This document discusses the organization and functions of a hospital pharmacy department. It describes how large hospital pharmacies typically have several divisions to efficiently manage different areas of service and operations. The core functions include dispensing medications, purchasing and inventory control, sterile products preparation, and providing drug information. The divisions cooperate to ensure patients have access to needed medications 24/7 through inpatient, outpatient and emergency services. The director oversees all pharmacy processes to optimize medication management and patient care.

2. Hospital pharmacy course: It is a specialized field
of pharmacy which forms an integrated part of
patient health care in a health facility.
Hospital pharmacy and hospital pharmacist:
Hospital pharmacy is the health care service,
which comprises the art, practice, and profession
of : i.Choosing, Prparing, Compounding, Dispensing
medicines and medical devices, ii.Advising healthcare
professionals and patients on their safe, and efficient
use.

3. It is the profession that strives to continuously
maintain and improve the medication management
and pharmaceutical care of patients to the highest
standards in a hospital setting.
 To be part of the medication management in
hospitals, which encompasses the entire way in
which medicines are selected, procured, delivered,
prescribed, administered and reviewed to optimize
the contribution that medicines make to producing
informed and desired outcomes
 To enhance the safety and quality of all medicine
related processes affecting patients of the hospital
 To ensure the 7 “rights” are respected: right patient,
right dose, right route, right time, right drug with
the right information and documentation.

4. Contents of hospital pharmacy course
:
The contents of the hospital pharmacy course are arbitrarily divided into two
areas
Area Services
1- Institutional 1 Dispensing,
Pharmacy:
This part concerned with the 2 Selection and purchase of
rules, regulation and policies medicines.
:governing 3 Storage and record keeping
(inventories)
4 Distribution Medication system
5 The management of pharmacy
staff in the hospital.
6 Committees in the hospitals

5. Contents of hospital pharmacy course
:
Area Services
1I- Technical Pharmacy: 1 Extemporaneous Compounding
Techniques, guidelines 2 Injectable preparations: LVP,
and regulations used in TPN, intended for intravenous
compounding: use and those sterile large volume
solutions used for irrigation,
surgery or for dialysis.
3 Veterinary, Radio-
Pharmaceutical, Ambulatory
Compounding (specialized
hospitals)

6. Part One
Institutional, Organizational Structure
Medication system
Management&
Controlling of :
Organizational Distribution System Drug
Structure

7. Section I
Every hospital, large or small, has an organizational structure that allows
for the efficient management of departments.
Traditional Organizational Chart-1

8. IN A LARGE HOSPITAL (USA)
 In Large hospitals, departments of pharmacy
have a more divisions.
 The following are some of the responsibilities of
each division of the department of Hospital
Pharmacy in a large hospital:

9. Common organizational categories might include
USA:
1. Administration Services
2. Informational Services
3. Therapeutic Services
4. Diagnostic Services
5. Support Services

10. Grouping of Hospital Departments all over the world
includind UAE depends on:
UAE
 A. Each hospital department performs specific
functions and shares similarity of duties.
 B. Aim: to promote efficiency of the healthcare
facility. (unity)
 C. Board: Hospital President, Vice Presidents,
Executive Assistants, Department Heads (one policy)

11. PHARMACY
Dispensing Manufacturing
• Out-patient
• In-patient • Bulk
• Surgical + • LVP
• SVP
laboratory Purchasing & Reports
• Misc.
supplies
Inventory
• Ward or Floor
stock control
• Alcohol
• Narcotics
Teaching Research Control

12. Associate Director
Pharmacist-In-Chief
Assistant Pharmacist-In-Chief
Secretary Pharmacy
Residents
Clerk
Manufacturing In-patient
Out-Patient
& Control Dispensin
Dispensing
Supervisor g
Supervisor
Supervisor

13. Manager Director (DR.Ali
Pharmacist-In-Chief
Assistant Pharmacist-In-Chief
Pharmacists
Sterile In-patient
Out-Patient
TPN

14. Director of Pharmacy
USA
Associate Director of Pharmacy
Administrative Unit Dose Education &
Services Division Dispensing Training
Division
Research Assistant Assistant
Pharmacist Director of Assistant Director of
Pharmaceutical Pharmacy Director of Pharmacy
Research Divisions Pharmacy
• Assay & QC • Departmental
Pharmacist Dept • In-Patient Services
Specialist Services
Radiopharmaceuti • Sterile Product • Purchase &
cal Division Division • Out-Patient Inventory
Services Control
Pharmacist • Central Supply
Specialist Division • IV Admixture • Manufacturing
Drug Information Division & Packaging

15. Administrative Services Division in Pharmacy s 
( (Functions
 Plan and coordinate departmental activities (out and
in-patients &TPN)
 Develop policies (e.g narcotics records can be kept
for 1-3 years)
 Schedule personnel and provide supervision
(rotation & holidays)
 Coordinate administrative needs of the Pharmacy &
Therapeutics Committee ( selection of drug essential
list for each hospital department according to needs)
 Supervise departmental office staff ( lab. Boy,
technicians & clerks)

16. 1-Education Training Division
Participate in hospital wide education
programs involving nurses, doctors etc.
Train newly employed pharmacy
department personnel.
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17. Pharmaceutical Research Division- 2 
 Cooperate with the medical research staff
of projects involving drugs ( if present!!
May be in case of clinical pharmacist)
In-patient Services Division. 3 
 Provide medications for all in-patients of the hospital
on a 24-hour per day basis (rotation system)
 Cooperate with the medical drug research (( if
present!! May be in case of clinical pharmacist))

18. Out-Patient Services Division.4
Dispense out-patient prescriptions
Maintain prescription records.
Provide drug consultation services to staff and
medical students.
Drug Information Services Division.5
 Provide drug information on drugs and drug
therapy to health professional staff.
 Participate in the hospital’s pharmacy newsletter (if
present)
 Maintain literature files.
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19. Departmental Services Division .6
 Coordinate and control all drug delivery and distribution
systems (Unit Dose to inpatients)
Purchasing and Inventory Control .7
Division
Maintain drug inventory control (input and output
control)
 Purchase all drugs (record)
 Receive, store and distribute drugs (record)
19

20. Central Supply Services Division .8
Develop and coordinate distribution of medical supplies
and irrigating fluids.
Assay and Quality Control. 9
Division
 Not present (UAE)
Manufacturing and Packaging Division. 10
 Maintain a unit dose program.

21. Sterile Products Division .11
 Manufacture sterile ophthalmic, irrigating
solutions etc.
 LVP, IV admixtures, TPN.
Radiopharmaceutical Services. 12
Division
 Centralize the procurement, storage and
dispensing of radioisotopes used in clinical
practice. ( It is in Twam hospital)
13.Intravenous Admixture Division
 Included in the sterile product division

22. The director of pharmacy service shall
be responsible for:
Monitoring all the previous
processes mentioned in the functions.

23. Clinical Pharmacy Course ( 
DR.Ali & Dr.Doa)
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