Pharmacy services

1. Pharmacy services -Drug & medical supplies 1 Presented by, Lakshmi Priya.R Rani.T

2. contents Aspects of Hospital Services Introduction Necessity Pharmacy Services Functions Pharmacist Maintenance Information & Report Conclusion References 2

3. ASPECTS OF HOSPITAL SERVICES LINE SERVICES AUXILIARY SERVICES SUPPORTIVE /STAFF SERVICES 3

4. 4 LINE SERVICES: - Emergency Services - Out-patient Services - In-patient Services (Wards) - Intensive Care Unit(ICU) - Operation Theatre(OT) SUPPORTIVE SERVICES: - CSSD - Diet Management - Pharmacy Services - Laundry - Laboratory - Radiology - Nursing Services

5. AUXILIARY SERVICES: - Registration and Indoor case records - Stores - Transport - Mortuary - Dietary Services - Engineering and Maintenance services - Hospital Security 5

6. Introduction to Pharmacy Services Pharmacy are premises licensed for retail sale or supply of drugs to the hospital, which have qualified licensed persons and indulged in compounding of drugs. The Hospital Pharmacy purchases and dispenses all the medications used to treat the patients in the hospital. Approximately 20% of the hospital costs are accounted by medicines &pharmaceutical supplies. The pharmacist works directly with the medical staff in establishing a formulary, the listing of drugs chosen to be included in the pharmacy. 6

7. Necessity of Pharmacy Services Availability of the right drug at the required place at the time of need is the key to the Hospitals existence. Efficiency in Pharmacy would help to ensure effective treatment programmes. Delays can be disastrous; non-availability can be horrifying in terms of mortality and morbidity. 7

8. Pharmacy Services PHARMACY SERVICES PHARMACY SERVICES TYPES OF PHARMACY PHYSICAL PLANNING STAFF ORGANISING INDENTING STORAGE DISTRIBUTION FUNCTIONS 8

9. Types of Pharmacies COMMUNITY PHARMACY VETERINARY PHARMACY CLINICAL PHARMACY HOSPITAL PHARMACY INTERNET PHARMACY COMPUNDING PHARMACY NUCLEAR PHARMACY 9

10. Physical Planning LOCATION SIZE STORAGE AREA PREPARATION AREA PRESCRIPTION AREA FINISHING 10

11. Staffing There should be a Drug and Therapeutic Committee for advise and decision making. A chief pharmacist in hospital with more than 200 beds. 2 pharmacists for 100 bedded hospital. 3 pharmacists for 200 bedded hospital. 7 pharmacists for 500 bedded and more. 11

12. Drug & Therapeutic Committee Advisory & Decision making committee, necessary for efficient functioning of Pharmacy services. Consists of medical & nursing staff(users), Chief Pharmacist & the administrator(providers). Purpose: - To prepare Hospital Formulary - Selection of Manufacturers and suppliers - Choice of drugs to be added or deleted - Framing of overall policy for services - Considering preliminary budget 12

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14. Functions of Pharmacy Services Provisioning , purchasing, storing and distributing drugs, medicinal preparations, pharmaceutical and chemical sundry items. Ensuring potency and quality of drugs during their storage in the hospital. Dispensing prescriptions to in-patients &out-patients. Maintaining information regarding quality, cost and sources of supply of all drugs. To investigate pharmaceutical problems arising in the medications. To keep a watch on the adherence by all concerned to hospital formulary. 14

15. Pharmacist A properly organized Pharmacy department should be under the direction of a professionally competent and qualified pharmacist. Pharmacists: Health care professionals who practice in pharmacy, the field of health sciences focusing on safe and effective medication use. Responsibilities: - Advice to patients & customers. - Supply of medicines. - Maintenance of approved stock of antidotes & other emergency drugs. - Inspection of all supplies at user points. - Preparing periodic reports and returns on the utilization of pharmacy services. 15

16. WWHAM Protocol W ho is the medicine for? W hat are the symptoms? H ow long have you had the symptoms? A ction taken? M edication-other conditions? 16

17. India pharmaceutical Association It is the premier professional pharmacists association in India. Over 10,000 member & 33 local branches. Aim- setting of Hospital Pharmacy in each hospital. It has been working towards constantly upgrading the standards of professional services offered by the pharmacists. 17 INTERNATIONAL PHARMACEUTICAL FEDERATION

18. Maintenance Drugs and Therapeutics Committee Hospital Formulary Inventory Management: - Purchase - Size of inventory - Turnover - Storage facility & stock location system - Emergency drugs Quality & Drug Information Centre Charges for drugs 18

19. Information & Reporting Total no. and value of items dispensed for out-patients and in patients. Frequency of emergency demands from wards. No. of out-patients prescriptions. Volume of drugs dispensed through Pharmacy. 19

20. Conclusion The hospital Pharmacy is indispensible in the treatment of patients. Each large hospital will need a pharmacy, with a well-qualified pharmacist in charge. It is advantageous in efficient operations of the Hospital. “The Pharmacy, despite its apparent autonomy, must not lose sight of its role as team player in Hospital planning.”- quoted by Benjamin and Kemppainess. 20

21. References “Hospital Administration and Management: Theory and Practice.” by R.Kumar and S.L.Goel. http://www.spherehandbook.org/en/health-systems-standard-3-drugs-and-medical-supplies/ http://www.slideshare.net/Faseela/hospital-administration http://www.slideshare.net/akareem2/bm-sakharkar-principles-of-hospital-administration-and-planning-2nd-edition http://www.youtube.com/watch?v=M0awbCil8LY http:// www.ipapharma.org/HospitalPharmadivisions.aspx http://www.slideshare.net/NcDas/hospital-pharmacy-8384928 21

22. QUERIES? 22