Hospital Training Report

1. 1
WELCOME TO OUR
PRESENTATION

2. 2
A PRESENTATION
ON
HOSPITAL TRAINING

3. Presented BY :
Md. Suhin Hossain - 131036
Md. Arman Ahmed - 131037
Md. Ashraful Islam - 131039
Susmita Mistry Jui - 131040
3

4. CONTENTS
4
Objective of Training
Training Area
Hospital Pharmacy
Function of Hospital Pharmacist
Dispensing Procedure , Medicine for Outdoor Patient
Medicine Unit , Pediatric Unit , Gynecology Unit , CCU
Surgery Department , Orthopedic Unit , Pathology Unit
Benefit of pharmacist collaboration , Conclusion .
Suggestion .

5. OBJECTIVES OF TRAINING
5
To know the standard treatment pattern
Communicating With Patients
To know how pharmacy in a hospital is run.
Be able to diagnose and manage a variety of medical conditions
Sharing information With Doctors

6. TRAINING AREA
6
3. Queens Hospital (PVT.) Ltd, Jashore
4. Ad-Din Sakina Medical College Hospital, Jashore
1. Chowgacha Upazilla Health Complex, Jashore
2. 250 Bedded General Hospital Jashore

7. CHOWGACHA UPAZILA HEALTH COMPLEX
7
 It is the Government owned upazilla hospital of this area has been successful
in mobilizing active community participation . It was announced as model in
2008 by Bangladesh government.
 It is a women friendly hospital. This hospital will capable to handle more than
50 indoor patients having expansion capacity of 20-30 more indoor patients .

8.  It was first started in1867 & one of the
oldest patient friendly hospital in
Bangladesh . In 2011 Jashore Medical
College started functioning in this
hospital.
 This hospital possess 28 bedded CCU
Unit .
 Services : Ambulance, Emergency
service , Outdoor, Medical college,
Special doctor, Pathology, Blood bank.
250 BEDDED GENERAL HOSPITAL , JESSORE
8

9.  Queens Hospital (Pvt.) Ltd uses Protocol and Care
Pathway based treatment models to ensure the best
outcomes for patients.
 Their vision is that Queens Hospital (Pvt.) Ltd will
become the location of choice for All Bangladeshi
people and people of Asia for quality healthcare and
Diagnostic Tests.
Services :
 Diagnostic Services ,Surgery ,Customer Care ,Cafeteria
, Pharmacy ,Ambulance .
QUEENS HOSPITAL (PVT.) LTD, JASHORE

10.  Ad-din Foundation was established in 1980 with
the aim of assisting the underprivileged majority in
Bangladesh.
 Ad-din Hospitals were established with the aim of
providing affordable quality care
 Now recognized as centers of excellence acclaimed
for their quality, affordability and patient
friendliness & develop outstanding medical
graduates .
AD-DIN SAKINA MEDICAL COLLEGE HOSPITAL,
JASHORE

11. Hospital pharmacy may defined as that
department of the hospital which deals
with procurement, storage, compounding,
dispensing, manufacturing, testing,
packaging and distribution of drug.
It is also concerned with education and
research in pharmaceutical services.
HOSPITAL PHARMACY
11

12. 12
Function of a Hospital Pharmacist
Medication Function
Pharmacy Function

13. DISPENSING PROCEDURE
13
The Out-patient Physician writes the Prescription
The Physician's assistant provides Medication slips against the
medicines which are available in the Pharmacy
The Patient supplies the Medication slips to the Dispenser
Pharmacist
The Medication slips are kept by the Dispenser for future
References
The Dispenser Pharmacist dispenses the medications

14. 14
Those patients who receive hospital
or medical facility care without being
admitted or for a stay of less than 24
hours.

