Sanket Sahu B.Pharma

1. PracticeSchool
“It is easy to get a thousand prescriptions, but hard to get one
single remedy.”
Presentation By
Sanket sahu
Hospital Training in Balco Medical Centre
Guided By
Mrs. Damini Sahu
Assistant Professor
Supervised By
Miss Pooja Mahant
Pharmacist
RITEE, INSTITUTE OF PHARMACY MANDIR HASAUD, RAIPUR (CG)

2. • Objective
• Introduction
• General Ward
• Day care
• Mixing Area
• Chemotherapy
• Emergency Ward/Crash Cart
• Operation Theatre/OT Pharmacy
• High Alert Medicine
• Drug Dispensing Area
• LASA
• Conclusion
Contents

3. OBJECTIVE
Objective of Training
• “Hospital training oriented procedure in which a person is able to learn
practically from their theoretically knowledge.”
• Hospital training provides practical knowledge to the student.
• Hospital training helps to study closely the ground level problem
regarding their job profile.
• Hospital training promotes an environment in which student are
induced to adapt themselves quickly to changed circumstances.
• Training provides practical knowledge to the students.
• Training puts the students in real life situation.
• Training removes the hesitation of the student regarding their working
skill and personality development.
• Training is mandatory as per A.I.C.T.E. and affiliating universities and
pharmacy council of India.

4. INTRODUCTION
BALCO MEDICAL CENTRE
Vedanta Medical Research Foundation (VMRF), a non-profit organization, is an
initiative of Vedanta Resources and Bharat Aluminium Company Ltd. (BALCO)
to contribute towards prevention of cancer and its related illnesses through a
Centre of Excellence in medical, surgical and radiation oncology. VMRF's first
flagship initiative is the establishment of Balco Medical Centre (BMC), a 170
bedded state-of-the-art tertiary care Oncology facility in Naya Raipur. Till date, a
donation of nearly Rs. 500 Cr. has been given to VMRF to set up and fund the
operational deficit.

5. Well Trained Nursing, Pharmacist
And Other Staff
World Class Equipment
Well Trained & Professional
Doctors
Seating Facilities for Patients
and there Relatives
Facilities in Balco
Medical Centre

6. GENERAL WARD
“General ward is a common unit where patients who are
admitted share the same room. The ward is equipped with
health monitoring systems with one to-one care assistance
for patients as required. Facilities are catered as per
patient's diagnosis, age, comfort and other essential
factors.”

7. CASE STUDY-01
DEPARTMENT: MEDICAL ONCOLOGY
Name of Doctor: Dr. Deba dulai biswal
Patient Name: Mrs. Shahjaha Begum
Age: 68
Sex: Female
Indication: Diseases or Disorder name: Cholangiocarcinoma
Causative Organism: Opisthorchis verrini
Medicines: Oleanz, Gemcitabine.
1. Oleanz:
• MOA : It may work by blocking receptors for several
neurotransmitters (chemicals that nerves use to communicate
with each other) in the brain. It binds to alpha-I, dopamine,
histamine H-1, muscarinic, and serotonin type 2 (5-HT2)
receptors.

8. • Adverse Drug Action: drowsiness, lightheadedness,
restlessness, irritability, tremor, dry mouth, constipation,
increased appetite, extreme fatigue.
• Uses: mood disorders such as schizophrenia, bipolar disorder,
anxiety, and depression.
2. Gemcitabine:
• MOA: Gemcitabine is in the nucleoside analog family of
medication. It works by blocking the creation of new DNA,
which results in cell death.
• Adverse Drug Action: chills, fever, general feeling of illness,
headache, muscle pain, and weakness.
• Uses: used to treat breast, lung, ovarian, pancreatic cancer.

9. DAY CARE
'Day-care' is the term used to describe treatment procedures
that require hospitalisation for less than 24-hours. These
include chemotherapy, radiation, dialysis, cataract,
lithotripsy, tonsillectomy and so on.
Day Care Treatment means medical treatment, and/or
surgical procedure which is:
1. Undertaken under general or local anesthesia in a
hospital/day care centre in less than twenty four hours
because of technological advancement, and
2. Which would have otherwise required a hospitalisation of
more than twenty four hours. Treatment normally taken on
an out-patient basis is not included in the scope of this
definition.

10. MIXING AREA
Mixing can be defined as an operation ‘‘in which two or
more ingredients in separate or roughly mixed condition are
treated so that each particle of any one ingredient is as
nearly as possible adjacent to a particle of each of the other
ingredients.’’
Importance of mixing:
• To obtain uniform composition of the mixed components.
• To enhance physical & chemical reaction of mixed
components.
• To improve dissolution and diffusion of mixture.
• To produce dispersion.
• To interaction between drug and the excipients.
• To ensure the quality of the product that depends on the
quality of the mixing procedure.

