Hospi m2 lec

• Hospital Pharmacy:

  • Practice of Pharmacy in a hospital setting including its organizationally related facilities or services that department or division of the hospital wherein the:
  • Procurement
  • Storage
  • Compounding
• Hospital Pharmacy:

  • Practice of Pharmacy in a hospital setting including its organizationally related facilities or services that department or division of the hospital wherein the:
  • Manufacturing
  • Packaging
  • Controlling
  • Assaying
  • Dispensing
  • Distribution
• Hospital Pharmacy:

  • Practice of Pharmacy in a hospital setting including its organizationally related facilities or services that department or division of the hospital wherein the:
  • Monitoring
  • Monitoring of medication to inpatients (institutionalized patients) and outpatients (non-institutionalized patients)
• Hospital Pharmacy (William Hassan):

  • Department or service in a hospital under the direction of a professionally competent and legally qualified pharmacist
• Hospital Pharmacy (William Hassan):

  • Where all medications are supplied to the nursing units and other services
  • Where special prescriptions are filled for patients in the hospital
  • Where narcotics and other prescribed drugs are dispensed
• Hospital Pharmacy (William Hassan):

  • Where prescriptions are filled for outpatients
  • Where pharmaceuticals are manufactured in bulk
  • Where biologicals are stored and dispensed
  • Where injectable preparations should be prepared and sterilized
• Hospital Pharmacy (William Hassan):

  • Where professional supplies are often stocked and dispensed
  • Where radiopharmaceuticals are dispensed
• Hospital Pharmacy:

  • Comprises the art, practice, and profession of choosing, procuring, preparing, storing, compounding, and dispensing medicines, advising patients, doctors, nurses and other healthcare professionals on their safe, effective and efficient use
• Hospital Pharmacy:

  • Specialized field of pharmacy which forms an integrated part of patient health care in a health facility
• Hospital Pharmacy:

  • Profession that strives to continuously maintain and improve the medication management and pharmaceutical care of patients to the highest standards in a hospital setting
• Developmental History of Hospital Pharmacy:

  • In 1751, Pennsylvania Hospital was established in Philadelphia
  • In 1752, the first Hospital pharmacy began its operations
  • Jonathan Roberts was the first hospital pharmacist
• Developmental History of Hospital Pharmacy:

  • August 21, 1942 - the American Society of Hospital Pharmacists (ASHP) was established
  • The previous name was changed to American Society of Health-System Pharmacists (ASHP)
• Institutional Pharmacy Practice in the Philippines:

  • In 1962, the Philippine Society of Hospital Pharmacists (PSHP) was established
  • PSHP is the nationwide organization of hospital pharmacists
  • Rosario Capistrano Tan - First president of PSHP
  • Hazel Faye R. Docuyanan - Present president of PSHP
• Mission of Hospital Pharmacy:

  • Be part of the medication management in hospitals, which encompasses the entire way in which medicines are selected, procured, delivered, prescribed, administered and reviewed to optimize the contribution that medicines make to producing informed and desired outcomes
• Mission of Hospital Pharmacy:

  • Enhance the safety and quality of all medicine related processes affecting patients of the hospital to ensure the 7 “rights” are respected: right patient, right dose, right route, right time, right drug with the right information and documentation
• Pharmacy Location:

  • The pharmacy should be placed in an area of the hospital, which is accessible and visible to in and out patients, business hospital offices, frontline services and to the general public
• Pharmacy Location:

  • In large hospitals, satellite pharmacies are established at wards to assure drug availability and timeliness of pharmaceutical service
• Minimum Standards for Hospital Pharmacy:

  • The American Society for Health-Systems Pharmacy or ASHP developed the following minimum standard guidelines intended to serve as a basic guide for the provision of pharmacy services in hospitals
• Minimum Standards for Hospital Pharmacy:

  • These guidelines outline a minimum level of services that most hospital pharmacy departments should consistently provide
• Standard I: Practice Management:

