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hospital-pharmacy (1).pdf

  1. Hospital Pharmacy Prepared By: Mr. Pankaj U. Valvi, Lecturer Smt. S.S. Patil Institute of Technology (D.Pharmacy), Chopda 1
  2. Outline:  Definition of Hospital pharmacy  Functions of Hospital pharmacy  Objectives of Hospital pharmacy  Location and layout of Hospital pharmacy  Flow chart of materials and men  Personnel and floor space requirements  Requirement and Abilities required for Hospital Pharmacist 2
  3. Definition:  Department of hospital which deals with procurement, storage, compounding, dispensing, manufacturing, testing, packaging and distribution of drugs.  It is also concerned with education and research in pharmaceutical services.  Hospital Pharmacy is controlled by a professionally competent and a qualified pharmacist. 3
  4. Functions of Hospital Pharmacy 4
  5. Functions of Hospital Pharmacy: 1. Provide specifications for the purchase of drugs, chemicals, biological etc. 2. Proper storing of drugs. 3. Manufacturing and distribution of medicaments such as transfusion fluids, parenteral products, tablets, capsules, ointments, and stock mixtures. 4. Dispensing and sterilizing parenteral preparations which are manufactured in hospital. 5. Dispensing of drugs as per the prescriptions of the medical staff of the hospital. 5
  6. 6. Filling and labelling of all drug containers from which medicines are to be administered. 7. Management of stores which includes purchase of drugs, proper storage conditions, and maintenance of records. 8. Establishment and maintenance of “Drug Information Centre”. 9. Providing co-operation in teaching and research programmes. 10. Discarding the expired drugs and containers worn and missing labels. 6
  7. Objectives of Hospital Pharmacy: 1. To ensure the availability of right medication, at right time, in the right dose at the minimum possible cost. 2. To professionalize the functioning of pharmaceutical services in a hospital. 3. To act as a counseling department for medical staff, nurses and for patient. 4. To act as a data bank on drug utilization. 5. To participate in research projects. 7
  8. 6. To implement decisions of the pharmacy and therapeutics committee. 7. To co-ordinate and co-operate with other departments of a hospital. 8. To plan, organize and implement pharmacy policy procedures in keeping with established policies of the hospitals. 8
  9. Location of Hospital Pharmacy: 1. Located in hospital premises so that patients and staff can easily approach it. 2. In multi-storeyed building of a hospital, the pharmacy should be preferably located on ground floor especially the dispensing unit. 3. It should be laid in such a way that there is a continuous flow of men and materials. 9
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  11. Floor Space Requirements 1. [Refer table on previous slide] 2. Floors of pharmacy should be smooth, easily washable and acid resistant. 3. In manufacturing sections, drains should be provided, walls should be smooth, painted in light color. 4. Wooden cabinets should be laminated. 5. Fluorescent lamps should be placed above prescription counter. 6. Counter for Bunsen burner are also required. 11
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  13. Flow Charts for Materials and Men 13
  14. 14 General Flow Chart for Materials
  15. General Flow Chart for Outpatients
  16. General Flow Chart for Inpatients
  17. 17 General Flow Chart for Men
  18. Requirements for personnel in a Hospital Pharmacy: 1. Director of pharmacy should be a graduate in pharmacy or bachelor of science with at least 1 yr experience in hospital pharmacy 2. He should have adequate number of assistants who are licensed pharmacists to supply highest quality of p’ceutical services. 18
  19. Personnel Required for Hospital Pharmacy: 1. Director of pharmacy 2. One or more assistant directors of pharmacy 3. Staff pharmacists 4. Residents 5. Personnel trained in non-professional function and clerical help 19
  20. Director of pharmacy should have- –Completed 3 yrs course –If he does not B.S. degree then should have 5 yrs exp. in hospital pharmacy –If he is D. Pharm and does not have B.S. degree then he should have 10 yrs exp. in hospital pharmacy The director of pharmacy recommends the selection and discharge of employees in the pharmacy He is also responsible for preparing the rules for employees and their enforcement Licensed pharmacist should be present in pharmacy 24x7 20
