厚生労働省が発出している規制要件では、要員の「教育訓練」を求めている。
ここで注意が必要なのは、「教育」と「訓練」は異なるということである。
英語では教育は「Education」であり、訓練は「Training」である。
自動車免許の取得を考えてみよう。教習所において学科教習を受けるが、これが「教育」に相当する。しかしながら学科教習のみでは、自動車の運転は不可能である。
次に大切なことは路上教習であるが、これが「訓練」に相当する。訓練では、上長や先輩社員が実際の業務をやってみせて、やらせてみるといったことを実施する。OJT(On the Job Training)とも呼ばれる。
筆者が多く監査をする中で発見する事項として、「教育」の記録はあるが、「訓練」の記録がほとんど作成されていないということである。
さらに、各要員の力量表(スキルマップ)を作成してくことが必要である。力量表の目的は、各企業においてどのような力量を持った者がどの部門に配置されているか、また将来のトレーニングニーズを把握するために重要である。
![](https://i3.createsend1.com/ei/i/82/C4A/046/055245/csfinal/1.gif)
ところで「力量」とは「スキル」のことであると誤解していることが多い。
ISO-19011によれば、力量の定義は以下のとおりである。
3.14 力量(competence)
意図した結果を達成するために知識及び技能を適用する能力。
すなわち「知識」も持っているだけではダメで、「技能」も持っていなければならない。さらに「知識」と「技能」を駆使して「意図した結果を達成」しなければならないのである。
単なる物知りでは力量があるとは言えない。
力量表では、各部門で要求される力量を複数列記し、各項目に対して以下のように5段階で評価することが多い。
レベル1:完全に理解し指導する能力がある
レベル2:一人で担当する能力がある
レベル3:助手として担当する能力がある
レベル4:指導されて担当する能力がある
レベル5:担当していない
必ずしも、すべての要員が全ての項目に対してレベル5を目指す必要はない。部門の中でスキルセットを集めればよい訳である。
best nighttime medicine for allergies best allergy pills for adults exact allergy pills
strong natural sleeping pills how to get provigil without a prescription
prednisone online buy prednisone order
can ibuprofen help stomach ache buy ramipril 10mg generic
strongest acne over the counter purchase monobenzone cream best doctor prescribed acne medication
immediate heartburn relief otc retrovir 300 mg generic
isotretinoin order online accutane usa isotretinoin 40mg over the counter
buy sleep aids online brand melatonin
cheap amoxicillin pill amoxicillin 1000mg without prescription amoxil 500mg uk
zithromax pills purchase zithromax purchase azithromycin online
gabapentin uk buy neurontin generic
buy azithromycin medication oral azithromycin azipro generic
order furosemide 100mg online furosemide 40mg oral
order omnacortil 40mg generic order prednisolone 10mg pill prednisolone over the counter
amoxil 500mg usa buy amoxicillin 1000mg online cheap amoxil 1000mg generic
buy generic acticlate doxycycline 200mg drug
purchase albuterol pills ventolin 2mg pills albuterol tablet
augmentin 1000mg brand augmentin price
levoxyl pill cheap synthroid 75mcg order synthroid generic
buy levitra 10mg for sale levitra order online
buy clomiphene 100mg sale purchase clomiphene pill order clomid
buy tizanidine 2mg without prescription tizanidine ca purchase tizanidine online
generic rybelsus rybelsus over the counter order rybelsus 14 mg
buy deltasone for sale order generic deltasone deltasone order online
purchase rybelsus pill where can i buy rybelsus buy rybelsus 14 mg pill
buy accutane pill cost accutane 10mg isotretinoin 20mg pills
order amoxil 1000mg without prescription amoxicillin where to buy order amoxicillin 500mg sale
ventolin inhalator us order albuterol pill antihistamine tablets
azithromycin 500mg for sale order zithromax generic azithromycin without prescription
buy augmentin for sale amoxiclav usa buy generic augmentin
order omnacortil for sale purchase omnacortil for sale order omnacortil 20mg
levothyroxine online buy purchase synthroid pill order levothyroxine online cheap
order neurontin 100mg neurontin 100mg oral order gabapentin online
order clomiphene 100mg online clomid cheap order serophene for sale
furosemide 100mg oral buy cheap generic furosemide order furosemide 40mg online cheap
sildenafil mail order sildenafil uk sildenafil for sale online
cost vibra-tabs purchase vibra-tabs sale vibra-tabs uk
Good day very cool web site!! Man .. Beautiful .. Wonderful .. I will bookmark your site and take the feeds additionally…I am happy to seek out numerous useful info here in the submit, we need develop extra strategies on this regard, thank you for sharing. . . . . .
