Pharm.D-IV Year - Hospital Pharmacy (Chapter-2)

1. CHAPTER:2 HOSPITAL
PHARMACY
Mrs.A.Ajitha
Assistant Professor
CMR College of Pharmacy
Hyderbad

2. CONTENTS
• DEFINITION
• PHARMACEUTICAL SERVICES
• FUNCTIONS OF A HOSPITAL PHARMACIST
• OPERATIONAL STRUCTURE OF HOSPITAL
PHARMACY
• SET UP OF HOSPITAL PHARMACY
• FUNCTIONS AND RESPONSIBILITIES OF HOD
OF PHARMACY AND HIS STAFF
IN PATIENT
OUT PATIENT

3. HOSPITAL PHARMACY
• Definition:
• Hospital pharmacy is the department, service or a domain in the hospital
organization managed under the direction of a professionally competent, legally
qualified pharmacist.
•
Hospital pharmacy deals with: :
 Supply of drug
 Filling of special prescriptions
 Manufacturing of the drugs
 Storage and dispensing of narcotic and biological products
Supply and storage of ancillary products
•

4. • Pharmaceutical services
in a hospital comprises of the services rendered to the patient through a number of activities like
:
• 1.Dispensing of drug
• 2.Management of the stores which include:
• a) Purchase of drugs as per the recommendation of Pharmacy and Therapy Committee
• b) Providing instructions for proper storage of such drugs
c) Maintenance of proper records of the drugs purchased and there distribution
• 3.Manufacture and distribution of medicaments and products
• 4) Providing the therapeutic drug monitoring services
• 5) Establishment and maintenance of Drug Information Centre
• 6) Patient counseling service Maintaining liaison with medical staff, nursing staff and the patients
themselves
7) To maintain the nursing department and the central sterile supply unit in the hospital
8)Participate in teaching programme of nursing and pharmacy students
9)Maintain liasion with the medical staff, nursing staff and patient

5. FUNCTIONS OF A
HOSPITAL PHARMACIST
 •To provide and evaluate pharmaceutical services
 •To draw a plan for hospital pharmacy administration
 •To establish liaison between administrative authorities and medical Doctors.
 •To estimate the requirements for the department and enforce the policies and procedures for the
recruitment of adequate and competent staff
 •To develop and maintain an effective system of clinical and administrative records and reports
 •To participate in and adhere to the financial plan of the operation for the hospital
 Maintain inventory
 To initiate,participate and utilise in research projects
 To participate and adhere to the safety programs of the hospital
 To provide and to put into practice a programme of continuing education of all personnel.

6. OBJECTIVES OF HOSPITALPHARMACY
1. To professionalize the functioning of the pharmaceutical services in hospitals.
2.to ensure availability of the required medication at an affordable cost at the
required time.
3. To plan, organize and implement the policies of the pharmacy.
4.To perform functions of management of material, purchase, storage of essential
items.
5. To maintain strict inventory of all items received and issued.
6.To counsel the patient, medical staff, nurses and others involved in patient care
on the use of drugs, possible side effects, toxicity, adverse effects, drug
interactions etc.
7. To serve as a source of information on drug utilization.

7. 8.To manufacture drugs, large/ small volume parenterals which are critical for use
in patients.
9.To participate in and implement the decisions of the pharmacy and therapeutics
committee.
10. To organize and participate in research programmes, educational programmes,
11.To provide training to various members of the patient team on various aspects
of drug action, administration and usage.
12.To engage in public health activities to improve the well-being of the
population.
13.To interact, cooperate and coordinate with various other departments of the
hospital.

8. OPERATIONAL STRUCTURE OF HOSPITAL PHARMACIST
1.DRUG-DISTRIBUTION CENTRE
2.CLINICAL PHARMACIST CENTRE
3.PATIENT CENTRE AND INTEGRATED

9. SET UP OF HOSPITAL PHARMACY

10. SUGGESTED PATTERN FOR SETUP OF HOSPITAL PHARMACY

11. INFRASTRUCTURE
1. Located in the ground floor or in the first floor.
2. Sufficient space for seating of patients.
3.Waiting room for out-patients. It should contain educative posters on health ,
hygiene and offer literature for reading.
4.Suitable space – routine manufacturing of bulk preparations (stock solutions, bulk
powders and ointments etc.
5. Office of the chief
6. Packaging and labeling area
7. Cold storage area
8. Research wing
9. Pharmacy store room
10. Library
11. Radio isotope storage and dispensing area

12. FLOW OFMATERIALS
Requisition or an indent
For supply of medicines and other items.
Maintain inventory for received items
Distributes the medicine to out-patients (out-door pharmacy)
and in-patients (nursing stations)

13. ROLESANDRESPONSIBILITIESOFHOSPITALPHARMACIST INDOORPHARMACISTS
a) Central dispensing area:
* to ensure than all drugs are stored, dispensed correctly
* to check the accuracy of the dose prepared
* to keep proper records and preparation of bills
*to coordinate the over all pharmaceutical needs of the “patient care
* to ensure that the established policies and procedures laid down are followed .
* to maintain professional competence
* to communicate with all pharmacy staff regarding new development
* to co ordinate the activities of the area
b) Patient care areas
•To maintain liaison between nurses
•Reviewing of drug administration in each patient
•To provide instruction and assistance to junior Pharmacist
•To co ordinate over all pharmaceutical services on the running unit level

14. c) Direct patient areas:
• Identification of drugs bought into hospital by the patient
•Obtaining all medication history and communicating all informat
ion the attending Physician
•To assist in the selection of drug products and their identities
•To monitor patient’s total drug therapy for:
1)effectiveness 2)side effects 3) toxicity 4) allergic reactions 5)
drug interaction
• Patient counseling
• Participating in cardio pulmonary emergencies
d) General responsibilities:
To provide in service training and information for :
* the Pharmacists
* the pharmacy students
• nurses and nursing students
• * Physicians and medical students

15. Outdoorpharmacistresponsibilites:
a) Central dispensing area:
the pharmacist ensures that:
•Proper techniques are used in extemporaneous compounding
•Provides for adequate record keeping and billing
•Correctly maintaining prescription files
•Keep the outdoor pharmacy in a neat and tidy manner
a) Patient care areas
• To periodically inspect the medical areas
•To identify drugs bought by patient to clinic and record the patient’s
medication history
•Monitoring of drugs
• To council the patient on the proper use of their medication

16. c) General responsibilites:
• to coordinate overall needs of the outdoor service area and ex
ercise control over such drugs
• To ensure that all drugs are handled properly such as storage o
f investigational drugs
• To participate in cardio pulmonary emergency
•To provide for in services education and training for pharmacist
s, pharmacy items.

17. REFERENCES
1. TEXT BOOK OF HOSPITAL PHARMACY B.S. SHAN PRAKASHAN
2. HOSPITAL AND CLINICAL PHARMACY N.NARAYANAN
S.BALASUBRAMANINAN
3. HOSPITAL PHARMACY Mukul Singh Sujata K. Dass www.google.com 20

18. • Thank You