OUR LADY OF FATIMA UNIVERSITY

COLLEGE OF PHARMACY

Pharmacy FRONT-END
Operations
MODULE 4
PART 1
Experiential Pharmacy Practice in Institutional Pharmacy
INPI 411
 CHECKLIST:
 Attend Online Lecture via Zoom Meeting
 Duration: 3 hours
 Read course and unit outcomes.
 Read study guide prior to online attendance.
 Read required learning resources
 Proactively participate in online discussions
 Answer and submit course unit tasks
 LEARNING OUTCOMES:

At the end of this unit, the students are expected to:

1. Demonstrate competence in performing Pharmacy front-end

operations.
2. Demonstrate knowledge in the Pharmacy Front- End Operations
Standard Operating Procedures.
3. Demonstrate knowledge in Housekeeping process, Product
familiarization, Clinic ordering process, Clinic receiving process and IT
system.
 OUTLINE:

• PHARMACY FRONT-END OPERATION description

• PART 1
A. OVERVIEW OF Clinic process
B. Housekeeping process
C. Product familiarization
D. Clinic ordering process
E. Clinic receiving process
F. IT system
 RELATED VIDEO

• What Is a Pharmacy Information System (PIS)? - Definition & Uses

- Video & Lesson Transcript | Study.com

https://study.com/academy/lesson/what-is-a-pharmacy-information-
systems-pis-definition-uses.html
-the part of a company that outsiders
frequently see and hear. –MBN News
(2022)

- In Pharmacy practice, it is about the

processes that encompass
enrollment, insurance verification,
order entry, and adjudication reject
management activities.
 PART 1
A. OVERVIEW OF Clinic process

• Responsibilities of Institutional Pharmacists:

• Entering Physician’s Order
• Preparing Medications and IVs
• Providing Drug Information
• Educating Nurses
• Developing Policies and Procedures
• Recommending Drug Formulary Changes
• Dispensing Investigational and Hazardous Drugs
• Providing Medication to Hospital Units
 PART 1
A. OVERVIEW OF Clinic process
 PART 1
B. Housekeeping Process

• is a step-by-step set of instructions on how to

complete each housekeeping task. These
processes are approved by management, and all
housekeepers are expected to follow them to
ensure consistency, accuracy, and quality.
 PART 1
B. Housekeeping Process
PROCEDURE:
Cleaning & disinfection shall be performed as-

1. Walls, Ceiling & Floors

A. Clean the wall, ceiling with vacuum cleaner.
B. Brooming the floor thoroughly, the dust /waste collected in the dust bin shall be
emptied.
C. Mop the floor with detergent solution as per concentration & schedule in Table 1.
D. Mop the area with tap water.
E. Wipe the area with disinfectant solution as per concentration in Purified water as per
schedule define in table 1.
F. Record the activity in cleaning record as per Annexure I.
 PART 1
B. Housekeeping Process
2. Corridors :

A. Remove any stain present on the corridors.

B. Clean the corners of wall and floor with vacuum cleaner.
C. Mop the floor with detergent solution as per concentration & schedule in Table 1.
D. Mop the area with tap water.
E. Wipe the area with disinfectant solution in purified water as per Table 1.
F. Record the activity in cleaning record as per Annexure I.
G. Doors, Windows & Glass panels:
H. Remove any stain / dust present on the doors, windows & glass panel with lint
free cloth.
I. Clean the doors & windows with dry mop.
J. Mop the doors and floors with wet cloth.
K. Record the activity in cleaning record as per Annexure I.
 PART 1
B. Housekeeping Process
3. Pallets :

A. Clean the pallets with vacuum cleaner.

B. Remove any adhered material with suitable means.
C. For plastic pallets clean with tap water and mop with solution.
D. Record the activity in cleaning record as per Annexure I.
E. Ledges, Supply Grill & return Grill, Light Fixtures:
F. Clean the Ledges, Supply Grill & return Grill with vacuum cleaner.
G. Clean the light fixture with cloth duster.
H. Record the activity in cleaning record as per Annexure I.
 PART 1
B. Housekeeping Process
4. Toilet:
A. Clean the Toilet using 5 % phenyl or Horpic.
B. Wipe floor with wiper for removing water.
C. Record the activity in cleaning record as per Annexure II.
D. Cleaning of all area shall be done as per frequency as define in table 2
E. The disinfectant solution shall be prepared daily.
F. Take 2 buckets; in one add required quantity of disinfectant solution & plain water
in the other bucket.
G. Dip the mop in the disinfectant solution & swab the area with a floor wiper.
H. As & when the mop gets dirty, clean in the bucket containing water, squeeze dry &
again dip in the
1. Disinfectant solution, Squeeze dry & continue cleaning
2. Disinfectant used for sanitization shall be changed as per schedule define in
table-I.
 PART 1
B. Housekeeping Process
- After cleaning & sanitation is completed concerned supervisor shall
ensure that the area has been properly cleaned & shall record the same in
Annexure I.
ANNEXURES
Annexure No. Title of Annexure Format No.
Annexure I CLEANING & SANITIZATION RECORD QA/003/F01-02