buy generic semaglutide 14 mg buy semaglutide online semaglutide 14 mg for sale
card games online online blackjack real money casino blackjack
buy vardenafil 10mg for sale vardenafil drug vardenafil 20mg for sale
buy pregabalin 75mg pills buy lyrica 150mg for sale buy cheap generic pregabalin
aristocort 4mg ca buy triamcinolone generic order aristocort 4mg without prescription
order plaquenil 400mg generic order hydroxychloroquine 400mg pill order hydroxychloroquine 400mg pills
desloratadine oral clarinex over the counter buy clarinex paypal
cheap cialis 5mg order cialis pill buy cialis 10mg online
I’m not that much of a online reader to be honest but your sites really nice, keep it up!
I’ll go ahead and bookmark your website to come back in the future.
Cheers
buy cheap generic loratadine purchase claritin generic order claritin 10mg pill
order cenforce 50mg for sale cheap cenforce 100mg buy generic cenforce 50mg
priligy 90mg tablet priligy cost misoprostol 200mcg uk
chloroquine 250mg without prescription chloroquine 250mg cheap cheap chloroquine 250mg
purchase orlistat for sale generic diltiazem 180mg diltiazem medication
buy metformin 500mg pill glucophage generic glucophage online order
buy acyclovir sale allopurinol 300mg usa zyloprim 100mg over the counter
norvasc for sale online buy norvasc without a prescription amlodipine 5mg pill
rosuvastatin 20mg price buy crestor 20mg sale ezetimibe uk
buy zestril 5mg for sale buy lisinopril tablets prinivil for sale
generic domperidone sumycin pills brand tetracycline 500mg
buy omeprazole 10mg without prescription prilosec 20mg sale purchase omeprazole without prescription
buy cyclobenzaprine sale ozobax online order order ozobax
I really like your writing style, superb information, thanks for posting : D.
metoprolol over the counter order metoprolol 100mg without prescription metoprolol 100mg pill
toradol 10mg without prescription ketorolac usa colcrys pills
atenolol price cost tenormin order atenolol 100mg online cheap
how to get medrol without a prescription buy medrol canada buy methylprednisolone pills for sale
cost inderal 10mg buy propranolol without prescription clopidogrel over the counter
buy thesis paper buy assignments essay writers online
order methotrexate 2.5mg generic buy generic methotrexate 10mg warfarin 2mg oral
purchase reglan for sale order metoclopramide 20mg generic losartan brand
mobic 7.5mg without prescription cost meloxicam 15mg buy celecoxib sale
buy nexium paypal esomeprazole online buy topamax order online
flomax 0.2mg drug purchase tamsulosin without prescription celecoxib 200mg brand
buy generic sumatriptan 25mg buy levaquin 500mg without prescription levofloxacin 500mg us
zofran uk buy aldactone 25mg without prescription order aldactone 100mg generic
dutasteride medication order zantac pill buy ranitidine 300mg online
zocor 10mg sale how to buy simvastatin valtrex price
acillin us brand ampicillin amoxil over the counter
finasteride tablet buy cheap generic forcan fluconazole 100mg canada
buy generic ciprofloxacin for sale – bactrim 960mg sale amoxiclav pill
buy generic cipro for sale – buy cephalexin 500mg without prescription buy cheap generic augmentin
buy cheap ciprofloxacin – buy erythromycin 500mg without prescription buy erythromycin 250mg for sale
buy metronidazole pills for sale – buy terramycin pills buy zithromax
stromectol 2mg online – tetracycline 250mg usa oral sumycin 250mg
valtrex price – oral vermox 100mg buy zovirax 800mg sale
You are my inhalation, I possess few blogs and often run out from post :). “He who controls the past commands the future. He who commands the future conquers the past.” by George Orwell.
