Hospital pharmacy course: It is a specialized fieldof pharmacy which forms an integrated part ofpatient health care in a health facility.Hospital pharmacy and hospital pharmacist:Hospital pharmacy is the health care service,which comprises the art, practice, and professionof : i.Choosing, Prparing, Compounding, Dispensingmedicines and medical devices, ii.Advising healthcareprofessionals and patients on their safe, and efficientuse.
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.
Contents of hospital pharmacy course:The contents of the hospital pharmacy course are arbitrarily divided into twoareas Area Services1- Institutional 1 Dispensing,Pharmacy:This part concerned with the 2 Selection and purchase ofrules, regulation and policies medicines. :governing 3 Storage and record keeping (inventories) 4 Distribution Medication system 5 The management of pharmacy staff in the hospital. 6 Committees in the hospitals
Contents of hospital pharmacy course: Area Services1I- Technical Pharmacy: 1 Extemporaneous CompoundingTechniques, guidelines 2 Injectable preparations: LVP,and regulations used in TPN, intended for intravenouscompounding: use and those sterile large volume solutions used for irrigation, surgery or for dialysis. 3 Veterinary, Radio- Pharmaceutical, Ambulatory Compounding (specialized hospitals)
Part One Institutional, Organizational Structure Medication systemManagement&Controlling of :Organizational Distribution System Drug Structure
Section IEvery hospital, large or small, has an organizational structure that allows for the efficient management of departments. Traditional Organizational Chart-1
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:
Common organizational categories might include USA: 1. Administration Services 2. Informational Services 3. Therapeutic Services 4. Diagnostic Services 5. Support Services
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)
PHARMACYDispensing Manufacturing• Out-patient• In-patient • Bulk• Surgical + • LVP • SVPlaboratory Purchasing & Reports • Misc.supplies Inventory• Ward or Floorstock control• Alcohol• Narcotics Teaching Research Control
Associate Director Pharmacist-In-Chief Assistant Pharmacist-In-Chief Secretary Pharmacy Residents Clerk Manufacturing In-patientOut-Patient & Control DispensinDispensing Supervisor gSupervisor Supervisor
Director of PharmacyUSA Associate Director of PharmacyAdministrative Unit Dose Education &Services Division Dispensing Training DivisionResearch Assistant AssistantPharmacist Director of Assistant Director ofPharmaceutical Pharmacy Director of PharmacyResearch Divisions Pharmacy • Assay & QC • DepartmentalPharmacist Dept • In-Patient ServicesSpecialist ServicesRadiopharmaceuti • Sterile Product • Purchase &cal Division Division • Out-Patient Inventory Services ControlPharmacist • Central SupplySpecialist Division • IV Admixture • ManufacturingDrug Information Division & Packaging
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)
1-Education Training DivisionParticipate in hospital wide education programs involving nurses, doctors etc.Train newly employed pharmacy department personnel. 16
Pharmaceutical Research Division- 2 Cooperate with the medical research staff of projects involving drugs ( if present!! May be in case of clinical pharmacist)In-patient Services Division. 3 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))
Out-Patient Services Division.4Dispense out-patient prescriptionsMaintain prescription records.Provide drug consultation services to staff andmedical students.Drug Information Services Division.5 Provide drug information on drugs and drug therapy to health professional staff. Participate in the hospital’s pharmacy newsletter (if present) Maintain literature files. 18
Departmental Services Division .6 Coordinate and control all drug delivery and distribution systems (Unit Dose to inpatients)Purchasing and Inventory Control .7DivisionMaintain drug inventory control (input and output control) Purchase all drugs (record) Receive, store and distribute drugs (record) 19
Central Supply Services Division .8Develop and coordinate distribution of medical suppliesand irrigating fluids.Assay and Quality Control. 9Division Not present (UAE)Manufacturing and Packaging Division. 10 Maintain a unit dose program.
Sterile Products Division .11 Manufacture sterile ophthalmic, irrigating solutions etc. LVP, IV admixtures, TPN.Radiopharmaceutical Services. 12Division Centralize the procurement, storage and dispensing of radioisotopes used in clinical practice. ( It is in Twam hospital)13.Intravenous Admixture Division Included in the sterile product division
The director of pharmacy service shall be responsible for:Monitoring all the previousprocesses mentioned in the functions.