  21. Facilities Required In Hospital Pharmacy: 1. In smaller hospitals, with one pharmacist only, one room is required for pharmacy, having a combination of dispensing, manufacturing, administrative and all other sections of complete pharmaceutical service. 2. For sterile products there should be a separate room or area. 3. In large hospitals, with 200 or more beds, departmentalization of pharmacy activities is required. 21
  22. 4. A separate area is required for :-  Inpatient services and unit dose dispensing  Outpatient service  An office for the chief pharmacist  A compounding room  Prepacking and labelling room  A store room  Sterile products room 5. A separate area for drug information services and space assigned on various nursing units for unit dose drug administration. 6. A modern pharmaceutical library should be maintained with official books , journals, text and reference books. 22
  23. 7. Adequate locking arrangement for storage of narcotics, alcohol 8. Proper lighting and ventilation 9. Refrigerator for thermolabile products 23
  24. Equipments Required In Hospital Pharmacy: 1. Prescription case 2. Drug stock cabinets with proper shelves and drawers. 3. Sectional drawer cabinets with cupboards bases. 4. Work tables and counters for routine dispensing. 5. Cabinet to store mortar and pestles. 6. Cabinet for glass utensils, flasks, funnels and beakers. 7. Refrigerator of suitable capacity. 8. Narcotics safe with individually locked drawers. 9. Office desk with telephone connection and file cabinet. 10. Dispensing window for nurses and outpatients. 24
  25. • Generally, equipments required are of two types: 1.Fixed equipment: – Can not be moved – Require installation – Fixed to building – Ex. Cabinets, counters, elevators and sinks 2.Movable equipment: – Can be moved – Not permanently fixed to building – Ex. Desks, carts etc. 25
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  28. Qualifications of Hospital Pharmacist:  Graduate or PG in pharmacy with license or  Should have completed hospital pharmacy training program 28
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  30. 30 Pharmacist Requirement on the Basis of Bed Strength Bed Strength No. of Pharmacist Required Upto 50 Beds 3 Upto 100 Beds 5 Upto 200 Beds 8 Upto 300 Beds 10 Upto 500 Beds 15
  31. Responsibilities of Hospital Pharmacist: A.Inpatient Pharmacy Department: I.Dispensing Area: 1. Policies 2. Accuracy 3. Maintenance of records 4. Storage 5. Working 6. Co-ordination 7. Drug information 31
  32. 32 II. Patient Care Area: 1. Co-ordination 2. Communication 3. Technical 4. Supervisory III.Direct Patient Care: 1. Patient Medication History 2. Drugs Identification 3. Patient Monitoring 4. Patient Counseling 5. Selection Of Drug IV.General Responsibilities
  33. 33 B. Outpatient Pharmacy Department: I.In Dispensing Area: 1. Maintenance of Records 2. Co-ordination 3. Assures Proper Personnel 4. Neatly Maintenance 5. Professional Competence Maintenance II. Inpatient Care Area: 1. Inspection 2. Patient monitoring and counseling 3. Selection of drug therapy, dose regimen and schedule 4. Medication history and drug identification III.General Responsibilities: 1. Co-ordination 2. Drug information 3. Control 4. Education
  34. Abilities Required of Hospital Pharmacist: 1.Administrative & Managerial Ability: – Co-ordinating pharmacy activities – Preparing pharmacy policies – Budgeting, stock control and maintenance of records – Communication with other staff – training and development of pharmacy personnel – Keeping records of pharmacy funds 2.Manufacturing Ability: – Develop and conduct p’ceutical mfg. program – Provide drugs at low cost by mfg in bulk quantities 34
  35. 3.Perfect Knowledge of: a) Drugs and its actions b) Control of Drugs  Quality control of drugs  Control on distribution of drugs 4.Research Ability: Perform p’ceutical research on drugs- – To improve its usefulness – To develop methods for preservation and stability – To improve therapeutic effectiveness and taste – To develop the various bases and vehicles for improving, the absorption of active ingredients from internal and external preparations 35
  36. 5.Teaching Ability: Deliver lectures and demonstrations for the nursing staff on- – Methods of storage of drugs – Drug usage – Various dosage form – Mathematical calculations involving percentage solutions and dose calculation – Prescription writing – Drug stability and incompatibilities He must carry out training program for trainee and staff pharmacists 36
  37. The End 37
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