lesson 3 Flashcards

1
Q

They 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

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

A

Chief of the Hospital

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3
Q

supervises the overall operations and regulatory compliance of the hospital pharmacy.

A

Administrative Officer

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4
Q

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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5
Q

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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6
Q

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

Head and Staff of the Nursing Service

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7
Q

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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8
Q

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

A

Head and Staff of the Dietary Service

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9
Q

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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10
Q

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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11
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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12
Q

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

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13
Q

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

A

Budget Section

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14
Q

facilitates procurement of supplies and materials needed in the Hospital Pharmacy.

A

Property and Supply Section

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15
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

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16
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

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17
Q

In Dispensing Service, technical abilities of the pharmacists are utilized. It requires expertise in:

A

pharmacology
pathophysiology
therapeutics
patient care
basic communication skills.

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18
Q

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

A

Clinical Service

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19
Q

In Clinical Service, 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:

A
  • Drug product information
  • Collection of the Pharmacy Patient Data base
  • Patient Education or Counseling
  • Drug Utilization Review
  • Adverse Drug Reaction (ADR) detection, reporting and monitoring
  • Performing other similar functions designed to improve patient care by maximizing drug use.
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20
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

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21
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.

A

Training Service

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22
Q

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

A

Training Service

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23
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

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24
Q

Administrative Service also includes:

A

pharmaceutical cost planning
budgeting
inventory management
preparation of reports
financial management
maintenance of records

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25
Q

It is the responsibility of the ____ to address the needs of the hospital including supplies, materials and other resources.

A

chief pharmacist

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26
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.

 It enhances pharmacists’ ability in proper data, collection, interpretation, and transmission of reports.

A

Research

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27
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

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28
Q

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

A

Professional Staff

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29
Q

Often includes a combination of trained pharmacy technicians and administrative aides.

A

Support Staff

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30
Q

Often includes a combination of trained pharmacy technicians and administrative aides.

A

Support Staff

31
Q

Chief Pharmacist qualification (work experience and degree)

A
  • minimum of 6 years (3 years supervisory work in a pharmacy and 3 years as dispensing pharmacist)
  • bs pharmacy, ms in pharmacy or its equivalent
32
Q

Supervising Pharmacist qualification (work experience and degree)

A
  • minimum of 5 years work experience (3 years supervisory work in a pharmacy and 2 years as dispensing pharmacist)
  • bs pharmacy, at least 18 units post graduate studies
33
Q

Senior Pharmacist qualification (work experience and degree)

A
  • minimum of 3 years
    work experience (at least 1 year supervisory work in a pharmacy and 2 years as dispensing pharmacist)
  • bs pharmacy
34
Q

Staff Pharmacist qualification (work experience and degree)

A
  • at least 1 year experience in pharmacy practice
  • bs pharmacy
35
Q

Laboratory Aide qualifications

A
  • pharmacy aide graduate or at least 2 years of any science college studies
  • at least 2 years experience in pharmacy practice
36
Q

Administrative Aide (II-IV) qualifications

A
  • at least 2 years of any college studies
  • at least 1 year experience in the preparation of routine office
37
Q

Administrative Aide (I) qualifications

A

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

38
Q

The hospital shall provide equipment, materials, and supplies in accordance with the licensure requirement of the:

A

Food and Drugs Administration (FDA)

Bureau of Health Facility Services (BHFS).

39
Q

The New PhilHealth Accreditation Standards specifically requires that ____ be prominently posted to help locate service areas within the organization.

