Policies of Pharmacy and Therapeutic Committee
Policies of Pharmacy and Therapeutic Committee
Policies of Pharmacy and Therapeutic Committee
THERAPEUTIC COMMITTEE
PRESENTED BY
DR.K.KARTHICK
ASSOCIATE PROFESSOR
K.K.COLLEGE OF PHARMACY
POLICIES OF PTC
2.Pharmacological-Therapeutic Index:
This part contains non-proprietary drug names that
are classified in accordance with classification of
American Hospital Formulary Service(AHFS).
The ASHP sends a checklist to the hospital that
consists of around 3000 core drugs which are
recently approved by PTC, to be used in hospitals.
The format of checklist consists of an access number
for ASHP purposes and a check column to be used by
subscribing hospital.
1.Policies for Including Drugs into Formulary (Contd…,)
Besides general and pharmacological index, formulary can also be divided into
specific sections and these sections are further divided into subdivisions.
For instance, the subdivisions may look like the following,
Ear
Eye
Nose
Rectal
Throat
Vaginal
Skin
Nutritional aids
Orals and injectables.
The sub-divisions like these , helps the physician to easily prescribe the drugs that
are either used for anatomical purpose or the drugs of broad category used either by
oral or parenteral route.
2. Policies for In-Patient Prescriptions
2. Intravenous Orders:
Besides the information mentioned in the above section,
orders for intravenous administration need to include the
below mentioned information as well.
(a) Specific time to hang, accurate quantity, name and drip
rate of the infusate solution.
(b) Specific directions for administration and/or
continuing or discontinuing of i.v.drip or i.v.bolus or
i.v.push etc.
(c) Accurate quantity of the drug(s) to be added to the
i.v.solution.
2. Policies for In-Patient Prescriptions (Contd…,)
4. Self Medication:
Among the list of medicines prescribed by the
physician, only nitroglycerine ( not more than 10)
and antacids may be left by the bedside of the
patient.
The patient may take these medicines on his own,
when needed.
However, a record of this has to be maintained on
the card.
2. Policies for In-Patient Prescriptions (Contd…,)
8. Schedule II Drugs:
Routine orders for Schedule II drugs must be mentioned
on the patient’s order form and duly signed by the
respective physician, along with his full name.
However, in case of emergency, if the physician is not
available at the hospital, then he may instruct the nurse
on telephone.
The nurse then makes entry of the said Schedule II
drugs on the card and it is the responsibility of the
physician to sign order on or before his next visit to the
patient.
2. Policies for In-Patient Prescriptions (Contd…,)
9. Methadone Prescriptions:
According to FDA regulations, methadone
administration to hospitalized patients must be
limited to not more than three weeks in case of the
following cases.
(a) Analgesia in case of severe pain.
(b) Detoxification and temporary maintenance of
withdrawal symptoms of heroin addicts.
2. Policies for In-Patient Prescriptions (Contd…,)
REFER
5. Policies for Emergency Drug List Preparation
REFER
5. Policies for Emergency Drug List Preparation (Contd…,)
Preparation :
In order to store the emergency drugs, different types of containers
(kits) such as plastic, metal and fishing tackle boxes are used.
To clearly recognize the drug supplies in the facility, the kits
should be visually similar and should be labelled as per the
requirement to identify the contents.
The container kit used must be lined to avoid the breakage of their
contents.
The content of the kits and their position shouldbe systematic.
The selection of items to keep in the kit should be done by PTC
along with medical staff on request made by department
chairman.
5. Policies for Emergency Drug List Preparation (Contd…,)