HOSPITAL PHARMACY

Lecture # 120-01-14

BYFAKHSHEENA ANJUM

Learning objectives

At the end, students will be able to 1. Define a hospital pharmacy2. Discuss functions/services of a hospital

pharmacy3. Know about the early era of hospital

pharmacy4. Enlist some committees of a hospitals

involving pharmacists5. Describe ASHP statement of goals for

institutional pharmacies6. Explain ASHP Guidelines: minimum

standard for pharmacies in institutions

Hospital Pharmacy

Defined with reference to a department or to service, in a hospital under the direction of a qualified pharmacist.

Other services in a hospital pharmacy

Participation in education programs for patients, nurses and medical professionalsPoison control centre activitiesDrug information centrePreparation of patient drug use profilesParenteral nutrition programsCommunicating new product information to hospital personnelResearchDispensing of radiopharmaceuticals

Early era of hospital pharmacy

The first hospital pharmacy was opened in 1752 in Pennsylvania Hospital, North America, with Jonathan Roberts as its Pharmacist.ASHP was formed in 1942, August 21.

Strides of 1940s

American Journal of Hospital PharmacyFormation of affiliated chapters at state levelAcceptance of ASHP as a member of the US Pharmacopoeial ConventionEstablishment of minimum standards for pharmacies in hospitals

Contd..

Institution of internships and training programs with accredited pharmacy collegesInstitutes and continuing education programs cosponsored by ASHP and affiliates and other hospital organizations.

Committees in hospitals

Pharmacy and Therapeutics CommitteeThe Safety CommitteeCommittee on StandardizationThe Antibiotics CommitteeThe Committee on Environmental SepsisThe Policy Committee of Administrative StaffResearch CommitteePlanning CommitteeLoss Control Risk Management CommitteeThe Ambulatory Care Committee

ASHP statement of goals for institutional pharmacy

Provision of a qualified pharmacistProvision of adequate supply of such pharmacistsAssuring high quality professional practicePromoting research in hospital pharmacy practicesDisseminating pharmaceutical knowledge

Contd..

Expanding and strengthening institutional pharmacists abilitiesIncreasing knowledge and understanding of contemporary pharmacy practicePromoting compensation and benefits for pharmacistsHelping in provision of adequate supply of qualified supportive staff for institutional pharmacy services

Contd..

Ensuring that healthcare reimbursement and payment systems do not inhibit\affect implementation of innovative pharmaceutical servicesAssisting in development and advancement of pharmacy profession

Minimum standards for pharmacies in hospitals

Original document was developed and adopted by the American College of Surgeons in 1935.Revised version was adopted by ASHP in 1950

Pharmaceutical services in institutions

Most prominent components are:Procurement, distribution and control of all pharmaceuticals used within the facilityEvaluation and dissemination of comprehensive information about drugs and their use to institution’s staff and patientsMonitoring, evaluation and assurance of the quality of drug use

Contd..

Such pharmaceutical services are carried out with the help of ASHP guidelines of minimum standards for pharmacies in institutions.

Primary functions in a hospital pharmacy

All the medicines and related supplied are stockedDispensed on prescription to and in- and out- patientsSupplied to nursing unitsManufactured in bulkInjectables are prepared and sterilized

ASHP GUIDELINES: MINIMUM STANDARDS FOR PHARMACIES IN INSTITUTIONS

1. ADMINITRATION2. FACILITIES3. DRUG DISTRIBUTION AND CONTROL4. DRUG INFORMATION5. ASSURING RATIONAL DRUG

THERAPY6. RESEARCH

THANKSAny questions??

Reference Page: 1-12, HOSPITAL PHARMACY,

By: William E. Hassan, 5th edition, 1986 (Lea & Febiger)

HOSPITAL PHARMACY

Lecture # 222-01-13

ByFakhsheena Anjum

Learning objectives

At the end, the students will be able to:1. Discuss ASHP guidelines on

competencies required in institutional pharmacy practice

2. Know about the nature and scope of research and research reports

3. Explain pharmaceutical service standards

Abilities required of Hospital Pharmacists

ASHP guidelines were developed and approved by ASHP and AACP.

1. Effective administration and management of a pharmacy department in an institution

2. Assimilation and provision of comprehensive information on drugs and their actions

3. Development and conduct of a product formulation and packaging program

Contd..

4. Conduct of and participation in research5. Development and conduct of patient

oriented services6. Conduct of and participation in

educational activities7. Development and conduct of a quality

assurance program for pharmaceutical services

Research in Hospital Pharmacy

Nature of scientific researchScope of researchResearch report

JCAH Pharmaceutical service standards

The pharmaceutical department /service shall be directed by a professionally competent and legally qualified pharmacist. It shall be staffed by a sufficient number of competent personnel, in keeping with the size and scope of services of the hospital.

Contd..

Space, equipment and supplies shall be provided for the professional and administrative functions of the pharmaceutical department /service as required, to promote patient safety through the proper storage, preparation, dispensing and administration of drugs.

Contd..

The scope of the pharmaceutical department /service shall be consistent with the medication needs of the patients as determined by the medical staff.

Contd..

Written policies and procedures that pertain to the intra hospital drug distribution system shall be developed by the director of the pharmaceutical department /service in concert with the medical staff and as appropriate, with representatives of other disciplines.

Contd..

Written policies and procedures that govern the safe administration of drugs and biologicals shall be developed by the medical staff in cooperation with the pharmaceutical department /service, the nursing service and as necessary, representatives of other disciplines.

Contd..

As part of the hospital’s quality assurance program, the quality and appropriateness of patient care services provided by the pharmaceutical department /service are monitored and evaluated, and identified problems are resolved.

THANKSAny questions??

Reference Page: 12-33, HOSPITAL PHARMACY,

By: William E. Hassan, 5th edition, 1986 (Lea & Febiger)

HOMEWORK: Prepare a short presentation on the scope of research