This document discusses the role and responsibilities of hospital pharmacists. It begins by defining hospital pharmacy as the department responsible for procuring, storing, and distributing medications in a hospital setting. The scope of hospital pharmacy has expanded beyond traditional dispensing roles to include clinical services like reviewing medications for safety and providing drug information. The document outlines the organizational structure of hospital pharmacies and the professional responsibilities, qualifications, and job specifications of hospital pharmacists. It discusses standards and guidelines for good pharmacy practice from organizations like FIP, ASHP, and within India. Overall, the document provides an overview of the hospital pharmacy system and pharmacists' patient care roles within it.
COMMUNITY PHARMACY AND MANAGEMENT – CHAPTER -1................... (1).pptSumit Tiwari
A community pharmacy, often referred to as retail pharmacy or retail drug outlets, is places where medicines are stored and dispensed, supplied or sold
COMMUNITY PHARMACY AND MANAGEMENT – CHAPTER -1................... (1).pptSumit Tiwari
A community pharmacy, often referred to as retail pharmacy or retail drug outlets, is places where medicines are stored and dispensed, supplied or sold
Title: Hospital Pharmacy: Improving Patient Care and Medication Management
Introduction
- Welcome to the presentation on Hospital Pharmacy.
- Hospital pharmacies play a crucial role in patient care and medication management.
- This presentation will explore the functions, responsibilities, and challenges faced by hospital pharmacists.
What is a Hospital Pharmacy?
- Definition: Hospital pharmacy is a specialized pharmacy department within a healthcare facility, responsible for the procurement, storage, dispensing, and safe administration of medications to inpatients and outpatients.
- Hospital pharmacists work closely with healthcare teams to optimize drug therapy and patient outcomes.
Functions of Hospital Pharmacy
1. Medication Dispensing: Hospital pharmacists dispense prescribed medications accurately, ensuring the right drug, dose, and dosage form for each patient.
2. Medication Management: Pharmacists monitor and review medication regimens, checking for drug interactions, allergies, and appropriateness of therapy.
3. Inpatient and Outpatient Services: Hospital pharmacies serve both inpatients and outpatients, providing essential medications during hospitalization and discharge.
4. Clinical Pharmacy Services: Pharmacists participate in ward rounds, offering medication consultations and recommendations to healthcare providers.
5. Drug Information: Hospital pharmacists provide drug-related information to healthcare professionals and patients, ensuring safe and effective use.
6. Compounding: When required, hospital pharmacists compound specialized medications tailored to individual patient needs.
Roles of Hospital Pharmacists
- Medication Safety: Ensuring the safe use of medications by conducting safety checks and implementing error prevention strategies.
- Drug Procurement: Collaborating with suppliers and maintaining appropriate drug inventories to meet patient needs.
- Quality Assurance: Ensuring that medications meet high-quality standards and are stored and handled properly.
- Patient Education: Providing medication counseling to patients, ensuring they understand how to take their medications correctly.
hospital formulary is developed under the guidance of pharmacy and therapeutic commitee of the hospital.pharmacist working in a hospital should play an important role in the preparation of the hospital formulary
Total parenteral nutrition is a medication used to manage and treat malnourishment. It is in the nutrition class of drugs.
TPN is a mixture of separate components which contain lipid emulsions, dextrose, amino acids, vitamins, electrolytes, minerals, and trace elements. Clinicians should adjust TPN composition to fulfill individual patients' needs. The main three macronutrients are lipids emulsions, proteins, and dextrose.
Hospital Formulary - presentation gives the detail idea about Hospital formulary, its advantage, disadvantage, how to prepare Hospital formulary and much more. this will be useful for Pharm.D-IV YEAR students, which was in their Hospital pharmacy subject. regards APOLLOJAMES
In this slides included clinical pharmacy introduction and pharmaceutical care, also explanation about the goals and objectives of the clinical pharmacy requirements
Community Pharmacy: Defined as a place where the medicines are stocked and dispensed to the patients or patient care givers under the supervision of a qualified and registered pharmacist upon the production of a prescription or when legally permitted without the prescription
Hospital and Clinical Pharmacy | Hospital | D. Pharmacy Second YearSHIVANEE VYAS
HOSPITAL is an organization that provides a special facility and working for the care of patients through the physicians, surgeons, and team of technical staff. It also provides facilities for diagnosis, therapy, prevention, education, and research.
