rules conflict should be rare.

Interview Question: Multiple Orders

interview firefighter bossQ: You are on the fire ground and your Lieutenant sends you to the engine to get an axe. While at the engine a chief officer approaches you and orders you to pull a hose line to the back of the house. What will you do?

The Strategy

This is basically a conflict question, however, it will put to the test your knowledge of the fire service and how we operate on the fire ground. If you have been around the fire service for any amount of time you know the importance of accountability. Most departments have some sort of accountability system in place at a fire scene. I advise candidates to tackle the question with this in mind. Also, keep in mind that fire scenes can be chaotic. The panel is also trying to see if you act insubordinate with the chief officer. I believe there is a tactful way to handle this situation and it all comes down to communication.

Example

Well I must say that this is an uncomfortable position to be in as a new firefighter. First, let me say that I understand that a fire scene can be very chaotic and lots of things are happening quickly and need to get done ASAP. I imagine that this scenario is not unusual. The key here is to remember that we have accountability systems in place and accountability is paramount. With that being said I do not want to be insubordinate with my chief officer. I would simply tell the chief officer that I was sent to get an axe by my lieutenant and he/she is expecting that I bring it back soon. This statement should clue in the chief officer that I am trying to maintain accountability. This may not work and if it doesn’t I will use my portable radio to radio my lieutenant and tell them I have been reassigned by command. I will inform my Lieutenant that after I pull a hose line to the back of the house I will be in with the axe. Again this scenario is all about communication.

Interview Question: Firefighter situation and how do you respond?

Q: You are on a fire scene conducting overhaul operations when you see your partner pick up a wallet out of the rubble and put it in his pocket. What will you do now? interview firefighter situation

The Strategy

This is a very targeted question.  They could have just asked “What would you do if you saw someone cheating on the civil service exam,” but they want to see how you react to a more ambiguous field situation.  The panel is looking for a few things when asking this question. They are trying to determine how you will react when you think you see something that is nefarious in nature. On the surface the question is probing you on how you will handle a situation when you see something happen that is illegal. However this is a chance to give the panel some insight into how you view people in general. Do you generally think the worst or best in people. This is going deeper into the question and giving the panel a better understanding of who you are. The key here is to not assume that your partner is stealing because you realize that this department vets all its candidates thoroughly and they hire the best of the best. Your approach should be to let your partner know that you saw them take the wallet but do it in a tactful, non-accusing way. This will give your partner the option to do the right thing and it allows you to think the best of your partner. Finally, you need to tell the panel that if your partner does not do the right thing and steals the wallet, you will utilize your chain of command and turn your partner in. The panel will not be able to write fast enough and score you high on this answer. You have taken this question up a level.

Example

First of all, this is an awkward situation and I have to handle this sensitively. I would approach my partner and say, “wow good find”. “The homeowner will be very happy when they get their wallet back”. Can I be there when you return it I want to see the look on their face”. “The Chief will be proud that you went above and beyond on this one”. Now I present it this way because I see the good in people and I do not assume that my partner is stealing the wallet. I further understand this department has put all personnel through vigorous background checks and you hire the best of the best, so I have no reason to assume my partner would have such low character. However, I have to leave open the option that my partner is up to no good so I let them know that I saw them take the wallet but I do it in a non-accusing fashion. My partner now knows that I saw him take the wallet and I will be telling the chief about the incident. I have given my partner every opportunity to do the right thing. If they choose to do the wrong thing then I will utilize my chain of command to report the incident.

Interview Prep: What makes you better than other candidates?

interview best candidate phlebotomyQ: What makes you better than the other candidates?

The Strategy:

Simple. Be HUMBLE!!!! Did I say that loud enough? If you decided to go the arrogant route you will not be getting a job offer. Nobody likes someone who thinks that they are better than everybody else. Let’s face it you are not qualified to comment on the other candidates. Don’t go on a rant about how you killed the phlebotomy exam on your first try and are smarter than everyone else.  You really have no idea what the other candidates have done to prepare for this position. You are qualified to tell the panel why you would be a good choice. The panel is first looking for your humility and what character traits and skills you posses that make you a good fit for their organization. This is a good place to use one or two of the strengths from the list you have in your mind. You can also mention facts that apply such as, I have lived in this community my entire life and I know the culture well. Mention your education and experience but do not speak on this too long because you probably have already talked about this in other questions.

Example:

I am really not qualified to speak on the qualities of the other candidates. I am sure that all the candidates have worked hard to get here today. What I can tell you is that I am excited to convey why I am a good choice and fit for your organization. I am sure I have very similar educational experience as the other candidates. I completed my Fire Science degree in the spring of 2008 and from there went right into Paramedic school. I received my Paramedic in the spring of 2009. (Add in here any other education you have). I have been a volunteer firefighter since the summer of 2007 and in that time I have been an active volunteer. I have attended many drills and several firefighter conferences throughout the state. In my time as a volunteer I have sought out and picked the brains of many of the senior people in the organization and that has been invaluable to me. I have been a member of this community my entire life and I am very familiar with the culture. Where I am hoping to distinguish myself is in my character. I am a humble person who will show up each day with my mouth shut and my ears open. I am diligent and will pursue my studies with passion. I posses perspective and will not forget that I am privileged to be part of this organization. I am honest and you can trust that I will do the right thing when I am in the public eye or not. Finally, I am generous and am always available to support my fire department family.