The Pharmacy and Therapeutic Committee (PTC) is a policy-making body that advises the hospital administration on matters related to drug therapy. The PTC assists in developing policies around drug procurement, distribution, use, and safety. It is composed of physicians, pharmacists, nurses, and administrators. The PTC's functions include establishing drug policies and procedures, preventing unnecessary drug use, promoting rational prescribing guidelines, and monitoring for medication errors and adverse drug reactions. It also plays roles in ensuring drug safety, reviewing drug utilization, developing emergency drug lists, and conducting training programs.
3. INTRODUCTION
Definition:
Pharmacy and therapeutic committee (PTC) is a policy
framing and recommending body to the medical staff for the
administration of the hospital on all matters related to
therapeutic use of drugs.
This committee assist in the formulation of broad professional
policies regarding the policies, procurement, distribution, use ,
safety procedures for the use of drugs in the hospital
4. OBJECTIVES
ADVISORY:
The committee is recommended for the adaptation of policies.
The committee advices the implementation of effective drug
distribution and control procedures.
EDUCATION
The committee recommended in formulation of function,
design to meet the need of professional staff (physician, nurses,
pharmacist other health care practitioner for complete current
knowledge of matters related to drugs and its usage.
5. DRUG SAFETY AND ADVERSE DRUG MONITORING:
Pharmacist has an increased responsibility and also develop a
moral or legal and professional functions of ensuring safety in
handling and administration of drugs.
6. COMPOSITION:
Composition of PTC may varies from hospital to hospital. It is composed of:
At least three physicians from the medical staff
Pharmacist
A representative of the nursing staff and
An hospital administrator with his/her designated
an ex-officio members
CHAIRMAN: Medical super indent or senior doctor appointed by the hospital
executive board.
SECRETARY: Chief hospital pharmacist if not junior pharmacist or pharmacy
technician.
MEMBERS: All Medical staff including representation from each and every
department
7.
8. FUNCTIONS OF PTC:
Lay down of the written policies and procedure for the selection, procurement
,storage and distribution and use of drugs including investigation of New
Drugs.
Prevent unnecessary loading of Drugs , Prescribing and to promote Rational
therapeutic guidelines.
Look after safe usage of Drugs
Visits the outside manufacturing units before approving their products to the
hospital purchase list.
Recommend the level of stock for each medicine to be maintained.
Study and recommend the system of distribution of drugs in the hospital.
Periodically training programmes to be attended by the Physician ,Nurses and
other health care people of the hospital in the current developments and skills
in their respective fields.
Medication errors and ADR monitoring.
Carry out drug utilization review.
9. ROLES OF PTC IN DIFFERENT
DEPARTMENT
Role of PTC in drug safety
Role of PTC in ADR monitoring programme.
Role of PTC in drug product deficit programme.
Role of PTC in developing emergency drug list
Role of PTC in drug utilization programme
10. ROLE OF PHARMACY AND THERAPEUTIC
COMMITTEE IN DRUG SAFTEY:
• The hospital must employ a qualified and registered pharmacist with at least
B.pharmacy degree as chief pharmacist and the rest with at least D.Pharm
degree.
• The hospital should not permit non pharmacy person to dispens and align the
drug
• Hospital must provide adequate space and storage facility for the pharmacy.
• The hospital should have policy regarding the use of research drugs in hospital
and clinics
• The pharmacy should have adequate reference library text on pharmacology,
toxicology, posology and general containing adequate information in
pharmaceutical world.
11. ROLE OF PHARMACY AND THERAPEUTIC
COMMITTEE IN DRUG UTILIZATION REVIEW:
• Drug utilization includes prescribing, dispensing, administrating and
ingesting of prescribing drugs to patient..
• This DUR helps in detect the - Drug interaction
- Drug induced disease
- Drug potential and toxicity
12. ROLE OF PHARMACY AND THERAPEUTIC
COMMITTEE IN EMERGENCY LIST:
Since time factor of very good urgency to most true emergency
situations it is absolutely necessary of the pharmacy and therapeutic
committee of a hospital to get prepared boxes containing drugs
which should be available ready for the use of bedside.
1.Supply to maintain in emergency box.
2.Drugs for emergency box
3.Supplies for cabinet utility room.
4.Other emergency supplies.
13. A.SUPPLIES TO BE MAINTAINED IN EMERGENCY BOX:
Syringes of various ranges 2 each of 1 ml i.e tuberculin or insulin
syringes and 5 ml of syringe.
Needles of 16’, 18’, 20’, 21’, 23’and 26’.
Files for breaking the amplues.
Tourniquets.
B.DRUGS FOR EMERGENCY BOX:
These may selected in consultation with the physician but the
following list:
Aminophyillin 0.25 gm/ml
Atropine sulphate 0.4mg/ml
Calcium gluconate 1gm/ml
Digoxin 0.25mg/ml
Heparin 10,000 units/ml