A presentation on survey report on

Hospital Pharmacy

Supervised by: Presented by:

Mr. Parasmani Sahu Name:- Aarti Toppo
Asst. Professor Roll. No:-312504121062
SCCP, Rajnandgaon Enroll. No:-CB2215
(C.G.) B.Pharm, 7th Sem.

S a n s k a r C i t y C o l l e g e o f P h a r m a c y,
Thakurtola, Rajnandgaon, (C.G.)
 Hospital Pharmacy
Definition: Branch of pharmaceutical sciences
that deals with the pharmacy profession and
the role of pharmacist inside the hospital.
FUNCTIONS OF A HOSPITAL PHARMACIST
 To provide and evaluate pharmaceutical services and thereby
supporting the medical staff, with due consideration of the
objectives and policies of the hospital
 To draw a plan for hospital pharmacy administration
 To establish a liaison between administrative authorities and
medical doctors who will order drugs and ancillary products
in the hospital
 To estimate the requirements of the departments and enforce
the policies and procedures for the recruitment of adequate
and competent staff
 To provide the means and methods by which the personnel
can work with other groups in interpreting objectives and
policies of the hospital
 To develop and maintain an effective system of clinical and
administrative records and reports.
Set up of hospital pharmacy
Hospital’s clinical
Patients
staff

Hospital Hospital’s nursing

DEPARTMENT OF
administration staff
PHARMACY

Hospital’s Hospital’s other

committees departments
Functions and responsibilities of the HOD
of pharmacy and his staff

 HOD have to ensure that pharmacists functioning in

different areas carry out their assigned functions and
duties efficiently and is aware of his responsibilities
towards its staff and to the hospital administration
 Pharmacy as a Knowledge system
Pharmacy can be defined as the knowledge system that offers a health
service through knowledge obtained from drugs and their effects either
physiological, chemical, physical or behavioural.

Pharmacy knowledge is distributed to physicians, pharmacists and other

health care professionals as well as to the general public.
Knowledge of drug products , their benefits and side effects will contribute
to the health of individuals and the welfare of the society.
 Hospital Pharmacist
Only Dispenser (NO)
Bigger Role (Yes), Including:-
1- Consultive role.
2- Management role
3- Planning of pharmaceutical service
4- Establishing and maintenance of safe
system of work in Dept.
5- Collection of data on drug use.
6- Cooperate with medical and nursing staff
to secure most effective, safe and economical
use of drugs.
 Role of hospital pharmacist (continued)
7- Preparation of IV admixtures
8- Sterile prescription compounding
9- Coordination of unit-dose operation
10- Patient profile monitoring
11- Supervision of medication technicians
12- patient drug interviews
13- daily clinical rounds
14- provision of drug information
 Goal
Integration with the health care team of the hospital
Integration and cooperation with other hospital
pharmacists
To fulfil the best health care service that could be offered
to the patients
Abilities required for hospital pharmacist
A wide knowledge of drugs and their actions
Ability to conduct and develop a manufacturing program
Accurate knowledge of drug control procedure
Ability to conduct and share in research
Ability to conduct teaching and in-service programs
Ability to manage and administer a hospital pharmacy
Ability to develop patient-oriented services
Ability to develop minimum skills in each pharmaceutical
area be capable of becoming an expert in any one of them.
Ability to establish and direct a drug information center
 Structure of the hospital pharmacy staff
A. Director of the pharmacy
Responsibilities include:
1- Maintains an adequate drug supply
2- Participates through the pharmacy and therapeutics committee in
developing and updating of a current hospital formulary (a drug list
selected by the committee and approved by the medical staff).
3- Establishes specifications for the procurement of drugs.
4- participates in orientation and continuing education of all persons
responsible for preparation or administration of sterile parenteral
medications and fluids.
5- responsible for the preparation, sterilization and labelling of parenteral
medications and solutions (e.g. Large volume parentrals LVP)
manufactured in the hospital.
 Structure of the hospital pharmacy staff

Responsibilities of the director (continued)