Annexure II TOILET CLERRANING RECORD QA/003/F02-00

Abbreviations Full Forms
SOP Standard Operating Procedure
QA Quality Assurance
 PART 1
B. Housekeeping Process
Proper Cleaning of Pharmacy Shelves/Gondolas
Mica Mendoza (2016)
 PART 1
B. Housekeeping Process
Proper Cleaning of Pharmacy Shelves/Gondolas
Mica Mendoza (2016)
 PART 1
B. Housekeeping Process
Proper Arrangement and Display of Products
Mica Mendoza (2016)
 PART 1
B. Housekeeping Process
Proper Arrangement and Display of Products
Mica Mendoza (2016)
 PART 1
B. Housekeeping Process
Proper Arrangement and Display of Products
Mica Mendoza (2016)
 PART 1
C. Product Familiarization
Basic Terms

• Generic Name or Generic Terminology

• International Nonproprietary Name (INN)
• Chemical Name
• Active Ingredient
• Brand Name

29
 PART 1
C. Product Familiarization
• FORMULARY

•Continually revised compilation of drug products

selected by PTC.
•Complete, concise and easy to use
•Medications not included in the hospital formulary
are considered NON-FORMULARY.
 PART 1
C. Product Familiarization
 PART 1
C. Product Familiarization

Essential Drugs List

• Found in the National Drug Formulary

• Consist of:
• Core list- list of minimum medicine needs for a basic
health‐care system, listing the most efficacious, safe and
cost‐effective medicines for priority conditions.
• Complementary list- presents essential medicines for
priority diseases, for which specialized diagnostic or
monitoring facilities, and/or specialist medical care,
and/or specialist training are needed.
32
 PART 1
C. Product Familiarization
Formulary Content and Organization
PART I
• Entries can be arranged in several ways:
• Alphabetically, by generic name
• Alphabetically, within therapeutic class
• Combination of two

33
Alphabetically, by generic name
Alphabetically, by generic name
Alphabetically, within therapeutic class
CORE LIST and COMPLEMENTARY LIST
 PART 1
C. Product Familiarization
Formulary Content and Organization
• PART II
• Information to be included in each entry:
• Generic name of the basic drug, dosage forms,
strength, packaging and size stocked by pharmacy,
formulation
• 2 indexes which can be included:
• Generic name of drug items
• Therapeutic/Pharmacologic index
 PART 1
C. Product Familiarization
-learn the prefix, suffix and abbreviation of drugs.
 PART 1

D. Clinic Ordering and Receiving Process

A medication order is written directions provided by
a prescribing practitioner for a specific medication
to be administered to an individual.

The prescribing practitioner may also give a medication

order verbally to a licensed person such as a
pharmacist or a nurse.
 PART 1

D. Clinic Ordering and Receiving Process

 PART 1

D. Clinic Ordering and Receiving Process

 PART 1

D. Clinic ordering process (EXAMPLE)

 PART 1

D. Clinic receiving process (EXAMPLE)

 PART 1
D. Clinic Ordering and Receiving Process (EXAMPLE)
 PART 1

D. Clinic Ordering and Receiving Process

NICE Guidance: Managing medicines in
care homes
Care home providers:
1. Must ensure that medicines prescribed for a resident are not used by other residents
2. Should ensure that care home staff have protected time to order and check
medicines delivered to the home
3. Should ensure that at least 2 members of the care home staff have the training
and skills to order medicines, although ordering can be done by one member of staff
4. Should retain responsibility for ordering medicines from the GP practice and
should not delegate this to the supplying pharmacy
5. Should ensure that records are kept of medicines ordered
6. Should check medicines delivered to the care home against a record of the order to
ensure that all medicines have been prescribed and supplied correctly
 PART 1

D. Clinic Ordering and Receiving Process

MEDICATION NOTIFICATION FORM for CARE
HOMES Name of Care Home & Contact Details
 PART 1
D. Clinic Ordering and Receiving Process
MEDICATION NOTIFICATION FORM for CARE HOMES Name of Care Home & Contact
Details
 PART 1
D. Clinic Ordering and Receiving Process
 PART 1
E. IT SYSTEM

