3 Flashcards

1
Q

are found in the hospital pharmacy
department within the hospital and are responsible for
providing medications for the in-patients and out-patients to
some extent.

A

Hospital pharmacists

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2
Q

within hospitals differ considerably from
community pharmacies and other areas of pharmacy
practice.

A

PHARMACIES

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3
Q

Some pharmacists in hospital pharmacies may have
more complex

A

clinical medication management issues

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4
Q

pharmacists in community pharmacies often have more
complex

A

business and customer relations issues.

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5
Q

The shall maintain a pharmacy service that is
administered in accordance with ethical, professional practices
and legal requirements.

A

hospital

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6
Q

a client friendly
section, is responsible for providing optimal care to in-patients
or out-patients and the general public through the promotion of
safe, accurate, rational, and cost-effective use of medicines.

A

hospital pharmacy

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7
Q

shall collaborate work with
the medical staff and hospital administration to assure quality
patient care and to improve pharmacy operations and
management.

A

hospital pharmacists

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8
Q

is a department
or service in a hospital which is under the direction of a
professionally, competent, legally qualified pharmacist,
and from which all medications:
 Are supplied to the nursing units and other services;
 Where special prescriptions are filled for patients in
the hospital;
 Where prescriptions are filled for ambulatory patients
and outpatients;
 Where pharmaceuticals are manufactured in bulk;
 Where narcotics and other prescribed drugs are
dispensed;
 Where biologicals are stored and dispensed;
 Where injectable preparations should be prepared
and sterilized, and
 Where professional supplies are often stocked and
dispensed.

A

The hospital Pharmacy Department

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9
Q

The modern practice of _________involves on the
computerization of the pharmacy department makes it possible
for the staff to:
 Participate in patient education program
 Participate in poison control center activities
 Preparation of patient drug use profiles
 Parenteral nutrition program participation
 Cooperating in the teaching and research programs of the hospital
 Communicating new product information to nursing service and
other hospital personnel
 Dispensing radiopharmaceuticals

A

Hospital Pharmacy

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10
Q

 To provide quality pharmaceutical services to in-
patients or out-patients, general public, and to the
allied health professionals and institutions.
 To deliver total satisfaction by providing client-friendly
pharmaceutical services.
 To provide quality patient care through assuring safe,
accurate, rational and cost-effective use of medicines.
 To maintain standard professional ethics and
education.
 To promote research on pharmaceuticals and hospital
pharmacy practices.
 To disseminate pharmaceutical knowledge and share
medication information among hospital pharmacists
and members of allied specialties and professions.
 To strengthen hospital pharmacy internship program
through the development of a training module.
 To integrate new technological developments in
improving pharmaceutical care and safety.

A

INSTITUTIONAL GOALS OF THE
HOSPITAL PHARMACY SERVICE

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11
Q

To provide continuous supply of appropriate medicines to
the patients in collaboration with the medical staff
through the _________

A

Pharmacy and Therapeutics Committee.

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12
Q

(CQI)
Program.

A

Continuous Quality Improvement

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13
Q

is organized in accordance with
the minimum requirements set by the

A

hospital pharmacy
Food and Drugs
Administration (FDA), and the One Stop Shop Licensure
of the Bureau of Health Facilities Service (BHFS).

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14
Q

appropriately qualified by
experience, education, and training shall effectively
manage the hospital pharmacy under the general
supervision of the Chief Administrative Officer or Deputy
of the Administrative Services.

A

licensed pharmacist

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15
Q

 The____________shall be staffed with qualified
number of competent pharmacists and well-trained
support personnel, in keeping with the service capability
of the hospital.

A

hospital pharmacy

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16
Q

 The need to ensure the availability of affordable, quality,
safe, and efficacious drugs in the __________for in-
patients or out-patients and to the general public and in
support to the government’s thrust of reducing the prices
of drugs and other pharmaceutical products.

A

DOH hospitals

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17
Q

the ______________must be
familiar with the health care system in general and the
specific functions of the health institution in order to
achieve the pharmacy’s goal in cooperation with all other
departments and programs that ensures quality care for
the patients.

