Hospital Pharmacy Practice

Hospital Pharmacy Practice

A service in a hospital which is under the direction of a professionally competent, legally qualified pharmacist.

Clinical Pharmacy Program

Preparation of patient profiles, recording patient drug history, monitoring patient’s medication and patient counseling.

professionally competent, legally qualified pharmacist.

Department or Services in a hospital which is under the direction of a

nursing units and other services.

Where all medications are supplied to the

ambulatory

patients and outpatients

Where prescriptions are filled for

bulk

Where pharmaceuticals are manufactured in

Chief Pharmacist

head of hospital pharmacy department or the one leading the department is

Unit Dose Drug Distribution System (UDDDS)

preparation and dispensing of unit dose/package medication to patient floors

Hyperalimentation

preparation of parenteral nutrition

Total Parenteral Nutrition (TPNs) products

parenteral nutrition

Intravenous Additives

preparation of injectable medications

Educational Program

provision of training/lecture to other health professionals and practicing pharmacists

Clinical Pharmacy Program

preparation of patient profiles, recording patient drug history, monitoring patient’s medication and patient counseling

Administrative and Scientific Research

member of several committees in creating guidelines to ensure safe use of medication

■ PTC, Research Committee, ADR

○ participation in clinical research

PTC, Research Committee, ADR

Administrative and Scientific Research

internal and external forces

UNIQUENESS OF HOSPITAL PHARMACY

hospital administrator

departments

INTERNAL FORCES

Health Maintenance Organization (HMOs) or Health Insurance

Accrediting Bodies

EXTERNAL FORCES

PhilCare

medicare

ValuCare

Health Maintenance Organization (HMOs) or Health Insurance

ISO

Accrediting Bodies

Joint Commission International

the oldest and most prestigious accrediting organization sa healthcare

3 years

accreditation - every

DOH, FDA, PDEA

Accrediting bodies (Philippines)

● Organization

● Policies

● Personnel

● Facilities

● Responsibilities

● Pharmacy and Therapeutics Committee

(PTC)

MINIMUM STANDARD FOR PHARMACIES IN

HOSPITAL

by American Society of Health-System Pharmacists

Director of Pharmacy

responsible to the proper administrative authority for developing, servicing and coordinating all the activities of the department

ORGANIZATION

Managed by a professionally competent, legally qualified pharmacist.

POLICIES

The director of pharmacy with approval of the director of the hospital/PTC, shall initiate and develop rules and regulation pertaining to the administrative policies of the department.

PERSONNEL

The director of the pharmacy must be well trained in the specialized functions of hospital pharmacy

PERSONNEL

All members of the pharmacy shall be competent, of good moral character and mentally and physically fit to perform their duties acceptably

Licensed pharmacists, Assistant pharmacists, clerks

PERSONNEL

FACILITIES

Equipment for compounding, dispensing and manufacturing of pharmaceuticals and parenteral preparations

FACILITIES

Bookkeeping supplies and related materials

FACILITIES

Adequate library and filing equipment to make information concerning drugs readily available to both pharmacists and physicians

Scientific Research

Systematic, controlled, empirical and critical investigation of hypothetical propositions about the presumed relations among natural phenomena

Scientific Research

Method of acquiring knowledge based on the faith that there are real things whose characteristics are entirely independent of our opinions about them

Joint Commission on Accreditation of Hospital (JCAH)

was incorporated in 1952 through a joint effort of the primary association of North American medicine and hospitals.

JCAHO (Joint Commission on Accreditation of Healthcare Organizations)

1987 until 1989

Joint Commission

2007

Quality Healthcare Resources and Joint Commission formed JCI (Joint Commission International)

1994

JCI

oldest and prestigious accrediting body ng health services

Standard I

The pharmaceutical department shall be directed by a professionally competent and legally qualified pharmacist. It shall be staffed by a sufficient number of competent personnel, in keeping with the size and scope of services of the hospital

Standard II

Scope, equipment and supplies shall be provided for the professional and administrative function of the department as required, to promote patient safety through the proper storage, preparation, dispensing and administration of drugs

Standard III

The scope of the pharmaceutical department shall be consistent with the medication needs of the patients as determined by the medical staff

Standard IV

Written policies and procedures that pertain to the intrahospital drug distribution system shall be developed by the director of the pharmaceutical department

Standard V

Written policies and procedures that govern the safe administration of drugs and biologicals shall be developed by the medical staff in cooperation with the pharmaceutical department, the nursing service, and, as necessary, representatives of other disciplines

Practice Management

Standard I

Medication Use Policy Development

Standard Il

Optimizing Medication Therapy

Standard Ill

Drug Product Procurement and Inventory Management

Standard IV

Research

Standard IX

Evaluating the Effectiveness of the Medication-Use System

Standard Vlll

Monitoring Medication Use

Standard Vll

Medication Dispensing and Delivery

Standard VI

Preparing, Packaging, and Labeling Medications

Standard V

Standard Vlll - Evaluating the Effectiveness of the Medication-Use System

● Assessing the Pharmacy Services and Practices

● Improving the Medication-Use Process

Standard VIl - Monitoring Medication Use

● Reviewing Patient Response to Medication Therapy

● Educating and Counseling Patients and Family

Standard VI - Medication Dispensing and Delivery

● Medication Dispensing

● Medication Delivery and Administration

Standard V - Preparing, Packaging, and Labeling Medications

● Preparing Medications

● Packaging Medications

Standard IV - Drug Product Procurement and Inventory Management

● Selecting Sources of Pharmaceutical Products

● Managing Inventory

● Inspecting Storage Areas and Inventory Items

● Returning Recalled, Expired, and other Unusable Items

Standard Ill - Optimizing Medication Therapy

● Creating Relationship with the Patient

● Acquiring Essential Patient Data

● Consulting with other Health Professionals about Medication Therapy

Standard Il - Medication-Use Policy Development

Policy Development

● Formulary Management

● Drug Information

Standard I - Practice Management

● Pharmacy and Pharmacist Services

● Laws and Regulations

● Policy and Procedures Manual

● Human Resources

● Facilities

● Committee Involvement