PHARM D ROLE CLINICAL PHARMACIST ROLE IN TERTIARY CARE HOSPITALS

1. Clinical Pharmacist Role in Patient Care
at Govt.General Hospitals…!
Dr. N V RAMA RAO M.Pharm., Ph.D.,
Professor&HOD
Dept. of Pharmacy Practice
Chalpathi Institute of Pharmaceutical Sciences
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3. WHO IS CLINICAL PHAMRACIST IN
INDIA ?
• DOCTOR OF PHARMACY & MASTER OF PHARMACY in Pharmacy Practice
Graduates are eligible to become Clinical Pharmacist in India
• A Clinical pharmacist work directly with physicians, other health care professionals, and patients to
ensure that the medications prescribed for patients contribute to the best possible health outcomes.
• Clinical pharmacists are frequently granted patient care privileges by collaborating physicians and health
systems that allow them to perform a full range of medication decision-making functions as part of the
patient’s health care team.
• Clinical pharmacists are a primary source of scientifically valid information and advice regarding the safe,
appropriate, and cost-effective use of medications.
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5. WE KNOW TYPE OF PHARMACISTS!
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6. ROLE OF CLINICAL PHARMACIST IN IN-PATIENT
CARE AT GOVT.GENERAL HOSPITALS-01
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7. ROLE OF CLINICAL PHARMACIST IN IN-PATIENT CARE AT GOVT.GENERAL HOSPITALS
 Provide a consistent process of patient care that
ensures the appropriateness, effectiveness, and safety
of the patient’s medication use.
 Consult with the patient’s physician(s) and other health
care provider(s) to develop and implement a medication
plan that can meet the overall goals of patient care
established by the health care team.
 Apply specialized knowledge of the scientific and clinical
use of medications, including medication action, dosing,
adverse effects, and drug interactions, in performing their
patient care activities in collaboration with other members
of the health care team.
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8.  Rely on their professional relationships with patients to tailor their advice to best meet
individual patient needs and desires.
ROLE OF CLINICAL PHARMACIST IN IN-PATIENT CARE AT GOVT.GENERAL HOSPITALS-
 Counselling the Patients by Providing Patient Information Leaflets(PIL) and Pictograms.
 Suggesting an alternative drug if the patient is allergic, contraindicated or there is
an in availability of the prescribed drug.
 Working with patients to solve problems with their medications and improve
adherence.
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9. ROLE OF CLINICAL PHARMACIST IN IN-PATIENT CARE AT ONCOLOGY CENTER,
GOVT.GENERAL HOSPITAL-
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RECONSTITUTING CHEMOTHRAPY DRUGS UNDER LAMINAR AIR FLOW CHAMBER
Safe handling of chemotherapy drugs
biological safety cabinet

10.  Dose calculation based on bodyweight in Paediatric patients and BMI,BSA in cancer patients.
ROLE OF CLINICAL PHARMACIST IN IN-PATIENT CARE AT GOVT.GENERAL HOSPITALS-
 Reviewing and providing assistance with patients on multiple medications (polypharmacy) to help
to simplify medication regimens.
 Support the health care team’s efforts to educate the patient on other important steps to improve
or maintain health, such as exercise, diet, and preventive steps like immunization.
 Recognize untreated health problems that could be improved or resolved with appropriate
medication therapy.
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11.  Consult with the patient’s physicians and other health care providers in selecting the medication
therapy that best meets the patient’s needs and contributes effectively to the overall therapy
goals.
ROLE OF CLINICAL PHARMACIST IN IN-PATIENT CARE AT GOVT.GENERAL HOSPITALS-
 Consulting with primary care team members about medication-related issues.(dosage error, drug
duplication, drug interactions, overdosage)
 Evaluate the appropriateness and effectiveness of the patient’s medications.
 Advise the patient on how to best take his or her medications.
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Look-Alike,Sound-Alike Drugs
GOVT. GENERAL HOSPITAL, GUNTUR

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 Insulin brand names
•Humulin “Log” ordered instead of Humulin-L (Lente).
•Nurse thought Humalog” was to be given.

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LOOK ALIKE DRUGS

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18. OP BLCOK : OP PATIENT COUNSELLING
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ROLE OF CLINICAL PHARMACIST IN IN-PATIENT CARE AT GOVT.GENERAL HOSPITALS-
OUR PHARM D STUDENTS ARE DOING COUNSELLLING…

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21. Conclusion: Clinical pharmacist act as a bridge between the
physician and Patients in Providing better health care and quality of
life by Improving Medication adherence, Management and safety.
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26. ACKONOWLEDGE
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Dr.William Carey
M.Pharm,Ph.D.,FIC.,
Registrar, AP Pharmacy Council,
Government of Andhra Pradesh