A

chief pharmacist

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18
Q

Reallocated Positions for Hospital Pharmacists
From
Pharmacist I

Pharmacist II

Pharmacist III

Pharmacist IV

Pharmacist V

Pharmacist VI

A

10
12
14
18
20
22

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19
Q

Reallocated Positions for Hospital Pharmacists
To
Pharmacist I

Pharmacist II

Pharmacist III

Pharmacist IV

Pharmacist V

Pharmacist VI

A

11
15
15
18
20
22

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20
Q

 The _________is structured to
maximize teamwork, promote decision making, and to
specify administrative line of authority, functional
responsibilities, accountabilities, and designation of
employees. (Figures 1, 2, 3)

A

hospital pharmacy service section

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21
Q

Figure 1
Hospital Pharmacy Position Chart

A

Chief Pharmacist
Supervising Pharmacist
Senior Pharmacist/s
Staff Pharmacist/s
Laboratory Aide/s
Administrative Aide/s

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22
Q

Figure 1
Hospital Pharmacy Position Chart

Figure 2
Organizational Chart of 300 Bed Capacity Tertiary Teaching and Training Hospital

Figure 3
Organizational Chart of the Pharmacy Division in a Corporate Hospital

A

ORGANIZATION AND STRUCTURE

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23
Q

The _________serves and interacts with other
sections and departments, it is important to understand
the relationship of the pharmacy within the hospital.
Generally, the hospital pharmacy is directly under the
supervision of the _________ and has
direct accountability to the Chief of the Hospital.
However, there are government hospitals in which the
pharmacy section is under the supervision of the___________ . (Figure 4)

A

hospital pharmacy
Chief, Administrative officer
Chief of
Clinics/Chief Medical and Professional Service

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24
Q

The ________contributes to the process of
improvement and operations of an institution through
coordination and collaboration with the health system
administrators, medical staff, nursing staff and from other
departments or services.

A

hospital pharmacy section

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25
Q

The_________supports and approves all
requirements necessary for the operation and management of
the hospital pharmacy.

A

Chief of the Hospital

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26
Q

 The_________supervises the overall operations
and regulatory compliance of the hospital pharmacy.

A

Administrative Officer

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27
Q

 The__________closely coordinates with the
pharmacists through the Pharmacy and Therapeutics
Committee on the selection, rational drug use and other drug
and pharmacy related matters.

A

Medical Officers and Staff

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28
Q

The ____________provides the pharmacists with drug information and
database on Patient’s Medication Records whenever
necessary.

A

Hospital Health Information/Medical Records Officer
and Staff

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29
Q

 The __________participates in
the regular pharmacy monitoring of medicines stored in the
wards (proper storage, movement and utilization of
medicines). They provide the pharmacists, data on
medication errors, adverse drug experiences and other drug-
related concerns.

A

The Head and Staff of the Nursing Service

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30
Q

 The ___________provides the pharmacists information on
anti-microbial resistance and susceptibility necessary for drug
procurement and dispensing.

A

Chief Medical Technologist and Staff of the
Laboratory Service

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31
Q

The __________provides referrals
(on request) for total parenteral nutrition and information on
any drug-food interactions.

A
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32
Q

 The ________
provides information in financial capability of the patients and
availability of resources for the pharmaceutical requirements
of the patients in the service wards.

A

Head and Staff of the Medical Social Work Service

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33
Q

 The _________
analyzes the financial reports submitted by the pharmacists
that are used as basis for the hospital pharmacy budget
estimate.

A

Chief Accountant and Staff of the Accounting Section

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34
Q

 The _________
analyzes the financial reports submitted by the pharmacists
that are used as basis for the hospital pharmacy budget
estimate.

A

Chief Accountant and Staff of the Accounting Section

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35
Q

Statement of accounts for drugs and medicines are prepared at
the_______ based on the charge slips issued by the
pharmacist to the patients.

A

Billing Section

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36
Q

 The _______ provides Official Receipts (OR) to the
patients or clients and presented to the pharmacist as
confirmation of payment for the drug products being purchased.

A

Cashier Section

37
Q

 The_______provides Allocation and Obligation Slip
(ALOBS) as an assurance of funds for the purchase of pharmacy
supplies and requirements.

A

Budget Section

38
Q

 The _________facilitates procurement of
supplies and materials needed in the Hospital Pharmacy.

A

Property and Supply Section

39
Q

The __________depends on the standards
set by the hospital based on the requirements of the patients.
Recent development in science and technology can make the
service diversely unlimited.