DRUG INFORMATION SERVICE AND DRUG INFORMATION BULLETINSHIVANEE VYAS
"Drug information center is one of the departments of the hospital and gives the recent knowledge and information about the medical, pharmacy field at any time to the physicians, staff of the hospital and to the citizens”.
Title: Hospital Pharmacy: Improving Patient Care and Medication Management
Introduction
- Welcome to the presentation on Hospital Pharmacy.
- Hospital pharmacies play a crucial role in patient care and medication management.
- This presentation will explore the functions, responsibilities, and challenges faced by hospital pharmacists.
What is a Hospital Pharmacy?
- Definition: Hospital pharmacy is a specialized pharmacy department within a healthcare facility, responsible for the procurement, storage, dispensing, and safe administration of medications to inpatients and outpatients.
- Hospital pharmacists work closely with healthcare teams to optimize drug therapy and patient outcomes.
Functions of Hospital Pharmacy
1. Medication Dispensing: Hospital pharmacists dispense prescribed medications accurately, ensuring the right drug, dose, and dosage form for each patient.
2. Medication Management: Pharmacists monitor and review medication regimens, checking for drug interactions, allergies, and appropriateness of therapy.
3. Inpatient and Outpatient Services: Hospital pharmacies serve both inpatients and outpatients, providing essential medications during hospitalization and discharge.
4. Clinical Pharmacy Services: Pharmacists participate in ward rounds, offering medication consultations and recommendations to healthcare providers.
5. Drug Information: Hospital pharmacists provide drug-related information to healthcare professionals and patients, ensuring safe and effective use.
6. Compounding: When required, hospital pharmacists compound specialized medications tailored to individual patient needs.
Roles of Hospital Pharmacists
- Medication Safety: Ensuring the safe use of medications by conducting safety checks and implementing error prevention strategies.
- Drug Procurement: Collaborating with suppliers and maintaining appropriate drug inventories to meet patient needs.
- Quality Assurance: Ensuring that medications meet high-quality standards and are stored and handled properly.
- Patient Education: Providing medication counseling to patients, ensuring they understand how to take their medications correctly.
hospital formulary is developed under the guidance of pharmacy and therapeutic commitee of the hospital.pharmacist working in a hospital should play an important role in the preparation of the hospital formulary
Total parenteral nutrition is a medication used to manage and treat malnourishment. It is in the nutrition class of drugs.
TPN is a mixture of separate components which contain lipid emulsions, dextrose, amino acids, vitamins, electrolytes, minerals, and trace elements. Clinicians should adjust TPN composition to fulfill individual patients' needs. The main three macronutrients are lipids emulsions, proteins, and dextrose.
Hospital Formulary - presentation gives the detail idea about Hospital formulary, its advantage, disadvantage, how to prepare Hospital formulary and much more. this will be useful for Pharm.D-IV YEAR students, which was in their Hospital pharmacy subject. regards APOLLOJAMES
In this slides included clinical pharmacy introduction and pharmaceutical care, also explanation about the goals and objectives of the clinical pharmacy requirements
Community Pharmacy: Defined as a place where the medicines are stocked and dispensed to the patients or patient care givers under the supervision of a qualified and registered pharmacist upon the production of a prescription or when legally permitted without the prescription
Hospital and Clinical Pharmacy | Hospital | D. Pharmacy Second YearSHIVANEE VYAS
HOSPITAL is an organization that provides a special facility and working for the care of patients through the physicians, surgeons, and team of technical staff. It also provides facilities for diagnosis, therapy, prevention, education, and research.
DRUG INFORMATION SERVICE AND DRUG INFORMATION BULLETINSHIVANEE VYAS
"Drug information center is one of the departments of the hospital and gives the recent knowledge and information about the medical, pharmacy field at any time to the physicians, staff of the hospital and to the citizens”.
A hospital exists mainly to provide therapeutic services to the patients.
Drugs are an integral part of patient care. In every hospital, medicines are crucial to the hospital services.
Appropriate use of medicines in the hospital is a multidisciplinary responsibility that includes doctors, nurses, pharmacists, administrators, support personnel and patients.
The availability of medicines in the hospitals depends not only on good supplies, but also on efficient use through good distribution system, rational prescribing, and dispensing practices.