15. MEDICINES FOR OUTDOOR PATIENTS
15

16. 16
TYPES OF OUTDOOR PATIENTS
PUD
10%
POISONING
5%
ACCIDENTAL INJURY
5%
DIARRHOEA
3%
HYPERTENSION
15%
TYPHOID,ENTERIC
FEVER
5%
UTI
7%
CVD
43%
Other
7%
Fig.: Types of outdoor patients

17. 17
Uses of antibiotics
Amoxicillin.
5%
CEFTRIAXONE
35%
Tetracyclines
8%
Azithromycin
8%
Metronidazole
7%
Ciprofloxacin
20%
Flucloxacillin15
15%
OTHERS
2%
Fig.: Uses of antibiotics

18. 18
Emergency Ward

19. EMERGENCY WARD
19
Role of Pharmacist
 Culture and susceptibility
report follow-up.
 Antibiotic selection.
 Emergency resuscitation team
response.
 Medication therapy
monitoring.
 Medication procurement and
preparation.
 A medical treatment facility specializing
in emergency medicine, the acute care
of patients. The emergency department
is usually found in a hospital or other
primary care center.
 The emergency departments of most
hospitals operate 24 hours a day.

20. 20
MEDICINE UNIT

21. 21
Patient Population : The Pharmacist’s Role in Medicine Unit :
Diabetes
Pneumonia
COPD
Anemia
Breathlessness
Vertigo
Antibiotic coverage
Disease management
Observation of drug interaction
It is a hospital ward in which patients are being treated by drugs rather than surgery & provides
care to patients with a variety of general medical needs.

22. CASE STUDY
22
Patient History
Hypertesion
Patient’s Age: 45 Years
Problem:
 Vertigo
 Ear ache
 Dizziness
Drug Dosage regimen Mechanism
Tab. Losartan potassium ( Angilock 50+) 1+0+0(Continue) Angiotensin II receptor antagonist
Tab. Cinnarizine + Dimenhydrinate
( Cinaron Plus 20mg + 40mg)
1+0+1(15 days) Antihistamine+antivertigo
Tab.(Esomeprazole Magnesium
Trihydrate) Exilok 20mg
1+0+1 (15 Days) PPI
Tab.Alprazolam(Zolax 0.25mg) 0+0+1(10 days) Antidepressant
Tab.Midazolam(Dormicum 7.5mg) 0+0+1 Sedative
Concomitant use of Cinnarizine with antidepressant increased sedation effect.

23. 23
Pediatric Unit

24. Responsibilities of pediatric pharmacists :
It is the branch that involves the
medical care of infants, children,
and adolescents. The American
Academy of Pediatrics
recommends people be under
pediatric care up to the age of
21.
24
Attending daily rounds with the pediatric patient care
team .
They monitor those on high risk medications,
antibiotics, and chemotherapy .
Look for any signs of drug interactions or allergies .
They also offer age-appropriate education for pediatric
patients .
Provide the latest information about medications to
other healthcare professionals .

25. CASE STUDY
25
Disease - Pneumonia
Treatment Given By doctor :

26. 26
Gynecology Unit

27. 27
Gynecology is the medical practice dealing with the health of the female
reproductive systems (vagina, uterus, and ovaries) and the breasts.
Pharmacist roles in Gynecology :
Preconception
care
Drug use During
pregnancy
Subfertility
Antidepressant
use during
breastfeeding

28. 28
TYPE: ABORTIVE (2 MONTH ABORTION)
Patient history:
Age: 25 years
Complaints: Pain in abdomen
Drug Dose Regimen
Tab. Cefuroxime(Furocef) 500mg 1+0+1 (7 Days)
Tab.Tiemonium 50mg 1+1+1(7 Days)
Tab.Pantoprazole(Pantonix) 20 mg 1+0+1(1 Month)

29. 29

30. CCU
30
The Coronary Care Unit provides care for the more acutely ill cardiac patients.
Highly skilled cardiac nurses and doctors deliver individualized plans of care for
each patient .
Conducting patient educationEvaluating and proposing a
medication plan
Promoting appropriate
prescriptions
Providing drug information to
medical staff.
Avoidance of drug interactions or overdose

31. 31
SURGERY DEPARTMENT

32. ROLE OF PHARMACIST :
The Medical Surgical
Unit provides general
medical care for a wide
variety of acute
illnesses, as well as
post-operative surgical
care for adult and
pediatric populations.
32
Administer prophylactic antibiotics within one hour prior
to surgery.
Select appropriate prophylactic antibiotics according
to clinical guidelines.
Making sure that the medications patients are
receiving are accurate with respect to dose,
frequency and route
Discontinue prophylactic antibiotics within 24 hours
after completion of surgery.
Control perioperative serum glucose in major cardiac
surgical patients.