A

scope of pharmaceutical service

40
Q

It is the responsibility of the__________to design the most appropriate services for the
hospital. (Figure 5)

A

chief
pharmacist

41
Q

SERVICES PROVIDED BY THE HOSPITAL PHARMACY

A

Dispensing Service
Clinical Service
Compounding Service
Training Service
Administrative Service
Research

42
Q

 Considered by many to be the main function of the
Pharmacy. The knowledge in medicines and their actions
is the fundamental contribution to health care by the
dispensing pharmacist.

A

Dispensing service

43
Q

 This is also where technical abilities of the pharmacists
are utilized. It requires expertise in pharmacology,
pathophysiology, therapeutics, patient care and basic
communication skills.

A

Dispensing service

44
Q

 However, as with the dispensing service, comprehensive
knowledge on medicines, diseases, patient and drug
product variables, and the ability to interact with other
health care professionals are also required. This services
includes:
 Drug product information, which encompasses the collection,
organization, retrieval, interpretation and evaluation of the
applicable literature in appropriate fashion.
 Collection of the pharmacy patient data base
 Patient Education or Counseling
 Drug Utilization Review (DUR)
 Adverse Drug Reaction (ADR) detection, reporting and
monitoring
 Performing other similar functions designed to improve
patient care by maximizing drug use. Clinical functions
may also extend to the pharmacist’s role in pharmacy
care as well as in the management of chronic care
patients.

A

Clinical Service

45
Q

 Has become part of the overall pharmacy activity which
may not be directly associated with the dispensing of
medicines.

A

Clinical Service

46
Q

 Refers to preparation of medications, special dosage
forms and formulations not available in the market.
 It requires an adequate understanding of the principles
involved in the preparation of medications in special
dosage forms.

A

Compounding Service

47
Q

 Refers to the training of new personnel and on the
continuous educational programs for staff and students.
Likewise, training service of the hospital pharmacy
includes drug product updates shared to other health
professionals.

 It is the service of the hospital pharmacy in which training
activities for pharmacy interns are formulated and
implemented.

A

Training Service

48
Q

 Pertains to compliance with regulatory requirements of
the pharmacy. It also includes pharmaceutical cost
planning, budgeting, inventory management, preparation
of reports, financial management, and maintenance of
records.
 It is the responsibility of the chief pharmacist to address
the needs of the hospital including supplies, materials
and other resources.

A

Administrative Service

49
Q

 Refers to clinical researches initiated by the medical staff.
The pharmacist involved in this activity is equipped with
an appropriate training in research methodology.
 Research activity enhances pharmacists’ ability in proper
data, collection, interpretation, and transmission of
reports.

A

Research

50
Q

 Pharmacists must be licensed in accordance with the

A

Professional Regulation Commission (PRC).

51
Q

must have basic
educational qualifications and training in order to
properly assist the professional staff.

A

Technicians and support personnel

52
Q

 All personnel are provided with regular continuing
education and training to maintain proficiency and
competence.
 To maintain a _________in a
hospital, there must be an adequate number of
competent and qualified personnel that corresponds
to the required hospital pharmacy-staffing pattern.

A

comprehensive pharmacy service

53
Q

hires a pharmacist that would take
eight (8) hours work and be on call to duty whenever
needed. Likewise, in hospitals with only one
pharmacist, the practice is to maintain a floor stock
medicines in the ward.

A

Small hospitals

54
Q

is allowed to issue
such medications in the absence of the pharmacist.
He/She is required to record the drug products dispensed
and are later validated by the pharmacist.

A

nurse on duty or staff trained in dispensing of
commonly prescribed drug products

55
Q

 ,
limit the performance of proper control measures in the
delivery of pharmacy services.

A

Shortage of qualified pharmacists or trained dispensers

56
Q

 Some teaching and training hospitals that provide
extensive drug distribution and clinical services have
more than

A

twenty (20) staff pharmacists.

57
Q

CATEGORIES OF PERSONNEL

A

Management Staff
Professional Staff
Support staff

58
Q

 Includes the chief pharmacist and/or deputy chief
pharmacist, who is responsible for procurement,
distribution, and control of all drug products used
within the hospital, and in the management of
personnel within the hospital pharmacy section.

A

Management Staff

59
Q

 These professionals are qualified pharmacists who
procure, distribute, and control drug
products/medicines and supervise support staff
undertaking pharmacy activities.

