Hospital practice1

Hospital PharmacyPractical Notes

Definition

Hospital pharmacy is the department in the hospital organization which involves the practice, and profession of choosing, compounding, storing, preparing, and dispensing medicines with advising healthcare professionals and patients on their safe, effective and efficient use of medications.

Hospital Pharmacy

Role of hospital pharmacist

Uses his specialist knowledge to:

1 -Review and monitor prescriptions

2- Drug dispensing for both in and out-patients

3-Counsels and educates the patients for the proper use of drugs

Chapter 11 Topics

4. Attends ward rounds with doctors to select and manage the pharmacotherapy of patients.

5.monitor, review and evaluate drug effectiveness.

6. Provides patients, HCT and the public with drug information (DIC).

Role of hospital pharmacist

Chapter 11 Topics

7. Compounds of medicinal products, cytotoxic drugs, injectable antibiotics, nutritional infusions, etc

8- Pharmacy and Therapeutic Committee and Hospital Formulary

9. Ensures medicinal products are proper storage to guarantee potency.

Role of hospital pharmacist

Monitor prescription

Counsel patient

Drug dispense

Ward Pharmacy

7Unit dose pharmacy

ward rounds

monitor, review and evaluate drug effectiveness 8

DIC

Injectable antibiotic

Cytotoxic drugs

Nutritional infusions

Compounding drugs

PTC

Proper Storage

Egyptian hospital pharmacy

-Dar Al Fouad Hospital

the difference between hospital and Clinical pharmacist

Clinical Pharmacy is a health specialty, which describes the activities and services that promote the rational and appropriate use of medicinal products for patients in hospitals, community pharmacies, home-based care services, clinics and any other setting

- Specific to Hospital Pharmacy: buying and compounding, dispensing, and storing medicinal products (is it totally outside clinical pharmacy)

- Specific to Clinical Pharmacy: outside the hospital setting (ex: public DIC)

the difference between hospital and Clinical pharmacist

the difference between hospital and Clinical pharmacist

Hospital clinical

The obstacles against hospital pharmacy practice

1-Medical profession fails to realize that a modern pharmacist is participating in providing modern pharmaceutical services.

2-The financial benefits as hospital pharmacist are very much inadequate to attract young pharmacy graduates to adopt hospital pharmacy as their carrier of choice.

3-The lack of interest of the pharmacy student. He generally thinks that pharmacist is the person only to dispense drugs to the doctor’s prescriptions.

The obstacles against hospital pharmacy practice

Hospital pharmacists

Technicians

Workers

Chief pharmacist Deputy chief pharmacist

16

the structure of hospital pharmacy team

The facilities required for inpatient hospital pharmacy

-Pharmacy comprises the required (type and number) medications .

-Bulk storage area comprising a stock of the required (type and number) medications .

-Unit dose area

-Clinical service Unit.

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-Aseptic service Unit .

-Clinical pharmacokinetics Lab (therapeutic drug monitoring (TDM) .

-Drug information center DIC .

The facilities required for inpatient hospital pharmacy

Pharmacy

Bulk storage area

The facilities required for inpatient hospital pharmacy

Unit dose area

Clinical service Unit

TDM

Clinical pharmacokinetics Lab

Aseptic service

The facilities required for inpatient hospital pharmacy

DIC

the minimum standards for out-patients pharmaceutical services

1-a qualified pharmacist.

2. The appropriateness of the choice of drug and its dosage, route of administration, and amount must be verified by the pharmacist.

3. All medications dispensed to patients will be completely and correctly labeled and packaged in accordance with standards of practice.

4. ensure that the patient or his representative receives and understands all information required for proper use of the drug.

Dispensing procedures for both out-patient hospital pharmacy and community pharmacy

The dispensing pattern for out patients is identicalwith that carried on by a community pharmacy.

In both instances, a prescription is written by the physician and the patient takes it to the pharmacy where it is compounded by a pharmacist. Once in the hands of the pharmacist, the prescription and label are numbered by a numbering machine; the directions and other pertinent information are placed on the label and the proper medication is then placed in the container and given to patients

Out-patient hospital pharmacyCommunity pharmacy

the basic information for out-patients prescription

Mr. ABCGenderageaddress Tel No Disease

Patient information

5.7.2009Date

Amaryl TabletsName and dosage form of the product

1 mgProduct Strength

60 tabletsQuantity to be dispensed

LabelDirections for the pharmacist

One tablet just before breakfast with plenty ofwater

Directions for the patient

To be repeatedRefill information

Dr Mina Kamal12th Ramses StreetTel No 000000

Mobile No 00000000

Prescriber information

the structure of pharmacy and therapeutic committee

Chairman

(Physician

Or Medical Director)

Medicine Surgery Ob&gyn Pedia

Secretary

(Pharmacist)

Admin.

member

Chief

Nurse

1. To select the most cost-effective drugs.2. To monitor the pharmacy management system.3. To design and update drug formulary.4. To ensure unbiased clinical perspective in drug

evaluations.

The role of pharmacy and therapeutic committee

The different steps for out-patients dispensing process?

• focusing on patient care will be increased in the coming years

•In the near future, the development of genomic and proteomic medicines will imply more and more tailored made treatments requiring specific clinical pharmacy skills.

•the weight of basic pharmacy tasks will be increased.

The future of hospital pharmacy