Presentation prepared by Mohni Rasheed Chaudry.

1. HOSPITAL PHARMACY PRESENTATION
Presenters : MOHNI RASHEED (87-M-13)
HUMNA BINISH (42-M-13)
FAREEHA SAJJAD (44-M-13)
Topic : DISPENSING DURING OFF HOURS

5. • DISADVANTAGES .
1. Dangerous
2. An illegal practice (in some areas)
However, the advocator said :
There exists a correlation between the nurse
selecting a medicine from the DRUG CABINET
on the pavilion and selecting the SAME ITEM
FROM THE PHARMACY.

9. • In order to accomplish this goal,
The pharmacy should’ve RESERVE BOXES
PREPARED so that the units may be handled
on an exchange basis to REDUCE THE PERIOD
OF TIME without a ready to use emergency
box.
If the hospital policy CHARGE FOR THE
SUPPLIES used from emergency box then the
nurse should prepare a charge ticket and
submit it to the pharmacy with the used box.

10. • EMERGENCY CART or RESUSCITATION CART ;
Mobile units have on them the same basic
supplies contained in emergency box PLUS :
1. Facilities for administration of oxygen
2. The application of suction
3. A cardiac pacemaker
Emergency box must be checked on regular
basis (monthly) by hospital pharmacist.
In order to :
1. Remove outdated medications
2. Remove deteriorated medications

13. • NIGHT DRUG SUPPLY CABINET
. An adjunct to the charge floor stock
medications already on the pavilion.
. Range from simple cabinets with drawers to
large elaborate installations which include
narcotic vaults and refrigerated
compartments.
. The large cabinets are usually constructed in
the wall of the pharmacy , serviced from
within the pharmacy, yet is accessible from
the corridor side to authorized nursing
personnel.

17. • DRAWBACKS .
. A physician might waste a great deal of time
searching for a product.
. An unfair burden to place upon their already
heavily taxed work hours.
ADVANTAGE .
. The physician may be influenced to use available
drug which will accomplish the same purpose.

19. • PURCHASED SERVICE .
Contracting with local community pharmacy
for NIGHT, HOLIDAY, VACATION relief for the
pharmacist.
ADVANTAGES .
. Safe and legal
. Protect the drug needs of the hospital &
patient.
. Safeguard the health needs of the area on a
round-the-clock basis.

22. EXTENDING PHARMACY SERVICE
HOURS
. This service in hospitals is replaced by staff
pharmacists.
. In smaller hospitals, efforts should be made
to convince hospitals administration to
financially support the pharmaceutical
coverage.
. One survey reveals that Hospital Pharmacist
utilized the following reasons to convince
management to support the extension of
services .

23. 1. Provided continuity for the IV admixture
program.
2. Provide continuity for unit dosage program.
3. Provide medication to the night shift, the
night nursing supervisor allowed more
involvement with nursing rather than
pharmacy problems.
4. Provided continuity with drug information
service & also monitoring system.
5. Helped to prevent serious medication
errors at night.

24. The ASHP Technical Assistance Bulletin on Hospital Drug
Distribution & Control provides the following
statements with regard to emergency medical supplies
and the provision of pharmaceutical service after
hours.
Emergency Medication Supplies : Policy to supply
emergency drugs when pharmacist is off the premises /
when there is insufficient time to get to the pharmacy
should exist.
Emergency drugs should be limited in number to
include only those whose prompt use and immediate
availability are generally regarded by physicians.
The medication included should be for the treatment
of CARDIAC ARREST, CIRCULATORY COLLAPSE,
ALLERGIC REACTIONS, CONVULSIONS &
BRONCHOSPASMS.

25. . The pharmacy and therapeutics committee
should specify the drugs and supplies to be
included in emergency stocks.
. Emergency drug supplies should be
inspected by pharmacy personnel on a routine
basis to determine if contents have become
outdated .
. Emergency kits should have a seal which
visually indicates they have been opened.
. The expiration date of the kit should be
clearly indicated.

26. PHARMACY SERVICE WHEN THE PHARMACY IS CLOSED :
Hospitals provide services to patients 24 hours a day.
. A Pharmacist should be available on an “on-call” basis.
. Drugs must not be dispensed to outpatients or hospital staff by
anyone other than a pharmacist while the pharmacy is open.
. If it’s necessary for nurses to obtain drugs when pharmacy is
closed and the pharmacist is unavailable , written procedures
covering this practice should be developed.
. The dugs should be in proper single dose packages.
. Drugs should not be dispensed to emergency room patients.
. When no pharmacist is available, emergency room patients should
receive drugs.
. The use of an emergency room “formulary” is recommended.
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