A

Professional Staff

60
Q

 Often includes a combination of trained pharmacy
technicians and administrative aides. (Table 2)

A

Support Staff

61
Q

 B.S. Degree in Pharmacy
 Duly licensed by law to practice pharmacy and operate a pharmacy
 M.S. in Pharmacy or its equivalent
 With a minimum of 6 years work
experience (3 years supervisory work in a pharmacy and 3 years
as dispensing pharmacist)
 Have accomplished on-the-job
training
 Have attended continuing education seminars, conventions and trainings
 Computer literate
 With strong verbal and communication skills
 With strong problem solving skills
 Have demonstrated ability to build successful teams and coalition in
a complex organizational structure
 Physically

A

Chief Pharmacist

62
Q

 B.S. Degree in Pharmacy
 Duly licensed by law to practice pharmacy and operate a pharmacy
 With at least 18 units post graduate studies
 With a minimum of 5 years work
experience (3 years supervisory work in a pharmacy and 2 years
as dispensing pharmacist)
 Have accomplished on-the-job
training
 Have attended continuing education seminars, conventions and trainings
 Computer literate
 With strong verbal and communication skills
 With strong problem solving skills
 Have demonstrated ability to build successful teams and coalition in
a complex organizational structure
 Physically, Physically, mentally, and morally fit to work

A

Supervising Pharmacist

63
Q

 B.S. Degree in Pharmacy
 Duly licensed by law to practice pharmacy and operate a pharmacy
 With a minimum of 3 years
work experience (at least
1 year supervisory work in a pharmacy and 2 years as dispensing pharmacist)
 Have accomplished on-
the-job training
 Have attended continuing education seminars, conventions and trainings
 Computer literate
 Physically, mentally, and

A

Senior Pharmacist

64
Q

 B.S. Degree in Pharmacy
 Duly licensed by law to practice pharmacy and
operate a pharmacy
 With at least 1 year experience in pharmacy practice
 Have accomplished on-
the-job training
 Have attended continuing education seminars, conventions and trainings
 Computer literate
 Physically, mentally, and

A

Staff Pharmacist

65
Q

 A pharmacy aide
graduate or completed of
at least 2 years of any
science college studies
 With at least 2 years
experience in pharmacy
practice
 Computer literate
 Physically, mentally, and
morally fit to work

A

Laboratory Aide

66
Q

 Completed of at least 2
years of any college
studies
 With at least 1 year
experience in the
preparation of routine
office
 Have passed Career
Service Eligibility (sub-
professional)
 Computer literate
 Physically, mentally, and
morally fit to work

A

Administrative Aide (II-IV)

67
Q

 At least high school graduate
 With good moral character
 Physically, mentally, and morally fit to work

A

Administrative Aide (I)

68
Q

The hospital shall provide equipment, materials,
and supplies in accordance with the licensure
requirement of the Food and Drugs
Administration (FDA) and Bureau of Health
Facility Services (BHFS).

A

PHYSICAL PLANT, FACILITIES,
EQUIPMENT and OTHER MATERIALS

69
Q

 The pharmacy should be placed in an area of the
hospital, which accessible and visible to in-patients and
out-patients, business hospital offices, and frontline
services and to the general public.
 In large hospitals, satellite pharmacies are establish at
wards to assure drug availability and timeliness of
pharmaceutical service. Likewise, satellite pharmacies
suited outside the hospital premises are built to make
affordable, quality, safe drugs accessible to the general
public.

A

LOCATION

70
Q

 The pharmacy should be placed in an area of the
hospital, which accessible and visible to in-patients and
out-patients, business hospital offices, and frontline
services and to the general public.
 In large hospitals, satellite pharmacies are establish at
wards to assure drug availability and timeliness of
pharmaceutical service. Likewise, satellite pharmacies
suited outside the hospital premises are built to make
affordable, quality, safe drugs accessible to the general
public.

A

LOCATION

71
Q

 A signboard___________in front of the hospital
pharmacy and hospital building is required.
 A well ventilated, and not less than 15 sq.m. in floor
area with concrete tile or wooden flooring.
 A place suitable for compounding prescription and for
washing and sterilizing bottles.
 A suitable place for proper storage of
drugs/medicines and biological products.

A

PREMISES
Pharmacy

72
Q

PREMISES
 A suitable cabinet for keeping poisons and/or
dangerous drugs.
 An adequate water supply. (Table 3)
The New PhilHealth Accreditation Standards specifically
requires that ________be prominently
posted to help locate service areas within the
organization.