33. ACTIVITIES AND OVERVIEW
33
Observation
of the overall
environment
of Surgery
unit(Chowga
cha health
complex)
Medication
error
Common
problems
of
admitted
patients
Patient
handling
Common
surgeries
carried
out

34. 34
ORTHOPAEDICS UNIT

35. Role of Pharmacist :
The medical specialty
concerned with correction of
deformities or functional
impairments of the skeletal
system, especially the
extremities and the spine, and
associated structures, as
muscles and ligaments.
ORTHOPEDICS
35
Providing pharmaceutical care for
patients with fractures forms part
of the work of an orthopedic
pharmacist.
Involved in the prevention and
treatment of osteoporosis.
Thromboprophylaxis, antibiotic
cover and pain relief are the main
drug therapy areas managed by the
orthopaedic pharmacy team.

36. CASE STUDY
36
TYPE : OSTEOPORESIS
Patient history :
Age : 42 yrs
Treatment:
Drug Dose Regimen
Tab. Ibandronic
Acid (Bonaid) 150mg
1 tablet in a month /6
month

37. 37
PATHOLOGY UNIT

38. Pharmacist as pathologist :
Pathology is the scientific study of
disease. Pathology is a bridging
discipline devoted to the study of the
structure & functional changes in
cells, tissues & organs that underlie
diseases.
Pathology attempts to explore the “
whys” and “wherefores” of the signs
and symptoms of diseases
PATHOLOGY UNIT
38
Helps to detect disease
early .
To make the final
diagnosis after he has
received reports from
the clinical pathologist,
the radiologist, the
bacteriologist.

39. BENEFITS OF PHARMACIST COLLABORATION
39
As a member of the first-line multidisciplinary team, the pharmacist can relieve the other
members of some responsibilities by-
Weight-based,
renal, or hepatic
dosage
adjustments.
Reducing drug-
drug interactions
.
Cover a larger
scope of
antimicrobials
Differentiate
true allergy or a
possible side
effect.

40. OBSERVATION
40
All activities focused on the basis of all components of PHC
as per guide line of WHO.
Maximum utilization of govt. limited resource.
Integrated approach of community leaders, administration & health
management.
With honesty & sincerity all motivated staffs are working, providing
effective and prompt services showing respect to the patients.

41. CONCLUSION
41
Hospital pharmacist
means being a highly
respected healthcare
professional, being part
of a team, working in
an interesting, exciting
and stimulating
workplace.
Hospital training gives
us the opportunity to be
familiar with the
environment in hospital
This training and
profession helps us
making a difference
between pharmacist
with others.

42. SUGGESTION
42
It was a nice,
friendly training
environment with
efficient,
hardworking & co-
operative consultant
doctors and other
healthcare staff.
It’s a model for
betterment of
healthcare system in
our country.
It would be better if
our department takes
steps to inform the
hospital authority to
arrange a meeting so
that all the doctors
could know about
hospital training.

43. 43
References..
 Chowgacha hospital paediatric ward.
 Profile of 250 bedded Jessore General hospital.
 DIMS.
 http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/gastroenterology/acute-
diarrhea.
 www.wpro.who.int/laos/topics/diarrhoea.
 www.ncbi.nlm.nih.gov/pubmed/1711960.
 Chowgacha Hospital Female ward.
 http://www.src.phabahamas.org/patient-services/psychiatric-services/female-ward.
 https://en.wikipedia.org/wiki/Bed_management.
 http://patient.info/doctor/pelvic-inflammatory-disease-pro.

44. 44
ANY QUESTIONS ?

45. THANK YOU
45