  • Effective leadership and practice management skills are necessary for the delivery of pharmacy services in a manner consistent with the hospital’s and patients’ needs
  • Such leadership should foster continuous improvement in patient care outcomes
• Standard I: Practice Management:

  • The management of pharmacy services should focus on the pharmacist’s responsibilities as a patient care provider and leader of the pharmacy enterprise through the development of organizational structures that support that mission
• Standard I: Practice Management:

  • Development of such structures will require communication and collaboration with other departments and services throughout the hospital, which every member of the pharmacy team should cultivate at every opportunity
• Standard I: Practice Management:

  • Pharmacy and Pharmacist Services
  • Laws and Regulations
  • Policies and Procedures
  • Human Resources
  • Facilities
  • Committee Involvement
• Standard II: Medication-Use Policy Development:

  • Policy Development
  • Formulary Management
  • Drug Information
• Standard III: Optimizing Medication Therapy:

  • Pharmacists, in collaboration with medical and nursing staff, shall develop policies and procedures based on demonstrated best practices for ensuring the quality of medication therapy. Clinical imperatives should be the primary determinants of medication-use decisions
• Standard III: Optimizing Medication Therapy:

  • Creating a Relationship with the Patient
  • Acquiring Essential Patient Data
  • Consulting With Other Health Professionals About Medication Therapy
• Standard IV: Drug Product Procurement and Inventory Management:

  • The pharmacy shall be responsible for the procurement, distribution, and control of all drug products used in the hospital for inpatient and ambulatory patients
• Standard IV: Drug Product Procurement and Inventory Management:

  • Selecting Sources of Pharmaceutical Products
  • Managing Inventory
  • Inspecting Storage Areas and Inventory Items
  • Returning Recalled, Expired, and Other Unusable Items
• Standard V: Preparing, Packaging and Labeling Medications:

  • Preparing Medications
  • Packaging Medications
• Standard VI: Medication Dispensing and Delivery:

  • Medication Dispensing
  • Medication Delivery and Administration
• Standard VII: Monitoring Medication Use:

  • Reviewing Patient Responses to Medication Therapy
  • Educating and Counseling Patients and Family
• Standard VIII. Evaluating the Effectiveness of the Medication-Use System:

  • There shall be an ongoing, systematic program for quality assessment and improvement of pharmacy services and the medication-use system
  • Assessing Pharmacy Services and Practices
  • Improving the Medication-Use Process
• Standard IX. Research:

  • The pharmacist should initiate, participate in, and support clinical and practice-related research appropriate to the goals, objectives, and resources of the specific hospital
• Qualifications, Competencies and Responsibilities of Hospital Pharmacist:

  • Hospital pharmacists are core members of the hospital team when it comes to delivering patient care and assuring rational drug therapy
  • Responsibilities include:

  1. Medicine Management

  2. A source of information

  3. Monitoring drug effects

  4. Monitoring drug charts

  5. Discharging patients

  6. Keeping up to date

  7. Monitoring of drug supplies
• Medicine Management:

  • A key role in a hospital pharmacist’s job is determining which form of medication best suits each patient
  • Each decision must be made in a timely and efficient manner and requires significant input from doctors, nurses and other healthcare professionals
• A source of information:

  • A hospital pharmacist is often a great source of advice for patients
  • They can also be called upon to recommend safe combinations of medicines or solutions to specific patient problems
• Monitoring drug charts:

  • Hospital pharmacists must monitor these charts and ensure that the correct medication is being provided to each patient
  • Information may include which form of medication a patient requires, with options including tablets, injections, ointments or inhalers
• Discharging Patients:

  • It is the duty of a hospital pharmacist to keep track of which patients are being discharged and inspect the discharge summary
  • The pharmacist must dispense the correct medication
• Keeping up to date:

  • Hospital pharmacists are expected to remain up to date with all aspects of medicine
  • This includes their usage and any new developments that may occur
• Monitoring of Drug Supplies:

  • Hospital pharmacists are responsible for monitoring the supply of all medicines used in the hospital and are in charge of purchasing, manufacturing, dispensing and quality testing their medication stock