ROLE OF PHARMACIST.ppt

IV PHARM D

1. THE ROLE OF THE HOSPITAL PHARMACY
AND ITS RELATIONSHIP TO OTHER HOSPITAL
DEPARTMENTS
Ravindra B N
Assistant Professor
SACCP

2. Hospital Pharmacy : -
Definition:
Hospitalpharmacyisthedepartment,serviceora
domaininthehospitalorganizationmanagedunderthe
directionofaprofessionallycompetent,legally
qualifiedpharmacist.
Hospitalpharmacistisresponsibleforthefollowing:
1.Dispensingofdrugsandmedicinesasperthe
prescriptionsofthemedicalstafforthehospitalfor
outpatientsandinpatients.

3. 2)Managementofthestoreswhichinclude:
Purchaseofdrugsandmedicinesandotheralliedstoresas
pertherecommendationsofthepharmacyandtherapeutics
committee(PTC).
Providinginstructionsforproperstorageofsuchdrugsand
medicines.
Maintenanceofproperrecordsofthedrugspurchasedand
thedistributionthereof.
Storageanddispensingofnarcoticandbiologicalproducts.
Supplyandstorageofancillaryproductsandarticles
requiredinthehospital.

4. 3) Manufacture and distribution of medicaments and products
such as transfusion fluids, tablets, capsules, ointments, stock
mixtures as per the hospitals formulary.
4) Providing therapeutic drug monitoring services by studying
effects of various drugs administered to the inpatients.
5) Establishment and maintenance of drug information centre.
6) Patient counseling service while supplying drugs especially
from the out-patient department.
7) Maintaining liasion with the medical staff , nursing staff and
the patients themselves.
8) To maintain the nursing department and the central sterile
supply unit in the hospital.
9) Participate in the teaching programmers of nursing and the
pharmacy students.

5. SET UP OF HOSPITAL PHARMACY:-
PATIENTS CLINICAL STAFF
HOSPITAL
ADMINISTRATION NURSING STAFF
HOSPITAL OTHER
COMMITTEES DEPARTMENTS
The Hospital pharmacy department have the interaction and
provides services to the above mentioned other all departments
of a hospital.
DEPARMENT
OF
PHARMACY

6. (1) INPATIENT (or)INDOOR PHARMACIST
RESPONSIBILITIES:-
a)CENTRAL DISPENSING AREA :-
•To ensure that all drugs are stored, dispensed correctly.
•To check the accuracy of the dosages prepared especially of
intravenous admixtures and unit doses.
•To keep proper records and preparation of bills. He has also to
maintain record of all reports on drug used and/or issued from his
section.
•To coordinate the overall pharmaceutical needs of the “patient
care’’ areas with the centrally dispensing areas.
•To ensure that the established policies and procedures laid down are
followed.
•To communicate with all pharmacy staff regarding new developments
in the area and assists in evaluations of employees of his section.
•To coordinate the activities of the area with the available staff to make
the best possible use of the personnel and the resources.

7. b) Patient Care Areas(wards, operation theatres &
other departments) : -
•To maintain a liasion with nurses who are involved in the drugs
administration to the patients. Also communicates with nurses and
physicians concerning medication administration problems and
periodically inspects the medication area in the nursing units to
make sure that adequate levels of supplies are maintained.
•Reviewing of drug administration in each patient periodically to
ensure that all doses are being administered and charted
accordingly. He reviews all doses missed, re-schedules the doses as
and when necessary and signs all drugs not given notices.
•To provide instruction and assistance to the junior pharmacists as
needed in dealing with difficult patients and new procedures.
•To coordinate the overall pharmaceutical services on the running
unit level

8. c) Direct patient care areas: -
•Identification of drugs brought in to hospitals by the patients.
•Obtaining patients medication history and communicating all the
information to the attending physicians.
•To assist in the selection of drug products and their identities.
•To monitor patient drug therapy for
1.Effectiveness
2.Sideeffects
3.Toxicities
4.Allergic drug reactions
5.Drug interactions etc.

9. Counseling patients on: -
Medications which are to be self administered in the hospital.
Regarding the use of discharge medicines.
Participating in cardiopulmonary emergencies by
1. Procurement and/or preparation of drugs needed.
2.Charting all medications given.
3.performing cardio-pulmonary resuscitation if necessary.
d) General responsibilities:
Pharmacist is expected to provide in service and education for :
The Pharmacists , Pharmacy students, Nurses, Nursing students,
Physicians and Medical students

10. (2).OUTDOOR PHARMACISTS
RESPONSIBILITIES: -
a)The Central Dispensing Area:-
The pharmacist ensure that
proper techniques are used in extemporaneous compounding .
provides for adequate record keeping and billing in respect of
patient medication particulars, records of investigational drugs ,
records of out patient bills for the charges of services and material
, furnished by the department.
Correctly maintaining the prescription files.
Keeps the outdoor pharmacy in a neat and tidy manner.

11. b) Patient Care Area:-
To periodically inspect the medication areas on the nursing unit
and to make sure that they are always adequately supplied with
other articles required.
To identify drugs brought in to the clinic by the patient and record
the patients medication history.
Monitoring of drugs as explained earlier.
To counsel the patients on the proper use of their medication and
prepare the medication for the intravenous administration

12. C) General Responsibilities: -
•Toco-ordinateoverallpharmaceuticalneeds,oftheoutdoorservice
areaandexerciseadequatecontroloversuchdrugs.
•Toensurethatalldrugsarehandledproperlysuchasstorageof
investigationaldrugs.
•Toparticipateincardiopulmonaryemergencies.
•Toprovideforinserviceeducationandtrainingforthe
pharmacists,pharmacyitemsi.e.thepharmacystudentssentfor
practicaltrainingasapartofdiplomaordegreecourses,nurses.

13. References:
1)Basics of Hospital and Clinical
Pharmacy;Dr.R.K.Goyal;
Page. No:-18-26.
2)A Text Book of Hospital Pharmacy, Merchants
&Qadry’s
Page No:20-27

14. THANK YOU