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Hospital pharmacy course: It is a specialized field
of pharmacy which forms an integrated part of
patient health care in a health facility.
Hospital pharmacy and hospital pharmacist:
Hospital pharmacy is the health care service,
which comprises the art, practice, and profession
of : i.Choosing, Prparing, Compounding, Dispensing
medicines and medical devices, ii.Advising healthcare
professionals and patients on their safe, and efficient
use.
It is the profession that strives to continuously
    maintain and improve the medication management
    and pharmaceutical care of patients to the highest
    standards in a hospital setting.
   To be part of the medication management in
    hospitals, which encompasses the entire way in
    which medicines are selected, procured, delivered,
    prescribed, administered and reviewed to optimize
    the contribution that medicines make to producing
    informed and desired outcomes
   To enhance the safety and quality of all medicine
    related processes affecting patients of the hospital
   To ensure the 7 “rights” are respected: right patient,
    right dose, right route, right time, right drug with
    the right information and documentation.
Contents of hospital pharmacy course
:
The contents of the hospital pharmacy course are arbitrarily divided into two
areas

               Area                                       Services
1- Institutional                          1    Dispensing,
Pharmacy:
This part concerned with the              2    Selection and purchase of
rules, regulation and policies                 medicines.
 :governing                               3    Storage and record keeping
                                               (inventories)
                                          4    Distribution Medication system

                                          5    The management of pharmacy
                                               staff in the hospital.
                                          6    Committees in the hospitals
Contents of hospital pharmacy course
:

         Area                           Services
1I- Technical Pharmacy:   1   Extemporaneous Compounding

Techniques, guidelines    2 Injectable preparations: LVP,
and regulations used in     TPN, intended for intravenous
compounding:                use and those sterile large volume
                            solutions used for irrigation,
                            surgery or for dialysis.
                          3 Veterinary, Radio-
                            Pharmaceutical, Ambulatory
                            Compounding (specialized
                            hospitals)
Part One
  Institutional, Organizational Structure


                   Medication system
Management&
Controlling of :

Organizational     Distribution System Drug
                    
Structure
Section I
Every hospital, large or small, has an organizational structure that allows
     for the efficient management of departments.
              Traditional Organizational Chart-1
IN A LARGE HOSPITAL (USA)
 In Large hospitals, departments of pharmacy

  have a more divisions.

   The following are some of the responsibilities of
    each division of the department of Hospital
    Pharmacy in a large hospital:
Common organizational categories might include
                   USA:
    1. Administration Services
    2. Informational Services
    3. Therapeutic Services
    4. Diagnostic Services
    5. Support Services
Grouping of Hospital Departments all over the world
   includind UAE depends on:
                       UAE

   A. Each hospital department performs specific
    functions and shares similarity of duties.

   B. Aim: to promote efficiency of the healthcare
    facility. (unity)

   C. Board: Hospital President, Vice Presidents,
    Executive Assistants, Department Heads (one policy)
PHARMACY


Dispensing                                     Manufacturing
• Out-patient
• In-patient                                   • Bulk
• Surgical +                                   • LVP
                                               • SVP
laboratory        Purchasing &       Reports
                                               • Misc.
supplies
                  Inventory
• Ward or Floor
stock             control
• Alcohol
• Narcotics

      Teaching                   Research                Control
Associate Director
                   Pharmacist-In-Chief

                Assistant Pharmacist-In-Chief

    Secretary                              Pharmacy
                                           Residents
    Clerk


                      Manufacturing             In-patient
Out-Patient
                      & Control                 Dispensin
Dispensing
                      Supervisor                g
Supervisor
                                                Supervisor
Manager Director (DR.Ali


                  Pharmacist-In-Chief


              Assistant Pharmacist-In-Chief
                      Pharmacists

                          Sterile              In-patient
Out-Patient
                           TPN
Director of Pharmacy
USA
                       Associate Director of Pharmacy