"When a drug is required, the appropriate drug must be chosen. It must be available at the right time, at the right price. It must be dispensed correctly, must be delivered in a right dose, at the right intervals and for the right length of time".
Advanced pharmaceutical care and anti microbial resistanceMINANI Theobald
microbial resistance is one of the among challenging problem in the word that is the reasons why we have to apply antimicrobial resistance (antibacterial , antiviral and other parasite resistance). this will achieved via providing good pharmaceutical care and handling well anti-microbe drugs .
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The mission of Good Pharmacy Practice is to provide Medication and Health care products & services to people and society to achieve good outcome from treatment.
The formulary system is a method by which physicians and pharmacists, working through a Pharmacy and Therapeutics Committee of the medical staff, evaluate and select medications for use in a hospital.
the hospital formulary system provides the information for procuring,prescribing,dispencing and administrative of drug under non proprietary names and instance where drugs have both names.
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2. CONTENT
Definition and Scope
Organizational Structure
Professional Responsibility and Qualification and experience of Hospital Pharmacist
Job Specification and Work load Requirement on Hospital Pharmacist
Good Pharmacy Practice(GPP)
Hospital Pharmacy Standard ( FIP AND ASHP)
Introduction to NAQS guidelines and NABH accreditation and Role of Pharmacist
3. Definition
Hospital Pharmacy is the organization or department of the hospital to manage the procurement ,
storage, preservation , sterilization , compounding , preparation, dispensing or distribution of
medicine in the hospital.
Scope of Hospital Pharmacy
The scope of hospital pharmacy includes more traditional roles such as compounding and
dispensing of medication, and it also includes more modern services related to health care ,
including clinical services, reviewing medication for safety and efficacy , and providing drug
information
5. PROFESSIONAL RESPONSIBILITY OF HOSPITAL
PHARMACIST
Two types of responsibility are there
In-patient
Responsibility
Out-patient
Responsibility
Central
dispensing area
Patient care area
Direct
responsibility
Central
dispensing
area
Patient care
area
General
responsibility
7. ◦ Minimum academic requirement for hospital pharmacist include a two year D. Pharm diploma course and pre-
registration training programme.
◦ Hospital pharmacist are responsible for the dispensing and procurement of medical products and supplies used in
the hospital.
◦ Hospital pharmacist can also work in health centres, care , facilities, clinics, nursing homes and GP surgeries.
◦ Tasks and responsibility , apart from the core functions of dispensing prescription medicines and supplies, include
working with other medical personnel to provide treatment and advice to patients, recording patients histories
relating to medicinal use, and ensuring the safe and secure storage of all medicines and hospital supplies.
◦ Pharmacist also have to prepare medicines and conduct quality checks in instances when individual drug
components need to be mixed together before treating patients.
◦ They plan and monitor clinical trials and stay updated on pharmacy regulations , treatments and developments in
research and design.
8. JOB SPECIFICATION OF HOSPITAL
PHARMACIST
1. Compound and dispense medication as prescribed by doctors and dentist by calculating ,
weighing , measuring and mixing ingredient.
2. Review prescription from doctors to ensure accuracy, to ascertain the needed ingredient and to
evaluate their suitability for the patient.
3. Provide information and advice about drugs their side effect, correct dosage and proper storage.
4. Keep record such as pharmacy files, patients profiles, change system files, inventories , register
of poisons , narcotics or controlled drugs.
5. Plan implement or maintain procedures for mixing, packaging, or labelling pharmaceuticals
according to policy and legal requirement, to ensure quality security and proper disposal.
6. Assess the identity , strength or purity of medications.
9. 7.Work with other health care professional to plan , monitor , review or evaluate the quality or
effectiveness of drugs.
8. Order and purchase pharmaceutical supplies, medical supplies or drugs , maintain stock and
storing and handling it properly.
9. Analyse prescribing trends to monitor patients compliance and to prevent excessive usage or
harmful interactions.
10. Advice customers on the selection of medication brands, medical equipment or health care
supplies.
10. GOOD PHARMACY PRACTICE (GPP)
Good pharmacy practice (GPP) defines pharmacist provide quality pharmacy services to every patients. It’s the
practice of pharmacy that responds to the needs of the people , who use the pharmacists services to provide optimal ,
evidence based care.
