The document outlines the challenges faced by clinical pharmacists, particularly in Egypt, emphasizing the need for improved education, standards, and collaboration within the profession. It presents objectives for establishing minimum practice standards for oncology pharmacists, detailing necessary resources, staffing structures, and quality assurance indicators to enhance patient care. The call to action encourages unity among pharmacists to collaboratively advance the profession and create a defined career path in clinical pharmacy.

1. Clinical Pharmacy
1+1=?
Pharmacist / Mamdouh Ezz Samy

2. The Gold Market
One for All and All for One.

3. The Current Story…
• Fresh Graduate
• Look for work
• Join a clinical pharmacy unit
• Work very hard
• Spend long hours at work
• After a while, realize that you’re not advancing
• Start looking for a better paid job and quit the clinical pharmacy to
a multi-national company or start a private business.
• And the story goes on and on….

4. Can we change that?

5. Facebook Chat

6. What do we need to do?
• Education
• Guidelines
• Practice Standards
• Certification Career Path

7. Laws and Officials

8. Pharmacy Syndicate

10. What other countries do?
Australia Great Britain

11. www.shpa.org.au/Practice-Standards

12. Objectives
These standards describe the minimum requirements for
a clinical service to an oncology unit.
The standards offer guidance for:
1. Optimal pharmaceutical care to patients;
2. The minimum requirements for an oncology pharmacist;
3. Staff training, education and quality aspects of the service.
These standards can be considered the minimum accepted
practice, which should be applied nationally.

13. Clinical Services
• The pharmacy must offer the clinical service to all inpatients and outpatients of the
oncology unit. The pharmacy department should make the service available seven
days a week.
• The pharmacist must work as a member of the healthcare team. The establishment
of a good working relationship with medical, allied health and nursing staff, as well as
community health professionals, patients and their care givers is the basis of
successful clinical practice.
• The oncology pharmacist should actively participate in all clinical activities such as
ward rounds, ward meetings, case presentations and lectures.
• The oncology pharmacist should review all patients’ medications.
• The oncology pharmacist must collaborate with other health professionals in pursuing
optimal drug therapy for patients with cancer. Each patient of the service must have
a defined pharmaceutical care plan.

14. Must Have’s
• Pharmacists must have easy and ready access to:
– patient demographics, height, weight, body surface area
– treating physician,
– disease and stage, chemotherapy protocol drugs and doses,
– goal of treatment (i.e. adjuvant, curative, palliative),
– relevant laboratory measurements, signs and symptoms of toxicity,
– preferred supportive care therapies (e.g. analgesics, antiemetics),
allergies, adverse drug reactions,
– cumulative drug doses where appropriate (e.g. anthracyclines),
– past and current medications.
• The information must be kept up to date and referred to prior to every
dispensing of chemotherapy in order to integrate all treatment.

15. Resources
• The oncology pharmacist should be provided with sufficient staffing to run
the service. Adequate support staff should also be made available to ensure
that minimal non-clinical activities are performed by clinical pharmacists.
• A library of references and educational material should be collated and
maintained.
• The oncology pharmacist should also have easy access to appropriate
oncology and hematology journals , and should have direct access to both
e-mail and the Internet
• The oncology pharmacist should be provided with sufficient resources to
obtain formalized accreditation and/or training.

16. STAFFING STRUCTURE AND LEVELS
• There should be one individual responsible for the coordination of all
aspects of the service. Continuity of personnel in the provision of
the service is essential to facilitate the achievement of this
objective.
• The primary consideration for staffing structure and levels is the
provision of patient-focused pharmaceutical care.
• To maintain a comprehensive service for effective full-time
pharmacist input (38-hour week), a suggested bed to pharmacist
ratio is outlined in the following Table .

17. Suggested Staffing Ratio

18. QUALITY
• A quality assurance program for the provision of clinical
services to the patients of the oncology unit must be
developed and maintained.
• The program should be based on the accepted
standards.
• The program should include a number of quality
indicators. The suggested minimum quality indicators are
outlined here…

19. Quality Indicators

20. www.rpharms.com

22. Royal Pharmaceutical Society
• The standards were developed by the profession, for the
profession.
• Good practice guidance that helps to define what a
quality pharmacy service looks like
• A distillation of the experience from thirty five volunteer
sites across the UK
• The hospital standards are the start of a journey to help
support the continued development of quality pharmacy
services alongside quality systems.

23. Royal Pharmaceutical Society (cont.)
• Provide a broad framework to continually improve their
services.
• Enable patients to experience a consistent quality of
service that helps protect them from incidents of
avoidable harm and get the best outcomes from their
medicines.
• The importance of professional standards that put
patients firmly in the centre

25. After One Year

26. Keeping patients safe when they
transfer between care providers
• Between 30 and 70% of patients have either an error or an
unintentional change to their medicines when their care is
transferred
• It is the responsibility of all the professionals involved in the care of
a patient to ensure the safe transfer of information about their
medicines.
• To be effective, this can only be done both with the patient’s needs
firmly at the centre of our intentions and through professionalism
and collaboration across professions

27. Patient Fact Sheet

29. My Dream…!
• We can achieve more if we work together
• For the good of the profession, let's unite hands

30. Working Individually

31. Working Together

32. Our Aim
• Share ideas and experience
• Develop Standards and practice guidelines
• Support fresh graduates and new emerging units
• Promote the benefits of the practice
• Highlight success stories and give credit
• Develop our dream of having a Career Path for Clinical
pharmacy in Egypt.

33. Let’s create the “ We”

34. Thank you