Drug distribution system in Hospital Pharmacy
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There are four main in-patient drug distribution systems: individual prescriptions, complete floor stock, a combination of the two, and unit dose dispensing. Under floor stock systems, drugs are supplied to nursing stations and categorized as charge or non-charge floor stock. Charge drugs are billed directly to patients, while non-charge drugs are provided for all patients' use without individual billing. Unit dose systems package and distribute drugs in single doses for each patient. Centralized and decentralized models exist. Outpatients are non-admitted patients who visit the outpatient department for consultation and treatment as needed.
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Clinical Pharmacy is an evolving field that combines the knowledge of pharmacology and therapeutics with direct patient care. It focuses on the optimization of medication therapy to ensure safe, effective, and personalized treatment regimens for patients of all ages. This SlideShare presentation provides a comprehensive overview of Clinical Pharmacy, highlighting its significance in modern healthcare settings.
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2. Pharmacotherapy Expertise: Gain insights into the in-depth knowledge of Clinical Pharmacists in pharmacology, drug interactions, and pharmacokinetics. Understand how this expertise helps them make evidence-based decisions, select appropriate medications, and customize treatment plans to individual patient needs.
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Drug distribution is defined as, "Physical transfer of drugs from storage area in the hospital to the patient's bedside".
This involves two types of drug distribution. They are:
In-patient distribution
Out-patient distribution
The drug distribution to the in patient department can be carried out from the out patient dispensing area.
The pharmacists involved in dispensing the drugs for out patient can dispense drugs for in patients too.
The pharmacist employed for drug distribution to the in patient wards should be well skilled and qualified staff.
Out patient refers to the patients not occupying beds in hospital or in clinics, health centers and other places where out patients usually go for health care.
No medicaments should be issued without the prescription.
After the issue has been made the quantities supplied must be recorded.
In short form the out patient department was called as OPD.
CLASSIFICATION OF PATIENTS
EMERGENCY
TERTIARY CARE
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AMBULATORY.
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The document discusses unit dose medication distribution systems. It defines a unit dose system as a pharmacy-coordinated method for dispensing and controlling medications in organized healthcare settings where medications are packaged in single units and dispensed in a ready-to-administer form. The document reviews the basic elements, advantages, disadvantages and types of unit dose systems. It also provides details about the specific unit dose system used at Dar El Shefa hospital, including medication verification, dispensing, preparation, double checking and returning of unused medications.
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Drug distribution system in Hospital Pharmacy
- 2. In Patients are those patients who required hospitalization that is get themselves admitted in the hospital, stay their for treatment till they are discharge. There are four systems for in-patient drug distribution department: 1. Individual prescription order 2. Complete floor stock system 3. Combination of 1 and 2 4. Unit dose dispensing system
- 3. It is the type of Prescription system where the physician write the prescription for individual patient who obtained the medicines from any medical store or hospital dispensary by paying on charge.
- 4. Under this system the drugs are given to patient through the nursing station and from pharmacy supplies. Drug on nursing station or ward divided into: a. Charge Floor Stock Drugs b. Non-charge Floor Sock Drugs
- 5. In this system medicines which are stocks on the nursing station at all time and charged to patient account after they have been administered them. The patient is charged for every single dose administered to him. Selections of drugs in various wards is decided by “Pharmacy and Therapeutic Committee”
- 6. Non-charge floor stock drugs are the medicaments that are placed at the nursing station for the use of all patients on the floor. For these drugs, there shall be no direct charge from the patients account. It is divided into following methods- a. Drug Basket Method b. Mobile Dispensary Method
- 7. Nurse fill a requisition form for delivery drugs at their floors; When there is an empty container, the nurse places it in the drug basket; Once the procedure is completed the drug basket containing empty containers and requisition form for floor stock supplies is then sent to the pharmacy; Immediately in the morning, the pharmacy staff fill each container and dispenses the requested drug; Once the basket is completed, it is delivered to the floor via messenger service; and alternatively a Mobile Dispensary Unit can be utilized:
- 8. It is specially made up of stainless steel . 60 inches high. 48 inches wide. 25 inches deep. It is mounted on bottom tyres.
- 9. It is a type of drug distribution that use individual prescription order system as there primary means of dispensing of drugs but also utilize a limited floor stock.
- 10. Those medication which are order, packaged, handle, administered and charged in multiple of single dose units used by a particular patient by prescribed route. Advantage- Decrease total cost. Safe for the patient. Disadvantage- Require more space.
- 11. 1. Centralized unit dose distribution[ CUDD ]- All the drugs are store on the central area of the hospital and dispense at the time the dose is due to be given to the patient. 2. Decentralized unit dose dispensing[ DUDD]- This operates through small satellite pharmacy on each floor of the hospital. The main pharmacy is serves the medicines to all satellite pharmacy.
- 12. Out patient refers to patient which is not occupying bed in hospital. In short form the out patient department is known as O.P.D. The patient with minor or common illness go to the OPD for consultation to the physician after examining the patient, if the physician feel that there is no need of admitting the patient to the hospital he prescribes the medicines. The prescription is written by a physician is bought to pharmacist for compounding & dispensing medicines.