A

Directional Signage

73
Q

UTENSILS, APPARATUS, AND EQUIPMENT

A

 Refrigerator
 Prescription balance
 Glass volumetric measures
 Mortar and Pestle

74
Q

UTENSILS, APPARATUS, AND EQUIPMENT

  • for biological and other products needing
    refrigeration.
A

 Refrigerator

75
Q

one centigram sensitivity and a set
of weights.

A

Prescription balance -

76
Q

 - a set of not less than six (6)
pieces from 15 to 1000 mL capacity.

A

Glass volumetric measures

77
Q

 - a set of not less than three (3) in
assorted sizes.

A

Mortar and Pestle

78
Q

 The__________must provide adequate space
for up-to-date pharmaceutical reference materials that
are important to good pharmaceutical practice in
relation to patient care.
 These includes official pharmaceutical compendia,
periodicals, and current editions of text and reference
books.

A

Pharmacy Service

79
Q

The following references required by the Food and Drugs
Administration in the Hospital Pharmacy.
 Books: Latest edition
 Documents: Latest edition

A

Reference Books and Documents

80
Q

 Books: Latest edition

A

 Philippine National Drug Formulary (PNDF)
 United States Pharmacopeia/National Formulary (USP-
NF)
 Remington’s Pharmaceutical Sciences
 Goodman and Gilman Pharmacological Basis of
Therapeutics

81
Q

 Documents: Latest edition

A

 RA 5921 - Pharmacy Law
 RA 6675 - Generics Act of 1988
 RA 3720 - Food, Drugs and Devices, and Cosmetics Act
 RA 8203 - Special Law on Counterfeit Drugs

82
Q

Optional References
The following are suggested references in the Hospital Pharmacy

A

 Books
 Documents
 Documents
 Copies of the followingrepublic acts

83
Q

Optional References Books

A

 Martindale’s Extra
Pharmacopeia
 Myler’s, Side Effects of
Drugs
 Medical Dictionary
 Textbook on Toxicity
 Textbook on Clinical
Pharmacy
 Textbook on Diagnostic Laboratory Test
 Cross Reference Index (CRI)
 Hospital Formulary

84
Q

OS Documents

A

 Monthly Index Medical
Specialties (MIMS)
 Documents
 DOH Administrative Orders
pertaining to
 DOH Memorandum Circulars
 Journals and other
Secondary Literatures (if available)
 Handbook on Philippine Government Procurement
(RA 9184)
 FDA Bureau/Memorandum
Circulars

85
Q

OS Documents

A

 Monthly Index Medical
Specialties (MIMS)
 Documents
 DOH Administrative Orders
pertaining to
 DOH Memorandum Circulars
 Journals and other
Secondary Literatures (if available)
 Handbook on Philippine Government Procurement
(RA 9184)
 FDA Bureau/Memorandum
Circulars

86
Q

OR DOCUMENTS RA

A

o R.A. 4226 - Hospital Licensure Act
o R.A. 7394 - Consumer Act of
the Philippines
o R.A. 7432 - Senior Citizen’s
Act
o R.A. 7581 - Price Act
o R.A. 9184 - Government
Procurement Act
o R.A. 9165 - comprehensive Dangerous Drugs Act of 2002
o R.A. 9502 - Universally

87
Q

OR DOCUMENTS RA

A

o R.A. 4226 - Hospital Licensure Act
o R.A. 7394 - Consumer Act of
the Philippines
o R.A. 7432 - Senior Citizen’s
Act
o R.A. 7581 - Price Act
o R.A. 9184 - Government
Procurement Act
o R.A. 9165 - comprehensive Dangerous Drugs Act of 2002
o R.A. 9502 - Universally

88
Q

Record Books

A

Record books duly registered with the appropriate
Government Regulatory Agency. The duly registered record
books are still required by regulatory bodies for
documentation purposes.
 Prescription Book (DOH Hospital Pharmacies as exempted as per A.O. No. 63 s. 1989)
 Dangerous Drug Book and Additional Dangerous Drug Book
 Poison Book

89
Q

May be defined as a series of administrative and
professional policies which may serve as guide to the
hospital pharmacist in the development and execution
of effective and proficient pharmaceutical services in
the hospital.

A

THE PHARMACY PROCEDURAL MANUAL