Hospital Pharmacy Education

1. Welcome To My Presentation Presented By : Hiron Saraj Devnath Pharmacy Discipline, Khulna University

2. Topics Dispensing to Ambulatory Patients & Distributing Ancillary Supplies

3. Distributing Ancillary Supplies

4. Ancillary Goods

5. Qualification of a Pharmacist Must have vast knowledge about drugs Must have proper training Must be capable of undertaking emergency situations Must have advisory capacity Must have experience in handling pharmaceutical items

6. Purchasing Usually purchased from sources other than a pharmaceutical house or drug whole saler. Fit for rational use History of the company Manufacturers FDA approved packaging and labeling Credit any unopened packages after expiration Single lot number delivery items

7. Application of economic order quantity model • Pharmacists must utilize modern techniques to maintain control over the investment in inventory • Assist in the control of inventory locked dollars • Help for inventory drugs or ancillary supplies

8. Dispensing to Ambulatory Patients

9. Ambulatory Patients Patients not occupying beds in hospital. Go physicians office or clinic for health care. Types of Ambulatory Patients Emergency care Tertiary care Primary care

10. Demand for comprehensive diagnostic and treatment centers Supply in-patient teaching program Growth of Ambulatory Care Take community health programs Availability Of emergency service Greater control over patients receiving investigational drugs

11. ASHP statement on the provision of pharmaceutical services in ambulatory care settings • Obtaining and documenting patient medication histories • Monitoring the safety and efficacy of drug therapy • Providing drug information to all health care professionals • Assisting prescriber in the proper selection and dose adjustment • Detecting and reporting both patient and drug related problems

12. Educating and counseling patients for proper use of medication • Participating in drug-use reviews • Participating in the education of health care provider • Supervising the storage, preparation and dispensing • Developing systems for the delivery of pharmacy services Educating and Counseling patients

13. ASHP guidelines: Minimum standard for ambulatory-care pharmaceutical services Program directed by a qualified pharmacist Drug and it’s dosage form, route of administration, amount verified by pharmacist Dispensed medication labeled and packaged correctly Pharmacist ensure proper use of drug Ambulatory-care service areas properly controlled

14. ASHP supplement standard and learning objectives for residency training in ambulatory care pharmacy practice Qualifications of the training site Qualifications of the pharmacy services Qualifications of the preceptor Qualifications of the applicant

15. Scope of pharmacy Preceptors serving as independent proprietors Drug information resources Review of quality Medical records Specific requirements for ambulatory-care service program

16. Learning objectives Documentation of patients medical record Provide drug information to health professionals Manage a patients drug therapy Safe and effective drug use Supervise the storage and medication dispensing A quality assurance program Educate and counsel patients Management of medical emergencies

17. Chronic illness Preventive care Acute illness Area of emphasis Devices Self care Emergency care Family planning Communication skill

18. Separate Out-patient pharmacy Location of out-patient dispensing area Service provided from the separate window for in-patient and out-patient Service provided from the same window for in-patient and out-patient

19. Types of Prescription Received Prescriptions received in OPD pharmacy includes Private patients Indigent patients Non indigent patients Employees Patients being discharged form the hospital

20. Dispensing Routine Prescription written by physician Patients taken it to the pharmacy Prescription call checked by pharmacist Finally drug dispensed Different colored blanks used for both in-patient and out-patient

21. Conduct a special research program Design a special prescription blank Prescription involving research projects Special data required for the particular study Cost information provided by pharmacist Diagnosis obtained by research personnel

22. Dispensing to Emergency patients • After receiving treatment, patient receive a prescription • If presented to a hospital pharmacist, follow the methodology • Use a special cabinet containing medication • Intravenous solution, irrigating solutions, eye tray medications, refrigerated drugs kept in areas of ready access • Provides punched cards for containing drug information • Cards used for billing and re-ordering purposes Emergency patient

23. Reference Hospital Pharmacy Book William E. Hasan