DISPENSING TO

INPATIENTSALI NASAR STUDENT

DEPARTMENT OF PHARMACYSBBU SHERINGAL DIR UPPER, KPK

DISPENSING TO INPATIENTS

INPATIENT: who are retained in the hospital so that he/she occupies a bed in hospital for medical care.

DISPENSING: A pharmacy act to remove two or more doses from a bulk drug container and placing them in another (dispensing) container for subsequent use by a patient.

DISTRIBUTION: the supply, delivery, and transitory storage of drug at patient-care areas other than main hospital pharmacy for subsequent patients utilization

DISPENSING TO INPATIENTS

Medication order receiving drugs from pharmacy prepackaged

compounded

Distributed to nurse unit assayed labeled

DISPENSING TO INPATIENTS

Guidelines for distribution: Make it sure that the prescriber's order is original

before starting the dose. Drugs should be dispensed with the compliance of

pharmaceutical technology. Drugs should be stored in place to be accessible

only by pharmacist and nurse.

DISPENSING TO INPATIENTS

Methods of drugs distribution:a. Individual drug order system.b. Floor stock system.c. Complete floor stock system.d. Unit dose distribution system.

DISPENSING TO INPATIENTS

a. Individual drug order system. Small and private hospital because of unavailability of manpower. Advantages are:

• Direct review of medication order• Better interaction

Disadvantages are: • Delay process• Height cost

DISPENSING TO INPATIENTS

b. Floor stock system: Traditional system Separate storage facility in a secured area on each

patient floor. Each area having limited dosage forms such as 10 to 100 Two types:

1) Charge flow stock drugs: charged to the patient account. 2) Non-charge floor stock drugs: coasting in the per day cost

of the hospital room.

DISPENSING TO INPATIENTS

Methods used to distribute:• Drug basket method:• Mobile dispensing unit:

Advantages are: Better supervision and control Availability of pharmacist Out-dated drug remove easily Conserve nurse time

DISPENSING TO INPATIENTS

c. Complete floor stock system: Cabinet carries both charged and

uncharged . Two system are currently used:1. Floor stock system under supervision of

nurse: 2. Floor stock system under supervision of

pharmacist-satellite pharmacy.

DISPENSING TO INPATIENTS

Advantage of the first type are: Ready availability Reduction in nursing time No drugs return to the main pharmacy

Disadvantages of the first type are: Medication errors Drug inventory Drug deterioration More nurse are required

DISPENSING TO INPATIENTS

d. Unit dose distribution system: Medications are ordered, packaged, handled, administered,

and charged in multiples of single dose units containing a predetermined amount of drug sufficient for one regular dose.

Advantages are: Safe for patient Efficient and economic for institution. Optimization of professional resources.

DISPENSING TO INPATIENTS

References:1. Nadeem Irfan Bukhari, Hospital Pharmacy, book

kings Urdu bazar Karachi, 2000.2. William E. Hassan, Ed. 6, Hospital pharmacy, book

kings Urdu bazar Karachi, 1999.

The end Dedicated to

My dear teacher Dr. Anwar Ul HaqMy cute child Aurifa AliMy dear friends who are suffered in the previous exam.

Any question and criticism will be encouraged.