WELCOM

E
WE
HOSPITAL PHARMACY
MANAGEMENT

JOSHY P
MUNDAKAL
 INTRODUCTION

Hospital Pharmacy may be defined as department

of hospital which deals with procurement, storage,
compounding, dispensing, manufacturing, testing,
packaging and distribution of drugs

A Hospital Pharmacy is controlled by a

professionally competent and a qualified pharmacist
 DEFINITION
 The term ‘management’ can be defined as the
direction and control of an organization to obtain
optimum results.

 The administrator/manager has to specify the

aims and objectives of the organisation and then
set out a programme/method by which the aim
may be acheived
 All organization can be represented as
Organization
Input Output
Production

 Within the organization, the work can be sub-

divided into the direct production and service
activities
Input Output
Services
Production
 DEPARTMENTS AND THEIR ORGANIZATION

 T he o rga niz ed hospital pharmacy

department has an inte grated setup
consisting of dispensing section,
manufacturin g section, qua lity control
se ction a nd c linica l pharmacy
 HOSPITAL ORGANIZATION
FLOWCHART
ADMINISTRATOR

HEAD OF PHARMACY SERVICES

(M.Pharm)

Quality
Dispensing Manufacturing Clinical Medical stores
Control
chemist chemist pharmacist pharmacist
pharmacist

Other
In Out Manufacturing of
manufacturing
patient patient I.V fluid
services
 STAFFS

1) A Chief Pharmacist-1
Equivalent to that of Senior Medical Officer
Would be heading the Hospital Pharmacy Department
2) Secretarial Assistant
A non-technical person
Would be assisting the Chief Pharmacist in secretarial
jobs
3) Graduate Pharmacist-1
To provide technical and managerial support to Chief
Pharmacist-1
 STAFFS

4) Junior & Senior Pharmacists

 To work in main store, sub-store, dispensing section etc.
 They are under graduate pharmacist and reports to
graduate pharmacist
5) Helpers
 To support functions and functionaries in pharmacy
 Organization Chart of hospital having bed
strength less than

100-400 beds (Small District Hospital)

→2 Head Pharmacists (having degree in Pharmacy)
→ In-patient
→ Out-patient
→5 Assistant Pharmacists(having diploma in Pharmacy)
→ 2 under Head Pharmacist(In-patient)
→ 3 under Head Pharmacist (Out-patient)
 Organization Chart of hospital
having bed strength less than

500 beds (District/Small teaching Hospital)

→ Chief Pharmacist (having degree in Pharmacy)
→2 Head Pharmacists
→ In-patient
→ Out-patient
→6 Assistant Pharmacist
→ 3 under Head Pharmacist(In-patient)
→ 3 under Head Pharmacist (Out- patient)
 Organization Chart of hospital
having bed strength less than

1000 beds (Teaching Hospital)

→ One Superintendent of Pharmacy (having Post
Graduate degree in Pharmacy)
→ 3 Chief Pharmacists
→ Medical and surgical stores
→ Out-patient services
→ Quality assurance
 Organization Chart of hospital
having bed strength less than

→ 35 Assistant Pharmacists
→ 6 under Chief Pharmacist 1 for
medicine supplies
→ 4 under Chief Pharmacist 1 for medical
devices and surgical items
→ 21 under Chief Pharmacist 2
→ 4 under Chief Pharmacist 3
 LOCATION

 The pharmacy should be located in the hospital

premises so that patients and staffs can easily
approach it
 In multi-storied building of a hospital, the pharmacy
should be preferably located on the ground floor
especially the dispensing unit
 The departments are so laid out that there is
continuous flow of men and materials
 Out-patient pharmacy should give a pleasant
appearance
 Typical layout of Hospital
Pharmacy
RAW MATERIALS
ASEPTIC SECTION MANUFACTURING STORES
SECTION FINISHED
PRODUCTS

PASSAGE
ADMINISTRATIVE Dispensing
SECTION
Open space
 LOCATION

 Should have educative posters on health

 Space must be provided for routine manufacturing
 The manufacturing room and medical stores should
be adjacent to pharmacy
 Medical stores & manufacturing units issue against
requisition from various departments
 Pharmacy issues materials to in-patients and out-
patients
 The in-patients are served by nursing stations
 INFRASTRUCTURE

 There are great variations in the size of floor

space devoted to pharmacy in hospitals of the
same size and type

Floor Space Requirements

 The pharmacy requires a minimum of 250 sq.
feet for any sized hospital
 INFRASTRUCTURE

From that point onwards, basic requirements

from 10 sq. feet per bed in 100 bedded
hospital, 6 sq. feet per bed in 200 bedded
hospital and an average of at least 5 sq. feet
per bed in larger hospitals
 The floors of pharmacy should be smooth,
easily washable and acid-resistant
 INFRASTRUCTURE

 In manufacturing sections, drains should be

provided, walls should be smooth, painted in
light colors
 The wooden cabinets are enameled or laminated
 Fluorescent lamps are placed immediately above the
prescription counter
 Gas outlets are required on the work table or
counter for the Bunsen burners
 EQUIPMENTS
The usual equipment's are
 Prescription case
 Drug stock cabinets with proper shelves and
drawers
 Sectional drawer cabinets with cupboard bases
 Work tables and counters for routine dispensing
 Sink with drain board
 EQUIPMENTS
 Cabinet to store mortar and pestles
 Cabinet for glass utensils, funnels, flasks and
beakers
 Refrigerator of suitable capacity
 Narcotics safe with individually locked drawers
 Office desk with telephone connection and file
cabinet
 Shelf space for pharmacy library
 WORKLOAD
 Many f a c t o r s t h a t a ff e c t t h e l e v e l o f w o r k
i n t h e i n d i v i d u a l p h a r m a c y, b y f a r t h e m o s t
important being the prescribing activity of
t h e m e d i c a l s t a ff

 Others include the extent to which

manufacturing is carried out, the
methods use within the department, the
services offered to the other
professions in the hospital and the
extent to which these services are used
 WORKLOAD
 In addition, there may be a considerable amount
of work involved in the provision of supplies for
the community services
 A technique is needed which will enable the
activity and workload of a department to be
measured
 At present, the only indicators available are the
total expenditure on drugs and number of beds
served
 WORKLOAD
 The total number of items issued can be recorded
and this will indicate the workload in the
dispensing and ward supply sections
 The totals so collected will give some crude
indication of the work carried out and will show
any trends in the demands made upon the
departments
 REFERENCES

 M C Allwood & J T Fell ., Textbook of Hospital

Pharmacy, 1st ed. Australia: Blackwell Publications;
1980. p. 18-46
 William E Hassan., Textbook of Hospital Pharmacy,
5 th ed. U.S.A: Lea & Febiger; 1986. p. 35-90
 Mc.Gibbony JR. Principles of Hospital
Administration, 2nd edition, GP Putnam and Sons,
New York 1969.
 K.G. Revikumar, Text book of Pharmacy Practice,
1 st ed. 2009. p.52
THANK YOU