HOSPILAB - Introduction to Hospital Pharmacy; Medication Order

HOSPITAL PHARMACY

• is a specialized field of pharmacy located within hospitals or medical institutions that is responsible for the procurement, storage, compounding, dispensing, and monitoring of medications used within the facility
• branch of pharmacy that focuses on the management & delivery of pharmaceutical services within the hospital setting

PSHP (Philippine Society of Hospital Pharmacists)

"to promote safe and effective use of medication by enhancing the competence of its members and by collaborating with other healthcare professionals and allied organizations to improve the health and wellbeing of patients"

STERILE ENVIRONMENTS

contamination free zones "prepares medication that will be administered directly in bloodstream"

Hospital Licensure Act

RA 4226

Food and Drug Administration Act of 2009

RA 9711

STOCK CARD SYSTEM

manual, paper based system

DIGITAL INVENTORY TRACKING

provide excel / app given by hospital

HOSPITAL

an institution providing comprehensive medical services to in-patients and out-patients, including diagnostic, therapeutic, surgical, and nursing care

PUBLIC HOSPITAL

• created by law, government-owned hospital (under supervision of certain agencies - ex: DOH, DND, PNP, Stage colleges and universities, LGU)

PRIVATE HOSPITAL

owned, established and operated with funds through donation, principal investment or other means by any individuals, corporation, association or organization

GENERAL HOSPITAL

provides services for all kinds of illnesses, diseases, injuries, or deformities (any group of population)

SPECIALTY HOSPITAL

specializes in a particular disease or condition or in one type of patient (certain group of people)

Philippine Pharmacy Act

RA 10918

TRADITIONAL WARD STOCK SYSTEM

• medications are sticked in bulk (not patient-specific)
• nurses prepare and administer medicines at the ward level

UNIT DOSE SYSTEM

• medications are labeled with the patient's name, drug name, dose, route, and time
• pharmacist reviews all medications before they are sent to the wards
• follows the 5 rights (patient, drug, dose, route, time)

CENTRALIZED UNIT DOSE SYSTEM

• central pharmacy prepares 24 hour doses
• uses cart exchange system
• high control and standardization

DECENTRALIZED UNIT DOSE SYSTEM

• combines central and ward-level services
• medications can be modified quickly

AUTOMATED DISPENSING CABINETS (ADC)

• barcode scanning, fingerprint /PIN access
• linked to hospital's electronic health record
• inventory control built in

SATELLITE PHARMACY

• staffed by pharmacists or pharmacy technicians
• handles compounding, dispensing, and consultation on-site
• may serve as a single department or unit

MEDICATION ORDER

• is a written, verbal, or electronic instruction issued by a licensed prescriber for the administration of a drug to a hospitalized patient

NAME ALERT

A method of alerting staff when two or more patients with the same or similarly spelled last names are located on a nursing unit

DOSE

amount of drug at a single time

DOSAGE

amount of drug with frequency

STRENGTH / CONCENTRATION

amount of drug per unit

LOT NUMBER

• unique sequence of digits
• identify products in a same batch - provide information that produces same ingredients and materials

NATURAL DRUG CODE (NDC)

• 10 digits, 3 sequence numbers used by FDA for identification of their drugs (US FDA)
• universal identifier to track the drug

FDA-DR-123456

(CPR#) product is a drug

MEDICATION ADMINISTRATION RECORD (MAR)

verification tool