HOSPITAL PHARMACY LEC M5 (MIDTERMS)

Drug distribution

one of the primary responsibilities of hospital pharmacists and eats up a major portion of a pharmacist’s time

Drug products

_________are distributed to patients through dispensing by a pharmacists

dispensing (RA10918)

is the sum of processes performed by a pharmacist from reading, validating, and interpreting prescriptions; preparing; packaging; labelling; record keeping; dose calculations; and counseling or giving information, in relation to the sale, transfer or provision of pharmaceutical products, with or without a prescription or medication order.

pharmacy

medication distribution is the responsibility of the _______

PTC, pharmacy and nursing dept

(3) department that develop comprehensive policies and procedures,

24 hour distribute and control of all medicines

ensure availability and supply of medicines for the patients of the hospital

ensure rational drug use and patient pharmaceutical care

By applying the rule of right

responsibilities of the pharmacists in drug distribution

RIGHT

patient,

drug,

dosing and frequency,

clear instruction,

packaging that maintains potency

rules of right

RA 10918

Philippine Pharmacy Act

RA 10754

Act expanding the benefits and privileges of PWDs

RA 9994

Expanded Senior Citizen Act

RA 9711

FDA Act of 2009

RA 9502

Universally Accessible Cheaper and Quality Medicines Act of 2008

RA 9165

Comprehensive Dangerous Drugs Act of 2002

RA 8203

Special law on Counterfeit Drugs

Price Act

RA 7394

consumer act of the philippines

RA 6675

Generics act of 1988

RA 3720 Food drug and cosmetics act

Board Resolution No. 1, Series of 2014

___________, (otherwise known as the “Revised Comprehensive Guidelines on Importation, Distribution, Manufacture, Prescription, Dispensation, Administration, and Sale of, and other Lawful Acts in connection with any Dangerous Drugs, Controlled Precursors and Essential Chemicals and other similar or Analogous Substances”, as amended) and other related Issuances of the dangerous drugs board

24-hour

distinctive and control medicines on a _____ service, including dangerous preparation or drug preparation containing controlled chemical and investigational drugs

rule of right

Ensure rational drug use and optimum patient care through the application of the

read labels carefully

count and measure carefully

protect against cross contamination by using clean equipment

Do not allow skin contact with the medication

Dispensing Care (4)

in patient drug distribution system

a type of drug distribution wherein all drugs are distributed to the institutionalized patients

Out-patient drug distribution system

a type of drug distribution wherein all drugs are distributed to the non-institutionalized patients

Individual prescription system

Also known as prescription system, This system facilitates a convenient method for instituting patient drug charges and it provides individualized patient service.

physician’s order

all medicines are retained in the pharmacy until receipt of ________

nurse

The _____ remains responsible for most aspects of the preparation of the unit doses

2-5

__to __ days supply of medication is dispensed

less responsibility for the pharmacist

readily available medicines for the patient

Advantages of an individual prescription system

increase medication error incidents

pharmacist has lesser chance to review medication order

increase drug inventory at each nursing station or other patient care areas

pilferages

increase hazards associated with drug deterioration and expiration

added funds for proper storage of drugs patient care area

additional nurse’s time for handling medicines

inaccurate patient charges

Disadvantages of individual prescription system

floor stock (non-prescription medication)

Under the system, the primary means of dispensing is the use of the Individual Prescription Order System but combined with a limited number of ______

Restricting floor stock drugs

provides the best control to reduce the chance of error in IPS

unit dose drug distribution system, floor stock

Under this system, _______________ is mainly used. However, for emergency situations, the________ is utilized

Unit dose drug distribution system

is a pharmacy-coordinated method of dispensing and controlling medication in organized healthcare settings depending on the specific needs of the hospital.

repacked

Most pharmaceuticals could be purchased in a pre-packaged, unit dose medications, other drug products can still be purchased in bulk supplies of tablets and capsules. These can be ________________ in unit doses at the central pharmacy.

Centralized

where drug products are distributed to patients taken directly from the Central Pharmacy.

Decentralized

where drug products are distributed to patients taken from satellite pharmacies.

Combination

Only starter doses and emergency doses are taken from the satellite pharmacies. Refill doses are taken from the central pharmacy. All other operations such as packaging and IV additive preparation emanates from the central pharmacy.

a separate out-patient pharmacy

A combined in-patient and out-patient unit with separate window.

A combined in-patient and out-patient unit with services provided from separate windows.

There are three (3) equally-suitable provisions for this area LOCATION OF OUT PATIENT

out patient pharmacy

should be close to the out patient clinics. If clinics are distantly removed from the inpatients area, it is necessary for the out patient pharmacy to be isolated from the inpatient pharmacy. This will require planning for transporting drugs and supplies from the main pharmacy to the out patient pharmacy. It will also require additional staffing as well as extended management controlled by the chief pharmacist

pneumatic transit system

airlift

air transport

other name for pneumatic tube system

Pneumatic tube system

fast, simple and secure and reliable way of transporting small objects such as drugs, transported across a building or between buildings uses underground or overground pipes

Automated dispensing cabinet

commonly needed drugs are at point of care reduce nurse workload multifactor authentication for controlled substances, provides drugs allergy alert, drug interaction, advise on High risk medication

35,000 medicines

Robotic drug dispensing stores medicines up to ________

12

RDD dispenses around how many prescriptions less than a minute?

paper

The dispensing process is ___ fast