0002 Role Pharmacist ATI Nainital 2nd PPT.pdf

Ayushman Bharat

1. ROLE OF PHARACISTS IN OPERATION AND  ROLE OF PHARACISTS IN OPERATION AND 
EXECUTION OF MISSION ACTIVITIES. 
STOCK MANAGEMENT AND DISPENSING STOCK MANAGEMENT AND DISPENSING
Dr. Avnish K. Upadhyay, P:h.D.
Master Trainer Master Trainer
AYUSH Health & Wellness Centers, Uttarakhand

2. िभषग् दर्?ाण्युपस्थाता रोगी पादचतु?यम् ।
िचिकित्सतस्य िनिद?ं
,
पर्त्ये कं त
च्च
त
ुग
ुर् णम
् ।। 27।।
,
च्चुु्

4. RoleofPharmacists(Up
Vaidya)
Role
 of
 Pharmacists
 (Up
‐
Vaidya)

Stock
Management
And
Dispensing
Stock
Management
And
Dispensing

NCDScreeningAnd ClinicalActivitiesWithOtherMedical Professionals

PromotionOf PreventiveCare(AYUSHpreventiveaspects)

Pi
Ad
Pi
Of
Mdii l
Pl
Ad
Th i
Cli i

P
romot
i
on
A
n
d
P
ropagat
i
on
Of
M
e
di
c
i
na
l
Pl
ants
A
n
d
Th
e
ir
C
u
l
t
i
vat
i
on

PromotionOf CommonHomeRemedies

PromotionOf IECActivitiesOf NationalAyushMission

Performing RapidKitBased DiagnosticServices

HelpingInFirstAddServicesAnd BiomedicalWasteManagementServices

Coordination
With
Other
Stakeholders

Coordination
With
Other
Stakeholders

5. AdditionalDutiesofPharmacists Additional
 Duties
 of
 Pharmacists

Encourage community for Prakriti assessment 

Promotion of Community Yoga 

Re
g
ularlymonitorhealthstatusandreport
gy

Ensurefollowupandcompliancetoadvise

Su
pp
ort in timel
y
im
p
lementation of NAM activities
pp
y
p
such as Out‐reach Camps, School Health Programs,
AyurvidyaCampsetc.

6.  STOCK MANAGEMENT AND DISPENSING
1.
 STOCK MANAGEMENT AND DISPENSING

7. Receiving
stock
Receiving

stock

Requires great attention to detail

New stock must always be inspected on arrival to ensure
that:
Stockreceivedmatchesstock
dispatched
–
Stock

received

matches

stock

dispatched
–
Correct quantity received, corresponds with documentation—delivery note and invoices
–
Stock received in good condition—not damaged, expired, or with early expiry date (unless previously agreed) Timelyfollow
upcanbeconductedforanyitemsnot
–
Timely

follow
-
up

can

be

conducted

for

any

items

not

delivered

8. Warningsignsofquality/safetyissues Warning

signs

of

quality/safety

issues
When inspecting new arrivals, look for: 
Discoloredmedicines which may indicate deterioration

Discolored

medicines
,
which

may

indicate

deterioration

and should not be accepted

Presence of particles that reflect light (cloudiness) in
lti f ij ti li idf lti ( l
so
lu
ti
ons
f
or
in
jec
ti
ons or
li
qu
id

f
ormu
la
ti
ons
(
un
less
specified otherwise)

Broken or o
p
ened containers
,
half-filled or leakin
g
bottles
p,
g

Wet or soiled outer boxes

Presence of unsealed or unlabeled items
,
which are
,
illegal and unethical to use
All of the above contribute to quality assurance!

9. Storageanddisplayofmedicinestock Storage

and

display

of

medicine

stock


Products should have both manufacturing and expirydates expiry

dates
.

Stock should be shelved based on expiry date date
.

Use the first expired, first out (FEFO) principle placingproductwiththeearliest principle
,
placing

product

with

the

earliest

expiry date in the front row of the shelf.

Applyfirstin firstout(FIFO)principlefor Apply

first

in
,
first

out

(FIFO)

principle

for

products without an expiry date.

10. Storageanddisplayofmedicinestock
(cont)
Storage

and

display

of

medicine

stock

(cont
.
)

Stock should be stored off the floor, on shelves
in
cabinets
shelves
,
in

cabinets
.

A range of environmental conditions for storingmedicinesshouldbeavailable storing

medicines

should

be

available

(e.g., dark place, low humidity, proper
ventilation).

Good housekeeping requires regular inspection and disposal of any expired
or dama
g
ed stock.
g

11. Checklist for stora
g
e area
g

Is there a separate storage space or room?

Isthestorageroomwellventilated?

Is

the

storage

room

well

ventilated?

Is the storage room free of moisture?

Isstorageroom
clean?

Is

storage

room

clean?

Are medicines classified properly?

AremedicinesarrangedusingFEFOandFIFO?

Are

medicines

arranged

using

FEFO

and

FIFO?

Do stock cards exist for every medicine?

Arestockcardscheckedagainstphysicalstockandupdated

Are

stock

cards

checked

against

physical

stock

and

updated

regularly?