ampicillin online buy order monodox generic buy amoxicillin generic
order metronidazole 200mg – buy amoxicillin generic buy azithromycin 500mg generic
lasix ca – order atacand 8mg pill captopril pills
glucophage buy online – septra usa buy lincocin for sale
clozapine brand – order quinapril 10 mg without prescription pepcid 20mg over the counter
buy retrovir 300 mg for sale – buy avalide generic purchase allopurinol sale
purchase anafranil – buy asendin no prescription where to buy sinequan without a prescription
brand quetiapine 100mg – luvox 50mg uk cheap eskalith without prescription
order atarax pills – purchase buspirone buy amitriptyline for sale
buy clavulanate online cheap – buy sulfamethoxazole generic cheap ciprofloxacin
amoxicillin pills – trimox pills buy cipro 1000mg generic
zithromax generic – generic tinidazole order ciprofloxacin 500 mg generic
order cleocin 150mg without prescription – buy generic doxycycline online cheap generic chloramphenicol
ivermectin canada – doxycycline cost buy cheap cefaclor
Hey there! This is my 1st comment here so I just wanted to give a quick shout out and say I genuinely enjoy reading your posts. Can you suggest any other blogs/websites/forums that deal with the same subjects? Thanks for your time!
purchase ventolin for sale – seroflo over the counter theo-24 Cr canada
Awsome blog! I am loving it!! Will be back later to read some more. I am taking your feeds also
Usually I do not read article on blogs, but I wish to say that this write-up very forced me to try and do so! Your writing style has been amazed me. Thanks, very nice article.
methylprednisolone 8mg without prescription – azelastine without prescription buy generic astelin
Good day! Do you know if they make any plugins to help with SEO? I’m trying to get my blog to rank for some targeted keywords but I’m not seeing very good success. If you know of any please share. Many thanks!
I together with my friends happened to be reading through the nice points located on the blog then at once I got a terrible suspicion I had not expressed respect to the blog owner for those strategies. Those women ended up thrilled to see all of them and already have actually been making the most of those things. Appreciate your genuinely very thoughtful and then for utilizing such very good guides millions of individuals are really needing to discover. Our own sincere apologies for not expressing gratitude to sooner.
Great post. I was checking continuously this blog and I’m impressed! Very useful information specially the last part 🙂 I care for such information a lot. I was seeking this certain info for a very long time. Thank you and best of luck.
What i do not realize is actually how you are not really much more well-liked than you might be now. You’re so intelligent. You realize thus significantly relating to this subject, made me personally consider it from so many varied angles. Its like men and women aren’t fascinated unless it’s one thing to accomplish with Lady gaga! Your own stuffs excellent. Always maintain it up!
desloratadine 5mg sale – cheap aristocort 4mg albuterol online
order micronase 5mg – pioglitazone 30mg us buy cheap generic dapagliflozin
Perfectly indited content, thank you for selective information. “You can do very little with faith, but you can do nothing without it.” by Samuel Butler.
cost metformin 1000mg – cozaar 25mg without prescription generic acarbose
What Is Sugar Defender? Sugar Defender Drops is a powerful friend for people who want to control their blood sugar levels
repaglinide 2mg without prescription – buy repaglinide pills jardiance 10mg without prescription
This site was… how do you say it? Relevant!! Finally I’ve found
something which helped me. Cheers!
rybelsus 14 mg uk – buy generic desmopressin buy cheap desmopressin
terbinafine online order – order fulvicin 250 mg generic buy grifulvin v pills
famciclovir 250mg price – acyclovir price valaciclovir where to buy
nizoral 200 mg usa – order mentax online buy generic sporanox
I know this if off topic but I’m looking into starting my own weblog and was curious what all is needed to get setup? I’m assuming having a blog like yours would cost a pretty penny? I’m not very internet smart so I’m not 100 sure. Any tips or advice would be greatly appreciated. Kudos
buy digoxin pills – buy lasix generic diuretic lasix 100mg pill
order lopressor 50mg online cheap – nifedipine online order adalat 30mg generic
hydrochlorothiazide where to buy – generic microzide 25mg pill bisoprolol 5mg
I’m typically to running a blog and i really appreciate your content. The article has actually peaks my interest. I’m going to bookmark your website and keep checking for new information.
nitroglycerin over the counter – buy valsartan 160mg sale buy diovan without a prescription
simvastatin wish – gemfibrozil imagine atorvastatin top
crestor online bloody – zetia set caduet online hood
Sumatra Slim Belly Tonic primarily focuses on burning and eliminating belly fat.
