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The first hospital pharmacy section for 4th year credit hour pharmacy students- Tanta University Presented by Dr: Eman El-Khateeb clinical pharmacy demonstrator
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Hospital PharmacyPractical Notes
DefinitionHospital 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 pharmacistUses 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.
Chapter 11 Topics
-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 prescriptionPatient information Mr. ABC
Genderage
address Tel No Disease
Date 5.7.2009
Name and dosage form of the product Amaryl Tablets
Product Strength1 mg
Quantity to be dispensed 60 tablets
Directions for the pharmacist Label
Directions for the patientOne tablet just before breakfast with plenty of water
Refill information To be repeated
Prescriber informationDr Mina Kamal12th Ramses StreetTel No 000000
Mobile No 00000000
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