12. Stockmanagementtools Stock

management

tools
Primary tools:
St k
d
•
St
oc
k
car
d
s
•
Inventory form
Additional tools: •
Medicine Stock registers
•
Computerized systems
•
Invoice, delivery notes
•
Cash receipts

13. Physical
Inventory
Physical

Inventory
•
Count number of each type of product in facility by dosage, form, and
strength to enable:
Eitkhd lhtilitditk
ki d
–
E
nsur
ing s
t
oc
k
on
h
an
d
equa
ls w
h
a
t

is
li
s
t
e
d

in s
t
oc
k
-
k
eep
ing recor
d
s
–
Identification of drugs soon to expire or already expired
–
Detection of losses through damage
•
Include in monthly reporting
•
Complete physical inventory: –
All products counted at same time All

products

counted

at

same

time
–
Should be done at least once a year (in large warehouses) and
monthly in health facilities and pharmacies

Cyclic/random physical inventory counts selected products on rotating

Cyclic/random

physical

inventory

counts

selected

products

on

rotating

basis so that all products counted by the end of the FY.

14. 2. NCD SCREENING AND SUPPORT IN  2. NCD SCREENING AND SUPPORT IN 
CLINICAL ACTIVITIES WITH OTHER  
MEDICAL PROFESSIONALS MEDICAL PROFESSIONALS

15. Gl b lBd Gl
o
b
a
l B
ur
d
en

Noncommunicable diseases (NCDs) kill 41 million people each year, equivalent
to71% of alldeaths globally. 
Each year, 15 million people die from a NCD between the ages of 30 and 69 years; over 85% of these "premature" deaths occur in low- and middle-income countries countries
.

Cardiovascular diseases account for most NCD deaths, or 17.9 million people annuall
y
,followedb
y
cancers
(
9.0 million
)
,res
p
irator
y
diseases
(
3.9million
)
,
y
y
(
)
py
(
)
anddiabetes (1.6 million).

These
4
groups
of
diseases
account
for
over
80
%
of
all
premature
NCD
These
4
groups
of
diseases
account
for
over
80
%
of
all
premature
NCD
deaths.

16. Vakrasana Vakrasana Vakrasana Vakrasana

17. 3. PROMOTION OF PREVENTIVE CARE

18. Di h
(D il Ri )

Di
nac
h
arya
(D
a
il
y
 R
eg
i
men
)

Ritucharya(Seasonal Regimen)

Yoga
(Yogic 
Kriyas
) 

Yoga
(Yogic 
Kriyas
) 

Aahara(Diet)

The healthy status of a person is often disrupted by unhealthy 
‐
The healthy status of a person is often disrupted by unhealthy  lifestyles, diet, physical activity, emotions and behavior.

Ayurveda advocated ideal way of life called Swasthavritta, to be  fll d b h idiid l    hi ll f
o
ll
owe
d b
y
 t
h
e
 i
n
di
v
id
ua
l 
so
 as
 to
 ac
hi
eve
 we
ll
ness.

These relate to physical, psychological and social dimensions. 

The recommendations are mainly categorized as 

The recommendations are mainly categorized as 

Dinacharya(daily routine), Ritucharya(seasonal regimens), Yoga and Aahara(food). 
18

19. 4 PROMOTION AND PROPAGATION OF  4
.
 PROMOTION AND PROPAGATION OF 
MEDICINAL PLANTS AND THEIR 
CULTIVATION CULTIVATION

20. Common List of Medicinal plants
1.
Amalaki
2.
Bala
7.
Kumari
8.
Manduki
p
arni
3.
Ashwagandha
4
Bramhi
p
9.
Bhumyalaki
10
Tulsi
4
.
Bramhi
5.
Guduchi
d
10
.Tulsi
11.
Parnabeeja
6.
Hari
d
ra

21. PointstoRemember Points
 to
 Remember

Choose the right Plant

Pick the Correct Spot

Prepare the Ground I h Sil

I
mprove
 t
h
e
 S
o
il

Do Planting

Water at the Right Time Water at the Right Time

Light and air 

ProtectandDon’t damage plant

Replace the plant
 

22. 5 PROMOTION OF COMMON HOME  5
.
 PROMOTION OF COMMON HOME 
REMEDIES

23. BenefitsofSingleDrugUse Benefits
of
Single
Drug
Use
Growing plantsaround thehouse has multi-dimensionalbenefits
Pil
i
h
i
d
f
i
il

P
otent
i
a
l
i
nt
h
e
p
revent
i
onan
d
treatmento
f
var
i
ousa
il
ments

Provide basic nutritional requirement in the form of food ingredients ingredients

Keeptheenvironmentclean

Helpsinpreservingindigenousscience,knowledgeandculture

Beneficialfortheconservationofplants

Qualityassured/devoidofadulteration/contamination

Iftakenuponalar
g
escale,canalsoempowe
r
women,takecare
oflivestockandpoultry

24. 6.  PROMOTION OFF IEC ACTIVITIES OF
 
A
YUSH HEALTH AND WELLNESS CENTRES

25. IEC & IEC Material

A reference material for peripheral health workers If ti
di
ti
d
ti
ti

I
n
f
orma
ti
on regar
di
ng preven
ti
ve an
d
promo
ti
ve prac
ti
ces

To propagate knowledge among the masses

As a part of community awareness program

26.  PERFORMING RAPID KIT BASED 
7.
 PERFORMING RAPID KIT BASED 
DIAGNOSTIC SERVICES