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WELCOME

HOSPITAL PHARMACY MANAGEMENT

JOSHY P MUNDAKALFIRST YEAR M.PHARM

INTRODUCTION

Hospital Pharmacy may be defined as department of hospital which deals with procurement, storage, compounding, dispensing, manufacturing, testing, packaging and distribution of drugs

A Hospital Pharmacy is controlled by a professionally competent and a qualified pharmacist

DEFINITION

The term ‘management’ can be defined as the direction and control of an organization to obtain optimum results.

The administrator/manager has to specify the aims and objectives of the organisation and then set out a programme/method by which the aim may be acheived

All organization can be represented as Organization

Input Output Within the organization, the work can

be sub-divided into the direct production and service activities

Input Output

Production

ServicesProduction

DEPARTMENTS AND THEIR ORGANIZATION

The organized hospital pharmacy department has an integrated setup consisting of dispensing section, manufacturing section, quality control section and clinical pharmacy

HOSPITAL ORGANIZATION FLOWCHART

ADMINISTRATOR

HEAD OF PHARMACY SERVICES(M.Pharm)

Dispensing chemist

Manufacturing chemist

Clinical pharmacis

t

Quality Control

pharmacist

Medical stores

pharmacist

Inpatie

nt

Out patient

Manufacturing of I.V fluid

Other manufacturin

g services

STAFFS

1) A Chief Pharmacist-1Equivalent to that of Senior Medical OfficerWould be heading the Hospital Pharmacy

Department

2) Secretarial AssistantA non-technical personWould be assisting the Chief Pharmacist in

secretarial jobs

3) Graduate Pharmacist-1To provide technical and managerial support to

Chief Pharmacist-1

STAFFS

4) Junior & Senior Pharmacists To work in main store, sub-store, dispensing

section etc. They are under graduate pharmacist and

reports to graduate pharmacist

5) Helpers To support functions and functionaries in

pharmacy

Organization Chart of hospital having bed strength less than

100-400 beds (Small District Hospital)→ 2 Head Pharmacists (having degree in Pharmacy)

→ In-patient → Out-patient

→ 5 Assistant Pharmacists(having diploma in Pharmacy) → 2 under Head Pharmacist(In-patient) → 3 under Head Pharmacist (Out-patient)

Organization Chart of hospital having bed strength less than

500 beds (District/Small teaching Hospital) → Chief Pharmacist (having degree in Pharmacy)

→ 2 Head Pharmacists → In-patient → Out-patient→ 6 Assistant Pharmacist

→ 3 under Head Pharmacist(In-patient) → 3 under Head Pharmacist (Out- patient)

Organization Chart of hospital having bed strength less than

1000 beds (Teaching Hospital)→ One Superintendent of Pharmacy (having

Post Graduate degree in Pharmacy)→ 3 Chief Pharmacists → Medical and surgical stores → Out-patient services → Quality assurance

Organization Chart of hospital having bed strength less than

→ 35 Assistant Pharmacists → 6 under Chief Pharmacist 1 for

medicine supplies → 4 under Chief Pharmacist 1 for medical devices and surgical items → 21 under Chief Pharmacist 2 → 4 under Chief Pharmacist 3

LOCATION

The pharmacy should be located in the hospital premises so that patients and staffs can easily approach it

In multi-storied building of a hospital, the pharmacy should be preferably located on the ground floor especially the dispensing unit

The departments are so laid out that there is continuous flow of men and materials

Out-patient pharmacy should give a pleasant appearance

Typical layout of Hospital Pharmacy

ASEPTIC SECTION MANUFACTURING SECTION

RAW MATERIALSSTORES

FINISHED PRODUCTS

PASSAGE

ADMINISTRATIVE SECTION

Dispensing

Open space

LOCATION

Should have educative posters on health Space must be provided for routine

manufacturing The manufacturing room and medical stores

should be adjacent to pharmacy Medical stores & manufacturing units issue

against requisition from various departments Pharmacy issues materials to in-patients and

out-patients The in-patients are served by nursing stations

INFRASTRUCTURE

There are great variations in the size of floor space devoted to pharmacy in hospitals of the same size and type

Floor Space Requirements The pharmacy requires a minimum

of 250 sq. feet for any sized hospital

INFRASTRUCTURE

From that point onwards, basic requirements from 10 sq. feet per bed in 100 bedded hospital, 6 sq. feet per bed in 200 bedded hospital and an average of at least 5 sq. feet per bed in larger hospitals

The floors of pharmacy should be smooth, easily washable and acid-resistant

INFRASTRUCTURE

In manufacturing sections, drains should be provided, walls should be smooth, painted in light colors

The wooden cabinets are enameled or laminated

Fluorescent lamps are placed immediately above the prescription counter

Gas outlets are required on the work table or counter for the Bunsen burners

EQUIPMENTSThe usual equipment's are Prescription case Drug stock cabinets with proper

shelves and drawers Sectional drawer cabinets with

cupboard bases Work tables and counters for routine

dispensing Sink with drain board

EQUIPMENTS

Cabinet to store mortar and pestles Cabinet for glass utensils, funnels,

flasks and beakers Refrigerator of suitable capacity Narcotics safe with individually locked

drawers Office desk with telephone connection

and file cabinet Shelf space for pharmacy library

WORKLOAD

Many factors that aff ect the level of work in the individual pharmacy, by far the most important being the prescribing act ivi ty of the medical staff

O t h e r s i n c l u d e t h e e x t e n t t o w h i c h m a n u f a c t u r i n g i s c a r r i e d o u t , t h e m e t h o d s u s e w i t h i n t h e d e p a r t m e n t , t h e s e r v i c e s o ff e r e d t o t h e o t h e r p r o f e s s i o n s i n t h e h o s p i t a l a n d t h e e x t e n t t o w h i c h t h e s e s e r v i c e s a r e u s e d

WORKLOAD

In addition, there may be a considerable amount of work involved in the provision of supplies for the community services

A technique is needed which will enable the activity and workload of a department to be measured

At present, the only indicators available are the total expenditure on drugs and number of beds served

WORKLOAD

The total number of items issued can be recorded and this will indicate the workload in the dispensing and ward supply sections

The totals so collected will give some crude indication of the work carried out and will show any trends in the demands made upon the departments

REFERENCES

M C Allwood & J T Fell ., Textbook of Hospital Pharmacy, 1st ed. Australia: Blackwell Publications; 1980. p. 18-46

William E Hassan., Textbook of Hospital Pharmacy,

5 th ed. U.S.A: Lea & Febiger; 1986. p. 35-90 Mc.Gibbony JR. Principles of Hospital

Administration, 2nd edition, GP Putnam and Sons, New York 1969.

K.G. Revikumar, Text book of Pharmacy Practice,

1 st ed. 2009. p.52

THANK YOU