Community pharmacies serve the public's need for drug products and pharmaceutical services. They include corporate chains, pharmacy departments in supermarkets, and independently owned shops. Community pharmacies must be conveniently located and properly equipped. An ideal layout attracts customers, increases sales, provides satisfaction, and allows for storage, office space, and minimizing customer movement. Community pharmacists process prescriptions, provide patient care and counseling, monitor drug use, supply traditional and alternative medicines, respond to minor ailments, inform about health issues, promote health, make home visits, and work in agriculture/veterinary fields. They must follow legal record keeping requirements and a code of ethics regarding services, facility maintenance, prescription handling, and patient interactions.
Community Pharmacy Ravinandan A P 7th Sem.pptxRavinandan A P
Community Pharmacy -
Introduction
Organization and structure of retail and wholesale drug store,
Types and design
Legal requirements for establishment and maintenance of a drug store
Dispensing of proprietary products
Maintenance of records of retail and wholesale drug store.
Objectives, scope, Organization and structure of retail and wholesale drug store, type and design, dispensing of proprietary products, legal requirements
Community Pharmacy Ravinandan A P 7th Sem.pptxRavinandan A P
Community Pharmacy -
Introduction
Organization and structure of retail and wholesale drug store,
Types and design
Legal requirements for establishment and maintenance of a drug store
Dispensing of proprietary products
Maintenance of records of retail and wholesale drug store.
Objectives, scope, Organization and structure of retail and wholesale drug store, type and design, dispensing of proprietary products, legal requirements
2. Minimum Standard for Hospital Pharmacy_ASHP_2022-2023.pptxssuserca7d2c
I’m going back in a minute I need a little more help I have a couple things I have a question about for the next two days and then I’m not going back in for a little while I need help I have a little more money to pay my my mom has to go back in the house so I’m going back in to the hospital so I’m going back to my room so I’m going back home to do my homework
Pharmacy Practice
Scope of pharmacy practice
Community Pharmacy
Scope of community pharmacy
Community pharmacy management
Selection of Pharmacy site
Objective
Legal requirements
Drug procurement
Drug storage and inventory control
Pharmacy Practice is the discipline of pharmacy which involves developing the professional roles of pharmacists. Pharmacy Practice offers practicing pharmacists in-depth useful reviews and research trials and surveys of new drugs and novel therapeutic approaches.
Laws are rules of legal binding on all persons in a state or nation.
Ethics is related to attitude and morality.
3 pillars for laws and ethics
The appearance of the premises should reflect the professional character of Pharmacy
In Every Pharmacy there should be Q.P .(RPh)
Drugs and other ingredients should be purchased from reputed source.
A pharmacist should not make any attempt to capture the business of fellow competitor by offering unfair discounts
A pharmacist should not show any such emotion on his face
A Pharmacist is a link between medical professionals and public.
A pharmacist should provide efficient and reasonable comprehensive and pharmaceutical services through the medical store or pharmacy.
2. Minimum Standard for Hospital Pharmacy_ASHP_2022-2023.pptxssuserca7d2c
I’m going back in a minute I need a little more help I have a couple things I have a question about for the next two days and then I’m not going back in for a little while I need help I have a little more money to pay my my mom has to go back in the house so I’m going back in to the hospital so I’m going back to my room so I’m going back home to do my homework
Pharmacy Practice
Scope of pharmacy practice
Community Pharmacy
Scope of community pharmacy
Community pharmacy management
Selection of Pharmacy site
Objective
Legal requirements
Drug procurement
Drug storage and inventory control
Pharmacy Practice is the discipline of pharmacy which involves developing the professional roles of pharmacists. Pharmacy Practice offers practicing pharmacists in-depth useful reviews and research trials and surveys of new drugs and novel therapeutic approaches.
Laws are rules of legal binding on all persons in a state or nation.
Ethics is related to attitude and morality.
3 pillars for laws and ethics
The appearance of the premises should reflect the professional character of Pharmacy
In Every Pharmacy there should be Q.P .(RPh)
Drugs and other ingredients should be purchased from reputed source.
A pharmacist should not make any attempt to capture the business of fellow competitor by offering unfair discounts
A pharmacist should not show any such emotion on his face
A Pharmacist is a link between medical professionals and public.
A pharmacist should provide efficient and reasonable comprehensive and pharmaceutical services through the medical store or pharmacy.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
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Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
1. PP_RDP
COMMUNITY PHARMACY
Definition:
Community pharmacy includes all the establishments that are privately owned and whose
function is to serve the society’s need for drug products and pharmaceutical services.
• Includes corporate pharmacy chain to pharmacy department in supermarket and
independently owned pharmaceutical shop.
• Hybrid of professionalism and business.
Scope of community pharmacy
•Advancement in research and technology – newer drug in market.