11. CHEMOTHERAPY
Chemotherapy Also called “chemo,” it’s a way to treat cancer that
uses drugs to kill cancer cells.
Chemotherapy work
It targets cells that grow and divide quickly, as cancer cells do. Unlike
radiation or surgery, which target specific areas, chemo can work
throughout your body. But it can also affect some fast-growing
healthy cells, like those of the skin, hair, intestines, and bone marrow.
That’s what causes some of the side effects from the treatment.
• Ease symptoms: In some cases, chemotherapy can’t cure or
control the spread of cancer and is simply used to shrink tumors
that cause pain or pressure. These tumors often continue to grow
back.
What does chemotherapy do
It depends on the kind of cancer you have and how far along it is.
• Cure: In some cases, the treatment can destroy cancer cells to the
point that your doctor can no longer detect them in your body. After
that, the best outcome is that they never grow back again, but that
doesn’t always happen.
• Control: In some cases, it may only be able to keep cancer from
spreading to other parts of your body or slow the growth of cancer
tumors.

12. An emergency department is a dedicated area in a
hospital that is organised and administered to
provide a high standard of emergency care to people
in the community who perceive the need for, or are
in need of, acute or urgent care including hospital
admission.
EMERGENCY WARD
A crash cart or code cart or"MAX cart" is a set
of trays/drawers/shelves on wheels used in
hospitals for transportation and Dispensing of
emergency medication/equipment at site of
medical/surgical emergency for life support
protocols to potentially save someone's life.
CRASH CART

13. "An operating theater (also known as an operating
room (OR), operating suite, or operation suite) is a
facility within a hospital where surgical operations
are carried out in an aseptic environment.”
OPERATION THEATRE

14. OT PHARMACY
An OT pharmacyi s a facility within a hospital where
surgical instrument and any equipment use in surgery
operations are carried out in an aseptic environment.
OT PHARMACY
Endotracheal Tube Surgical steples
Spinal Needle Gynecology Cannula
Catheter Mount Tracheal Tube

15. 30%
20%
15%
HIGH ALERT MEDICINE
1. Adrenergic Agonist IV : Dopamine,
Phenylephrine , Dobutamine , Isoprenaline
2. Antiarrhythmic IV : Adenosin , Lidocaine ,
Amiodarone
3. Moderate Sedation Agent : Lorazepam,
Midazolam , Antiarrhythmic , Lidocaine
“High alert medication as known in the USA has a
high risk of causing patient harm or injury if misused
or used in error.”

16. Dispensing is the provision of drugs or medicines as set out
properly on a lawful prescription. The dispensing of drugs
should be carried out by trained pharmacists. ... Dispensing is
the provision of drugs or medicines as set out properly on a
lawful prescription.
CORRECT DISPENSING PROCEDURE:
• Ensure that the prescription has the name and signature of the
prescriber.
• Ensure that the prescription is dated and has the name of the
patient.
• Avoid dispensing without a prescription or from an
unauthorized prescriber.
• Check the name of the prescribed drug against that of the
container.
• Check the expiration date on the container.
• Calculate the total cost of the drug to be dispensed on the basis
of the prescription where applicable.
• Inform the patient about the cost of the drug.
• Issue a receipt for all payments.
• Hand over the dispensed drug.
• Educate the patient on dosage and prescription compliance.
DRUG DESPENSING

17. LASA: Look Alike Sound Alike
LASA drugs are medications that look or sound similar to each other, either by their generic
name, or brand name, they might have similar packaging, sounding names or similar spellings.
LASA
1. Look Alike:
• CAP BECOSULE - CAP BECOSULE 2
• CAP VIBACT - CAP VIBACT D5
• Inj. METHPRED 1 gm (METHYL PREDNISOLONE) - Inj. THIOSOL 500
mg(THIOPENTONE)
• Inj. ACILOC 2ml (RENITIDINE) - Inj. METHOFAST 15 mg
(METHOTREXATE)
2. Sound Alike:
• Inj. CAPRIN(HEPARIN) - Inj. C-PRESSIN(VASOPRESSIN)
• TAB OFLOX - TAB NORFOLK
• TAB AZITHROMYCIN - TAB ERYTHROMYCIN
• TAB PENTAKIND - TAB CEFAKIND

18. The training in a hospital gives us a conclusion that the
training in the hospital was really necessary as it not only
helped us to see how a hospital operates, but i also helped me
to learn basic functions of it like first aid care, how to give
injections and dispensing of drugs etc. The conclusion drawn
out can be that I have finally learned as to how important
role a hospital plays in peoples' lives and that the hospital
staff can go to any means to save them since its their duty.
CONCLUSION

19. 1. Objective: https://www.slideshare.net/DrxSurajMandal/hospital-training-report
2. Introduction: https://www.vedantaresources.com/Pages/Balco-Medical-Centre.aspx
3. Day Care: https://m.economictimes.com/wealth/insure/how-to-make-the-most-of-
day-care-health-insurance-covers/articleshow/11706319.cms
4. Mixing: https://www.linkedin.com/pulse/importance-pharmaceutical-mixing-
zulqarnain-haider
5. Chemotherapy: https://www.webmd.com/cancer/chemotherapy-what-to-expect
6. Drug Dispensing: https://gskpro.com/en-
ng/resources/pharmacy_resources/pharmacyeducation/article2/
7. Hingh Alert Medicine: From Balco Medical Centre
8. LASA: From Balco Medical Centre
REFERENCE

20. THANK YOU
Being a pharmacist allows me to help patients like them have a
better quality of life. I also see the need for new and improved
medications in this day and age.
Reporter: Sanket Sahu