This slide deck give detail presentation on Introduction to Clinical Pharmacy, Objective, Scope, Role and Responsibilities of Clinical Pharmacist in Hospital and Community Pharmacy. For all III video lecture series of this topic click: https://youtube.com/playlist?list=PLBVbJ9HCa1Ba_NYBb4neDWLXrnf1ulq4Y - For More Such Learning You Can Subscribe to My YouTube Channel. https://www.youtube.com/channel/UC5o-WkzmDJaF7udyAP2jtgw/featured?sub_confirmation=1 Facebook Page: https://www.facebook.com/asacademylearningforever Website Blog: https://itasacademy.blogspot.com/

1. Prof. Shaikh Abusufiyan
Part-01:Introduction to
Clinical Pharmacy
Pharma Learning

2. At the end of this e-learning session you are able to…
A. Define clinical, community and
hospital pharmacy.
B. Discuss its services, objectives and
scope.
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3. Clinical Pharmacy
• Clinical pharmacy comprises a
set of functions that promote:
• safe
• effective and economic use
of medicines for individual
patients.

4. q It requires the application of
specific knowledge of:
• pharmacology
• pharmacokinetics
• Pharmaceutics and therapeutics

5. Services of Clinical Pharmacy
• Clinical Pharmacy includes all the services performed by pharmacists
practising in:
• hospitals
• community pharmacies
• nursing homes
• home-based care services
• clinics and any other setting where medicines are prescribed and used.
• The term “clinical” does not necessarily imply --> an activity implemented in
a hospital setting.

6. Objectives and Goal of clinical Pharmacy
q Objective:
• To promote the correct and
appropriate use of medicinal
products and devices.

7. q Aim:
1. Maximising the clinical effect of medicines
using the most effective treatment for each type of patient
2. Minimising the risk of treatment-induced adverse events
monitoring the therapy course and the patient's compliance

8. 3.minimising the expenditures for pharmacological treatments born by
the national health systems and by the patients
trying to provide the best treatment alternative for the greatest
number of patients.

9. Q&A
Q.1 Clinical pharmacy comprises a set of functions that
promote……………………………….
Q.2 State true or false. The term Clinical pharmacy means
activities of pharmacist implemented in hospital setting only.
Q.3 Give aim and objectives of clinical pharmacy.
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10. Community Pharmacy:
• A community pharmacy is a healthcare facility
that provide pharmaceutical services to a
community.
• Typically, a registered pharmacist --> dispenses
medicine from the medical store.

11. Objective of hospital pharmacy
q To provide excellence in drug distribution in
harmony with excellent clinical services.
• Hospital pharmacist strive to administer
quality patient care by balancing:
• The patient expectations
• The patient needs
• Available resources

12. q Clinical Pharmacy in hospital must familiar with:
• the structure
• function
• personnel
• and procedures related to the hospital patient
care unit.

13. q Five basic clinical services in
hospital such as:
• Nursing
• X-ray
• Laboratory
• Medical Record
• and Pharmacy

14. 1. Supervision of drug administration techniques
2. Reviewing of each patients drug administration record
3. Reviewing of all doses missed
4. Rescheduling the doses as necessary
5. Ensuring that the drug administration forms are transcribed accurately
6. Assisting the technicians as needed in dealing with difficult patients and
new treatment procedure etc.
Scope of clinical pharmacist in a hospital

15. 6. To Ensure that correct drug supplies are maintained in the ward
7. To coordinate with all pharmacy services within the hospital.
8. To educate pharmacists, physicians, nurses and other clinical
practitioners about
- Pharmacokinetic principles
- And appropriate indications for clinical pharmacokinetic monitoring
9. To Provide drug information to physician and nurses

16. Reference:
• Dr. H. P. Tipnis and Dr. Amrita Bajaj. Clinical Pharmacy, 3rd
edition. Carrier Publication Pg. No:16-24
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17. Q&A
Quiz-Attendance/Feedback:
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18. 8

19. Prof. Shaikh Abusufiyan
Part-02:Introduction to
Clinical Pharmacy
Pharma Learning

20. At the end of this e-learning session you are able to…
A. Discuss the responsibilities of clinical
pharmacist in Hospital.
B. Discuss responsibility of Clinical Pharmacist
in community (Retail) pharmacy.
0

21. Responsibilities of clinical pharmacist in Hospital
q Responsibility in direct patient care areas
(Wards)
• Identify drugs brought into the hospital by patients.
• Obtain patient medication history and communicating
required information to the physician.
• Assist in drug product and entity selection, dosage
regimen and schedule for drug administration 21

22. q Monitoring patients total drug therapy for:
• effectiveness
• ineffectiveness
• SEs, toxicity
• allergic drug reaction
• and drug interaction
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23. q Counselling patient on:
• Medication to be self administered and
discharge medication.
• Proper use of drugs as well as advising
appropriate precautions.
• Issue warnings and gives contraindication
alert.
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24. • Maintain patient drug profiles and
participate in drug monitoring program.
• Describing and training in the use of
health care accessories such as:
• inhalers
• orthopedic aids
• diabetic supplies etc.
24
Inhaler

