Pharmacy Practice for Final Year B.Pharmacy Sem-VII, As per PCI Syllabus Hospital and it’s organization

1.  PRESENTED BY:
 Ms. Mali S.M.
 Asst.Professor
 Subject:Pharmacy Practice
 Sahyadri College Of Pharmacy, Methwade
Unit-I Topic-I
1

2. INTRODUCTION :-
• Prescribed medication order is the written directions which is the primary means by which
prescribers communicate with pharmacist regarding the specific treatment regimen for a patient.
1.2:- Definition:
• A Hospital is an institution which is scientifically & economically organized for prevention,
diagnosis & treatment of diseases.
2

3. HISTORY OF HOSPITAL:-
The English words hospital, hostel, hotel, and hospice are all etymologically related to the Latin
noun hospes—a word having the diametric meanings "a guest or visitor" and "one who
provides lodging or entertainment for a guest or visitor."
3

4. 4

5. • The history of hospitals began in antiquity with hospitals in Greece, the Roman
Empire and on the Indian subcontinent as well, starting with precursors in
the Ascelpian temples in ancient Greece and then the military hospitals in ancient
Rome.
• No civilian hospital existed until the Christian period.
• Towards the end of the 4th century, the "second medical revolution" took place with
the founding of the first Christian hospital in the eastern Byzantine Empire by Basil of
Caesarea, and within a few decades, such hospitals had become ubiquitous in
Byzantine society.
• The hospital would undergo development and progress
throughout Byzantine, medieval European and Islamic societies from the 5th to the
15th century. In the early modern era care and healing would transition into a secular
affair.
5

6. FUNCTIONS OF HOSPITAL PHARMACY:-
6

7. ■ To provide & evaluate the pharmaceutical services.
■ Selection of trustworthy suppliers
■ To draw a plan for hospital pharmacy administration.
■ Maintenance of manufacturing records
■ Distribution of medicaments in the wards
■ To estimate the requirements for the department.
■ Clinical & administrative records & reports.
■ To estimate the needs of facilities, supplies & equipment’s & to see the proper control inventory.
7

8. ■ Provide continuing education to all pharmacy & other departments.
■ Dispensing of medicaments to out-patients
■ Drug information source in hospitals
■ To participate & adhere safety programs in the hospital.
■ To participate & adhere to the financial plan for operation for hospital.
■ To initiate, utilize & participate in the research projects in hospital.
8

9. 9
 PRIMARY, SECONDARY, TERTIARY AND QUATERNARY HOSPITAL:-
■ Depending upon the nature & size of hospitals, the organization
set up will differ but main department namely the clinical services
will be common in all &all other functions like Nursing,
Pharmacy, Housekeeping & administrator will support the number
of administrator personal depends upon the size of the hospital.

10. 10
 Primary Care Hospital Primary care is the day-to-day healthcare given by a health care provider.
 Typically this provider acts as the first contact and principal point of continuing care for patients
within a healthcare system, and coordinates other specialist care that the patient may need .
It is generally regarded as the ‘gateway’ to receiving more specialist care.
E.g.:- Upzilha Health Complex.
In India, primary hospital is provided through a network of sub centers and PHC in rural areas,
whereas in urban areas, it is provided through Health posts and Family Welfare Centers.
 The PHC ,staffed by Medical Officer and other paramedical staff serves every 30,000 popukation in
the plains and 20,000 persons in hilly, tribal and backward areas.
 Each PHC is to supervise 6 Sub Centers.
 Primary Hospital:-

11.  Secondary Hospital:-
 Secondary Healthcare refers to a second tier of health system, in which patients from primary
health care are referred to specialists in higher hospitals for treatment.
In India, the health centres for secondary health care include District hospitals and Community
Health Centre at block level.
 SECONDARY HOSPITAL INCLUDES, ACUTE CARE, NECESSARY TREATMENT FOR
a short period of time for a brief but serious illness, injury, or other health condition.
This care is often found in hospital emergency department.
The term ‘SECONDARY CARE” is vsometimes used synonymously with “ Hospital Care”.
However others like Psychiatrists, clinical psychologists,occupational therapists, ost primary
care services are deliverd within hospitals.
11

12.  Tertiary Hospital:-
 Tertiary Health care refers to a third level of health system, in which specialized consultative care is
provided usually on referral from primary and secondary medical care.
 Specialised Intensive Care Units, advanced diagnostic support services and specialized medical
personnel on the key features of tertiary health care.
 In India, under public health system, tertiary care service is provided by medical colleges and advanced
medical research institutes
 Example of Tertiary Care Services are ;
• Cancer Management
• Neurosurgery
• Cardiac surgery
• Plastic surgery
• Treatment of severe burns
• Advanced neonatology services,
• Other complex medical and surgical interventions.
12

13.  Quaternary Hospital:-
 The term Quaternary hospital is sometimes used in reference to advanced levels of
medicine which are specialized and highly unusual.
 Because it is so specific, not every hospital or medical center offers quaternary care. Some
may only offer quaternary care for particular medical conditions or systems of the body.
 The types of care that might be considered to be quaternary would be experimental
medicine and procedures as well as highly uncommon and specialized surgeries.
 Quaternary hospital is more prevalent in the United Kingdom.
13

14.  ORGANISATION OF HOSPITAL: -
14

15.  ROLES & RESPONSIBILITIES OF HOSPITAL PHARMACIST:-
■ Provide education for medical staff, physicians, pharmacists, pharmacy interns, & otherresident
students, nurses & nursing students.
■ Dispensing & compounding of drugs.
■ Patient counselling & pharmaceutical care.
■ Promotes health care or health care services.
■ Prescription, parts of prescription, legibility & identification of medication related problemslike
drug interactions, adverse drug reactions problems, & other drug relatedproblems.
15

16. ■ To maintain inventory control in hospital pharmacy.
■ Patient medication adherence.
■ Provide education & counselling regarding OTC medications.
■ Health education regarding to communicable & non- communicable diseases & family planning
methods.
■ Maintaining essential drug list & rational drugtherapy.
■ Prepare & implementation of hospital budget.
■ Maintaining Hospital drug policy.
16

17. ■ Co-ordinates with different hospital committees.
■ Professional relationships & practice of hospitalpharmacy
■ Handling of radiopharmaceuticals.
■ Distribution of drugs & narcotics & controlsubstances.
■ Maintenance of central sterile supply services.
■ Prepare & Develop new therapeutics guidelines & hospitalformulary.
■ Maintaining Pharmacy and therapeutic committee.
■ Provide drug information services to health care professionals.
17

18. SET UP OF HOSPITALPHARAMCY
18

19.  HOSPITAL PHARMACY- CLINICAL PHARMACY&
NON- CLINICALPHARAMCY
 PHARMACIST - INPATIENT/ INDOOR PHARMACIST &
OUTDOOR PHARMACIST
19

20. 20

21. REFERENCES
1. Dr. Ramesh K. Goyal; Dr. R.K.Parikh, Dr. Mayur M. Patel; Merchant &
Goyal’s; A Textbook of Hospital Pharmacy; Edition- 13th.
2. http://www.srmuniv.ac.in/sites/default/files/files/Hospital.pdf
3. A Text book of Pharmacy Practice by the author Sourabh Kosey Nirali
Prakashan.Page No.1.1-1.18
4. A Text book of Pharmacy Practice by the author Dr. Sachin V. Tembhurne, Dr.
Ashwini R. Madgulkar, Dr. Virendra S. Ligade Nirali Prakashan. Page No. 1.1-1.10
5. www.Google.Com
21

22. Thank
You
22