Pharmacy Practice

1. Presented by-
Ms.S.J.Kamble
Department of Pharmacology
Ashokrao Mane College of Pharmacy,
Peth Vadgaon

3. Definition
 Practice of pharmacy in hospital
 Drugs- receiving and supply, storage, dispensing to
inpatients and outpatients
 Qualified registered pharmacist

4. Definition
 Hospital pharmacy receives drugs and
medicines and other medical supplies ,stores
them, dispenses them to inpatients and
outpatients and may have a manufacturing
extension to manufacture pharmaceuticals
and parenteral in bulk.
 Modern hospital pharmacy also provides
clinical pharmacy services of drug monitoring
and drug delivery information system

5. Functions of Hospital Pharmacy Services
 Dispensing of drugs
 Filling and labelling of drugs
 Inspection of all pharmaceutical supplies
 Selection of reliable suppliers
 Dispensing of narcotic drugs and alcohol and
maintenance of inventory of them.
 Specifications of the quality of drugs
,antibiotics, biological and pharmaceutical
supplies used for treatment of patients
 Source of drugs, antibiotics, biological and
pharmaceutical supplies

6.  Maintenance of records and booking keeping
for drugs ,antibiotics, biological and
pharmaceutical supplies
 Manufacturing of sterile or non-sterile
preparations
 Maintenance of manufacturing records
 Quality control of purchased or manufactured
products
 Distribution of medicaments in the wards
 Drug information source in hospitals
 Patient counselling

7. Objectives
 Professionalize - functioning of p’ceutical services
 Philosophy, ethics of HP
 Guidance - responsibility
 Strengthen- management skills
 Availability medications
 Strengthen - scientific and professional ability
 Utilize - resource

8.  Establish- DIS
 Participate in research project
 Attract – pharmacist
 Act – profit centre
 Implement decisions of PTC
 Promote - good salaries to pharmacist

9. Location and Layout
 Location- 1st floor or ground floor
 Readily accessible to elevator
 Sufficient and effective service- Departments
 Flow of men and material
 Enough space- waiting area
 Posters /LED TV
 Interior- not congested
 Mfg room

10. Location and Layout of Hospital Pharmacy
 Hospital Pharmacy should be located in an
area that is convenient for providing service to
the different departments and personnel who
make daily use of such service.
 Hospital Pharmacy should be located on the
ground floor or in first floor to avoid the
inconvenience to the persons who are availing
the facility of pharmacy.
 Storage of drugs in the basement is not
recommended because of difficulties in
controlling the optimum conditions of storage

11.  In the multiflorous hospital ,if necessary,
floor pharmacies should be provided
 For out patient department the pharmacy
should be located near to OPD
 Out patient waiting space should provided
 Space must be assigned for manufacturing of
preparations which can be processed eg Stock
solutions , bulk powers, ointment, parenteral
etc

12. Layout of Hospital Pharmacy
PASSAGE
ASEPTIC AREA
RAW MATERIAL
STORES
FINISHED
PRODUCTS
MANUFACTURING SECTION
ADMINISTRATIVE
SECTION
OPEN SPACE
DISPENSING

13. Flow Chart of Patients

14. GENERAL FLOW CHART FOR
IN-PATIENTS
Pharmacy
Prescription
Copied by
nurse
Dispensing order
charge
Inpatient
Medication
orders
Rx received by
pharmacist
Filling of order
Returns tocredit
Credit issue
selecting
labeling
pricing
Rx written
By doctor
Inpatientdischarge
medications
Rx received by
pharmacist
Filling of
prescription
Dispensing
prescription
Statisticsand
control
selection
labeling
pricing
free cash credit

15. Floor and Space Requirement
 Scope of operation
 Patients
 Bed strength
 Complies norms of D&C act 1940 (Schedule M)
 Area 250 sq.feet
 10 sq feet per bed in 100 bed hospital
 6 sq feet per bed in 200 bed hospital
 drains should beprovided, walls should be smooth, painted in
lightcolour.

16. Department
Area in Sq.feet
100 beds 300 beds 700 beds
Dispensary 350 500 800
Preparation room 100 400 650
Store room 450 1000 2400
Office & Library 110 150 200
Parenterals - 600 600
Mfg of non sterile
products
- - 900
Mfg of eye drops,
eye lotions
- 250 250

17. Pharmacist requirement
 Number of prescription
 Number of beds
No.of Beds No.of Pharmacist
Upto 50 beds 3
Upto 100 beds 5
Upto 200 beds 8
Upto 300 beds 10
Upto 500 beds 15

18. Required Equipments
 Prescription case
 Drug stock cabinets
 Sectional drawer cabinets with cupboardsbases.
 Work tables and counters
 Sink with drainboard.
 Cabinet to store mortar andpestles.
 Cabinet for glass utensils, flasks, funnelsand beakers.
 Refrigerator
 Narcotics safe with individually lockeddrawers.
 Office desk with telephone connection and file cabinet.
 Dispensing window

19. Administrator
Head of pharmacyservices
(M.Pharm)
Dispensing
Chemist
(D.Pharm)
inpatient outpateint
Clinial
Pharmacist
(B.Pharm)
Quality
Control
Pharmacist
(M.Pharm)
Medical
Stores
Pharmacist
(B.Pharm
Or
D.Pharm)
Manufacturing
Chemist
(M.Pharm)
Other
Manufacturing
Services
(B.Pharm)
Manufacturing
of I.V. fluids
(B.Pharm/M.Pharm
Organisation
chart

20. Abilities of Hospital Pharmacist
 Qualification-
D.Pharmacy
B.Pharmacy
M. Pharmacy
 Head- M. Pharmacy

21. Administrative ability-
 Organisation of hospital
 Plan, organize, direct and control function
 Preparing-
Budget, inventory control
Cost-review, cost-effectiveness
Audit, maintenance of records & reports.
 Personal manager
Technical ability-
 Knowledge of drugs
 Knowledgeable - pharmacology, toxicology, pathophysiology,
therapeutics and patient care techniques.

22. Manufacturing ability-
 Develop formulations
 Cost-benefit analysis
Research ability-
 Participate in clinical research
 Conduct pharmaceutical research himself
 Information- Pharmacology, Toxicology,

23. Ability to control-
 Quality assurance programme
 Distribution of drug
Academic ability-
 Training of new personnel
 Training programmes