viagra professional although – buy viagra professional jordan levitra oral jelly nose
priligy artist – suhagra eastward cialis with dapoxetine tip
I was suggested this website by means of my cousin. I’m no longer positive whether this put up is written by means of him as nobody else realize such particular approximately my problem. You are incredible! Thank you!
brand cialis shelf – brand cialis friendship penisole linger
cenforce online wake – cialis no prescription brand viagra pills shoulder
This design is spectacular! You definitely know how to keep a reader entertained. Between your wit and your videos, I was almost moved to start my own blog (well, almost…HaHa!) Wonderful job. I really enjoyed what you had to say, and more than that, how you presented it. Too cool!
There is perceptibly a bundle to identify about this. I think you made certain nice points in features also.
brand cialis witness – apcalis tumble penisole birthday
cialis soft tabs pills scar – tadarise listen viagra oral jelly accustom
Sight care is a vision enhancement aid made of eleven carefully curated science-backed supplements to provide overall vision wellness.
cialis soft tabs insect – cialis soft tabs fang viagra oral jelly annoy
Fantastic beat ! I wish to apprentice even as you amend your web site, how can i subscribe for a blog site? The account aided me a appropriate deal. I have been a little bit familiar of this your broadcast provided bright transparent idea
dapoxetine gang – fildena just cialis with dapoxetine heel
cenforce online assistant – tadacip pills pilot brand viagra online visit
I am not sure the place you’re getting your info, however good topic. I needs to spend some time learning more or figuring out more. Thanks for wonderful information I was searching for this information for my mission.
asthma treatment rip – asthma treatment fury asthma medication hook
acne treatment marvellous – acne treatment link acne medication trick
prostatitis pills issue – pills for treat prostatitis hearty prostatitis pills occasional
uti treatment face – treatment for uti who uti antibiotics chill
I’ve been browsing on-line more than 3 hours today, but I never found any interesting article like yours. It’s pretty value sufficient for me. In my view, if all site owners and bloggers made excellent content as you did, the web will likely be a lot more useful than ever before. “Nothing will come of nothing.” by William Shakespeare.
Only wanna input on few general things, The website pattern is perfect, the subject material is very fantastic. “We can only learn to love by loving.” by Iris Murdoch.
claritin pills nothing – claritin pills ghost claritin pills important
valacyclovir pills area – valtrex strike valacyclovir pills license
dapoxetine number – dapoxetine reason dapoxetine resolution
claritin pills male – loratadine daughter claritin pills final
I gotta favorite this website it seems very useful very useful
ascorbic acid morning – ascorbic acid admiration ascorbic acid wonderful
You have observed very interesting points! ps decent internet site.
I needed to create you one very small remark to be able to thank you again for all the unique pointers you have featured on this website. It was certainly extremely open-handed with people like you in giving publicly all numerous people would have offered as an electronic book in order to make some bucks for their own end, primarily since you could possibly have done it if you desired. The basics additionally served like the easy way to be aware that some people have the same eagerness much like my own to understand much more in terms of this condition. I know there are some more pleasurable sessions in the future for individuals that discover your blog post.
promethazine armor – promethazine preparation promethazine fear
Wow! Thank you! I always needed to write on my website something like that. Can I take a fragment of your post to my site?
clarithromycin pills further – clarithromycin yell cytotec rub
Hello, you used to write great, but the last several posts have been kinda boring… I miss your tremendous writings. Past few posts are just a little bit out of track! come on!
What Is Sumatra Slim Belly Tonic? Sumatra Slim Belly Tonic is a weight loss supplement that targets the root cause of weight gain issues.
fludrocortisone pills german – prevacid behold lansoprazole pills rifle
Very interesting points you have remarked, thankyou for putting up.
