-Upper management- lack of support, constantly changing, no understanding of how you can’t standardize a company that doesn’t have a standardized market, volume or type of therapy, size, territory, and multiple other factors. Also, every states’ pharmacy law is different and this is often overlooked/ignored.
-Pay.
-No transparency.
-Open door policy is nonexistent.
-No compassion or loyalty to employees when their core HeartAtWork values insinuate a positive and inclusive working environment.
-Centralizing of departments has lead to slower outcomes, poor training, lack of communication, no oversight of those employees, no direct contact and less of a team environment. It has also left local pharmacies with less staff and shifted work onto other employees leading to extreme frustration, and fast burnout.
-No accountability from other departments and all issues left for local pharmacy to sort out despite not having access to information from the other departments.
-Lack of communication.
-Extremely metrics and sales driven environment.
-Lack of training.
-Enteral on-call and the extreme burden it places on pharmacies employees and budget for non-prescription items that should be going through that centralized enterprise division instead of a local pharmacy. Including non-emergent situations addressed as though life or death forcing pharmacy employees to take call and work in the middle of the night when they have to work the next day that is clinically driven and could factor into poor patient outcomes.
-Company directives are not given to all departments at the same time leading to confusion.