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HOSPITAL PHARMACY DR. J. DOMENECH.
HOSPITAL PHARMACY Hospital pharmacy course: It is a specialized field of pharmacy which forms an integrated part of patient health care in a health facility. Hospital pharmacy and hospital pharmacist: Hospital pharmacy is the health care service, which comprises the art, practice, and profession of : i. Choosing, Prparing, Compounding, Dispensing medicines and medical devices, ii. Advising healthcare professionals and patients on their safe, and efficient use.
The missions of the hospital pharmacist It is the profession that strives to continuously maintain and improve the medication management and pharmaceutical care of patients to the highest standards in a hospital setting. To be part of the medication management in hospitals, which encompasses the entire way in which medicines are selected, procured, delivered, prescribed, administered and reviewed to optimize the contribution that medicines make to producing informed and desired outcomes To enhance the safety and quality of all medicine related processes affecting patients of the hospital To ensure the 7 “rights” are respected: right patient, right dose, right route, right time, right drug with the right information and
Contents of hospital pharmacy course : The contents of the hospital pharmacy course arbitrarily divided into two areas Area Services 1 - Institutional Pharmacy: 1 Dispensing, This part concerned with the rules, regulation and policies governing: 2 Selection and purchase of medicines. 3 Storage and record keeping (inventories) 4 Distribution Medication system 5 The management of pharmacy staff in the hospital. 6 Committees in the hospitals
Contents of hospital pharmacy course : Area 1 I- Technical Pharmacy: Services 1 Extemporaneous Compounding Techniques, guidelines and 2 Injectable preparations: LVP, TPN, regulations used in intended for intravenous use and compounding: those sterile large volume solutions used for irrigation, surgery or for dialysis. 3 Veterinary, Radio-Pharmaceutical, Ambulatory Compounding (specialized hospitals)
Part One Institutional, Organizational Structure Medication system Management& Controlling of : Organizational Structure Distribution System Drug
Organizational Structure of a Hospital Section I Every hospital, large or small, has an organizational structure that allows for the efficient management of departments. Traditional Organizational Chart-1
COMPOSITION OF DEPARTMENT OF HOSPITAL PHARMACY IN A LARGE HOSPITAL (USA) In Large hospitals, departments of pharmacy have a more divisions. The following are some of the responsibilities of each division of the department of Hospital Pharmacy in a large hospital:
Common organizational categories might include USA: 1. Administration Services 2. Informational Services 3. Therapeutic Services 4. Diagnostic Services 5. Support Services
Grouping of Hospital Departments all over the world includind UAE depends on: UAE A. Each hospital department performs specific functions and shares similarity of duties. B. Aim: to promote efficiency of the healthcare facility. (unity) C. Board: Hospital President, Vice Presidents, Executive Assistants, Department Heads (one policy)
Figure 2 -Departmental Activity chart of a Hospital Pharmacy- USA PHARMACY Dispensing • Out-patient • In-patient • Surgical + laboratory supplies • Ward or Floor stock • Alcohol • Narcotics Teaching Manufacturing Purchasing & Reports Inventory control Research • Bulk • LVP • SVP • Misc. Control
Figure-3 Departmental Organization of Pharmacy in –USA-small Hospital Associate Director Pharmacist-In-Chief Assistant Pharmacist-In-Chief Pharmacy Residents Secretary Clerk Out-Patient Dispensing Supervisor Manufacturing & Control Supervisor In-patient Dispensin g Supervisor
Figure-3 Departmental Organization of Pharmacy in –DUBIA small Hospital Manager Director (DR. Ali Pharmacist-In-Chief Assistant Pharmacist-In-Chief Pharmacists Out-Patient Sterile TPN In-patient
USA Director of Pharmacy Associate Director of Pharmacy Administrative Services Division Research Pharmacist Pharmaceutical Research Divisions Pharmacist Specialist Radiopharmaceuti cal Division Pharmacist Specialist Drug Information Education & Training Division Unit Dose Dispensing Assistant Director of Pharmacy • Assay & QC Dept • Sterile Product Division • Central Supply Division Assistant Director of Pharmacy • In-Patient Services Assistant Director of Pharmacy • Departmental Services • Out-Patient Services • Purchase & Inventory Control • IV Admixture Division • Manufacturing & Packaging
Administrative Services Division in Pharmacy s (Functions) Plan and coordinate departmental activities (out and in-patients &TPN) Develop policies (e. g narcotics records can be kept for 1 -3 years) Schedule personnel and provide supervision (rotation & holidays) Coordinate administrative needs of the Pharmacy & Therapeutics Committee ( selection of drug essential list for each hospital department according to needs) Supervise departmental office staff ( lab. Boy, technicians & clerks)
1 -Education Training Division Participate in hospital wide education programs involving nurses, doctors etc. Train newly employed pharmacy department personnel. 16
2 -Pharmaceutical Research Division Cooperate with the medical research staff of projects involving drugs ( if present!! May be in case of clinical pharmacist) 3. In-patient Services Division Provide medications for all in-patients of the hospital on a 24 -hour per day basis (rotation system) Cooperate with the medical drug research (( if present!! May be in case of clinical pharmacist))
4. Out-Patient Services Division Dispense out-patient prescriptions Maintain prescription records. Provide drug consultation services to staff and medical students. 5. Drug Information Services Division Provide drug information on drugs and drug therapy to health professional staff. Participate in the hospital’s pharmacy newsletter (if present) Maintain literature files. 18
6. Departmental Services Division Coordinate and control all drug delivery and distribution systems (Unit Dose to inpatients) 7. Purchasing and Inventory Control Division Maintain drug inventory control (input and output control) Purchase all drugs (record) Receive, store and distribute drugs (record) 19
8. Central Supply Services Division Develop and coordinate distribution of medical supplies and irrigating fluids. 9. Assay and Quality Control Division Not present (UAE) 10. Manufacturing and Packaging Division Maintain a unit dose program.
11. Sterile Products Division Manufacture sterile ophthalmic, irrigating solutions etc. LVP, IV admixtures, TPN. 12. Radiopharmaceutical Services Division Centralize the procurement, storage and dispensing of radioisotopes used in clinical practice. ( It is in Twam hospital) 13. Intravenous Admixture Division Included in the sterile product division
The director of pharmacy service shall be responsible for: Monitoring all the previous processes mentioned in the functions.
Typical work activities/Responsibilities of Clinical Pharmacist activities include: Clinical Pharmacy Course ( DR. Ali & Dr. Doa)