6- Responsible for any pharmaceuticals manufactured
within the hospital .
7- Responsible for emergency drugs and antidotes
throughout the hospital.
8- Keeps detailed records of controlled drugs within
hospital.
9- Attends all meetings of the pharmacy and therapeutics
committee s and implement their decisions
10- maintains confidentiality of information relating to
patients and medical staff.
Structure of hospital pharmacy staff
B- associate or assistant director of pharmacy
Helps the director of the pharmacy in the operation of the
pharmacy.
C- Staff pharmacists
Responsible for physician order review and filling, unit dose
cart checking, parenteral admixture and clinical duties
including monitoring drug-drug interactions and adverse drug
effects.
D- Clinical Pharmacists
Play major role in therapeutic drug monitoring and evaluating
drug therapy.
Pharmacy and Therapeutics Committee
(PTC)
Definition:
An advisory group of the medical staff which serves as the
organizational line of communication between the medical
staff and pharmacy department.
It is composed of physicians, pharmacists and other health
care professionals selected by the medical staff.
Purpose:
(advisory and educational)
 Organisation of the Pharmacy and Therapeutics
Committee
1. It should be composed of at least three physicians, a
pharmacist and a representative of the nursing staff. The
members are either appointed or elected. The hospital
administrator should be a member in the committee.
2. A chairman is appointed from physicians and the pharmacist
is usually designated secretary.
3. The committee should meet regularly at least 6 times per
year and when necessary.
4. The committee should invite to the meetings skilled and
knowledgeable persons to contribute to judgments.
Organization of PTC
5. An agenda or supplementary materials should be prepared by
the secretary and sent to all members before meeting.
6. Recommendations of the committee should be presented
to staff for adoption or recommendation.
7. Relation with other hospital committees concerned with
drug use.
Function of PTC
Advisory to medical staff
Develop hospital drug formulary and minimize
duplication of drugs
Establish suitable education programs for staff
Study problems of drug distribution and administration of
medication
Review adverse drug reactions in hospital
Direct drug use review programs
Advice for rational use of drugs in the hospital
Make recommendations to drugs to be stocked
 Hospital Formulary
Definition: a program of objective evaluation, selection and
use of medicinal agents in the hospital.
Prepared by the Pharmacy and Therapeutics Committee
Contents of the formulary:
1. Section on prescription writing
2. Section covering the use of drugs
3. Tables of metric weights apothecary and household
equivalents
4. Tables on common laboratory values
5. Section on calculation of dosage for children based on body
weight and surface area
6. Pharmacological index
 Hospital formulary
Drugs are listed in the formulary by generic names
followed by information on strength, form, toxicology and
use.
The formulary should be updated regularly with new
drugs products, new uses, or dosing regimens
Both generic and brand names of drugs are used in the
formulary index to facilitate location of drugs.
 Facilities required for pharmacy department
Pharmacy location, communication-transport
Pharmacy area
Storage area
Parenteral admixture
Area for consultation
Drug info. Resources
Library and filing equipment
Locked spaces for narcotics, controlled drugs and alcohol
Refrigerator for thermo-labile products
Bookkeeping supplies and related materials and equipment
necessary for proper administration of department
Office for the director of pharmaceutical services
CLINICAL PHARMACY
 Clinical pharmacy is a branch of Pharmacy where
pharmacists provide patient care that optimizes the use of
medication and promotes health, wellness and disease
prevention.
 The Clinical Hospital Pharmacist is responsible for all
clinical pharmacy activities within the pharmacy and wards
Hospital.
 Clinical pharmacist is an important part of the healthcare
team.
 Clinical pharmacists are a primary source of scientifically
valid information and advice regarding the safe,
appropriate, and cost-effective use of medications.
 The pharmacist works in coordination with the doctors for
Scope of clinical pharmacy:
 Drug Distribution Systems
 Drug Information
 Drug Utilization
 Drug Evaluation and Selection
 Medication Therapy Management
 Formal Education and Training Program
 Miscellaneous: Application of Electronic Data
Processing(EDP)
ACTIVITIES OF CLINICAL PHARMACISTS
The principle activities of a clinical pharmacist
include:
 Consulting
Analysing therapies, advising health care practitioners on
the correctness of drug therapy and providing
pharmaceutical care to patients both at hospital and at
community level.
 Selection of drugs
Defining "drug formularies" or "limited lists of drugs" in
collaboration with hospital doctors, general practitioners
and decision makers
 Drug information
Seeking information and critically evaluating scientific
literature; organising information services for both the
health care practitioners and the patients
 Pharmacokinetics/ therapeutic drug monitoring
Studying the kinetics of drugs and optimising the dosage.
 Formulation and preparation
Formulation and preparation of medicinal products and
devices according to acceptable standards to meet specific
patients' needs
 Clinical Trials
Planning, evaluating and participating in clinical trials.
 Pharmacoeconomy
Using the results of clinical trials and outcome studies to
determine cost- effectiveness evaluations.
 Dispensation & Administration
studying and developing systems for the dispensing and
administration of medicinal products and devices that can
guarantee a higher security in administration, a reduction
Thank You