Pacific Logistics

Medical Logistics

Pacific Logistics

Definition

Principles

Administration

Transport

Storage (cold chain)

Distribution

Excercise

Session Objectives

Pacific Logistics

Medical logistics is the logistics of pharmaceuticals, medical and surgical supplies, medical devices and equipment, and other products needed to support doctors, nurses, and other health and dental care providers because its final customers are responsible for the lives and health of their patients, medical logistics is unique in that it seeks to optimize effectiveness rather than efficiency.

Definition

Pacific Logistics

Do no harm;

Adherence to recognised standards ;

Quality is essential - no local purchase unless certified by pharmaceutical professional;

Only medical professionals can order supplies;

Cold chain – people and the equipment;

Security

Principles

Pacific Logistics

Needs assessment

Ordering

Procurement

Transport

Storage

Distribution

Supply Chain

Pacific Logistics

Done by medical people, logisticians and other technical people = multi-sectoral;

Logistics looks into the local availability and quality of medical supplies; transport lines; storage options; cold chain; customs procedures; distribution methods/modalities.

Medical organisations are quick in providing basic medical assistance in emergencies – 48-72 hours (IEHK);

Supply Chain Procedures

Pacific Logistics

Medical personnel in charge of ordering

Logistics personnel to provide accurate figures on stock levels;

Logistics triggers minimum level ordering;

Logistics to ensure regular ordering, avoid emergency orders;

Logistics to ensure correct labeling and terminology requested

Logistics personnel in charge of procurement

Project , capital , international

Most drugs are ordered through big pharmas for the quality control;

Donations of drugs are not advised;

Order tracking and tracing

Ordering & Procurement

Pacific Logistics

Common international denomination (cid or generic name); Lot (batch) number; Pharmaceutical form and strength; Manufacturers name; Quantities by bottles; Packing condition; Expiry date; Must be in local languages (script)

Minimum Label Information

Pacific Logistics

• TYPE

•Air- for emergencies, expensive/fast •Road – for normal operations, optimal/medium to fast •Sea – for large quantities, cheap/slow •Railroad – for large quantities, cheap/slow

•CUSTOMS ARRANGEMENTS

•COLD CHAIN

Transport

Pacific Logistics

To maintain permanent stock of drugs and essential products of quality; To reduce costs; To save time and optimize work of staff; To facilitate management verification and continuous evaluation of consumable products; Area for immediate distribution/ pharmacy; Area for non-priority distribution; Storing area (bulk supplies);

Storage

Pacific Logistics

HUMIDITY

Fungus and bacteria; Hastens chemical reactions; Tablets may soften up;

TEMPERATURE • Vaccines & some other drugs require cold chain (refrigerators, ice boxes); Registry & control of temperatures (responsible person, thermometers); Loss of strength, degeneration into toxic product; Follow directions on label. ; Avoid extreme temperatures; Ambient temperature: 15-30oc Refrigeration temperature: 2-8oc Freezing temperature: 0 - -15oc

LIGHT – KEEP DRUGS OUT OF DIRECT SUNLIGHT

Storage, Environmental Factors

Pacific Logistics

• Maintain stock levels; • Do not allow stock at zero for needed products; • Shelf life control (fifo, fefo); • Expiry dates; • Spoiling signs;

• Turbidity on liquid solutions;

• Colour changing; • Bubbles in liquids; • Swollen bottles (plastic).

Storage, Control & Monitoring

Pacific Logistics

Space/volume (1m3 storage = 3m2 floor space);

Security (doors, locks, windows, ceilings);

Separate areas for dispensing and warehousing;

Proper ventilation;

Insulation;

Concrete construction with concrete floors;

Cold countries – cold chain needs to be maintained just the same;

Shelves (metal, no wood);

Receiving area/distribution area;

OHS issues for staff;

Stock control (stock cards & other paperwork);

DG’s, Restricted drugs, etc

Storage, Layout

Pacific Logistics

• Delivered to the health provider not directly to the population; • According to request and existing stock; • Remember cold chain; • Close coordination among organisations and institutions that receives these supplies and the MOH; •Logistics responsibility stops at the point of delivery.

Distribution

Pacific Logistics

BUILD A PHARMACY

Type of drugs;

Fifo / fefo

Packaging;

Controlled substances;

Cold chain;

Expired drugs;

Access & security;

Work area;

Paperwork.

Exercise

Pacific Logistics

Questions