A

Directional Signage

40
Q

Compounding functions and storage requirements of refrigerator

A

for biological and other products needing refrigeration

41
Q

Compounding functions and storage requirements of Prescription balance

A

one centigram sensitivity and a set of weights

42
Q

Compounding functions and storage requirements of glass volumetric measures

A

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

43
Q

Compounding functions and storage requirements of mortar and pestle

A

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

44
Q

Books: Latest edition required by FDA in hospital pharmacy

A

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

45
Q

Documents: Latest edition required by FDA in hospital pharmacy

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

46
Q

Optional References (Documents)

A

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

Copies of the following Republic Acts:
• R.A. 4226 - Hospital Licensure Act
• R.A. 7394 - Consumer Act of the Philippines
• R.A. 7432 - Senior Citizen’s Act
• R.A. 7581 - Price Act
•R.A. 9184 - Government
Procurement Act
• R.A. 9165 - comprehensive Dangerous Drugs Act of 2002
• R.A. 9502 - Universally Accessible Cheaper and Quality Medicine Act of 2008

47
Q

duly registered with the appropriate Government Regulatory Agency. The duly registered record books are still required by regulatory bodies for documentation purposes

A

Record Books

48
Q

Record Books:

A

 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

49
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

50
Q

Pharmacies within hospitals differ considerably from community pharmacies and other areas of pharmacy practice. Some pharmacists in hospital pharmacies may have more complex clinical medication management issues, and pharmacists in community pharmacies often have more complex business and customer relations issues.

A
51
Q

the hospital pharmacists shall collaborate work with the ____ and ____ to assure quality patient care and to improve pharmacy operations and management.

A

medical staff
hospital administration

52
Q

a department or service in a hospital which is under the direction of a professionally, competent, legally qualified pharmacist

A

Hospital Pharmacy Department

53
Q

The modern practice of Hospital Pharmacy involves on the computerization of the pharmacy department makes it possible for the staff to:

A

• 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

54
Q

 The success in the delivery of any pharmacy serviced offered will be based on expert management and administrative procedures.

 As part of the function, the chief pharmacist 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
55
Q

The hospital pharmacy service section is structured to:

A
  • maximize teamwork
  • promote decision making
  • specify administrative line of authority, functional responsibilities, accountabilities, and designation of
    employees.
56
Q

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 ___, and ___.

A

Chief, Administrative officer

Chief of Clinics/Chief Medical and Professional Service

57
Q

They must be licensed in accordance with the Professional Regulation Commission (PRC).

A

Pharmacists

58
Q

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

A

Technicians and Support Personnel

59
Q

All personnel are provided with regular continuing education and training to maintain proficiency and competence.

A
60
Q

Small hospitals 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
61
Q

The nurse on duty or staff trained in dispensing of commonly prescribed drug products 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
62
Q

Some teaching and training hospitals that provide extensive drug distribution and clinical services have more than twenty (20) staff pharmacists.

A
63
Q

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
64
Q

Other Additional Requirements

A

• file of invoices
• file of filled prescriptions
• red and white label indicating the name and address of the drugstore.
• dry seal or rubber stamp containing the name and address of the drugstore.
• dry seal or rubber stamp for dangerous drug prescriptions.
• partially-filled (used for ……)
• completely filled (used in full)

65
Q

Content and Format

A

• Organization
• Equipment and Physical Plant
• Personnel Policies
• Services and Activities

66
Q

Administrative Service and Activities

A

• Policies of the Pharmacy Service
• Personnel recruitment
• Hours of operation
• Performance evaluation
• Purchasing procedure
• Handling of cash receipts
• Pricing policy

67
Q

Professional Service and Activities

A

• Distribution system for
inpatients
• Distribution of ward stock drugs and emergency drugs
• Verification of medication orders
• Narcotic regulations
• Bulk compounding
• Sterile compounding
• Prepackaging of bulk drugs

68
Q

Personnel Policies

A

Job Description
Fringe Benefits - General Policy

69
Q

Fringe Benefits

A

• Sick leave, Vacation leave, Holidays
• Jury duty, Attending institutes
• Seminars/Conventions, etc.
• Hospital employee relations
• Discipline - Criteria for warning, probation, and dismissal

70
Q

9 sqm areas in 100 Bed Capacity

A

Office with T/B
Staff Working Area
Dispensing and Drug Info Service Area
Bulk Stock Room
Parenteral/Admixture Area

71
Q

8 sqm area in 100 Bed Capacity

A

Receiving/Breakout/Inspection area

72
Q

3.5 sqm area in 100 bed capacity

A

flammables

73
Q

6 sqm area in 100 bed capacity

A

Extemporaneous Preparation Area