2.Hospital pharmacy--.pptx

Hospital and clinical pharmacy

1. Prepared by : Yannawar P.D.(M. Pharm) DCOP, latur 2.HOSPITAL PHARMACY

2. Content Definition Function Objective of hospital pharmacy Location and layout of hospital pharmacy Flow chart of material and man Requirement of facilities for hospital pharmacy Abilities required for hospital pharmacy Pharmacy and therapeutic committee (PTC)

3. Definition of hospital pharmacy .

4. Function of hospital pharmacy Following are function of hospital pharmacy (PSDMCDRE) Purchase section Store section Dispensary (dispensing) Manufacturing section Central sterile supply department Drug information service Records Education and training service (teaching)

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6. Objective of hospital pharmacy Following are objective of hospital pharmacy

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8. Location and layout of hospital pharmacy Location: The pharmacy should be located in the hospital premises so that patients & staff can easily approach it. Location of hospital pharmacy should be such that it is convenient for providing service to all departments of hospitals and personnel's who make daily use of such service In Multi-stored building of a hospital, the pharmacy should be preferably located on the ground floor. The department are so laid out that there is a continuous flow of men & material Manufacturing room should be adjacent to the pharmacy.

9. Layout of hospital pharmacy

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12. Requirement of facilities for hospital pharmacy Floor Space requirement Equipment's requirement Requirement of Pharmacist Requirement of Qualification Personnel requirement

13. 1.Floor Space Requirement A Pharmacy requires a minimum of 250 sq. feet for any sized hospital. Floor of hospital pharmacy departments should be smooth, easily washable and acid resistant. In manufacturing drains should be provided; walls should be smooth and painted in light color. The wooden cabinets are laminated. Fluorescents lamp are placed immediately above the prescription counter.

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15. 2.Equipment's requirement Hospital Pharmacy equipment are classified into: a) Fixed Equipment b) Movable Equipment a) Fixed Equipment : are the equipment installed with the building during construction: Example: i )Counters ii) Cabinet iii) Sink elevators b) Movable Equipment : are the equipment not installed permanently with the building and which could be moved as per bed: Example: i ) Balances ii) Mixtures iii) Desks

16. Continue… A. The usual equipment's are: i ) Prescription Case ii) Cabinet to store mortar & pestle ii) Cabinet for flasks, beakers & funnels iv) Refrigerator with suitable capacity. v) Dispensing window for nurses & outpatient. vi) Office desk with telephone connection & filling cabinet. vii) Shelf space for pharmaceutical books. B. Depending upon type of manufacturing following equipment are : Ointment mills Granulators Tablet compressing machine Filter press Powder mixer

17. continue…. C . Equipment's for Parenteral: Water still Cabinets Sintered glass filter Autoclave Hot Air Oven D. In Quality Department different instrument like : Spectrophotometer Hardness tester Analytical balance Viscometer Dissolution apparatus High performance liquid Chromatography(HPLC)

18. 3.Requirement of Pharmacist The exact number of pharmacists required depends upon the bed size of the hospital and the nature of activities going on in the hospital pharmacy. The medical council of India has given minimum requirements of pharmacist which is summarized as below Bed Strength Number of Pharmacist Up to 50 beds 3 Up to 100 beds 5 Up to 200 beds 8 Up to 300 beds 10 Up to 500 beds 15

19. 4.Requirement of Qualification The Chief pharmacist or director should have minimum postgraduate degree in pharmacy preferably in Pharmacology or Hospital pharmacy. Manufacturing chemist should be graduate in pharmacy with minimum 18 month experience in manufacturing process of drugs & formulation. Analytical chemist should be post graduate in Pharmaceutical chemistry or analytical chemistry. Registered Pharmacist and pharmacist-cum-clerk should have diploma in pharmacy & should be registered in state pharmacy council.

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21. 5.Personnel requirement : A number of activities and processes are carried out in the hospital pharmacy. The activities include in manufacturing, testing, distribution, administration & procurements of materials. A team of persons with D.Pharm, B. Pharm, M. Pharm & Microbiology qualification will be required. The exact number of qualified persons will depends upon the size & the activity of the hospital pharmacy. Chief Pharmacist. Assistant Chief pharmacist. Staff Pharmacist. Intern trainees. Residents Personnel trained nonprofessionally like Technician, helper& secretarial personal. The pharmacist should be registered with Sound knowledge skill, experience in various activities of the pharmacy. A licensed pharmacist shall be on duty all hours when pharmacy is open

22. Abilities of the Hospital Pharmacist The abilities are mainly categorized as: Technical Administrative Academic -Manufacturing Knowledge -Teaching quality: -Knowledge of quality control - Participation: -Research ability -Conduct of training activity: -Retrieval of information:

23. Pharmacy and Therapeutic committee Definition: PTC is defined as a policy framing and recommending body to the medical staff and the administration of hospital on matters related to the safe and rational use of drugs. Objective s Main objective are as follows, Advisory Education Safe and rational use of drugs

24. Organization and Primary Function Organization of PTC The organization of committee vary from hospital to hospital. however the following composition is generally followed Minimum of 3 physicians (9 from medical staff and one of them is appointed as chairmen of PTC) Pharmacist ( HOD Or Chief pharmacist) Nurse Administrator Primary function of PTC : Adverse drug reaction (ADR) monitoring Drug product defect reporting Emergency drug use Drug utilization report Safe and rational use of all drugs

25. Question bank: Define Hospital Pharmacy. Discuss any six objectives of hospital pharmacy. Write functions of Hospital Pharmacy. Write Technical abilities and administrative abilities for hospital pharmacist. Draw and describe flow chart of patients in Hospital. Write note on equipment in pharmacy . Enlist requirement of facilities for hospital pharmacy and describe any one. Draw layout for hospital pharmacy.

26. Mcq on hospital pharmacy: First hospital pharmacist is Jonathan Robert Hargovind Khorana M.L.Shroff Robert brown First committee was constituted for hospital pharmacy is PTC Hathi committee Hospital pharmacy committee Executive committee

27. Continue… Space requirement for compounding and dispensing laboratory of hospital pharmacy in 100 bed hospital 320 495 100 205 Requirement of pharmacist in 50 bed hospital is 3 5 1 6

28. Function of hospital pharmacy Procurement of drug Dispensing of drugs Both a and b None of above Hospital pharmacist should have Technical abilities Administrative abilities Academic abilities None of above