UNITI
HOSPITALPHARMACYANDITS
ORGANIZATION
by:
j. jayasutha
lecturer
department of pharmacy practice
Srm college of pharmacy
srm university
Definition
Hospital pharmacy is the department, service
or a domain in the hospital organization
managed under the direction of a
professionally competent, legally qualified
pharmacist.
Hospitalpharmacydealswith:
Supplyofdrug
Fillingofspecialprescriptions
Manufacturingofthedrugs
Storageanddispensingofnarcoticand
biologicalproducts
Supplyandstorageofancillaryproducts
Pharmaceuticalservices inahospitalcomprisesof
theservicesrenderedtothepatientthroughanumber
ofactivitieslike:
Dispensingofdrug
Managementofthestoreswhichinclude:
a)Purchaseofdrugsaspertherecommendationof
PharmacyandTherapyCommittee
b)Providinginstructionsforproperstorageofsuch
drugs
c)Maintenanceofproperrecordsofthedrugs
purchasedandtheredistribution
Manufactureanddistributionofmedicamentsandproducts
Providing the therapeutic drug monitoring services
Establishment and maintenance of Drug Information Centre
Patient counseling service
Maintaining liaison with medical staff, nursing staff and the
patients themselves
To maintain the nursing department and the central sterile
supply unit in the hospital
Participate in teaching programme of nursing and pharmacy
students
FUNCTIONSOFAHOSPITAL
PHARMACIST
Toprovideandevaluatepharmaceuticalservices
Todrawaplanforhospitalpharmacyadministration
Toestablishliaisonbetweenadministrativeauthoritiesand
medicalDoctors.
Toestimatetherequirementsforthedepartmentandenforce
thepoliciesandproceduresfortherecruitmentofadequate
andcompetentstaff
Todevelopandmaintainaneffectivesystemofclinicaland
administrativerecordsandreports
Toparticipateinandadheretothefinancialplanofthe
operationforthehospital
PATIENTS
HOSPITAL
ADMINISTRA
TION
HOSPITAL COMMITEES
HOSPITALS CLINICAL
STAFF
HOSPITALS
NURSING
STAFF
HOSPITALS OTHER
DEPARTMENTS
Boundaries and interactions of Hospital Pharmacy Department
Suggestedpatternofasetupof
HospitalPharmacy
The Director or Dean or Medical Superintendent
Director of Pharmaceutical Services
Pharmacy in charge
Dispensing and
distribution of
drugs
indoor
Manufacturing
outdoor
Quality control
Drug monitoring
Services and drug
information services
Medical records
and miscellaneous
duties
FUNCTIONSOFHEADOFTHE
DEPARTMENT
I.
A.
INPATIENTORINDOORPHARMACISTRESPONSIBILITIES:
CENTRALDISPENSINGAREA
*toensurethanalldrugsarestored,dispensedcorrectly
*tochecktheaccuracyofthedoseprepared
*tokeepproperrecordsandpreparationofbills
* tocoordinatetheoverallpharmaceuticalneedsofthepatientcare
*toensurethattheestablishedpoliciesandprocedureslaiddownare
followed.
*tomaintainprofessionalcompetence
*tocommunicatewithallpharmacystaffregardingnewdevelopments
* tocoordinatetheactivitiesofthearea
B.
Patientcareareas
Tomaintainliaisonbetweennurses
Reviewingofdrugadministrationineachpatient
ToprovideinstructionandassistancetojuniorPharmacist
Tocoordinateoverallpharmaceuticalservicesontherunningunitlevel
C.
Directpatientcareareas
Identificationofdrugsboughtintohospitalbythepatient
Obtainingallmedicationhistoryandcommunicatingallinformationt
theattendingPhysician
Toassistintheselectionofdrugproductsandtheiridentities
Tomonitorpatientstotaldrugtherapyfor:
1)effectiveness2)sideeffects3)toxicity4)allergicreactions5)drug
interaction
Patientcounseling
Participatingincardiopulmonaryemergencies
D.
II.
GENERALRESPONSIBILITIES
Toprovideinservicetrainingandinformationfor:
*thePharmacists
*thepharmacystudents
*nursesandnursingstudents
*Physiciansandmedicalstudents
Outdoorpharmacistresponsibilities
A.
CENTRALDISPENSINGAREA
thepharmacistensuresthat:
Propertechniquesareusedinextemporaneouscompounding
Providesforadequaterecordkeepingandbilling
Correctlymaintainingprescriptionfiles
Keeptheoutdoorpharmacyinaneatandtidymanner
B.
C.
PATIENTCAREAREA
Toperiodicallyinspectthemedicalareas
Toidentifydrugsboughtbypatienttoclinicandrecordthepatients
medicationhistory
Monitoringofdrugs
Tocouncilthepatientontheproperuseoftheirmedication
GENERALRESPONSIBILITIES
tocoordinateoverallneedsoftheoutdoorserviceareaand
exercisecontroloversuchdrugs
Toensurethatalldrugsarehandledproperlysuchas
storageofinvestigationaldrugs
Toparticipateincardiopulmonaryemergency
Toprovideforinserviceseducationandtrainingfor
pharmacists,pharmacyitems.
ThankYou
