Pharmacy Theraputic Committee (PTC)

PTC

1. PHARMACY &
THERAPEUTIC COMMITTEE
(PTC)
Agra Public Pharmacy College, Agra 1
By:-Dr. Manish Pal Singh,
Associate Professor

2. Introduction
➢The‘PharmacyandTherapeuticCommittee’(PTC)isagroupofpersonswhich
formulatepoliciesregardingtherapeuticuseofdrug.
➢Oneofthemethodsormodeofensuringtheproperrationalityintheuseof
drugsisthatthehospitalorganizeandconstitute,
“The Pharmacy and Therapeutic Committee”
Agra Public Pharmacy College, Agra 2
Source*-https%3A%2F%2Fwww.wellmark.com

3. Agra Public Pharmacy College, Agra 3
Advisory
Use of drugs in hospital
Educational
Professionalstafftraining
programme
Drug safety and adverse
drug monitoring
Objective of the PTC

4. Agra Public Pharmacy College, Agra 4
Composition of Medical Staff in PTC
Chairman
Representative
of Nursing Staff
PHARMACIST
3-Physicians

5. Agra Public Pharmacy College, Agra 5
PTC
Medical staff
Chairman
Co-chairperson
(Physicians)
Hospital
administrators
(Director)
Subcommittees
Pharmacist
Secretary
Nursing staff
Joint Secretary

6. Agra Public Pharmacy College, Agra 6
Sub-committee
•Neo-plastics
•Anti-infectives
Sub-committee
•CV drugs
•Diuretics
•Hypertensive's
•Vasodilators
•Spasmolytics
•Anticoagulants
Sub-committee
•GI drugs
•Autonomic
•Laxatives
•Endocrinology
•Agents
•Antidiabetic
•Hormones
•Thyroid ppns

7. Agra Public Pharmacy College, Agra 7
Functions of PTC:
1. This committee should meet regularly at least six times in the year and also as and when
necessary.
2.Advisingmedical,administrative,andpharmacydepartmentsondrugrelatedissues.
3. Developing drug policies and procedures.
4.Evaluatingandselectingdrugsfortheformularyandprovidingforitsperiodicrevision.
5. Managing adverse drug reactions.
6. Managing medication error.

8. Agra Public Pharmacy College, Agra 8
7. Criteria for inclusion of medicines on the formulary list (essential medicines list (EML))
8.Standardtreatmentguidelinesandtreatmentalgorithms,whichshouldbethebasisof
formularyselection
9. Generic substitution and therapeutic interchange
10. Information regarding new drugs which may have become commercially available.
11. Review of side effects, adverse drug reactions, toxic effects, drug interactions of drugs
12. Reports of various sub-committees.

9. PTC Role in Drug Safety:
➢Drugsafetyisthemoral,legalandprofessionalobligationofpharmacist.
➢Thereisaneedtocreatesafetyawarenessinallhospitaldepartments.
➢Followingguidelinesmaysubservethecommitteeinascertainingtheadequate
safetyfactorofhospitalpharmacy:
✓Thepharmacistshouldbeawareofnarcotic&psychotropicsubstances.
✓Thehospitalmustemployaqualified,atleast,aregisteredpharmacistwithatleastB.Pharma
degreeas‘ChiefPharmacist’.
✓Shouldnotpermitnon-pharmacistpersonneltodispensedrugsandalliedmaterials.
✓Mustprovideadequatesafe,workspace,andstoragefacilities.
✓Shouldhaveadrugformularywhichperiodicallyrevisedandkeptuptodate.
✓Thepoisonousmaterialsareseparatedfromnonpoisonousmaterialsinthepharmacy.
✓Notpermitnon-pharmacistpersonnel.
Agra Public Pharmacy College, Agra 9

10. PTC Role in ADR’S:
➢Thereisaproportionateincreaseinthedrugreactions.Inordertogainan
understandingoftheseproblemsandtoformulatecompetentopinions,
preventionandtreatment,thePTCmustassumetheresponsibilityforthe
developingandinstitutingaprocedureforthepurposeofcommittee.
Agra Public Pharmacy College, Agra 10
Source*-https%3A%2F%2Fwww.sciencedirect.com
Monitoring on ADR-
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▪Marktickintheappropriate
box
▪TypeorwriteinBLOCK
LETTERS

11. Agra Public Pharmacy College, Agra 11
Source*-https%3A%2F%2Fwww.researchgate.net%2Ffigure%2FADR-data-Program-Communications

12. ➢Everycaseofadversedrugreactionmustbefirstreportedbytheattending
physiciantothechairmanofthePTCorclinicalpharmacologist.
➢Theattendingphysicianshouldcompletethe‘AdverseDrugReactionReport
form’asillustratedabove,onanypatienthavingadversereaction.
➢Thesameisthenultimatelyrecordedinthemedicalrecords.
➢ThePTCinteractswiththevariousgovernmentbodieslike-DTAB(Drugs
TechnicalAdvisoryBoard),DCGI,AIIMS,PGI,Chandigarhforconsultation.
➢Themedicalrecordroomwill,uponthepatientsdischarge,removethisreport
fromthemedicalrecordandforwardittothechairman,whointurnperiodically
forwardessentialdatatothecentralcommitteeonAdverseReactionsformedby
theStateGovernmentorthedrugcontrolauthoritiesofthestate,Government
andtheDrugsControllerorconsultationswiththebodiesofexpertssuchas
DTAB.
Agra Public Pharmacy College, Agra 12

13. Role of PTC in Emergency Drug List :
➢Emergencydrugsalwaysreadyforsevereconditioninhospitaldepartment
admittedpatients.
➢ItisabsolutelynecessaryforthePTCofahospitaltogetpreparedboxes
containingemergencydrugswhichshouldbealwaysavailablereadilyforuseat
thebed-side.
➢Listofsuchdrugsandothersuppliesshouldbecompliedbythecommittee,and
itshouldfindtheirplaceinemergencykits.
➢Theemergencyboxesalwayscontainsdifferentemergencydrugslike-digoxin,
amphetamine,atropine,WOI,amylnitriteetc.
Agra Public Pharmacy College, Agra 13

14. Agra Public Pharmacy College, Agra 14
Tools in
Emergency
Box
Airway
equipment&
Rylestube
Syringes of
various
range
Files for
breaking the
ampoule

15. Automatic Stop Order for Dangerous Drugs:
✓AllDrugOrdersfornarcotics,sedatives,hypnoticanticoagulants,and
antibioticsshallbeautomaticallydiscontinuedafter48hoursunlesstheorder
indicatesanexactnumberofdosestobeadministered,ortheattending
physician,re-ordersthemedication.
✓Allordersfornarcotics,sedativeandhypnoticsmustberewrittenevery24
hours.
✓InIndia,atpresent,thiskindofsystemofissuing“ASODD”isnotpracticed
exceptforhospitalslikeChristianMedicalHospitalVelloreorJaslokHospital,
MumbaiEscortgroup,MayoHospitaletc.
Agra Public Pharmacy College, Agra 15