hospital pharmacy institiutional section

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Page 1: Hospital pharmacy institiutional section
Page 2: Hospital pharmacy institiutional section

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.

Page 3: Hospital pharmacy institiutional section

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.

Page 4: Hospital pharmacy institiutional section

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

Page 5: Hospital pharmacy institiutional section

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) 

Page 6: Hospital pharmacy institiutional section

Part OneInstitutional, Organizational

Structure

Management& Controlling of :

Organizational Structure

Medication system

Distribution System Drug 

Page 7: Hospital pharmacy institiutional section

Section I Every hospital, large or small, has an organizational structure that

allows for the efficient management of departments.

Traditional Organizational Chart-1

Page 8: Hospital pharmacy institiutional section

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:

Page 9: Hospital pharmacy institiutional section

Common organizational categories might include USA:

1. Administration Services

2. Informational Services

3. Therapeutic Services

4. Diagnostic Services

5. Support Services

Page 10: Hospital pharmacy institiutional section

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)

Page 11: Hospital pharmacy institiutional section

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

Page 12: Hospital pharmacy institiutional section

Out-Patient Dispensing Supervisor

Manufacturing & Control Supervisor

In-patient Dispensing Supervisor

Associate DirectorPharmacist-In-Chief

Assistant Pharmacist-In-Chief

Secretary

Clerk

Pharmacy Residents

Page 13: Hospital pharmacy institiutional section

Out-Patient SterileTPN

In-patient

Manager Director (DR.Ali

Pharmacist-In-Chief

Assistant Pharmacist-In-Chief

Pharmacists

Page 14: Hospital pharmacy institiutional section

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

Page 15: Hospital pharmacy institiutional section

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.

Page 17: Hospital pharmacy institiutional section

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))

Page 18: Hospital pharmacy institiutional section

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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)

Page 20: Hospital pharmacy institiutional section

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.

Page 21: Hospital pharmacy institiutional section

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

Page 22: Hospital pharmacy institiutional section

The director of pharmacy service shall be responsible for:

Monitoring all the previous processes mentioned in the functions.

 

 

 

 

 

 

 

Page 23: Hospital pharmacy institiutional section

Clinical Pharmacy Course (

DR.Ali & Dr.Doa)