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    Hospital and Clinical Pharmacy CH 2 Different Committees in The Hospital Notes

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    Hospital and Clinical Pharmacy CH 2 Different Committees in The Hospital Notes

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    9 views7 pages

    Hospital and Clinical Pharmacy CH 2 Different Committees in The Hospital Notes

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    nikhilkhatker2020

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    Diploma in pharmacy 2nD year NOTES Hospital & Clinical Pharmacy

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    Diploma in Pharmacy 2nd Year
    Hospital & Clinical Pharmacy
    Chapter 2 : Different Committees in the Hospital
    Topics Page No
    Pharmacy and Therapeutics Committee – 3
    Objectives, Composition, and functions
    Hospital Formulary – 4
    Definition, procedure for development and use of
    hospital formulary
    Infection Control Committee – 6
    Role of Pharmacist in preventing Antimicrobial
    Resistance
    hospital & clinical pharmacy
    Chapter 2
    Different Committees in the Hospital

    PHARMACY AND THERAPEUTICS COMMITTEE


     The Pharmacy and Therapeutics Committee (PTC) comprises of a group of Individuals
    (physicians, pharmacists, and other health personnel including the medical staff)
     They make policies regarding the drug used in hospital.

    Objectives of PTC
    1. Advisory Objectives
     To make policies regarding drugs to evaluate and select the best drugs for therapeutic
    usage in hospital.
     To provide guidance to Pharmacists about drug distribution in an efficient way ( without
    mistake and wasting time and energy )
     To aware the hospital administration and medical staff about the problems are related
    drug usage , especially experimental drugs.
    2. Educational Objectives
     To examine adverse effects of the drugs and offer new formulary system.
     To provide up-to dated information about drugs and their usage to satisfy the demand of
    policy maker professionals.
     To plan training program for staff regarding the drug usage.

    Composition of PTC
    Composition of PTC

    Medical Staff Department of Pharmacy

    Pharmacy and Therapeutic Committee

    Sub-committee Sub-committee Sub-committee Sub-committee

    Neo-Plastics Cardiovascular Gastrointestinal Analgestic


    Anti-Infective Diuretics Hypotensive Anti-
    Anti-Coagulants Vasodilators CNS Agents Convulsants
    Functions of PTC
     It acts as an advisory council to the medical staff and hospital administration regarding the
    therapeutic use of drugs.
     It develops a formulary of drugs and prescriptions to be used in hospitals.
     It suggests written policies and procedures regarding the selection, procurement, storage,
    distribution, and therapeutic use of drugs.
     It establishes suitable educational schemes for the hospital staff regarding the therapeutic use
    of drugs.
     It studies the problems related to drug distribution and administration.
     It advises the pharmacy to implement effective drug distribution and control procedures.

    Role of Pharmacist in PTC


     Pharmacists are important to make the formulary, because they can ensure safe, effective, and
    affordable drug use.
     They examine scientific , clinical , and economical data.
     They convey the staff to obey the decision taken.
     They create a schedule for committee meeting.

    HOSPITAL FORMULARY
     The Formulary System is a method by which Physicians & Pharmacists Working through a
    Pharmacy & Therapeutics Committee of medical staff, evaluate and select medications for use
    in a hospital.

    Or

     The Hospital Formulary is a list of evaluated and selected drugs with their important
    information to use or distribute in a hospital.

    Procedure for development of Hospital Formulary


     To make a hospital formulary the first step is to form a good PTC . The PTC develop a
    formulary in written form .
     This committee take decision on
    1. The type of publication of formulary ( Hospital's won formulary or purchased formulary
    services ).
    2. Fixation of rules which the PTC required during evaluating and selecting the drug for
    formulary.
    3. Addition of other content like,
     Prescription writing
     Uses of drug
     Table of metric weight ( 1g = 1000 mg )
     table of common laboratory values ( BP 120/80 )
     Calculation of dosage ( for children )
    4. Type of format of formulary ( size , loose leaf , bounded )

    Addition and Deletion of Drugs from Hospital Formulary


     It is a important step in maintenance of Hospital formulary . Criteria For addition and deletion
    are :
     The medical staff should approved the drug to be added in formulary.
     The drug should be reccognised by the Pharmacopoeias.
     The drug manufacturer should hold a license , and he should not have been punished
    for any serious offence under any law of Drug and medicine.
     There should not be used secret ingredient in drug which is not labeled.
     The drug containing multiple ingredients should not be added in formulary , if the same
    therapeutic effect can be obtained by a single ingredient drug.

    Guiding Principle for use of Hospital Formulary


     The Following Principle act as a guide for those who utilize the hospital formulary
     The hospital’s medical staff should appoint PTC and outline its scope, purpose,
    organisation, and function
     The medical staff should sponsor the formulary system based on the recommendations of PTC.
     The medical staff should adopt the written policies and procedures of the formulary
    system.
     Pharmacist should be responsible for specifications as to the quality, quantity, and source
    of supply of drugs used for diagnosis and treatment.

    Role of Pharmacist in Hospital Formulary


     The PTC pharmacist has an important role in creating the rules and regulations governing
    the hospital formulary.
     The chief pharmacist is primarily in-charge of creating the hospital formulary.
     He/she should make sure that economic aspects do not affect the drug quality.
     He/she will evaluate several drugs in accordance with PTC recommendations.
    INFECTION CONTROL COMMITTEE (ICC)
     It is a committee to prevent and control healthcare related infections by making infection
    control policies and monitoring practices to reduce these risks.
     Nosocomial In fection = Patient get infection inside the hospital

    Objectives of ICC
     To understand the methods of infection control.
     To understand the reason of nosocomial infection.
     To reduce the danger of infection for patients , medical personnel , and gests.
     To conduct antimicrobial program and instruct the medical staff , patients , and gests.

    Antimicrobial Resistance
     Anti-Microbial Resistance is a ability of microorganisms to protect them from the effect of
    antimicrobial drugs.
     This resistance ability they develop themselves or developed naturally . overuse of antibiotics is
    the main reason of AMR .( Anti-Microbial Resistance ).

    Role of Pharmacist in preventing AMR .


    He / she should distribute medicine in safe and appropriate manner.
    He / she raises awareness on the risk of inappropriate drug use.
    He control the infection by decreasing the infection transmission.
    He guide hospitals on the selection and use of suitable antibiotics , disinfectants , and
    sterilants.
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