Roleofa Pharmacist

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Role of a Pharmacist

Article · October 2012

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Tapamoy Chakraborty
pHarmaVa
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Role of a Pharmacist

Tapamoy Chakraborty
Pharmaceuticals Consultant @ pHarmaVa,
Quality Assurance (QA) Specialist,
Senior Professional FIRST AID from St John
Ambulance (India), Indian Red Cross Society (IRCS),
Approver as competent Technical Staff of Quality
Control Section Other than Microbiological Analysis of
Drugs and Manufacturing Section Other than
Parenterals (Capsule, Oral Liquid, Tablet & Powder) by
Govt. of West Bengal, Department of Health & Family
Welfare, Directorate of Drugs Control ,
CERTIFICATE OF EXCELLENCE IN REVIEWING of the
United Journal of Drug Development and Industrial
Pharmacy (United Pharma Journals),
Diploma in Yoga Therapy and Physiotherapy at
Bangiyo Bijnan Parishad.
• What do Pharmacists do?
• Pharmacists are experts in medicines and as one of the
fastest growing areas of healthcare play a key role in
improving the health of the nation, and ensuring patient
safety.
• They work in a number of different settings:
– develop new medicines;
– supply medicines;
– provide advice about medicines;
– offer health services.
• Pharmacists also work in other roles where there may be
less direct contact with patients, for example in universities,
regulation, government organisations, research, publishing
and the pharmaceutical industry.
• What are the pros and cons?

Pros Cons
üJob security
üFlexible working ûCompetitive
üExcellent rewards
üTransferable skills
ûLong hours in certain
üVariety sectors and
üOpportunities in new roles/settings
üOpportunities to specialise evening/weekend shifts
ûPhysically demanding in
certain sectors
• Where can I work?

Community Pharmacy Academic Pharmacy

Hospital Pharmacy

• Veterinary Pharmacy
• Military Pharmacists
Industrial Pharmacy
• Regulatory Affairs
• Care Homes
• Prisons
Primary Care Pharmacy
• Portfolio Careers
1. Diploma in Pharmacy: This is a 2-year course

