HospIntern Exercise1-5

1. Processing of Requirements for Hospital Pharmacy Internship

2. Requirements for Opening a Hospital Pharmacy

3. The Hospital Pharmacy Organization and It’s Personnel

4. The Hospital Pharmacy’s Lay-out and Its Location

5. Pharmacy & Therapeutics Committee

PATRICIA ROSE ABALOS, RPh, MS Phar cand

PROCESSING OF REQUIREMENTS FOR HOSPITAL

PHARMACY INTERNSHIP

Discussion Outline

Importance: Hospital Pharmacy Internship

Policies for Hospital Pharmacy Internship

Workflow Process

Procedures in Processing Requirements

Why we should take Hospital Pharmacy Internship program?Republic Act no. 5921 – Pharmacy Law Article III – Section 18. Candidate for Board

Examination

Qualifications: a. Natural-born citizen of the Philippinesb. Of good moral characterc. Shall have completed an Internship Program • Prescription pharmacy• Pharmaceutical manufacturing laboratory• Hospital pharmacy

d. BS Pharmacy graduate


Who can undergo a Hospital Pharmacy Internship?

What are the prerequisites required prior to internship in hospital?

How many hours should be rendered for Hospital Pharmacy Internship?

o Students enrolled in Internship 2

o Pharmaceutics 1o Internship 1o Pharmacy 5a (Hospital Pharmacy)

o Total of 200 hours


What are the documents which shall be submitted to Internship coordinator 2 weeks after the internship?

What are the further requirements for the completion of Hospital Pharmacy Internship?

o Original: Certificate of Internship (COI)o Pharmacy Internship Daily Time Record (PIDTR)o Duplicate: Certificate of Internship o Performance Rating Report for Student Trainees (PRRST)o Internship Activity Report (IAR)o Checklist of Internship Activities o Hospital Pharmacy Profile (HPP)

o Internship examination to be given by coordinator

WORKFLOW

WHEN APPLYING WHILE UNDERGOING

To Internship Coordinator1. RIRL

To the Hospital1. Recommendation Letter2. Other Requirements set

by Hospital

To Internship Coordinator1. Acceptance Form

Kept by Student1. Original COI2. PIDTR

Kept by Internship Coordinator

1. Duplicate COI 2. PRRST3. IAR4. HPP5. Checklist of IAR

By Intern1. PIDTR2. HPP3. Checklist of

Internship Activities4. IAR

By Pharmacist1. PRRST2. IAR

Request for Internship Recommendation Letter (RIRL)

Pharmacy Internship Daily Time Record (PIDTR)

Hospital Pharmacy Profile (HPP) & Checklist of Internship Activities

Internship Activity Report (IAR)

Performance Rating Report for Student Trainee (PRRST)


Requirements for Opening a Hospital Pharmacy

Discussion Outline

Requirements for the Opening & Operations of Drugstores and Pharmacies

Definition: Different Types of Drug Outlets

General Requirements

Other Specific Requirements

Renewal of License to Operate

Requirements for the Opening & Operations of Drugstores and PharmaciesSection 39 of RA 5921– Pharmacy Law(As amended by PD 1363 on May 2, 1978)

The minimum requirements necessary for the opening and operation of drugstores and pharmacies shall be in accordance with the rules and regulations to be prescribed by the Food and Drug Administration in accordance with the provisions of this Act.

No application for the opening of a retail drugstore shall be approved unless it is signed by a Filipino registered pharmacist, either as owner or as supervising pharmacist pursuant to section 27 of this Act.

Display of Certificate Required

Section 28 of RA 5921– Pharmacy LawIt shall be the duty of every pharmacist engaged in the practice of pharmacy, either on his own account or under the employ of another, to display his certificate of registration in a prominent and conspicuous place in the pharmacy, drugstore, hospital pharmacy or drug establishment which he operates or in which he is employed.

No pharmacist shall with his knowledge, allow his certificate of registration to be displayed in such establishments where he is not actually employed or operating therein in his professional capacity.

Definition: Different Types of Drug OutletsChapter II of AO 56 s. 1989 (Revised Regulations for the Licensing of Drug Establishments & Outlets)

Definition: Dispensary

AO 60 s. 1968

General Requirements: Applications

Specific Requirements

Specific Requirements

Renewal of License to Operate


The Hospital Pharmacy Organization and It’s

Personnel

Discussion Outline

Purpose & Importance: Hospital Pharmacy Organization

Administrative Structure of Hospital Pharmacy

Sample Hospital Pharmacy Organzational Chart

Purpose & Functions: Hospital Pharmacy Organization

Accrediting & Regulating Agencies

Five Essentials of Good Management





The Hospital Pharmacy’s Lay-Out and

It’s Location

Discussion Outline

Areas of Hospital Pharmacy

Value of Proper Store Design, Traffic Flow and Décor

Sample Hospital Pharmacy Lay-out

HOSPITAL

Serves as central point for the coordination and delivery of patient care to its community

Organized structure that assembles:1. Health professional2. Diagnostic and therapeutic facilities, equipment

and supplies3. Physical facilities into a coordinated system for delivering healthcare to the public

