Lec 2 Flashcards
T/F: Institutional pharmacy is organized under a corporate structure, following
specific rules and regulations for accreditation
True
T/F: Institutional pharmacy is a pharmacy associated with any organized
healthcare delivery system.
True
T/F: Hospital pharmacy is the most common example of
institutional pharmacy
True
More recent examples of places where institutional
pharmacies can be found include
Home Healthcare System
Long-term Care Facilities
Managed-Care Organizations
Nuclear Pharmacies
America’s first hospital pharmacist was ____________, hired in _______ at the ___________
Jonathan Roberts; 1752; Pennsylvania Hospital
pioneered the hospital pharmacy practice
Charles Rice at the Bellevue Hospital in New York
City
also headed three revisions of the
United States Pharmacopeia (USP)
Charles Rice
What year did Charles Rice pioneered hospital pharmacy and headed the three revisions of USP
1841-1901
Generation wherein few hospitals are considered places of
dreaded impurity and exiled human wreckage.
1800s
In 1800s, Drug therapy consists of
strong cathartics,
emetics, and diaphoretics.
In 1800s, Clean air and good food were treatments together
with the newer alkaloidal drugs such as
morphine, strychine, and quinine
caused the development of
extemporaneous manufacturing and in purchasing
medical goods
Civil war
what year does Catholic hospitals are charging patients a small fee
and they are willing to train, or obtain training for,
nuns in pharmacy
1870 and 1880s
More specialization in medical practice
Early 1900s
Because of pharmacy-related issues in hospitals, the
______________ created the
Committee of Pharmacy to develop minimum
standards for hospital pharmacy departments and to
prepare a manual of pharmacy operations
AHA (American Hospital Association)
Because of pharmacy-related issues in hospitals, the
AHA (American Hospital Association) created the
_________________to develop minimum
standards for hospital pharmacy departments and to
prepare a manual of pharmacy operations.
Committee of Pharmacy
is the current organization that
provides guidelines for hospital pharmacy practice in
the US
American Society of Health-System
Pharmacists (ASHP)
In the 1930s, Hospitals with _________ beds - required to employ a
registered pharmacist
> 100
Year when pharmacy department was perceived as a
complementary service department, not an
essential service
1950s-1960s
is the determinant of the
availability of the pharmacist
hospital size
In 1950s-1960s, Hospital with _________ beds = a full-time (FTE)
pharmacist is necessary
≥ 300
Today, hospitals with 100 occupied beds must
have _______ full-time (FTE) pharmacists.
13
Maintaining drug treatment records
Services Similar to Community Pharmacy Services
Ordering and stocking medications and medical
supplies
Services Similar to Community Pharmacy Services
Repackaging medications
Services Similar to Community Pharmacy Services
Dispensing medication
Services Similar to Community Pharmacy Services
Providing information about the proper use of
medication
Services Similar to Community Pharmacy Services
Collecting and evaluating information about
adverse drug reactions and interactions
Services Similar to Community Pharmacy Services
Preparing medications in various dose forms for
dispensing
Services Similar to Community Pharmacy Services
Educating and counseling patients about their
drug therapies
Services Similar to Community Pharmacy Services
Preventing, identifying, and resolving
medication-related problems
Services Similar to Community Pharmacy Services
Preparing and maintaining a formulary
Provided by a Hospital Pharmacy
Conducting drug use evaluations
Provided by a Hospital Pharmacy
Following universal precautions
Provided by a Hospital Pharmacy
Preparing products using aseptic techniques
Provided by a Hospital Pharmacy
Ensuring that hazardous agents are handled
and disposed of properly
Provided by a Hospital Pharmacy
Filling medication orders (as opposed to
prescriptions
Provided by a Hospital Pharmacy
Routinely 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)
Provided by a Hospital Pharmacy
Stocking nursing stations with medications and
supplies
Provided by a Hospital Pharmacy
Delivering medications to patients’ room
Provided by a Hospital Pharmacy
Maintaining a drug information service, and
providing drug information to the other
healthcare professionals in the institution
Provided by a Hospital Pharmacy
Educating and counseling inpatients and
outpatients about their drug therapies
Provided by a Hospital Pharmacy
Monitoring patient outcomes
Provided by a Hospital Pharmacy
Preventing, identifying, and resolving
medication-related problems
Provided by a Hospital Pharmacy
Participating in clinical drug investigations and
research
Provided by a Hospital Pharmacy
Providing in-service drug-related education
Provided by a Hospital Pharmacy
Reviewing or auditing prescription services for
evaluation of service accuracy and quality
Provided by a Hospital Pharmacy
Providing expert consultations in such areas as
pediatric pharmacology, nutritional support, and
pharmacokinetics
Provided by a Hospital Pharmacy
Many hospitals offer clinical and consultative
services such as nutrition support,
pharmacokinetics, critical care, and other specialties
CLINICAL SERVICES
Most hospitals have a drug information service
that is primarily responsible for making
recommendations on a drug formulary
DRUG INFORMATION SERVICES
Many large hospitals operate an outpatient
pharmacy to serve the medication needs of patients
discharged from the hospital, as well as for those
patients who are seen in the emergency room or
other ambulatory clinics adjoining the hospita
OUTPATIENT PHARMACY SERVICES
refers to the reduction and mitigation of unsafe acts
within the healthcare system, as well as through the
use of best practices shown to lead to optimal
patient outcomes
PATIENT SAFETY
T/F: Prescribing remains at the patient care area
True
It is essential that some means used to
transmit the prescription order from the patient
area to the pharmacy
Transcribing
Physically transfer of the drug product
following review and approval of the
prescription to the person responsible for
administering the medication to the patient
Dispensing
24hr dose of the patient’s medications are
given to the nurses. Discontinued
medications are returned to the pharmacy.
Unit-dose Drug Distribution System
