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with mental health first aid training, or be  
connected to further assistance, include: 
•  Any spoken intention of self-harm –  
eg, ‘I can’t cope anymore’, or ‘No one  
would care if I was gone’, or ‘There’s  
no point in life’, or ‘Everyone would be  
better off without me’. 
•  Significant changes in mood  
or appearance. 
•  Signs of distress, such as tears or  
someone being visibly upset, voices  
being raised, or someone pacing or  
not wanting to sit still. 
•  Any concern that the person may  
become violent. 
Manage workflow effectively  
Unpredictable workloads can make  
planning difficult and contribute to  
workplace stress. Effective communication  
between front-of-shop staff, dispensary  
staff and customers will resolve most  
situations. Using a system that prioritises  
prescriptions and highlights prioritised  
items allows staff to see at a glance how  
many prescriptions are in the queue. 
If the workload has become high,  
ensure patients are aware of delays.  
Communicate realistic waiting times to  
patients and ensure that everyone in the  
pharmacy knows what these are. 
Inefficient workflow design and  
dispensary layouts may contribute to  
workplace stress and decrease dispensary  
efficiency. Managers and owners should  
re-evaluate workspaces and workflows  
regularly, especially in changing  
environments. Re-evaluation should also  
occur when a new service is introduced,  
such as flu vaccination, to establish the  
impact of additional tasks.  
Addressing staffing levels 
•  Redeploy staff. Have dispensary  
technicians or dispensary assistants  
complete technical aspects of  
dispensing while pharmacists attend to  
professional aspects. 
•  Have a flexible staff roster to ensure  
staff mix is correct. 
•  Develop a crisis plan to cover  
unplanned staff absenteeism. 
•  Temporarily withdraw non-essential  
professional services if necessary. 
•  Arrange appointments for  
essential services. 
•  Communicate to customers when you’re  
short-staffed and that services may be  
unavailable during this time or wait times  
may be longer. 
Recovery periods  
Encourage staff to take adequate rest  
breaks, and ensure they have the  
opportunity for this. Staff may also  
need a mental break after dealing with  
an emotionally taxing situation, such  
as an abusive customer. Pharmacists  
should give themselves the same  
consideration, recognising when they  
have been rattled, and take some time  
to recover. 
Tips on how to encourage breaks:  
•  Ensure adequate staff levels and skill  
mix for covering breaks. 
•  Ensure pharmacy assistants understand  
the importance of pharmacist breaks. 
•  If breaks can’t be scheduled, ensure  
they’re taken when reasonable  
and practical. 
Self-care 
The term ‘self-care’ is used to describe  
the act of caring for oneself. This may   
look different for everyone, but can  
include a variety of coping mechanisms: 
•  Physical activity. 
 Daily activity of 30-60  
minutes is ideal. This doesn’t need to  
be all in the one period. 
•  Sleep. 
 While sleep requirements vary  
slightly from person to person, most  
healthy adults need between seven and  
nine hours of sleep per night to function  
at their best. 
•  Relaxation. 
 Breathing exercises,   
yoga, meditation. 
•  Mindfulness. 
 The quality of being  
fully present in the moment can  
help you make the most of your   
self-care practices. 
Sole pharmacists 
Although sole pharmacists may struggle  
to find the opportunity to schedule  
breaks, it’s important that some form of  
‘break’ is taken. To relieve the pressure on  
a sole pharmacist during breaks, ensure  
pharmacy staff understand the importance  
of pharmacist breaks, even if these are  
for just a few minutes. Perhaps develop  
a standard phrase the staff can use with  
patients when the sole pharmacist is  
on break.  
It’s also important to educate pharmacy  
assistants regarding a sole pharmacist’s  
role, so they’re aware that wait times may  
be longer and they can communicate this  
to patients.  
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CPD ACTIVITY 42 
RET AIL PHARMA C Y • MA Y 2020
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