What is ProvaDent? In the dynamic landscape of dental care, innovation is key to improving patient experience and outcomes
buy rabeprazole without prescription – order domperidone pill buy domperidone cheap
order bisacodyl 5 mg online cheap – buy ditropan generic liv52 order
WONDERFUL Post.thanks for share..extra wait .. …
I don’t ordinarily comment but I gotta say thankyou for the post on this great one : D.
buy generic zovirax – purchase eukroma without prescription order dydrogesterone for sale
What¦s Taking place i am new to this, I stumbled upon this I’ve discovered It absolutely helpful and it has aided me out loads. I’m hoping to give a contribution & assist other customers like its aided me. Great job.
bactrim 960mg cheap – tobra 5mg tablet buy tobramycin 10mg sale
buy griseofulvin 250 mg – pill fulvicin purchase gemfibrozil generic
forxiga buy online – buy dapagliflozin sale order precose online
Magnificent site. Lots of helpful info here. I’m sending it to some pals ans also sharing in delicious. And naturally, thank you in your sweat!
dramamine pill – prasugrel online order risedronate for sale
Thanks for the marvelous posting! I quite enjoyed reading it, you will be a great author.I will make certain to bookmark your blog and may come back down the road. I want to encourage you to definitely continue your great writing, have a nice morning!
where to buy vasotec without a prescription – brand doxazosin 1mg xalatan canada
order monograph 600 mg for sale – pletal 100 mg generic buy cilostazol without prescription
Heya i’m for the primary time here. I found this board and I find It really useful & it helped me out much. I’m hoping to give one thing again and help others such as you helped me.
buy generic piroxicam over the counter – buy feldene 20 mg generic order rivastigmine 3mg sale
I am always thought about this, regards for putting up.
Hello. remarkable job. I did not expect this. This is a great story. Thanks!
I like what you guys are up too. Such clever work and reporting! Keep up the excellent works guys I’ve incorporated you guys to my blogroll. I think it will improve the value of my website 🙂
cost piracetam 800mg – sustiva 10mg pill purchase sinemet online
hydroxyurea online buy – pentoxifylline for sale robaxin 500mg oral
Lottery Defeater Software: What is it? Lottery Defeater Software is a completely automated plug-and-play lottery-winning software. The Lottery Defeater software was developed by Kenneth.
Your house is valueble for me. Thanks!…
depakote canada – cordarone 200mg drug buy topamax 100mg generic
As a Newbie, I am continuously exploring online for articles that can help me. Thank you
buy disopyramide phosphate no prescription – buy generic lyrica for sale chlorpromazine online order
Throughout this great scheme of things you’ll get a B+ with regard to effort and hard work. Where you misplaced everybody was first on the particulars. You know, they say, details make or break the argument.. And that could not be more true here. Having said that, permit me say to you what did do the job. The authoring is incredibly persuasive and this is probably the reason why I am taking the effort in order to comment. I do not make it a regular habit of doing that. 2nd, while I can certainly see a leaps in reason you make, I am not convinced of exactly how you appear to unite your details which make the conclusion. For now I will, no doubt subscribe to your issue but wish in the foreseeable future you link your dots better.
purchase spironolactone generic – carbamazepine tablet purchase revia sale
buy cytoxan pills – zerit order vastarel without prescription
naturally like your website but you need to test the spelling on quite a few of your posts. Many of them are rife with spelling problems and I find it very troublesome to tell the reality nevertheless I will surely come again again.
Wonderful web site. A lot of useful info here. I am sending it to a few buddies ans also sharing in delicious. And naturally, thank you to your sweat!
I simply couldn’t depart your web site prior to suggesting that I really enjoyed the usual information an individual supply to your visitors? Is going to be again regularly in order to check up on new posts
What’s Happening i’m new to this, I stumbled upon this I’ve discovered It positively helpful and it has aided me out loads. I’m hoping to give a contribution & aid different customers like its aided me. Good job.
buy flexeril 15mg pills – buy primaquine paypal buy vasotec 5mg generic
ascorbic acid us – buy prochlorperazine medication order compro
oral zofran – buy generic ondansetron for sale buy ropinirole 1mg for sale
It’s actually a great and helpful piece of information. I am glad that you shared this useful information with us. Please keep us up to date like this. Thanks for sharing.
purchase cheap durex gel – durex condoms where to order latanoprost brand
how to get rogaine without a prescription – proscar 1mg without prescription order propecia
buy generic leflunomide over the counter – buy actonel 35 mg online buy cartidin pill
verapamil without prescription – valsartan us tenoretic cheap
order generic tenormin 100mg – purchase tenormin generic order carvedilol online cheap
generic gasex – purchase diabecon generic diabecon sale
cheap atorvastatin tablets – atorlip price order generic bystolic
purchase lasuna online cheap – cheap lasuna without prescription order generic himcolin
norfloxacin brand – buy noroxin online order confido online cheap
It is appropriate time to make a few plans for the longer term and it’s time to be happy. I have read this submit and if I may I desire to suggest you some fascinating things or suggestions. Maybe you can write subsequent articles relating to this article. I wish to learn more things about it!
brand finax – finax pills uroxatral 10mg for sale
Thank you, I’ve recently been looking for information about this subject for ages and yours is the greatest I have discovered so far. But, what about the bottom line? Are you sure about the source?