Administrative               Unit Dose                    Education &
Services Division            Dispensing                   Training
                                                          Division
Research                 Assistant                        Assistant
Pharmacist              Director of          Assistant    Director of
Pharmaceutical          Pharmacy            Director of   Pharmacy
Research Divisions                          Pharmacy
                     • Assay & QC                         • Departmental
Pharmacist           Dept                • In-Patient     Services
Specialist                               Services
Radiopharmaceuti     • Sterile Product                    • Purchase &
cal Division         Division            • Out-Patient    Inventory
                                         Services         Control
Pharmacist           • Central Supply
Specialist           Division            • IV Admixture   • Manufacturing
Drug Information                         Division         & Packaging
Administrative Services Division in Pharmacy s 
( (Functions
  Plan and coordinate departmental activities (out and

    in-patients &TPN)
  Develop policies (e.g narcotics records can be kept

    for 1-3 years)
  Schedule personnel and provide supervision

    (rotation & holidays)
  Coordinate administrative needs of the Pharmacy &

    Therapeutics Committee ( selection of drug essential
    list for each hospital department according to needs)
  Supervise departmental office staff ( lab. Boy,

    technicians & clerks)
1-Education Training Division
Participate in hospital wide education
 programs involving nurses, doctors etc.
Train newly employed pharmacy
 department personnel.




                                           16
Pharmaceutical Research Division- 2       

   Cooperate with the medical research staff
    of projects involving drugs ( if present!!
    May be in case of clinical pharmacist)

In-patient Services Division. 3 
  Provide medications for all in-patients of the hospital

   on a 24-hour per day basis (rotation system)
  Cooperate with the medical drug research (( if

   present!! May be in case of clinical pharmacist))
Out-Patient Services Division.4
Dispense out-patient prescriptions
Maintain prescription records.
Provide drug consultation services to staff and
medical students.

Drug Information Services Division.5
 Provide drug information on drugs and drug
  therapy to health professional staff.
 Participate in the hospital’s pharmacy newsletter (if
  present)
 Maintain literature files.
                                                     18
Departmental Services Division .6
 Coordinate and control all drug delivery and distribution
  systems (Unit Dose to inpatients)

Purchasing and Inventory Control .7
Division

Maintain drug inventory control (input and output
  control)
 Purchase all drugs (record)
 Receive, store and distribute drugs (record)

                                                         19
Central Supply Services Division .8
Develop and coordinate distribution of medical supplies
and irrigating fluids.

Assay and Quality Control. 9
Division
 Not present (UAE)



Manufacturing and Packaging Division. 10
 Maintain a unit dose program.
Sterile Products Division .11
 Manufacture sterile ophthalmic, irrigating
  solutions etc.
 LVP, IV admixtures, TPN.

Radiopharmaceutical Services. 12
Division
 Centralize the procurement, storage and
  dispensing of radioisotopes used in clinical
  practice. ( It is in Twam hospital)
13.Intravenous Admixture Division
 Included in the sterile product division
The director of pharmacy service shall
                      be responsible for:
Monitoring all the previous
processes mentioned in the functions.
Clinical Pharmacy Course (   
DR.Ali      &       Dr.Doa)
                              

                              

                              

                              

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Hospital pharmacy institiutional section