•Population explosion – medical facility insufficient for all.
•Disease prevention and health promotion in society
Community pharmacy management
Selection of Pharmacy site.
• A needy town or city should be selected.
• The site available must be most suitable one available in the city.
• Site of the pharmacy should be at the centre of the population to be served to ensure
accessibility and convenience.
• Equipped with adequate and free parking facility.
• If possible, the site should be in the neighborhood of community shopping centre for
convenience and accessibility of the customers.
• An island type of location in which the pharmacy is in the main traffic artery with
adequate parking facility can be opted.
• A bargain location in terms of rent proves to be a liability than an asset in the long run.
Plan of an ideal wholesale and retail drug store.
Objective of ideal layout design
1. To attract a large number of customers.
2. To increase the sales of the store.
3. To reduce the selling expenses to the minimum.
4. To provide customer satisfaction
5. Have adequate space for reserve stock, office and resting space.
2. PP_RDP
6. To have proper entrance for the newly arrived goods.
7. To project a professional image and improve general appearance.
8. To minimize the movement of the customers in the premises of the pharmacy.
A modern drug store should fulfil all the requirements in schedule N of the Drug and
Cosmetic rule 1945.
Minimum floor space required
Wholesale drug store: 200sqft
Retail drug store: 150sqft
3. PP_RDP
Legal requirements General license
• Granted to person who have the premise for the business and who engage the services
of a qualified person to supervise the sale of the drugs.
• The license for the retail sale of drugs other than the ones mentioned in the Schedule
C,C1 and X are issued in form 20.
• For drugs specified in Schedule C and C1 in form 21.
• Schedule X drugs in form 20F.
Condition for general license
1. Should be displayed in a prominent place open to the public.
2. The license should comply with the Drug and Cosmetics rule there under in force.
3. Any change in the qualified staff should be reported to the licensing authority within one
month.
4. Precaution prescribed by the licensing authority for the storage of schedule C and C1 drugs
should be observed.
Restricted license
• The license for restricted sale of drugs other than those specified in Schedule C,C1 and
X are issued in the form 20A •Those specified in Schedule C and C1 but not in X are
issued in the form 21A.
Condition for restricted licenses
1. The licensee must have adequate premises equipped with adequate facility for the
proper storage of drugs. To which the licenses applies provided that this condition
applies to the vendors.
2. The licensee should be complying with the drug and cosmetic act and the rules there
under in force.
3. Drugs only purchase from a duly licensed dealer or manufacturer.
4. The licenses can only deal in such drugs can be sold without the supervision of a
qualified person.
5. Drugs should be sold in their original container.
4. PP_RDP
Staff / personnel Criteria for staff selection.
1. The qualification of the employee should not fall below the minimum standard or
else the reputation of the pharmacy may get compromised.
2. ‘Over hiring’ i.e., superior people in inferior jobs, should be avoided as this will
lead to an adverse effect on staff morale and efficiency.
Selection process
1. Job description
• The details of job, its relation to other job, working hours, pay scale , etc
• Job specification
• The qualification needed for the job.
• Job recruitment
• Selection of personnel – tests, interviews, etc.
• Orientation and training of staff.
Coding of drugs Process of assigning code for easy identification of a material.
• Essential for good store keeping.
• Ambiguity in description is avoided.
• Length of description minimized.
• Codes ensure of items lying in the floor.
• Item easily identified when it is known by more than one name.
Stocking of drugs
1. Stored in alphabetical order.
2. Provides a channel for distribution of drugs.
3. Drugs readily available in the pharmacy.
4. Enables correct storage of drugs e.g., antibiotics and vaccines in refrigerator.
Maintenance of register
Legal records: Required by law regarding the acquisition and disposition of drugs.
Patient records: Regarding the patient utilization of the drugs.
Financial records: Regarding the past and present financial status of the company
5. PP_RDP
Legal records
• According to federal and state law.
• Adequate and up to date records should be maintained according to Drugs and
cosmetics act 1940, Rules 1945 and the Poison Act 1919.
• Maintain adequate record related to acquisition and disposition of certain drugs.
• Records of distribution of poisonous and hazardous substances.
Patients’ records
-Patients drug history.
• Information on all kind’s ok information about kinds and amount of drugs taken by
average patients.
• Source of information on insurance claims and income tax deduction of patients.
Financial records
• For making sound decision regarding future needs, inventory requirements, etc.
• For evaluation of past operations, planning of present activities, forecasting needs, and
controlling the activities.
• Analysing revenues and expenses.
• Measuring return on investment.
• Help ensure profitable operations.
Community pharmacists
• The health professionals most accessible to the public.
• They supply medicines in accordance with a prescription or, when legally permitted,
sell them without a prescription.
