Pharmacy Lecture

8/6/2019 Pharmacy Lecture

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PHARMACYPHARMACY

Arrayyan Hospital


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Pharmacy VisionPharmacy Vision::

To develop, adopt and implement new and

advance concepts utilized in modern pharmacy

such as Unit Dose System, Intravenous Additive,Clinical Pharmacy, Drug information, Patient

counseling and Family Education, continuous

Quality Improvement.


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Pharmacy MissionPharmacy Mission::

To provide comprehensive professional services

of highest possible quality of Pharmaceutical care

to In-patients and Outpatients in a cost- effective

manner.


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Pharmacy Values:Pharmacy Values:

Care

Team work

Honesty

Innovation

Respect.


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OrganizationalChartOrganizationalChart

Medical Director

Supply

Officer

Pharmacy Manager

Out Patient

Pharmacy

Supervisor

Secretary

Counter

Pharmacist

Assistant

Pharmacist

Patient

Counseling

In patient

Pharmacy

Supervisor

Compounding

Pharmacist

IV Pharmacist

Drug

Information

Narcotic

Officer

Assistantpharmacist

Inventory

Pharmacist

Dispensing

Pharmacist

ERpharmacy


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WorkProcessWorkProcess

Supplier

Out-PatientPharmacy

In-Patient Pharmacy

Emergency Pharmacy

Out patient

clinics and

Discharged

patients

ER clinics External

customers

Nursing

Station

*OPD

Clinic

OR, LDR,

anesthesia

Main Pharmacy

External

customersPharmacy services are conducted through the

above mentioned process and are provided to all

areas related to patient or staff care.


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Days hours of operation and

service delivery:

We are working 24 hours a day,7 days a week.


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Staff EducationStaff Education

The pharmacy shall provide education appropriate to the

job requirements for all personnel employed in the

department.

A formal orientation will be provided and documented for

all employees.

Supportive personnel will receive formal training in any

specialized area and will be certified in this area before theywill be allowed to work.

The pharmacy shall maintain records of all in-service

programs.


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Sampling and DisplaySampling and Display

Sample medication Those not-for-sale and

non-priced-items which are donated to thehospital. Free medical samples include

medications, cosmetics, ready to feed liquid

milk, etc.


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Sampling and DisplaySampling and Display

Free Medical Samples must be stored only in the pharmacy and labeled

as Sample Medications.

Pharmacy Supervisor is responsible for monitoring the sample

medication and ensure proper utilization according to policy.

Sample medication on hand may be used in an emergency situation on

physicians order :

When a new drug which is approved to be included into Arrayan Hospital

formulary has not yet been procured and is urgently needed for a patient;

As a replacement of an expired drug which is urgently needed for apatient.

As soon as the drug procured and becomes available, dispensing of sample

medication is prohibited.


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Prescribing and Ordering PolicyPrescribing and Ordering Policy

concerns appropriate ordering/prescribing practice

from all authorized licensed physicians in the

clinics and in-patient setting.

Medication order should include:

date and time ordered, diagnosis, allergy history,

drug name, dosage in metric units, weight ifpediatric patient, route of administration,

frequency, and start and stop dates.


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Unit Dose DispensingSystemUnit Dose DispensingSystem

To deliver medications to patient in an efficient

and timely manner.

To ensure that all medications are administered

and recorded accurately.

To prevent possible adverse drug reactions by

monitoring patient allergies and drug interactions.

To increase Pharmacy-Physician interaction byproviding an immediate source of information as

well as encouraging the use of the hospital

formulary of the approved drugs.


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T

eleph

one/verbal ordersT

eleph

one/verbal orders

MMUpolicy and procedure

Verbal Order - An order accepted by a pharmacist in an

emergency situation from a physician

Telephone Order - An order from a physician accepted

by a pharmacist when the patients condition does notrequire the physicians presence in making a medical

assessment such as PRN orders.

Emergency Order- Alife-threatening situation, such as

an acute change in vital signs or patient status that will

result in rapid deterioration if not treated immediately

when the registered pharmacist does not need a written

order to dispense medication


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Pharmacist must check / review the physician's order against

the patient medication administration record and against saved

patient information in manual patient profile and pharmakon

system for the following:

Indications and/or contra-indications. Allergies.

Under dosage or over dosage.

Frequency and route of administration.

Drug interactions: Drug-drug interactions

Drug-food interactions

Drug-disease interaction

Duplication of drug therapy.


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InP

atientP

olicy andInP

atientP

olicy andcomputerized unit Dosecomputerized unit Dose

DispensingSystemDispensingSystem


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Patients Own

Medication /

Patients Own

Medication /

PatientSelfAdministration ofPatientSelfAdministration of

MedicationMedication


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Storage ofMedicationStorage ofMedication


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AntimicrobialPolicyAntimicrobialPolicy


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ExpiredMedicationsExpiredMedications


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Medications Brought byMedications Brought by

PatientsPatients


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FloorStockMedicationFloorStockMedication

GuidelinesGuidelines


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Emergency CartsEmergency Carts


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It is a pharmacy-coordinated method of

dispensing and controlling medications in

organized health-care settings. The medicationsare contained in single unit packages; in a ready to

administer form; for not more than 24-hour

supply.

Pharmacy Lecture

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