hospital pharmacy slides
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Hospital pharmacy course: It is a specialized field of pharmacy which forms an integrated part of patient health care in a health facility.Hospital pharmacy and hospital pharmacist:Hospital pharmacy is the health care service, which comprises the art, practice, and profession of : i.Choosing, Prparing, Compounding, Dispensing medicines and medical devices, ii.Advising healthcare professionals and patients on their safe, and efficient use.
It is the profession that strives to continuously maintain and improve the medication management and pharmaceutical care of patients to the highest standards in a hospital setting.
To be part of the medication management in hospitals, which encompasses the entire way in which medicines are selected, procured, delivered, prescribed, administered and reviewed to optimize the contribution that medicines make to producing informed and desired outcomes
To enhance the safety and quality of all medicine related processes affecting patients of the hospital
To ensure the 7 “rights” are respected: right patient, right dose, right route, right time, right drug with the right information and documentation.
Contents of hospital pharmacy course:The contents of the hospital pharmacy course are arbitrarily divided into two areas
Area Services1- Institutional Pharmacy:
1 Dispensing,
This part concerned with the rules, regulation and policies governing:
2 Selection and purchase of medicines.
3 Storage and record keeping (inventories)
4 Distribution Medication system
5 The management of pharmacy staff in the hospital.
6 Committees in the hospitals
Contents of hospital pharmacy course:
Area Services1I- Technical Pharmacy:
1 Extemporaneous Compounding
Techniques, guidelines and regulations used in compounding:
2 Injectable preparations: LVP, TPN, intended for intravenous use and those sterile large volume solutions used for irrigation, surgery or for dialysis.
3 Veterinary, Radio-Pharmaceutical, Ambulatory Compounding (specialized hospitals)
Part OneInstitutional, Organizational
Structure
Management& Controlling of :
Organizational Structure
Medication system
Distribution System Drug
Section I Every hospital, large or small, has an organizational structure that
allows for the efficient management of departments.
Traditional Organizational Chart-1
IN A LARGE HOSPITAL (USA) In Large hospitals, departments of
pharmacy have a more divisions.
The following are some of the responsibilities of each division of the department of Hospital Pharmacy in a large hospital:
Common organizational categories might include USA:
1. Administration Services
2. Informational Services
3. Therapeutic Services
4. Diagnostic Services
5. Support Services
Grouping of Hospital Departments all over the world includind UAE depends on:
UAE
A. Each hospital department performs specific functions and shares similarity of duties.
B. Aim: to promote efficiency of the healthcare facility. (unity)
C. Board: Hospital President, Vice Presidents, Executive Assistants, Department Heads (one policy)
ResearchTeaching
Dispensing• Out-patient• In-patient• Surgical + laboratory supplies• Ward or Floor stock• Alcohol• Narcotics
PHARMACY
Manufacturing
• Bulk• LVP• SVP• Misc.
Control
Purchasing & Inventory control
Reports
Out-Patient Dispensing Supervisor
Manufacturing & Control Supervisor
In-patient Dispensing Supervisor
Associate DirectorPharmacist-In-Chief
Assistant Pharmacist-In-Chief
Secretary
Clerk
Pharmacy Residents
Out-Patient SterileTPN
In-patient
Manager Director (DR.Ali
Pharmacist-In-Chief
Assistant Pharmacist-In-Chief
Pharmacists
Administrative Services Division
Unit Dose Dispensing
Education & Training Division
Assistant Director of Pharmacy
• Departmental Services
• Purchase & Inventory Control
• Manufacturing & Packaging
Associate Director of Pharmacy
Director of Pharmacy
Research PharmacistPharmaceutical Research Divisions
Pharmacist SpecialistRadiopharmaceutical Division
Pharmacist Specialist Drug Information Services
Assistant Director of Pharmacy
• Assay & QC Dept
• Sterile Product Division
• Central Supply Division
Assistant Director of Pharmacy
• In-Patient Services
• Out-Patient Services
• IV Admixture Division
USA
Administrative Services Division in Pharmacy s (Functions) Plan and coordinate departmental activities
(out and in-patients &TPN) Develop policies (e.g narcotics records can be
kept for 1-3 years) Schedule personnel and provide supervision
(rotation & holidays) Coordinate administrative needs of the
Pharmacy & Therapeutics Committee ( selection of drug essential list for each hospital department according to needs)
Supervise departmental office staff ( lab. Boy, technicians & clerks)
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1-Education Training Division
Participate in hospital wide education programs involving nurses, doctors etc.
Train newly employed pharmacy department personnel.
2-Pharmaceutical Research Division
Cooperate with the medical research staff of projects involving drugs ( if present!! May be in case of clinical pharmacist)
3.In-patient Services Division Provide medications for all in-patients of the
hospital on a 24-hour per day basis (rotation system)
Cooperate with the medical drug research (( if present!! May be in case of clinical pharmacist))
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4.Out-Patient Services DivisionDispense out-patient prescriptionsMaintain prescription records.Provide drug consultation services to staff and medical students.
5.Drug Information Services DivisionProvide drug information on drugs and drug
therapy to health professional staff.Participate in the hospital’s pharmacy newsletter (if
present)Maintain literature files.
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6. Departmental Services Division Coordinate and control all drug delivery and distribution
systems (Unit Dose to inpatients)
7. Purchasing and Inventory Control Division
Maintain drug inventory control (input and output control)
Purchase all drugs (record)Receive, store and distribute drugs (record)
8. Central Supply Services Division
Develop and coordinate distribution of medical supplies and irrigating fluids.
9 .Assay and Quality Control Division
Not present (UAE)
10 .Manufacturing and Packaging DivisionMaintain a unit dose program.
11. Sterile Products DivisionManufacture sterile ophthalmic, irrigating
solutions etc.LVP, IV admixtures, TPN.
12 .Radiopharmaceutical Services DivisionCentralize the procurement, storage and
dispensing of radioisotopes used in clinical practice. ( It is in Twam hospital)
13.Intravenous Admixture DivisionIncluded in the sterile product division
The director of pharmacy service shall be responsible for:
Monitoring all the previous processes mentioned in the functions.
Clinical Pharmacy Course (
DR.Ali & Dr.Doa)
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