Pharmacy & Therapeutics Committee.ppt

Unit III: 10 Hours
a) Pharmacy and therapeutic committee
Organization, functions, Policies of the pharmacy and therapeutic committee in including drugs into formulary
Inpatient and outpatient prescription, automatic stop order, and emergency drug list preparation.

1. Pharmacy and
Therapeutic Committee
(PTC)
Ravinandan A P
Assistant Professor
Sree Siddaganga College of Pharmacy
Tumkur

2. Presentation outlines
1.Definition
2.Organization
3.Functions
4.Policies of the PTC in including drugs
into formulary, inpatient and outpatient
prescription, automatic stop order, and
emergency drug list preparation.

3. Definition
PharmacyandTherapeuticscommittee
isanadvisorybodyandliaisesbetween
themedicalstaffandpharmacy
departmentonallmatterspertainingto
theuseofdrugsinthehospitalwitha
primaryobjectiveofrationaldruguse.

4. Objectives
1.Advisory
2.Educational
3.Monitoring drug safety

5. Composition
3Physicians-oneamongthemistheChairman
1-2Pharmacist–ActasaSecretary
Hospitaladministrator–ActasaEx-officio
member
Nursingsuperintendent
OtherinviteeslikeLegalAdvisor&Social
Activist

6. Operation
Pharmacy&TherapeuticsCommittee
shouldbecomposedofminimumof
threephysicians,apharmacist,
administrator,nursingsuperintendent.
OneofthephysiciansactasChairman
andPharmacistasMemberSecretary.
Thehospitaladministratorwillactas
ex-officiomemberofthecommittee.

7. Thecommitteeshouldmeetatleastsixtimesayearand
alsowhenevernecessary.
Thecommitteecaninviteexpertsfromotherhospitalsfor
itsmeetingsforexpertcomments,skillsandjudgments.
Thesecretaryshouldprepareanagendaforitsmeeting
andshouldcirculatewellinadvancetoallthemembers
andidentifiedinvitees.
Afterthemeeting,minutesofmeetingshouldbesentto
allitsmembersandthesameshouldbedocumentedin
thehospitalrecords.

8. Recommendationsofthecommitteeshallbe
presentedtothemedicalstafforitsappropriate
committeeforadoptionorrecommendation
PTCshouldmaintaintheliaisonwithotherhospital
committeessuchasinfectioncontrolcommitteeand
medicalauditcommittee.

9. Functions
PTCservesasanadvisorybodytomedicalstaffand
hospitaladministratorspertainingtotheuseofdrugs
includinginvestigationaldrugs.
PTCplaysanimportantroleinthedevelopmentof
Formulary,selectionofdrugsforhospitaluse.
PTCdevelopssuitableeducationalprogramstothe
hospitalstaffpertainingtodruguse
PTCstudytheproblemsrelatedtothedistributionand
administrationofmedications,includingmedication
incidents.

10. Reviewsadversedrugreactionsoccurinthehospital.
Initiatesordirectsdrugusereviewprogramsand
studiesandreviewtheresultsofsuchactivities.
Advisesthepharmacyintheimplementationofeffective
drugdistributionandcontrolprocedures.
Makerecommendationsconcerningdrugstobe
stockedinhospitalpatientcarearea.

11. Policies of the committee
Inclusionofadrugintheformularyinvariouscategories
suchas
Formularydrug
Approvedforconditionaltrialperiod
Specializedformularydrug
Investigationaldrug
NonFormularydrug
Pre–signingoftheprescriptionordersiscompletely
prohibited.

12. PTCmayauthorizepharmacydepartmentto
dispensedrugsbygenericname.
PTCmaygovernthemovementofmedical
representativesactivitieswithinthehospital
Ifanydrugrecallsarethere,suchcategorydrugs
shouldberemovedfromthepharmacyandshould
bekeptinquarantinebeforetheyaredispatchedto
theconcerned.

13. Allprescriptionsshouldbelegitimatelywritten
consistingof
1.Patientdemographicdetails
2.Nameofthenursingunit
3.Name&Strengthofeachdrug
4.Directionsforfrequencyofadministration
5.Routeofadministration
6.Prescriber’sSignature&Date

14. IntraVenousordersmustbewritteninthesameway
withthefollowinginformation
Theexactquantityofthedrugtobeadded
Volume&Nameoftheinfusionsolution
DirectionsforIVadministration
Directionsforcontinuationanddiscontinuationofthe
drug.

15. Guidelinesforthepreparationanddispensingof
TotalParenteralNutrition
Guidelinesfortheselfmedicationdruglistand
quantityatthepatientbedside.
Requirementsforautomaticstoporders.
Guidelinesforprescribingcontroldrugsubstances
Guidelinesfordischargeprescriptions
Outpatientprescribing.

16. Role of PTC in drug safety
Tomonitorthedrugsafety
Pharmacyshouldbemannedwithaqualified
registeredpharmacy
Pharmacytechniciansareonlypermittedtodispense
thedrugs
Pharmacyshouldhaveasafeworkplace,safeplace
forstockingthedrugs.
Hospitalshouldhaveautomaticstoporderpolicy
Hospitalshouldhavefirmformulary
Adequatestoragefacilitiesforpoisonousdrugs

17. Separatestoragefacilitiesforexternaluse
preparations
Thechiefpharmacistmaybepermittedtoengagein
teachingthenursingandresidentstaff.
Pharmacyshouldhaveareferencelibrary.

18. Role of PTC in Adverse Drug reaction program
AvailabilityofADRformsineveryward.
AllreportedADReventsshouldbereviewed
periodicallyanddocumentedsuitably.
Anawarenesscampaignshouldbeconducted
periodicallytoupdatetheknowledge
PTCisresponsibleforthepreparationofemergency
boxlist.
PTCmonitorsdrugutilizationreviewinthehospital
byreviewingthepatientmedicationprofileforms.

19. Agenda of the meeting
Minutesofthepreviousmeeting
Reviewofaspecifiedsectionoftheformularyforup
datinganddeletionofproducts
Newdrugswhichhavebecomecommercially
available
Investigationaluseofdrugscurrentlyinuseinthe
hospital
Reviewofadversedrugreactionsreportedinthe
hospitalsincelastmeeting
Drugsafetyinthehospital