FUNCTIONS OF HOSPITAL PHARMACY

Department or division of the hospital wherein the following functions are performed by legally qualified, professionally competent pharmacists and their assistants:1. Procurement2. Storage3. Compounding4. Manufacturing5. Packaging 6. Controlling 7. Dispensing 8. Distribution of medications

STRATEGIC PHARMACY DESIGN

OVERALL PLANNING PROCESS

Physical Features of Hospital Pharmacy

AREAS OF PHARMACY

1. BULK STORES

2. OUTPATIENT PHARMACY

3. INPATIENT PHARMACY

AREAS OF PHARMACY: BULK STORES

Due to increasing volume & diversity of prescriptions Implementation of JIT system

JIT (JUST-IN-TIME) system – supplies items as close to the time of use as possible in an effort to reduce large inventories, decrease space requirements, and lessen financial outlay

Growth and emphasis: less volume of individual items, but more deliveries more often

May reduce the amount of space required for bulk storage, but increase the amount of space needed for vendor bins, carts, pallets, and totes.


4 FUNCTIONS OF BULK STORES


AREAS OF PHARMACY: OUTPATIENT PHARMACY

Responsible for filling outpatient prescriptions and for providing pharmacy stock to clinics and off-site centers

Functions much like a retail pharmacy

It has completely different products and distribution systems than the Inpatient Pharmacy

Size is contingent on the number of outpatients served by the hospital


4 FUNCTIONS OF OUTPATIENT PHARMACY


AREAS OF PHARMACY: INPATIENT PHARMACY

responsible for filling orders for unit dose medications and intravenous (IV) medications for inpatients on patient units

Hospital-dispensed medications are packaged in single doses for accuracy and efficiency of dosage administration

Unit dose – single-dose packages


4 FUNCTIONS OF INPATIENT PHARMACY



Pharmacy and Therapeutics Committee

Discussion Outline

What is Pharmacy and Therapeutics Committee?

Primary Purpose of Pharmacy and Therapeutics Committee

Members of the Pharmacy and Therapeutics Committee

Issues discussed by Pharmacy and Therapeutics Committee

What is a Pharmacy and Therapeutics Committee?

An advisory group of the medical staff which serves as the organizational line of communication between medical staff and pharmacy department

Policy recommending body to the medical staff and the administration of the hospital on matter related to drug use

Composed of Physicians, Pharmacists and other health professionals with the guidance of medical staff

Purpose of the Pharmacy and Therapeutics Committee

1. ADVISORY Recommends the adoption of, or assist in the

formulation of, broad professional policies regarding evaluation, selection and therapeutic use of drugs in hospitals

2. EDUCATIONAL Recommends, or assists in the formulation of

programs assigned to meet the needs of the professional staff for complete knowledge on matters related to drugs and drug use

ADMINISTRATIVE ORDER 51 s. 1988Section 9 – Therapeutics CommitteeSubject: Implementing Guidelines for DOH Compliance

with Republic Act 6675 (Generics Act of 1988)

9.1 REQUIREMENT

Therapeutic Committee shall be organized at the regional Health Offices, City Health Offices, special hospitals, national medical centers, regional hospitals and sanitaria

ADMINISTRATIVE ORDER 51 s. 1988Section 9 – Therapeutics Committee9.2 FUNCTIONS

1. Regularly maintain a list, specified in generic terminology, of the drugs that the agency will keep on stock, use, buy or prescribe

Shall be limited in the DOH formulary

Any new item outside the formulary should be recommended to the National Drug Committee for inclusion in the DOH formulary before the agency can include such item in its own list


2. Recommend drug selection, utilization, procurement and stocking policies

3. Evaluate and recommend appropriate action on: Requests for inclusion or exclusion of any drug

product in the DOH formulary as well as in the agency drug list

Reports ADRs and other incidents related to safety efficacy or quality of drugs

Use of agency resources for drug products


4. Identify and define – Information, education or training needs of the agency related to the implementation of RA 6675, the national drug policy, pharmacological science and rational drug use

5. Plan an orderly, systematic and thorough process of institutionalizing rational drug use that have immediate, medium and long term dimensions

Plans should target 100% adoption of generic terminology in procurement, prescribing and dispensing

ADMINISTRATIVE ORDER 51 s. 1988Section 9 – Therapeutics Committee9.3 COMPOSITION

1.

1. Shall have at least 5 members except at District Hospitals which may have at least 3 members

2. Shall be designated by head of the agency and shall be a mix of the following professionals: Physician Pharmacist Nurse Dentist – non-voting member

3. Head of agency shall not be a member

ADMINISTRATIVE ORDER 51 s. 1988Section 9 – Therapeutics Committee9.3 COMPOSITION

1.

4. Members shall elect their chairman – usually from among the PhysiciansSecretary – usually the Chief PharmacistMeeting – at least 6 times per year and when necessary

5. Regional Directors are instructed to contract Pharmacologists coming form schools to serve as consultants to Regional Therapeutics Committee of the Regional Medical Centers

Documents

HospIntern Exercise1-5