HOSPITAL PHARMACY PRELIM (LAB)

Hospital pharmacy

This is a specialized field pf pharmacy that is integrated into the care of a medical center

Hospital pharmacy

This is one of the key departments in hospitals that deals with the procurement, storage, compounding, dispensing, manufacturing, testing, packaging, and distribution of drugs

• procurement

• storage

• compounding

• dispensing

• manufacturing

• testing

• packaging

• distribution of drugs

Hospital pharmacy is one of the key departments in hospitals that deals with [8]

International Pharmaceutical Federation

FIP [meaning]

• Procurement

• Influences on prescribing - [Patient safety happen in this]

• Preparation and delivery of medicines

• Medication Administration

• Monitoring of Medication

• Human Resources and Training

Areas of Hospital Pharmacy (FIP Statement)

[6]

Hospital Pharmacy Administrator and Personnel we have [6]

competent and qualified pharmacist

The department must be organized under the direction of a professionally ___ and legally ___ pharmacist.

Chief Pharmacist

____ is responsible in the proper planning , implementing , supervising, and coordinating of all the activities of the pharmacy department.

• proper planning

• implementing

• supervising

• coordinating

Chief Pharmacist is responsible in the ____ [4] of all the activities of the pharmacy department.

Chief Pharmacists

This must be assisted by a working staff of pharmacists and nonpharmacists who are competent, of good moral character, mentally and physically fit to perform their duties and responsibilities

• competent

• good moral character

• mentally fit

• physically fit

Chief Pharmacists must be assisted by a working staff of pharmacists and nonpharmacists who are ____ [4] to perform their duties and responsibilities.

all hours

A licensed pharmacist shall be on duty at ___ when the pharmacy opens

• In Patient

• Out Patient

TYPES OF PATIENTS IN PHARMACY DEPARTMENT [2]

• Central Dispensing Area

• Patient Care

• DIRECT Responsibility

In Patient [3]

• Central Dispensing Area

• Patient Care

• GENERAL Responsibility

Out Patient [3]

In Patient

• This TYPE OF PATIENT have DIRECT RESPONSIBILITY

• This TYPE OF PATIENT have DIRECT CONTACT in patient

Out Patient

• This TYPE OF PATIENT have GENERAL RESPONSIBILTY

• This TYPE OF PATIENT do not have CONTACT on patient

• Maintaining drug treatment records

• Ordering and stocking medications and medical supplies

• Repackaging medications

• Dispensing medications

• Providing information about the proper use of medications

• Collecting and evaluating information about adverse drug reactions and interactions

• Preparing medications in various dose forms for dispensing

• Educating and counseling patients about their drug therapies

• Preventing, identifying, and resolving medication-related problems

Functions of Hospital Pharmacy : (Services Similar to Community Pharmacy Services) [9]

• Preparing and maintaining a formulary

• Conducting drug use evaluations

• Preparing products using aseptic techniques

• Ensuring that hazardous agents are handled and

• disposed of properly

• Filling medication orders (as opposed to prescriptions)

• Preparing 24-hour supplies of patient medications in a

• form appropriate for a single administration to a patient

• (as opposed to a 30- or 90-day supply)

• Stocking nursing stations with medications & supplies

• DeliverinĀ medications to patients’ rooms

• Maintaining a drug information service and providing drug information to the other healthcare professionals in the institution

• Educating and counseling inpatients and outpatients

• about their drug therapies

• Monitoring patient outcomes daily (during admission)

• Participating in clinical drug investigations and research

• Providing in-service drug-related education

• Providing expert consultations in such areas as pediatric,

Unique Services of Hospital Pharmacy [14]

Clinical pharmacists

___ work directly with physicians, other health professionals, and patients to ensure that the medications prescribed for patients contribute to the best possible health outcomes

• physicians

• health professionals

• ensure

Clinical pharmacists work directly with ___ , other ___ , and patients to __ that the medications prescribed for patients contribute to the best possible health outcomes.

Clinical pharmacists

They PRACTICE in health care settings where they have frequent and regular interactions with physicians and other health professionals, contributing to better coordination of care.

Clinical pharmacists

___ are educated and trained in many direct patient care environments, including medical centers, clinics, and a variety of other health care settings

• educated

• trained

• environments

Clinical pharmacists are ___ and___ in many direct patient care ___ , including medical centers, clinics, and a variety of other health care settings

Clinical pharmacists

___ are frequently granted patient care privileges by collaborating physicians and/or health systems that allow them to perform a full range of medication decision-making functions as part of the patient’s health care team.

