Cookie policy: This site uses cookies (small files stored on your computer) to simplify and improve your experience of this website. Cookies are small text files stored on the device you are using to access this website. For more information please take a look at our terms and conditions. Some parts of the site may not work properly if you choose not to accept cookies.


Subscribe or Register

Existing user? Login

Six ways to survive working as an on-call pharmacist

  • Print
  • Share
  • Comments (1)
  • Save
  • Print Friendly Version of this pagePrint Get a PDF version of this webpagePDF

Six ways to survive working as an on-call pharmacist


Working on call could be one of the most stressful parts of a pharmacist’s career, but it is also an essential part of a junior pharmacist’s training and a time during which you can learn the most.

Clinical learning is at the forefront of most junior pharmacists’ minds, but it is the operational learning and high-stake decision making during the on-call experience that can change a person’s ways of working. An organised (or semi-organised) shift can help to keep patients safe and create a positive experience for yourself too.

Here are some practical tips to help you get started. If you can implement them, you’ll be well on your way to a smooth-running on-call shift and, before you know it, it will all be over.

1. It’s a marathon: pace yourself and look after yourself

Remember that you are the only point of call and that means that sometimes your needs must come first. After all, if you’re unable to concentrate you won’t be able to do your best work and give the patient the treatment they deserve.

Remember to eat — a hungry pharmacist is not a happy one. Being hungry and dehydrated will slow you down and distract you from the details. It sounds silly, but got to the toilet when you need to! You’ll make fewer mistakes and be able to concentrate fully on the task at hand.

2. Document everything

Good documentation goes a long way. When there are dozens of ‘bleeps’ to answer, it can be difficult to remember the details and prioritise tasks. Often, you’ll find yourself answering lots of bleeps before managing to progress your other tasks. Recording these details ensures that you can complete the job later on. Documentation also eases the handover to day staff.

3. Have a system for getting through your tasks

Organised systems improve efficiency. There are many ways you can prioritise your tasks (for example, by their urgency, by their stage of dispensing, or their need for discussion with a manager) and these systems can be used in combination.

 Urgency-orientated systemDispensing-orientated systemReferral-orientated system
  • Urgent systems;
  • Non-urgent items.
  • Things to be screened;
  • Things to be dispensed;
  • Things to be checked.
  • Things to be discussed with a senior;
  • Things that do not need to be discussed with a senior.

4. Keep calm: your colleagues will respect the way you react

When you’re on your own, it can be easy to get caught in your own bubble. Remember, working at night is difficult for everyone: there are fewer nurses, fewer doctors and fewer pharmacists. You may be stressed, but so will your colleagues. All too often they might take it out on you — nurses may shout down the phone or bang at the hatch — but try to stay calm. They’ll remember the way you react and they’ll have much more respect for you, and be much more helpful, if you are understanding of their situation too. You might need their help one day.

5. Good relationships will make your life easier

You will never regret having great relationships with your fellow colleagues — your peers, senior pharmacists, doctors or nurses. If you take the time to nurture these relationships when you’re not on call, these people will help you out when it’s 3am and your brain is frazzled. Using a WhatsApp group for your support network can be the quickest way of getting help.  

6. Be prepared for fire-fighting mode

Sometimes it will be very busy; the phone won’t stop ringing and you’ll barely have time to pick it up before you’re getting the next bleep (or six). This is when you’ll find yourself in fire-fighting mode. If everything is urgent, you might not be able to prioritise — just get started! The jobs list will only start to shrink if you start doing some of them.

At the end of your time on call, feel proud that you survived. Keep a reflective log of interesting shifts, and draw on your experiences for interviews and to train future on-call pharmacists.

With time — although it seems cliché — it will get easier. As you get used to this way of working it will become second nature, and you’ll begin to enjoy the learning experience.

Sinéad Peare, rotational pharmacist, Barts Health NHS Trust

Readers' comments (1)

  • Michael Achiampong

    Great practical insights Sinead!
    Your ideas are transferable and applicable in many other tricky pharmacy situations.

    For example just recently, I was called out of the blue at 11am by head office to sign out as Responsible Pharmacist in one branch at 3pm. Then drive about 12 miles to another branch so that I could supervise 10 to 12 methadone clients between 4pm and 5.30pm. Fortunately, another pharmcist from a rival branch had come in their lunch break to lable the prescriptions, saving invalublae time! Then the regular dispensing staff calmly explained the delay to the clients and their regular customers. It was a chaotic situation. Apart from one client effing and blinding and threatening to self-harm righ there and then [thank goodness for the security officer and shopfloor staff]), we somehow wemanaged to supervise all the clients and serve the other waiting customers. I had to keep as calm as possible, focus on the mission on hand and write up the requisite CD register entries.
    On reflection, an extraordinary situation.

    Unsuitable or offensive? Report this comment

Have your say

For commenting, please login or register as a user and agree to our Community Guidelines. You will be re-directed back to this page where you will have the ability to comment.

  • Print
  • Share
  • Comments (1)
  • Save
  • Print Friendly Version of this pagePrint Get a PDF version of this webpagePDF

From: Pharmacy practice and profession blog

Here you will find blog posts about the profession and on issues that affect practice

Blog Archive

Newsletter Sign-up

Want to keep up with the latest news, comment and CPD articles in pharmacy and science? Subscribe to our free alerts.