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Hospital pharmacy slides.
1.
2. Hospital pharmacy course: It is a specialized field
of pharmacy which forms an integrated part of
patient health care in a health facility.
Hospital pharmacy and hospital pharmacist:
Hospital pharmacy is the health care service,
which comprises the art, practice, and profession
of : i.Choosing, Prparing, Compounding, Dispensing
medicines and medical devices, ii.Advising healthcare
professionals and patients on their safe, and efficient
use.
3. It is the profession that strives to continuously
maintain and improve the medication management
and pharmaceutical care of patients to the highest
standards in a hospital setting.
To be part of the medication management in
hospitals, which encompasses the entire way in
which medicines are selected, procured, delivered,
prescribed, administered and reviewed to optimize
the contribution that medicines make to producing
informed and desired outcomes
To enhance the safety and quality of all medicine
related processes affecting patients of the hospital
To ensure the 7 “rights” are respected: right patient,
right dose, right route, right time, right drug with
the right information and documentation.
4. Contents of hospital pharmacy course
:
The contents of the hospital pharmacy course are arbitrarily divided into two
areas
Area Services
1- Institutional
Pharmacy:
1 Dispensing,
This part concerned with the
rules, regulation and policies
governing:
2 Selection and purchase of
medicines.
3 Storage and record keeping
(inventories)
4 Distribution Medication system
5 The management of pharmacy
staff in the hospital.
6 Committees in the hospitals
5. Contents of hospital pharmacy course
:
Area Services
1I- Technical Pharmacy: 1 Extemporaneous Compounding
Techniques, guidelines
and regulations used in
compounding:
2 Injectable preparations: LVP,
TPN, intended for intravenous
use and those sterile large volume
solutions used for irrigation,
surgery or for dialysis.
3 Veterinary, Radio-
Pharmaceutical, Ambulatory
Compounding (specialized
hospitals)
7. Section I
Every hospital, large or small, has an organizational structure that allows
for the efficient management of departments.
Traditional Organizational Chart-1
8. IN A LARGE HOSPITAL (USA)
In Large hospitals, departments of pharmacy
have a more divisions.
The following are some of the responsibilities of
each division of the department of Hospital
Pharmacy in a large hospital:
9. Common organizational categories might include
USA:
1. Administration Services
2. Informational Services
3. Therapeutic Services
4. Diagnostic Services
5. Support Services
10. Grouping of Hospital Departments all over the world
includind UAE depends on:
UAE
A. Each hospital department performs specific
functions and shares similarity of duties.
B. Aim: to promote efficiency of the healthcare
facility. (unity)
C. Board: Hospital President, Vice Presidents,
Executive Assistants, Department Heads (one policy)
14. Administrative
Services Division
Unit Dose
Dispensing
Education &
Training
Division
Assistant
Director of
Pharmacy
• Departmental
Services
• Purchase &
Inventory
Control
• Manufacturing
& Packaging
Associate Director of Pharmacy
Director of Pharmacy
Research
Pharmacist
Pharmaceutical
Research Divisions
Pharmacist
Specialist
Radiopharmaceuti
cal Division
Pharmacist
Specialist
Drug Information
Assistant
Director of
Pharmacy
• Assay & QC
Dept
• Sterile Product
Division
• Central Supply
Division
Assistant
Director of
Pharmacy
• In-Patient
Services
• Out-Patient
Services
• IV Admixture
Division
USA
15. Administrative Services Division in Pharmacy s
(Functions(
Plan and coordinate departmental activities (out and
in-patients &TPN)
Develop policies (e.g narcotics records can be kept
for 1-3 years)
Schedule personnel and provide supervision
(rotation & holidays)
Coordinate administrative needs of the Pharmacy &
Therapeutics Committee ( selection of drug essential
list for each hospital department according to needs)
Supervise departmental office staff ( lab. Boy,
technicians & clerks)
17. 2-Pharmaceutical Research Division
Cooperate with the medical research staff
of projects involving drugs ( if present!!
May be in case of clinical pharmacist)
3.In-patient Services Division
Provide medications for all in-patients of the hospital
on a 24-hour per day basis (rotation system)
Cooperate with the medical drug research (( if
present!! May be in case of clinical pharmacist))
18. 18
4.Out-Patient Services Division
Dispense out-patient prescriptions
Maintain prescription records.
Provide drug consultation services to staff and
medical students.
5.Drug Information Services Division
Provide drug information on drugs and drug
therapy to health professional staff.
Participate in the hospital’s pharmacy newsletter (if
present)
Maintain literature files.
19. 19
6.Departmental Services Division
Coordinate and control all drug delivery and distribution
systems (Unit Dose to inpatients)
7.Purchasing and Inventory Control
Division
Maintain drug inventory control (input and output
control)
Purchase all drugs (record)
Receive, store and distribute drugs (record)
20. 8.Central Supply Services Division
Develop and coordinate distribution of medical supplies
and irrigating fluids.
9.Assay and Quality Control
Division
Not present (UAE)
10.Manufacturing and Packaging Division
Maintain a unit dose program.
21. 11.Sterile Products Division
Manufacture sterile ophthalmic, irrigating
solutions etc.
LVP, IV admixtures, TPN.
12.Radiopharmaceutical Services
Division
Centralize the procurement, storage and
dispensing of radioisotopes used in clinical
practice. ( It is in Twam hospital)
13.Intravenous Admixture Division
Included in the sterile product division
22. The director of pharmacy service shall
be responsible for:
Monitoring all the previous
processes mentioned in the functions.