2. Bachelor in Pharmacy: This course is of 04 years

3. Master of Pharmacy: This post-graduation course is of 2 years

4. Pharm.D course is a Professional Pharmacy doctoral programme of 6


yrs duration after 10+2 (science academic stream) which includes 5yrs
of academic study + 1 year of internship or residency.
Role of a Pharmacist
• Medication administration, maximize benefits, minimize
• adverse effects, and drug interactions
• • Primary role is to ensure that medications are taken
• effectively and appropriately
• • Can recommend an over-the-counter (OTC) product for pain
• relief, demonstrate the proper use of an asthma inhaler, and
• help patients manage their diabetes.
• • Advise on medication storage, missed doses, and what foods
• or activities to avoid.
• Pharmacists contribute to the health care system by:
• • Compounding, preparing and dispensing drugs
• • Medication histories and maintaining patient drug
• profiles
• • Safety counselling to patients and caregivers
• • Making recommendations to prescribers and other
• health care professionals for adjustments to patients’
• drug therapies
• Providing non-prescription drugs,
• natural health products, prenatal
• products, health care aids and
• devices
• • Managing minor illnesses
• • Providing referrals and advice on
• health promotion and wellness
• • Home visits
• Educating and supporting patients and caregivers
• about home administration of IV drugs
• • Education on self-management of diseases
• • Hosting disease management and immunization
• clinics
• • Palliative care to improve symptom control
• • Monitoring and adjusting doses of drugs such as
• blood thinners (anticoagulants) and
cholesterol_x0002_lowering medications
• Expanded role for pharmacists
• • Certain provinces have approved pharmacist
• prescribing with varying scopes of authority
• – Not meant to replace physician care
• • Expanded roles for pharmacists:
• 1. Prescribing OTC drugs to treat minor, self-diagnosed
• disease conditions such as a rash, a cough or diarrhea
• 2. Start, adjust, continue or discontinue a medication in
• collaboration with a doctor thus increasing time efficiency
• for physicians
• Neighbourhood pharmacies, clinics, supermarkets,
• chain pharmacies and department stores.
• • Requires both professional capability and business
• management skills
• • Requires broad range of medication knowledge
• including prescribing and non-prescribing products
• • Offer additional professional services such as surgical,
• home care and athletic supplies, and self-diagnostic
• machines and kits.
• • Also practice on primary health care teams, in long_x0002_term personal
care homes, or specialize in such areas
• as geriatric pharmacy.
• Work in specialize fields such as oncology, cardiology, psychiatry,
• dialysis, infectious disease, critical care, paediatrics and
• geriatrics.
• • Working with the hospital team
• • Monitoring/evaluating patients’ drug therapy while in the
• hospital
• • Counselling patients about their medication before discharge
• • Educating physicians and other health care workers
• • Overseeing the selection, purchase and distribution of drugs
• used in the hospital
• • Ensuring safe and efficient distribution of drugs
• • Development of best practice protocols
• Work with researchers to develop,
• manufacture, & market prescription & non_x0002_prescription
meds
• • Provide quality control
• • Act as liaison with government, or provide
• drug information, technical correspondence or
• educational materials to the public and health
• care professionals
• • May also work as pharmaceutical sales
• representatives.
• Employed in the federal and provincial
• governments
• • Monitor the distribution of scheduled drugs
• (poisons, narcotics)
• • Administer various drug plans and health care
• programs; develop pharmaceutical policy, or
• work in a laboratory.
• • The armed forces also employ pharmacists in
• military health care facilities
• overseas.
• Many work at universities in the
• areas of teaching and research, or in health
• advocacy and professional organizations.
• • Also work for the provincial licensing and
• regulatory organizations responsible for
• ensuring that pharmacists practice according
• to the provincial laws and regulations.
• Bachelor of Science in Pharmacy: 4 year program (preceded by at least a year
• in science)
• – Biomedical sciences (anatomy, histology, biochemistry, specific diseases and disorders, health issues,
• organic chemistry, microbiology, pharmacology, physiology)
• – Pharmaceutical sciences (bio pharmaceutics, pharmacokinetics, medicinal chemistry, drug
• metabolism, toxicology, pharmaceutics)
• – Therapeutics
• – Pharmacoepidemiology
• – Pharmacoeconomics
• – Pharmaceutical care
• – Statistics
• – Communication and interprofessional relations
• – Law and ethics
• – Social and administrative pharmacy issues
• – Role of pharmacy in the health care system
• • Masters or Doctorate in Pharmacy: usually go into research or teaching
Clinical pharmacists:
• Assess the status of the patient’s health problems and determine whether the prescribed medications
are optimally meeting the patient’s needs and goals of care.
• Evaluate the appropriateness and effectiveness of the patient’s medications.
• Recognize untreated health problems that could be improved or resolved with appropriate medication
therapy.
• Follow the patient’s progress to determine the effects of the patient’s medications on his or her health.
• Consult with the patient’s physicians and other health care providers in selecting the medication
therapy that best meets the patient’s needs and contributes effectively to the overall therapy goals.
• Advise the patient on how to best take his or her medications.
• Support the health care team’s efforts to educate the patient on other important steps to improve or
maintain health, such as exercise, diet, and preventive steps like immunization.
• Refer the patient to his or her physician or other health professionals to address specific health,
wellness, or social services concerns as they arise.
How do clinical pharmacists care for patients?
Clinical pharmacists:

• Provide a consistent process of patient care that ensures the appropriateness, effectiveness,
and safety of the patient’s medication use.
• Consult with the patient’s physicians and other health care providers to develop and
implement a medication plan that can meet the overall goals of patient care established by
the health care team.
• Apply specialized knowledge of the scientific and clinical use of medications, including
medication action, dosing, adverse effects, and drug interactions, in performing their patient
care activities in collaboration with other members of the health care team.
• Call on their clinical experience to solve health problems through the rational use of
medications.
• Rely on their professional relationships with patients to tailor their advice to best meet
individual patient needs and desires.
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