• medication therapy

• clinical experience.

The PREVILEGES OF CLINICAL PHARMACIST s are granted on the basis of the clinical pharmacist’s demonstrated knowledge of ___ and record of ___ ?

• residency training

• specialist board certification

The SPECIALIZED KNOWLEDGE and CLINICAL EXPERIENCE is usually gained through ____ training and ___ certification [2]

• Assess the status of the patient’s health problems and determine whether the prescribed medications are optimally meeting the patient’s needs and goals of care.

• Evaluate the appropriateness and effectiveness of the patient’s medications.

• Recognize untreated health problems that could be improved or resolved with appropriate medication therapy.

• Follow the patient’s progress to determine the effects of the patient’s medications on his or her health.

• Consult with the patient’s physicians and other health care providers in selecting the medication therapy that best meets the patient’s needs and contributes effectively to the overall therapy goals.

• Advise the patient on how to best take his or her medications.

• Support the health care team’s efforts to educate the patient on other important steps to improve or maintain health, such as exercise, diet, and preventive steps like immunization.

What do clinical pharmacists do? [7]

PPhA[ Philippine Pharmacists Association ]

ACCORDING TO ___ Pharmacist now allowed to administer COVID-19 VACCINES through certification program / NCAA PHILIPPINES

FDA ADVISORY 2014 -067

[WHAT FDA ADVISORY NO.]?

Food and Drug Administration ( FDA) and Philippine Pharmacists Association (PPhA) Mull Plan to Authorize Community Pharmacists to Administer Vaccines

FDA-DOH

The __ in collaboration with the Philippines Pharmacists Association (PPhA) plans to train and authorize FDA-licensed community pharmacist to administer adult vaccines and other immuno-products .Licensed-pharmacists in FDA-licensed drug outlets who have completed the training course may be authorized by the FDA to vaccinate healthy individuals

Philippines Pharmacists Association (PPhA)

The FDA-DOH n collaboration with the ___ plans to train and authorize FDA-licensed community pharmacist to administer adult vaccines and other immuno-products

• training

• FDA

• healthy individuals

The FDA-DOH in collaboration with the Philippines Pharmacists Association (PPhA) plans to train and authorize FDA-licensed community pharmacist to administer adult vaccines and other immuno-products .Licensed-pharmacists in FDA-licensed drug outlets who have completed the ___ course may be authorized by the__ to vaccinate___ individuals

FALSE

[T/F]
Are Pharmacists allowed to administer Vaccines on Children ?

Pharmacists

PHARMACIST AS IMMUNIZIERS:

___ can play an important role in disease prevention by advocating and administering immunizations

advocating and administering immunizations.

PHARMACIST AS IMMUNIZIERS:

Pharmacists can play an important role in disease prevention by___ and __

Preventive aspects

PHARMACIST AS IMMUNIZIERS:

__ aspects of pharmaceutical care and have been part of pharmacy practice

Pharmacist’s

PHARMACIST AS IMMUNIZIERS:

-This has a role in promoting and conducting proper immunization of patients in all organized health care settings.

promoting and conducting proper immunization

Pharmacist’s have a role in ___ and ____ immunizations of patients in all organized health care settings

1. Patient medication profile

2. Purchase form

3. Inventory form

4. Temperature monitoring

5. Hospital formulary form

6. ADR form

7. Stock form

Pharmacy forms

1. Philippine National Formulary

2. U.S. Pharmacopoeia National Formulary

3. Remington: The Science and Practice of Pharmacy

4. Goodman and Gilman's The Pharmacological basis of Therapeutics

Pharmacy books required by FDA- Philippines

• Martindale's Extra Pharmacopoeia

• Myler's Side Effects of Drugs

• Handbook of Poisonings, Diagnosis and Treatment

• Clinical Pharmacy handbook

• Clinical Pharmacy and Therapeutics

• Medical Dictionary

• Clinical Diagnostic and Laboratory Test

• Hospital Formulary

• MIMS

• Pharmacy Journals

Pharmacy books

• RA 3720 - Food, Drugs, and Cosmetic Act

• RA 10918 - Philippine Pharmacy Act

• RA 6675 - Generic's Law

• RA 8203 - Special Law on Counterfeit Drug

• RA 9165 - Comprehensive Dangerous Drug Act of 2002

• RA 9502 - Universally Accessible Cheaper and Quality Medicines Act of 2008

• RA 9994- Expanded Senior Citizen Act of 2010

Pharmacy Documents

1. Prescription book

2. Dangerous drug book

Pharmacy Record Book

RA 3720

Food Drugs and Cosmetic Act

RA 10918

Philippine Pharmacy Act

RA 6675

Generic's Law

RA 8203

Special Law on Counterfeit Drug

RA 9165

Comprehensive Dangerous Drug Act of 2002

RA 9502

Universally Accessible Cheaper and Quality Medicines Act of 2008

RA 9994

Expanded Senior Citizen Act of 2010

Pharmacy forms

These help the pharmacy department keep tract on all pertinent information on services provided to the patient and patient medication treatment plan.