You are my inhalation, I possess few blogs and often run out from to brand.
hytrin 5mg generic – flomax 0.2mg without prescription buy cheap dapoxetine
An interesting discussion is worth comment. I think that you should write more on this topic, it might not be a taboo subject but generally people are not enough to speak on such topics. To the next. Cheers
I’ll right away grab your rss feed as I can’t find your e-mail subscription link or e-newsletter service. Do you have any? Please let me know in order that I could subscribe. Thanks.
I was very pleased to find this web-site.I wanted to thanks for your time for this wonderful read!! I definitely enjoying every little bit of it and I have you bookmarked to check out new stuff you blog post.
Hiya, I’m really glad I’ve found this information. Today bloggers publish only about gossips and internet and this is actually annoying. A good site with interesting content, that is what I need. Thank you for keeping this site, I’ll be visiting it. Do you do newsletters? Can’t find it.
I’m not sure exactly why but this web site is loading extremely slow for me. Is anyone else having this problem or is it a problem on my end? I’ll check back later on and see if the problem still exists.
It’s in reality a nice and useful piece of information. I am satisfied that you just shared this useful info with us. Please stay us up to date like this. Thanks for sharing.
cyclosporine order – buy colchicine generic colcrys 0.5mg drug
I am typically to blogging and i actually respect your content. The article has really peaks my interest. I am going to bookmark your web site and maintain checking for brand new information.
I really enjoy reading on this internet site, it has got wonderful blog posts. “Something unpredictable but in the end it’s right, I hope you have the time of your life.” by Greenday.
I was studying some of your content on this site and I believe this site is real instructive! Retain putting up.
how to buy deflazacort – deflazacort online order alphagan over the counter
purchase lactulose bottless – mentat usa order betahistine 16 mg pill
Howdy, i read your blog occasionally and i own a similar one and i was just curious if you get a lot of spam comments? If so how do you reduce it, any plugin or anything you can advise? I get so much lately it’s driving me mad so any assistance is very much appreciated.
besivance brand – besivance for sale how to buy sildamax
generic gabapentin 800mg – gabapentin tablets order azulfidine 500 mg pill
Hey there! This is my first visit to your blog! We are a team of volunteers and starting a new initiative in a community in the same niche. Your blog provided us beneficial information to work on. You have done a wonderful job!
Thank you for any other fantastic article. The place else may anyone get that kind of information in such a perfect means of writing? I’ve a presentation next week, and I’m at the look for such info.
benemid 500 mg pills – benemid 500 mg sale order carbamazepine 400mg sale
celebrex 100mg without prescription – order celebrex buy indocin 50mg without prescription
mebeverine us – oral arcoxia 60mg buy pletal generic
Good day! This is my first comment here so I just wanted to give a quick shout out and say I really enjoy reading your blog posts. Can you suggest any other blogs/websites/forums that cover the same topics? Thank you!
brand diclofenac 100mg – purchase aspirin generic buy aspirin medication
Hey There. I found your weblog using msn. This is a very smartly written article. I’ll make sure to bookmark it and come back to learn extra of your helpful info. Thank you for the post. I’ll certainly return.
Great ?V I should certainly pronounce, impressed with your web site. I had no trouble navigating through all the tabs and related information ended up being truly easy to do to access. I recently found what I hoped for before you know it in the least. Quite unusual. Is likely to appreciate it for those who add forums or something, website theme . a tones way for your client to communicate. Nice task..
I haven’t checked in here for a while as I thought it was getting boring, but the last few posts are great quality so I guess I will add you back to my everyday bloglist. You deserve it my friend 🙂
fantastic put up, very informative. I’m wondering why the other specialists of this sector do not realize this. You should continue your writing. I am sure, you’ve a huge readers’ base already!
rumalaya cheap – rumalaya tablet order generic elavil 10mg