25. q Providing guidance in public and preventive
health education program on timely topics
like:
• drug abuse
• first aid
• contraception and vaccination.
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26. Q&A
qQ.1 Give responsibility of pharmacist in direct patient care
areas (Wards).
Q.2 What type of counseling pharmacist provide to the
patients?
Q.3 Enlist the topics on which pharmacist can provide public
and preventive health education program.
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27. Clinical Pharmacist in community (Retail) pharmacy
• The following services can be offered by a
pharmacist at retail drug store:
1. Referral service:
• Act as portal of entry into health care
system.
• He may guide them to the physicians and
help in locating appropriate health
professionals.
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28. 2. Personalized patient care services:
q When patients on long term therapy
return for Prescription refills, it offers
the pharmacist a good opportunity:
• To monitor the response to drug
• To detect adverse drug reaction or
harmful drug interaction
• To identify their compliance or non-
compliance.
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29. • To answer any questions they may have
regarding their medication.
• To maintain complete patient drug
profiles.
• To counsel the patients on safe drug use
and storage conditions of drugs.
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30. 3. Clinical services:
• The pharmacist can help in patient monitoring
and TDM.
• He can offer patient monitoring services by
performing simple pathological tests at the
pharmacy:
• Recording of BP
• Diabetic screening and monitoring program:
- Can perform simple blood sugar and urine
analysis.
- Provide special dietary information 30

31. 4. Parenteral service:
• He can learn s.c, i.m
• insulin injection can be administered on daily
basis
• injection of hormones, vit, allergens extract
can be administered with the help of trained
clinical personnel like nurses employed at the
store.
• Precaution: No inj should be administered at
the pharmacy unless prescribed by a
physician.
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32. Reference:
• Dr. H. P. Tipnis and Dr. Amrita Bajaj. Clinical Pharmacy, 3rd
edition. Carrier Publication Pg. No:16-24
32

33. Q&A
Quiz-Attendance/Feedback:
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/forms.gle/6aNsJYyMLBCjFfYZ7
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3

34. 4

35. Prof. Shaikh Abusufiyan
Part-03:Introduction to
Clinical Pharmacy
Pharma Learning

36. At the end of this e-learning session you are able to…
A. Explain about implementation of Clinical
Pharmacy Services.
B. Discuss benefit and scope of practice of
clinical pharmacy through its
contribution to patient care.
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37. IMPLEMENTING CLINICAL PHARMACY SERVICES
• Pharmacist can register greater level of success by recognizing 3 Cs:
• Compassion, courage and commitment
• 3 Basic elements of good clinical practice include (3Cs):
• Communication
• Consulting
• Counselling
37

38. Consulting:
• He can act as consultant to medical practitioners
as he has detailed information such as:
• Adverse drug reaction
• Drug-drug interaction
38

39. Consulting:
• He can discuss potential hazard in
prescription.
• He can participate in:
• New drug discovery process
• Direct current development
• And applications of novel drug delivery
system.
39

40. Counseling:
• Act as a counselor by providing advise of
therapeutic matters to the patients.
• To do this Pharmacist must have
• confidence in his abilities
• a willingness to listen
• a concern for the patients well being
• an enthusiasm for contributing to patient
care
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41. Q&A
Q.1 What are 3 Basic elements of good
clinical practice ?
Q.2 Which type of consultancy services
pharmacist can provide?
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42. BENIFIT AND SCOPE
• Practice of clinical pharmacy through its
contribution to patient care benefits the:
• The patients
• Physicians
• and other health care professionals
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43. • Value to patient:
• A patient often receives prescription for
several dugs from different physicians and
is on multiple drug therapy.
• The clinical pharmacist acts as a counselor/
consultant to the patient by verifying:
• the right drug has been administered
• no harmful interaction will occur
• Patient received proper instructions on
the use and storage & specific SE
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44. • Value to patient:
• The pharmacist may repeat physicians
instructions to reinforce the importance of:
• drug therapy
• and a following prescription schedules
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45. • Value to physicians:
• The physician overburdened with
responsibilities
he can utilizes pharmacist expertise to
discuss medication therapy with the patient.
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46. • Value to physicians:
• He can consult physician on available
• medications
• various dosage form
• comparative cost
• possible drug interaction
• incompatibility
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47. • Value to physicians:
• The pharmacist can provide unbiased
information on new drug products
entering the market
and help the physician in selection of right
dosage forms.
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48. • Value to pharmacist:
• He got opportunity
• to get involved in direct patient care as an
active member of health care team.
• to interact with physician on one to one level
without disturbing or offending them.
• understand the physicians rationale behind
prescribing a certain drug before questioning
the prescription.
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49. • Value to pharmacist:
• To do this clinical pharmacist must be familiar
with:
• various disease conditions
• their pathophysiology
• diagnostic test and their normal values
• medical terms for gaining confidence of the
physicians.
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50. Scope and additional responsibilities of clinical
pharmacist in a hospital
1. To design patient-specific drug dosage regimens
2. To recommend or schedule measurements of drug concentrations in biological fluids
3. To Monitor and adjust dosage regimens
4. To Evaluate unusual patient responses to drug therapy for possible pharmacokinetic
and pharmacologic explanations.
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51. • 5. To communicate patient-specific drug therapy information to:
• physicians, nurses
• clinical practitioners
• to the patients orally and in writing
• and including documentation of this in the patient’s health record.

52. 7. To develop quality assurance programs for documenting improved patient
outcomes and economic benefits
8. To promote collaborative relationships with other individuals and departments
9. To counsel the patient to use and provide drug products ready for
administration

53. 10. Pharmacists with specialized education and experience may have the
opportunity to assume responsibilities like:
1. Designing and conducting research
2. Developing and applying computer programs and point-of-care information
systems to enhance:
- the accuracy and sophistication of pharmacokinetic modeling
- and applications to pharmaceutical care.
3. Serving as an expert consultant to fellow pharmacists

54. • Reference:
Dr. H.P.Tipnis and Dr. Amrita Bajaj. Clinical Pharmacy, 3rd
edition. Carrier Publication Pg. No:16-24
1/31/21 54

55. Q&A
Quiz-Attendance/Feedback:
https:/
/forms.gle/XH8cahtbsWLpPopN8
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56. 6