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
The_________supports and approves all requirements necessary for the operation and management of the hospital pharmacy.
Chief of the Hospital
26
 The_________supervises the overall operations and regulatory compliance of the hospital pharmacy.
Administrative Officer
27
 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.
Medical Officers and Staff
28
The ____________provides the pharmacists with drug information and database on Patient’s Medication Records whenever necessary.
Hospital Health Information/Medical Records Officer and Staff
29
 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.
The Head and Staff of the Nursing Service
30
 The ___________provides the pharmacists information on anti-microbial resistance and susceptibility necessary for drug procurement and dispensing.
Chief Medical Technologist and Staff of the Laboratory Service
31
The __________provides referrals (on request) for total parenteral nutrition and information on any drug-food interactions.
32
 The ________ provides information in financial capability of the patients and availability of resources for the pharmaceutical requirements of the patients in the service wards.
Head and Staff of the Medical Social Work Service
33
 The _________ analyzes the financial reports submitted by the pharmacists that are used as basis for the hospital pharmacy budget estimate.
Chief Accountant and Staff of the Accounting Section
34
 The _________ analyzes the financial reports submitted by the pharmacists that are used as basis for the hospital pharmacy budget estimate.
Chief Accountant and Staff of the Accounting Section
35
Statement of accounts for drugs and medicines are prepared at the_______ based on the charge slips issued by the pharmacist to the patients.
Billing Section
36
 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.
Cashier Section
37
 The_______provides Allocation and Obligation Slip (ALOBS) as an assurance of funds for the purchase of pharmacy supplies and requirements.
Budget Section
38
 The _________facilitates procurement of supplies and materials needed in the Hospital Pharmacy.
Property and Supply Section
39
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.
scope of pharmaceutical service
40
It is the responsibility of the__________to design the most appropriate services for the hospital. (Figure 5)
chief pharmacist
41
SERVICES PROVIDED BY THE HOSPITAL PHARMACY
Dispensing Service Clinical Service Compounding Service Training Service Administrative Service Research
42
 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.
Dispensing service
43
 This is also where technical abilities of the pharmacists are utilized. It requires expertise in pharmacology, pathophysiology, therapeutics, patient care and basic communication skills.
Dispensing service
44
 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.
Clinical Service
45
 Has become part of the overall pharmacy activity which may not be directly associated with the dispensing of medicines.
Clinical Service
46
 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.
Compounding Service
47
 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.
Training Service
48
 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.
Administrative Service
49
 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.
Research
50
 Pharmacists must be licensed in accordance with the
Professional Regulation Commission (PRC).
51
must have basic educational qualifications and training in order to properly assist the professional staff.
Technicians and support personnel
52
 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.
comprehensive pharmacy service
53
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.
Small hospitals
54
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.
nurse on duty or staff trained in dispensing of commonly prescribed drug products
55
 , limit the performance of proper control measures in the delivery of pharmacy services.
Shortage of qualified pharmacists or trained dispensers
56
 Some teaching and training hospitals that provide extensive drug distribution and clinical services have more than
twenty (20) staff pharmacists.
57
CATEGORIES OF PERSONNEL
Management Staff Professional Staff Support staff
58
 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.
Management Staff
59
 These professionals are qualified pharmacists who procure, distribute, and control drug products/medicines and supervise support staff undertaking pharmacy activities.
Professional Staff
60
 Often includes a combination of trained pharmacy technicians and administrative aides. (Table 2)
Support Staff
61
 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
Chief Pharmacist
62
 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
Supervising Pharmacist
63
 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
Senior Pharmacist
64
 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
Staff Pharmacist
65
 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
Laboratory Aide
66
 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
Administrative Aide (II-IV)
67
 At least high school graduate  With good moral character  Physically, mentally, and morally fit to work
Administrative Aide (I)
68
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).
PHYSICAL PLANT, FACILITIES, EQUIPMENT and OTHER MATERIALS
69
 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.
LOCATION
70
 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.
LOCATION
71
 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.
PREMISES Pharmacy
72
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.
Directional Signage
73
UTENSILS, APPARATUS, AND EQUIPMENT
 Refrigerator  Prescription balance  Glass volumetric measures  Mortar and Pestle
74
UTENSILS, APPARATUS, AND EQUIPMENT - for biological and other products needing refrigeration.
 Refrigerator
75
one centigram sensitivity and a set of weights.
Prescription balance -
76
 - a set of not less than six (6) pieces from 15 to 1000 mL capacity.
Glass volumetric measures
77
 - a set of not less than three (3) in assorted sizes.
Mortar and Pestle
78
 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.
Pharmacy Service
79
The following references required by the Food and Drugs Administration in the Hospital Pharmacy.  Books: Latest edition  Documents: Latest edition
Reference Books and Documents
80
 Books: Latest edition
 Philippine National Drug Formulary (PNDF)  United States Pharmacopeia/National Formulary (USP- NF)  Remington’s Pharmaceutical Sciences  Goodman and Gilman Pharmacological Basis of Therapeutics
81
 Documents: Latest edition
 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
Optional References The following are suggested references in the Hospital Pharmacy
 Books  Documents  Documents  Copies of the followingrepublic acts
83
Optional References Books
 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
OS Documents
 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
OS Documents
 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
OR DOCUMENTS RA
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
OR DOCUMENTS RA
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
Record Books
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
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.
THE PHARMACY PROCEDURAL MANUAL