Vous êtes sur la page 1sur 23

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

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
documentation.

Contents of hospital pharmacy course


:
The contents of the hospital pharmacy course are arbitrarily
divided into two areas

Area

Services

1- Institutional
Pharmacy:

This part concerned with


the rules, regulation and
:policies governing

Selection and purchase of


medicines.

Storage and record keeping


(inventories)

Distribution Medication
system

The management of
pharmacy staff in the
hospital.

Committees in the hospitals

Dispensing,

Contents of hospital pharmacy course


:
Area

Services

1I- Technical
Pharmacy:

Extemporaneous
Compounding

Techniques,
guidelines and
regulations used in
compounding:

Injectable preparations: LVP,


TPN, intended for intravenous
use and those sterile large
volume solutions used for
irrigation, surgery or for
dialysis.

Veterinary, RadioPharmaceutical, Ambulatory


Compounding (specialized

Part One
Institutional, Organizational
Structure
Medication system
Management&
Controlling of :
Organizational Distribution System
Structure
Drug

Section I
Every hospital, large or small, has an organizational structure that
allows for the efficient management of departments.

Traditional Organizational Chart-1

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)

PHARMACY

Dispensing
Outpatient
In-patient
Surgical
+
laboratory
supplies
Ward or
Floor stock
Alcohol
Narcotics
Teachi

Manufacturing

Purchasing

&

Reports

Inventory
control

Resear

Bulk
LVP
SVP
Misc.

Contr

Associate
Director
Pharmacist-In-

Secreta
ry
Clerk

Out-Patient
Dispensing
Supervisor

Chief
Assistant Pharmacist-InChief
Pharmacy
Residents

Manufacturi
ng &
Control
Supervisor

Inpatient
Dispensi
ng
Supervis

Manager Director
(DR.Ali
Pharmacist-InChief
Assistant Pharmacist-In-Chief

Pharmacists
Out-Patient

Sterile
TPN

Inpatient

USA

Director

of Pharmacy

Director of
Pharmacy
Unit Dose
Dispensing
Associate

Administrative
Services
Division
Research
Pharmacist
Pharmaceutica
l Research
Divisions
Pharmacist
Specialist
Radiopharmac
eutical
Division
Pharmacist

Assistant
Director of
Pharmacy
Assay & QC
Dept

Assistant
Director of
Pharmacy
In-Patient
Services

Sterile
Product
Division

Out-Patient
Services

Central
Supply

IV
Admixture

Education
& Training
Division
Assistant
Director of
Pharmacy

Departmenta
l Services
Purchase &
Inventory
Control

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

Pharmaceutical Research Division-2

Cooperate with the medical research


staff of projects involving drugs ( if
present!! May be in case of clinical
pharmacist)

In-patient Services Division.3


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))

Out-Patient Services Division.4

Dispense out-patient prescriptions


Maintain prescription records.
Provide drug consultation services to staff and
medical students.
Drug Information Services Division.5

Provide drug information on drugs and drug


therapy to health professional staff.
Participate in the hospitals pharmacy newsletter (if
present)
Maintain literature files.
18

Departmental Services Division .6


Coordinate and control all drug delivery and distribution
systems (Unit Dose to inpatients)
Purchasing and Inventory Control .7
Division

Maintain drug inventory control (input and output


control)
Purchase all drugs (record)
Receive, store and distribute drugs (record)
19

Central Supply Services Division .8


Develop and coordinate distribution of medical supplies
and irrigating fluids.
Assay and Quality Control. 9
Division
Not present (UAE)

Manufacturing and Packaging Division. 10

Maintain a unit dose program.

Sterile Products Division .11


Manufacture sterile ophthalmic, irrigating
solutions etc.
LVP, IV admixtures, TPN.
Radiopharmaceutical Services. 12
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.

Clinical Pharmacy Course (


DR.Ali
&
Dr.Doa)