• Their professional activities also cover counselling of patients at the time of dispensing
of prescription and non-prescription drugs, drug information to health professionals,
patients and the general public, and participation in health-promotion programmes.
• They maintain links with other health professionals in
Activities of community Pharmacist (as per WHO)
1. Processing of prescriptions:
• verifies the legality, safety and appropriateness of the prescription order.
6. PP_RDP
• checks the patient medication record before dispensing the prescription (when
such records are kept in the pharmacy).
• ensures that the quantities of medication are dispensed accurately, and decides
whether the medication should be handed to the patient, with appropriate
counselling.
2. Care of patients or clinical pharmacy.
• The pharmacist seeks to collect and integrate information about the patient’s drug
history.
• Clarify the patient’s understanding of the intended dosage regimen and method of
administration.
• Advises the patient of drug-related precautions.
• Monitors and evaluates the therapeutic response.
3. Monitoring of drug utilization Participate in arrangements for monitoring the utilization
of drugs, such as practice research projects, and schemes to analyze prescriptions for the
monitoring of adverse drug reactions.
4.Traditional and alternative medicines Supply traditional medicines and dispense
homoeopathic prescriptions.
5. Extemporaneous preparation and small-scale manufacture of medicines
• Pharmacists prepare medicines which enables them to adapt the formulation of a
medicine to the needs of an individual patient.
• small-scale manufacture of medicines, which must accord with good manufacturing
and distribution practice guidelines.
6. Responding to symptoms of minor ailments
• receives requests from members of the public for advice on a variety of symptoms and
inquiries to a medical practitioner.
• supply a non-prescription medicine, with advice to consult a medical practitioner for
self-limiting minor ailments.
• give advice without supplying medicine
7. PP_RDP
7. Informing health care professionals and the public
• The pharmacist compile and maintain information on all medicines
• Provide this information as necessary to other health care professionals and to patients
• Use it in promoting the rational use of drugs, by providing advice and explanations to
physicians and to members of the public.
8.Health promotion
• Take part in health promotion campaigns, locally and nationally, on a wide range of
health-related topics, and particularly on drug-related topics or topics concerned with
other health problems and family planning.
• Take part in the education of local community groups in health promotion, and in
campaigns on disease prevention, such as the Expanded Programme on Immunization,
and malaria and blindness programmes.
9. Domiciliary services
• They provide an advisory as well as a supply service to residential homes for the elderly,
and other long-term patients. In certain country pharmacists will visit certain categories
of house-bound patients to provide the counseling service that the patients would have
received had they been able to visit the pharmacy.
10. Agricultural and veterinary practice
• Pharmacists supply animal medicines and medicated animal feeds.
Code of ethics
In relation to his job: reasonable comprehensive pharmaceutical services should be provided
which involves supply of commonly required medicines without any delay and emergency
supplies at all times.
Conduct of pharmacy: The arrangement of pharmacy should be such that it avoids the risk of
accidental contamination in preparation, dispensing and supply of medicine.
8. PP_RDP
Handling of prescription: prescription should be received without any comment over it
regarding the therapeutic efficacy. Any question on prescription should be answered with care.
Should not add omit or substitute any ingredient of the prescription.
Price structure: should be fair and keeping with quality and quantity of the commodity.
Fair trade practice: No attempt should be made to capture business of a contemporary by cut
throat competition, charging low price for medicines, gifts offer and copying trademark, label
and other signs and symbols of contemporaries.
Purchase of drugs: Drugs should be always purchased from genuine and reputable source.
Hawking of drugs, door to door sale and self-service method should not be implemented in
pharmacy.
Advertisements and display in connection with the medicine sale in an undignified manner
should be avoided
Limitation of professional activity: Pharmacist under no circumstances take to medical
practice which is to diagnose the disease and prescribe remedies therefore even on request.
In case of accidents and emergencies the pharmacist can render first aid to the victim.
Clandestine arrangements: No pharmacist must enter into secret arrangement with a
physician to offer him any commission or any advantage by recommending his drug store.
Liberation with public: Should always keep updating himself and never disclose any
information which he has acquired during professional activities to the third party.
Professional vigilance: It is the duty of the pharmacist to make others bound to fulfill the
provisions of pharmaceutical and other laws and also be vigilant to top undesirable activities
in the profession to maintain its fair name and tradition.
The pharmacist should be an enlightened citizen with fair knowledge of the laws of land
particularly with the enactment pertaining to food, drugs, pharmacy health and sanitation.
Relationship with professional organization: For scientific moral and cultural wellbeing he
must join all advance organizations and professional colleagues.
9. PP_RDP
Decorum and propriety: A Pharmacist should always refrain from doing all such acts and
deeds which are not in consonance with the decorum and propriety of pharmaceutical
profession and are likely bring discredit to the profession.
Wholesale Retail