Hospital Pharmacy Functions: Distribution

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• Hospital Pharmacy Functions

• Provide specifications for the purchase of drugs, chemicals, biological


etc.
• Proper storing of drugs.
• Manufacturing and distribution of medicaments such as transfusion
fluids, parenteral products, tablets, capsules, ointments, and stock
mixtures.
• Dispensing and sterilizing parenteral preparations which are
manufactured in hospital.
• Dispensing of drugs as per the prescriptions of the medical staff of the
hospital.
• Filling and labelling of all drug containers from which medicines are
to be administered.
• Management of stores which includes purchase of drugs, proper
storage conditions, and maintenance of records.
• Establishment and maintenance of “Drug Information Centre”.
• Providing co-operation in teaching and research programme.
• Discarding the expired drugs and containers worn and missing labels.
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• Objectives of hospital Pharmacy:
• To ensure the availability of right medication, at right time, in the right
dose at the minimum possible cost.
• To professionalize the functioning of pharmaceutical services in a
hospital.
• To act as a counseling department for medical staff, nurses and for
patient.
• To act as a data bank on drug utilization.
• To participate in research projects.
• To implement decisions of the pharmacy and therapeutics
committee.
• To assure rational drug use.
• To co-ordinate and co-operate with other departments of a hospital.
• To plan, organize and implement pharmacy policy procedures in
keeping with established policies of the hospitals.
LOCATION OF HOSPITAL PHARMACY

• Located in hospital premises so that patients and staff can easily


approach it.

• In multistoried building of a hospital, the pharmacy should be


preferably located on ground floor especially the dispensing unit.

• It should be laid in such a way that there is a continuous flow of men


and materials.
ORGANIZATIONAL STRUCTURE OF PHARMACY
DEPARTMENT

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• EQUIPMENTS REQUIRED IN HOSPITAL PHARMACY

• Prescriptions case
• Drug stock cabinets with proper shelves and drawers.
• Work tables and counters for routine dispensing.
• Sink with drain board.
• Cabinet to store mortar and pestles.
• Cabinet for glass utensils, flasks, funnels and beakers.
• Refrigerator of suitable capacity.
• Narcotics safe with individually locked drawers.
• Office desk with telephone connection and file cabinet.
• Dispensing window for nurses and outpatients.
• FLOOR SPACE REQUIREMENTS
• 250 sq. feet is the minimum required area for any sized hospital.
• 10 sq. feet per bed in 100 bedded hospital.
• 6 sq. feet per bed in 200 bedded hospital.
• Floors of pharmacy should be smooth, easily washable and acid
resistant.
• In manufacturing sections, drains should be provided, walls should be
smooth, painted in light colour.
• Wooden cabinets are laminated.
• Fluorescent lamps are placed above prescription counter.
• Counter for Bunsen burner are also required.
• PERSONNEL REQUIREMENT INHOSPITAL PHARMACY
• No standard rules regarding the requirement of personnel for inpatient
pharmacy.

• Number of pharmacists required for a hospital are calculated on the


basis of workload, and the number of bed available.

• For a small hospital minimum 3 pharmacist are required. As the


number of bed increases, the number of pharmacist also increases.

• Pharmacist should possess adequate pharmacy qualification and


experience.

• If manufacturing drugs is involved in pharmacy, adequate number of


technicians, assistants, peons etc. required.
• Pharmacist requirement on the basis of bed strength

• Bed strength No of pharmacist required

• Up to 50 beds 3
• Up to 100 beds 5
• Up to 200 beds 8
• Up to 300 beds 10
• Up to 500 beds 15
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• FACILITIES (premises) REQUIRED IN HOSPITAL
PHARMACY
• In smaller hospitals, with one pharmacist only, one room is required
for pharmacy, having a combination of dispensing, manufacturing,
administrative and all other sections of complete pharmaceutical
service.
• For sterile products there should be a separate room or area.

• In large hospitals, with 200 or more beds, departmentalization of


pharmacy activities is required.

• A separate area is required for :-


• Inpatient services and unit dose dispensing
• Outpatient service
• An office for the chief pharmacist
• A compounding room
• Prepacking and labelling room
• A store room
• Sterile products room
• A separate area for drug information services and space assigned on
various nursing units for unit dose drug administration.
• ABILITIES REQUIRED

• Technical ability
• Ability to develop a manufacturing section
• Administrative ability
• Ability to control inventory
• Ability to conduct and participate in research
• Ability to conduct teaching programme

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