GOOD PHARMACY PRACTICE (GPP) ORGANIZES FOLLOWING MAJOR ROLES FOR PHARMACIST
1. Prepare , obtain, store, secure, distribute, administer, dispense and dispose of medical products.
2. Provide effective medication therapy and management.
3. Maintain and improve professional performance.
4. Contribute to improve effectiveness of health care system and public health.
11. MISSION OF GOOF PHARMACY PRACTICE
The mission of good pharmacy practice is to provide medication and health care products and services to people and
society to achieved good outcomes from treatment.
REQUIREMENT OF GOOD PHARMACY PRACTICES
Following are some of the important requirements of good pharmacy practice
1. A pharmacist first priority must be the welfare of the patient.
2. A pharmacy service must supply medication and health care products of assure quality and must monitor the
effects of their use.
3. A pharmacy service must contribute in the promotion of rational and economical prescription and appropriate use
of medicines.
4. Each element of pharmacy services must be relevant to the patient, is clearly defined and is effectively
communicated to all those involved.
12. ROLE OF PHARMACIST IN SATISFYING GOOD PHARMACY PRACTICE REQUIREMENT
1. He must be established and maintain relationship particularly with physician as a therapeutic collaborative
partnership which involves mutual trust and confidence in all matters relating to pharmacotherapeutics.
2. All the colleagues pharmacist must work together to improve pharmacy services.
3. In hospitals, pharmacy manager should accept a share of responsibility for the selection, evaluation and
improvement of quality of drugs use.
4. Pharmacist must update the information about therapeutic and medicines in use.
5. Pharmacist must ensure the integrity of supply chain and quality of medicines.
6. Pharmacist should accept personnel responsibility for maintain and accessing their own competence throughout
their professional working lives.
7. Pharmacist must prepare , store, secure, distributed and dispose of medical products.
8. Pharmacist must prepare extemporaneous medicines and medical products.
13. 9. Pharmacist must provide effective medication therapy management to access patient health status and needs.
10. Pharmacist must provide information about medicines and health related issues.
11. Pharmacist must monitor patient progress and outcomes.
12. Pharmacist must contribute to improve effectiveness of health acre system and public health.
13. Pharmacist must engaged in preventive care activities and services.
14. Pharmacist must support national policy that promotes improve health outcomes.
15. Pharmacist must comply with national professional obligation guidelines and legislation.
14. HOSPITAL PHARMACY STANDARDS
FIP BASEL STATEMENTS
FIP is the global federation of national associations of pharmacist and pharmaceutical scientists. It is active across
all areas of pharmacy practice , pharmaceutical science and education , primarily through the work of member
associations and dedicated volunteers.
It initiates and implements numerous projects and program to improve the responsible use of medicines.
Hospital pharmacist from around the world met in Basel , Switzerland in 2008 to discuss the future of hospital
pharmacy hosted by FIP ( International Pharmaceutical Federation ).
In 2014 they again gathered in Bangkok and launched an updated version of Basel statement with 65 statements.
This statements cover following six main areas of hospital pharmacy ( FIP Basel Statement ).
Continue
15. This statements cover following six main areas of hospital pharmacy ( FIP Basel Statement ).
1. Procurement
2. Influences on prescribing
3. Preparation and delivery of medicines
4. Medication administration
5. Monitoring medication
6. Human resource and training
16. ASHP ( AMERICAN SOCIETY OF HEALTH – SYSTEM PHARMACISTS )
American society of health – system pharmacists have been formerly called as American Society Hospital
Pharmacist.
It is a professional organization that represents pharmacist who serves as patient care providers in hospital and other
health care settings.
It is a professional organization that demonstrates the description of minimum standards competencies of
pharmacist in health care settings.
Following are the minimum standards required to the pharmacist demonstrated by ASHP,
1. Proper knowledge and understanding of the health care institution and pharmacy department.
2. A complete knowledge and understanding of the duties and responsibilities of his position.
3. A work knowledge of the pharmaceutical medical terms, abbreviations and symbols regularly used in prescribing
and dispensing.
17. 4. A working knowledge of the general chemical and physical properties of all drugs handled in manufacturing and
packaging operation in the pharmacy department.
