GUJARAT TECHNOLOGICAL UNIVERSITY

Bachelor of Pharmacy
Subject Code: BP703TT
SEMESTER: VII
Subject Name: Pharmacy Practice

Scope: In the changing scenario of pharmacy practice in India, for successful practice of Hospital
Pharmacy, the students are required to learn various skills like drug distribution, drug information, and
therapeutic drug monitoring for improved patient care. In community pharmacy, students will be
learning various skills such as dispensing of drugs, responding to minor ailments by providing suitable
safe medication, patient counselling for improved patient care in the community set up.

Objectives: Upon completion of the course the student shall be able to

1. know various drug distribution methods in a hospital
2. appreciate the pharmacy stores management and inventory control
3. monitor drug therapy of patient through medication chart review and clinical review
4. obtain medication history interview and counsel the patients
5. identify drug related problems
6. detect and assess adverse drug reactions
7. interpret selected laboratory results (as monitoring parameters in therapeutics) of specific
disease states
8. know pharmaceutical care services
9. do patient counseling in community pharmacy;
10. appreciate the concept of Rational drug therapy

Teaching scheme and examination scheme:

Teaching Scheme Evaluation Scheme

Theory Tutorial Practical Total Theory Practical
External Internal External Internal
3 1 0 4 80 20 0 0

Sr No Topics %
weightage
1. a) Hospital and it’s organization 10
Definition, Classification of hospital- Primary, Secondary and Tertiary
hospitals, Classification based on clinical and non- clinical basis, Organization
Structure of a Hospital, and Medical staffs involved in the hospital and their
functions.
b) Hospital pharmacy and its organization
Definition, functions of hospital pharmacy, Organization structure, Location,
Layout and staff requirements, and Responsibilities and functions of hospital
pharmacists.
c) Adverse drug reaction
Classifications - Excessive pharmacological effects, secondary pharmacological
effects, idiosyncrasy, allergic drug reactions, genetically determined toxicity,
toxicity following sudden withdrawal of drugs, Drug interaction- beneficial
interactions, adverse interactions, and pharmacokinetic drug interactions,
Methods for detecting drug interactions, spontaneous case reports and record
linkage studies, and Adverse drug reaction reporting and management.
d) Community Pharmacy
Organization and structure of retail and wholesale drug store, types and design,
Legal requirements for establishment and maintenance of a drug store,
Dispensing of proprietary products, maintenance of records of retail and
wholesale drug store.
2. a) Drug distribution system in a hospital 10

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 GUJARAT TECHNOLOGICAL UNIVERSITY
Bachelor of Pharmacy
Subject Code: BP703TT
Dispensing of drugs to inpatients, types of drug distribution systems, charging
policy and labelling, Dispensing of drugs to ambulatory patients, and Dispensing
of controlled drugs.
b) Hospital formulary
Definition, contents of hospital formulary, Differentiation of hospital formulary
and Drug list, preparation and revision, and addition and deletion of drug from
hospital formulary.
c) Therapeutic drug monitoring
Need for Therapeutic Drug Monitoring, Factors to be considered during the
Therapeutic DrugMonitoring, and Indian scenario for Therapeutic Drug
Monitoring.
d) Medication adherence
Causes of medication non-adherence, pharmacist role in the medication
adherence, and monitoring of patient medication adherence.
e) Patient medication history interview
Need for the patient medication history interview, medication interview forms.
f) Community pharmacy management
Financial, materials, staff, and infrastructure requirements.
3. Pharmacy and therapeutic committee 10
Organization, functions, Policies of the pharmacy and therapeutic committee in
including drugs into formulary, inpatient and outpatient prescription, automatic
stop order, and emergency drug list preparation.
b) Drug information services
Drug and Poison information centre, Sources of drug information, Computerised
services, and storage and retrieval of information.
c) Patient counseling
Definition of patient counseling; steps involved in patient counseling, and
Special cases that require the pharmacist
d) Education and training program in the hospital
Role of pharmacist in the education and training program, Internal and external
training program, Services to the nursing homes/clinics, Code of ethics for
community pharmacy, and Role of pharmacist in the interdepartmental
communication and community health education.
e) Prescribed medication order and communication skills
Prescribed medication order- interpretation and legal requirements, and
Communication skills- communication with prescribers and patients.
a) Budget preparation and implementation 8
4. Budget preparation and implementation
b) Clinical Pharmacy
Introduction to Clinical Pharmacy, Concept of clinical pharmacy, functions and
responsibilities of clinical pharmacist, Drug therapy monitoring - medication
chart review, clinical review, pharmacist intervention, Ward round participation,
Medication history and Pharmaceutical care.
Dosing pattern and drug therapy based on Pharmacokinetic & disease pattern.
c) Over the counter (OTC) sales
Introduction and sale of over the counter, and Rational use of common over the
counter medications.
5. a) Drug store management and inventory control 7
Organisation of drug store, types of materials stocked and storage conditions,
Purchase and inventory control: principles, purchase procedure, purchase order,
procurement and stocking, Economic order quantity, Reorder quantity level, and
Methods used for the analysis of the drug expenditure
b) Investigational use of drugs

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 GUJARAT TECHNOLOGICAL UNIVERSITY
Bachelor of Pharmacy
Subject Code: BP703TT
Description, principles involved, classification, control, identification, role of
hospital pharmacist, advisory committee.
c) Interpretation of Clinical Laboratory Tests
Blood chemistry, hematology, and urinalysis

Recommended Books (Latest Editions)

1. Merchant S.H. and Dr. J.S.Quadry. A textbook of hospital pharmacy, 4th ed.
Ahmadabad: B.S. Shah Prakakshan; 2001.
2. Parthasarathi G, Karin Nyfort-Hansen, Milap C Nahata. A textbook of Clinical
Pharmacy Practice- essential concepts and skills, 1st ed. Chennai: Orient
Longman Private Limited; 2004.
3. William E. Hassan. Hospital pharmacy, 5th ed. Philadelphia: Lea & Febiger;
1986.
4. Tipnis Bajaj. Hospital Pharmacy, 1st ed. Maharashtra: Career Publications; 2008.
5. Scott LT. Basic skills in interpreting laboratory data, 4thed. American Society of
Health System Pharmacists Inc; 2009.
6. Parmar N.S. Health Education and Community Pharmacy, 18th ed. India: CBS
Publishers & Distributers; 2008.

Journals:
1. Therapeutic drug monitoring. ISSN: 0163-4356
2. Journal of pharmacy practice. ISSN : 0974-8326
3. American journal of health system pharmacy. ISSN: 1535-2900 (online)
4. Pharmacy times (Monthly magazine)

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