Pharmacy Books and Documents

These serve as a reliable source of drug information to render clinical care to patient.

Pharmacy Record Book

These are books duly registered with the Appropriate Government Regulatory Agency (FDA- Philippines)

Appropriate Government Regulatory Agency (FDA- Philippines)

Pharmacy Record Books are books duly registered with the ___

Philippine National Formulary

This book is available in the FDA website.

Cones

Clutches

Walkers

Wheelchairs

ambulatory aids

commode chair

bathroom equipment

Mercury sphygmomanometer

Aneroid sphygmomanometer

Electronic or Digital monitor

Blood pressure monitor

knee brace/ sleeves

thumb splints

shoulder slings

ankle bracers

rib support belts

orthopedic braces and supports

Bladder control pads

male guards

protective underostomwear

adult brief

urology and incontinence supplies

solid waste appliance

semi solid waste appliance

urinary diversion appliances

ostomy appliances and accessories

Vaporizer

atomizer spray

nebulizer mist

intermittent positive breathing machine

Respiratory equipment

Digital ear thermometer

Digital Probe thermometer

Digital temporal Artery thermometer

Thermometer

bulb syringes

hypodermic needles

Hypodermic equipmentDre

sterile rolls and pad of gauzes

elastic bandages

eyepads

hot water bottles

stream packs

electric heating pads

ice bag or ice cap

Dressing and first aid supplies

surgical appliance for hernia patients

trusses

bed pans

douche pans

emesis

sputum cup

medicine cups

mattress

Glucometer

Fat analyzer

other sickroom supplies

Republic Act No. 3720 Food Drugs and Cosmetic Act 

It is hereby declared the policy of the State to insure safe and good quality supply of food, drug and cosmetic, and to regulate the production, sale, and traffic of the same to protect the health of the people.

(a) Establish standards and quality measures for food, drug, and cosmetic.
(b) Adopt measures to insure pure and safe supply of food, drug, and cosmetic in the country.

Republic Act No. 10918 Philippine Pharmacy Act

The State recognizes the vital role of pharmacists in the delivery of quality health care services through the provision of safe, effective, and quality pharmaceutical products, pharmaceutical care, drug information, patient medication counseling, and health promotion. The pharmacists' professional services shall, therefore, be promoted as an indispensable component of the total health care system to ensure the physical well-being of the Filipinos.

(a) Standardization and regulation of pharmacy education;
(b) Administration of licensure examination, registration, and licensing of pharmacists;
(c) Supervision, control, and regulation of the practice of pharmacy in the Philippines;

The generic’s law

Republic Act No. 6675

Republic Act No. 8203 Special Law on Counterfeit Drug

It is hereby the policy of the State to protect and promote the right to health of the people and instill health consciousness among them as provided in Section 15 Article 11 of the Constitution.

It is also further declared the policy of the State that in order to safeguard the health of the people, the State shall provide for their protection against counterfeit drugs.

Republic Act No. 9165 Comprehensive Dangerous Drug Act of 2002

It is the policy of the State to safeguard the integrity of its territory and the well-being of its citizenry particularly the youth, from the harmful effects of dangerous drugs on their physical and mental well-being, and to defend the same against acts or omissions detrimental to their development and preservation. In view of the foregoing, the State needs to enhance further the efficacy of the law against dangerous drugs, it being one of today's more serious social ills.

Republic Act No. 9502 Universally Accessible Cheaper and Quality Medicines Act of 2008

State to protect public health and, when the public interest or circumstances of extreme urgency so require, it shall adopt appropriate infantries to promote and ensure access to affordable quality drugs and medicines for all.

Republic Act No. 9994 Expanded Senior Citizen Act of 2010

(a)To recognize the rights of senior citizens to take their proper place in society and make it a concern of the family, community, and government;
(b) To give full support to the improvement of the total well-being of the elderly and their full participation in society, considering that senior citizens are integral part of Philippine society;
(c) To motivate and encourage the senior citizens to contribute to nation building;