The Pharmacy-Medication
Information System (PhIS) integrates the
distinct functions of the Pharmacy
service with the medication functions
carried out by nurses and doctors within
the CIS-EMR.
 PART 1
E. IT SYSTEM
The main objective of the medication function is to ensure
that the correct medication with the correct dosage,
quantity and frequency is supplied to the right patient.**

The processes involved in the medication function are:

 Plan treatment by medication (doctor)

 Prescribe drugs (doctor)
 Vet, verify and supply dugs (Pharmacist)
 Administer drugs (nurses, doctors, patient and home-
carer)
 PART 1
E. IT SYSTEM
 PART 1
E. IT SYSTEM (EXAMPLE)
The e-EDPMS refers to Electronic Essential Drug Price Monitoring
System which was created by the DOH to support the establishment
of an efficient and effective system and procedures for collecting price
and inventories of essential drugs and other drugs stated in RA 9502.
 PART 1
E. IT SYSTEM (EXAMPLE)
 PART 1
E. IT SYSTEM (EXAMPLE)
 PART 1
E. IT SYSTEM (EXAMPLE)
 PART 1
E. IT SYSTEM (EXAMPLE)
 PART 1

E. IT SYSTEM (EXAMPLE)
Oasis RxPlus optimizes your point of sale, inventory management, purchase orders, reports and
stock transfers and other store operations. It is not only fast but easy to use and always accurate.

ADVANTAGES:

1. A single point of sale window

processes all sales transactions
including receipts, discounts,
return/refund & payments.
2. Recaps any transaction & sales
for any date range.
3. Interactive, intuitive POS assures
rapid checkout time.
 PART 1

E. IT SYSTEM (EXAMPLE)
Purchase Order & Receiving
OASIS RX combines the accuracy of real-time information with
powerful purchase order management tools that can successfully
manage your business’s purchasing, receiving and distribution of your
merchandise.
 Auto-order feature calculates suggested
orders from the minimum and maximum stock
levels and historical sales performance from any
date range.

 Generate a purchase order using the pre-set

minimum and maximum stock levels on items
and by location.

 Improve your inventory control with instant

knowledge of your purchase order status—
open, overdue and closed.
 PART 1
E. IT SYSTEM (EXAMPLE)
Inventory Management System
For all retailers, success depends on your ability to
control your inventory. If your stores are out of stock,
you will lose sales. If you are over-stocked, it will
negatively impact your store’s cash flow.

 Inventory screens show store and company totals

on hand, on order, received, sold, and in-transit
for each inventory item.
 Better manage your inventory profitability with
the automatic pricing option which calculates your
initial retail prices based on pre-set markup from Oasis RxPlus
cost price.
 Physical inventory reconciliation to ensure strong
shrinkage controls.
 PART 1
E. IT SYSTEM (EXAMPLE)

Sales & Inventory Reports

It manages your inventory by comparing current

sales with existing stock, and set automatic
reorder levels. Track profitability trends by any
variable such as department, brand,
classification, store or season.

 Inventory Reporting and Analysis

 General Business Analysis
 Advanced Point of Sale Reporting
 Physical Inventory Reconciliation Oasis RxPlus
 Receiving Reporting and Analysis
 PART 1
E. IT SYSTEM (EXAMPLE)
Stock Transfer
If one store location is running low or out of stock on a
particular product, while a different store location has a
higher quantity, transfer requests can be easily generated
to have merchandise transferred from one location to
another.

 Use inter-store transfers to update both locations

immediately upon issuing of the transfer, eliminating
any back-office operations at the receiving store. Oasis RxPlus
 Better manage your inventory movements – use
transfer requests to schedule future distribution.
 In-transit transfer option can track your merchandise as
it moves from your warehouse to your stores and vice
versa.
 REFERENCES:

 https://www.flexkeeping.com/housekeeping-sop/
 http://guidelines4pharma.blogspot.com/2016/12/1.html
 Microsoft Word - mr18th_EML_ 07Oct2013.docx (who.int)
 Proper Cleaning of Pharmacy Shelves/Gondolas, Arrangement an
by Mica Marcelo (prezi.com)
 Medication-Ordering-Process.pdf (buckinghamshireccg.nhs.uk)
 iHOMIS (doh.gov.ph)
 Oasis | RxPlus - Philippines #1 Pharmacy POS System Software
Provider (oasistech.com.ph)
THANK YOU FOR
LISTENING!