  • 1.
  • 2. Hospital pharmacy course: It is a specialized field of pharmacy which forms an integrated part of patient health care in a health facility. Hospital pharmacy and hospital pharmacist: Hospital pharmacy is the health care service, which comprises the art, practice, and profession of : i.Choosing, Prparing, Compounding, Dispensing medicines and medical devices, ii.Advising healthcare professionals and patients on their safe, and efficient use.
  • 3. It is the profession that strives to continuously maintain and improve the medication management and pharmaceutical care of patients to the highest standards in a hospital setting.  To be part of the medication management in hospitals, which encompasses the entire way in which medicines are selected, procured, delivered, prescribed, administered and reviewed to optimize the contribution that medicines make to producing informed and desired outcomes  To enhance the safety and quality of all medicine related processes affecting patients of the hospital  To ensure the 7 “rights” are respected: right patient, right dose, right route, right time, right drug with the right information and documentation.
  • 4. Contents of hospital pharmacy course : The contents of the hospital pharmacy course are arbitrarily divided into two areas Area Services 1- Institutional 1 Dispensing, Pharmacy: This part concerned with the 2 Selection and purchase of rules, regulation and policies medicines. :governing 3 Storage and record keeping (inventories) 4 Distribution Medication system 5 The management of pharmacy staff in the hospital. 6 Committees in the hospitals
  • 5. Contents of hospital pharmacy course : Area Services 1I- Technical Pharmacy: 1 Extemporaneous Compounding Techniques, guidelines 2 Injectable preparations: LVP, and regulations used in TPN, intended for intravenous compounding: use and those sterile large volume solutions used for irrigation, surgery or for dialysis. 3 Veterinary, Radio- Pharmaceutical, Ambulatory Compounding (specialized hospitals)
  • 6. Part One Institutional, Organizational Structure Medication system Management& Controlling of : Organizational Distribution System Drug   Structure
  • 7. Section I Every hospital, large or small, has an organizational structure that allows for the efficient management of departments. Traditional Organizational Chart-1
  • 8. IN A LARGE HOSPITAL (USA)  In Large hospitals, departments of pharmacy have a more divisions.  The following are some of the responsibilities of each division of the department of Hospital Pharmacy in a large hospital:
  • 9. Common organizational categories might include USA: 1. Administration Services 2. Informational Services 3. Therapeutic Services 4. Diagnostic Services 5. Support Services
  • 10. Grouping of Hospital Departments all over the world includind UAE depends on: UAE  A. Each hospital department performs specific functions and shares similarity of duties.  B. Aim: to promote efficiency of the healthcare facility. (unity)  C. Board: Hospital President, Vice Presidents, Executive Assistants, Department Heads (one policy)
  • 11. PHARMACY Dispensing Manufacturing • Out-patient • In-patient • Bulk • Surgical + • LVP • SVP laboratory Purchasing & Reports • Misc. supplies Inventory • Ward or Floor stock control • Alcohol • Narcotics Teaching Research Control
  • 12. Associate Director Pharmacist-In-Chief Assistant Pharmacist-In-Chief Secretary Pharmacy Residents Clerk Manufacturing In-patient Out-Patient & Control Dispensin Dispensing Supervisor g Supervisor Supervisor
  • 13. Manager Director (DR.Ali Pharmacist-In-Chief Assistant Pharmacist-In-Chief Pharmacists Sterile In-patient Out-Patient TPN
  • 14. Director of Pharmacy USA Associate Director of Pharmacy Administrative Unit Dose Education & Services Division Dispensing Training Division Research Assistant Assistant Pharmacist Director of Assistant Director of Pharmaceutical Pharmacy Director of Pharmacy Research Divisions Pharmacy • Assay & QC • Departmental Pharmacist Dept • In-Patient Services Specialist Services Radiopharmaceuti • Sterile Product • Purchase & cal Division Division • Out-Patient Inventory Services Control Pharmacist • Central Supply Specialist Division • IV Admixture • Manufacturing Drug Information Division & Packaging
  • 15. Administrative Services Division in Pharmacy s  ( (Functions  Plan and coordinate departmental activities (out and in-patients &TPN)  Develop policies (e.g narcotics records can be kept for 1-3 years)  Schedule personnel and provide supervision (rotation & holidays)  Coordinate administrative needs of the Pharmacy & Therapeutics Committee ( selection of drug essential list for each hospital department according to needs)  Supervise departmental office staff ( lab. Boy, technicians & clerks)
  • 16. 1-Education Training Division Participate in hospital wide education programs involving nurses, doctors etc. Train newly employed pharmacy department personnel. 16
  • 17. Pharmaceutical Research Division- 2   Cooperate with the medical research staff of projects involving drugs ( if present!! May be in case of clinical pharmacist) In-patient Services Division. 3   Provide medications for all in-patients of the hospital on a 24-hour per day basis (rotation system)  Cooperate with the medical drug research (( if present!! May be in case of clinical pharmacist))
  • 18. Out-Patient Services Division.4 Dispense out-patient prescriptions Maintain prescription records. Provide drug consultation services to staff and medical students. Drug Information Services Division.5  Provide drug information on drugs and drug therapy to health professional staff.  Participate in the hospital’s pharmacy newsletter (if present)  Maintain literature files. 18
  • 19. Departmental Services Division .6  Coordinate and control all drug delivery and distribution systems (Unit Dose to inpatients) Purchasing and Inventory Control .7 Division Maintain drug inventory control (input and output control)  Purchase all drugs (record)  Receive, store and distribute drugs (record) 19
  • 20. Central Supply Services Division .8 Develop and coordinate distribution of medical supplies and irrigating fluids. Assay and Quality Control. 9 Division  Not present (UAE) Manufacturing and Packaging Division. 10  Maintain a unit dose program.
  • 21. Sterile Products Division .11  Manufacture sterile ophthalmic, irrigating solutions etc.  LVP, IV admixtures, TPN. Radiopharmaceutical Services. 12 Division  Centralize the procurement, storage and dispensing of radioisotopes used in clinical practice. ( It is in Twam hospital) 13.Intravenous Admixture Division  Included in the sterile product division
  • 22. The director of pharmacy service shall be responsible for: Monitoring all the previous processes mentioned in the functions.
  • 23. Clinical Pharmacy Course (  DR.Ali & Dr.Doa)    