5. A working knowledge of commonly used weight and volume equivalent and an ability to carry out the arithmetic
calculations essential for the usual dosage determination and solution preparation.
6. The ability to perform the important functions relating to drug purchasing and inventory control.
7. A working knowledge of drugs dosage, routes of administration and dosage form.
8. A working of the procedures and operations associated with the manufacturing, packaging , and labelling of drug
products.
9. A working knowledge of the procedures and techniques associated with the sterile manufacturing and parenteral
admixtures preparations.
10. The ability to perform the functions relating to a unit dose drug dispensing system.
11. The ability to perform the manipulative and record keeping functions relating to the dispensing of prescription.
18. NAQS (NATIONAL QUALITY ASSURANCE STANDARDS)
• National Quality Assurance Standards have been developed keeping in the specific requirements for public health
facilities as well as global beast practices.
• NAQS are currently available for district Hospitals, CHCs, PHCs and Urban PHCs.
• National Quality Assurance programme under National Health Mission (NHM) has been launched with objective
assuring Quality Services at public health facilities, and also improve it further for enhance users experience at the
facilities.
• Under National Quality Assurance Program, two types of certifications are envisaged state and national level
certification.
19. STATE CERTIFICATION NATIONAL CERTIFICATION
• Responsibility of state / SQAU
Validity one year
Facility shall apply for National Certification within one year of attaining State Certification
• Responsibility of CQSC/ NHSRC
validity three years
After national certification , facility will undergo surveillance audit by SQAC for next 2 years. Financial incentives
as per level and scope of certification.
During the course of implementation states, health facilities and services providers have felt a need of having
guidelines for the certification of the facilities under NQAP; hence this supporting document has been created
20. OBJECTIVES
1. To build and institutional framework mechanism for conducting Quality Assessments in health facilities.
2. To maintain a repository of NQAS Certification.
3. To provide holistic view to QAAssessor on methodology , scope of work , technical and managerial aspects for
conducting QA assessments.
4. Surveillance assessment of health facilities in second and third year after their National Level Certification.
SCOPE: The scope of these Guidelines is limited to:
• Assessment of primary and secondary care public health facilities i.e., District Hospitals, subdivisional Hospital ,
Community Health Centres , Primary Health Centres and Urban Primary Health Centres for NQAS
Certification.
• Surveillance assessment of public health facilities certified at national level.
21. NABH ACCREDITATION
o NABH : National Accreditation Board for Hospital and Healthcare Providers (NABH) is a constituents board of
Quality Council of India (QCI), set up to establish and operate accreditation programme of health care organizations.
o ACCREDITATION : A public recognition of the achievement of accreditation standards by a healthcare
organizations , demonstrated through an independent external peer assessment of that organisation’s level of
performance in relation to the standard.
BENEFITS OF ACCREDITATION
I. Accreditation benefits all stake Holders. Patients are the biggest beneficiaries . Accreditation results in high quality
of care and patient safety.
II. The patients gets services by credentials medical staff
III. Accreditation to the hospital continues improvement.
IV. Its also provide opportunity to healthcare unit to benchmark with the best.
V. Accreditation provides an objective system of empanelment by insurance and other third parties.
22. TEN STEPS IN ACCREDITATION
1. Obtain copy of NABH standard.
2. Carry out self assessment on status of compliance with NABH standard.
3. Identify gap areas and prepared action plan to bridge the gaps.
4. Ensure that NABH standards are implemented and integrated with hospital functioning.
5. Obtain copy and submit application form for assessment.
6. Pay the accreditation fee.
7. Received from NABH the assessment programme including dates and names of assessors.
8. Facilitate the assessment.
9. Received recommendation on accreditation.
10. Maintain quality improvement programme based on continuous monitoring of patients care services.
23. ROLE OF NABH IN PREPARING ORGANIZATIONS FOR ACCREDITATION
NABH provides information on documents and procedure.
NABH also organizes awareness programmes in general as well as on request individual organization.
It also guide the applicant organization on different requirement at various stages of accreditation .
The convenience of applicant organisations , NABET , which is another constituent board of QCI has a program for
a registering qualified consultants/consulting organizations.
These registered individuals / organizations are involved in providing consultancy to various healthcare
organizations for NABH standards implementations within their organizations
• NABH standards for hospitals : Access , Assessment and Continuity of Healthcare.