Hospital And Clinical Pharmacy
Teacher
VIVEK BARIK
Category
Core Courses
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Course Name : Hospital and Clinical pharmacy
Code(Credit) : DCPY1206(3-2-0)
Course Objectives
- To be recognised nationally and internationally as a leader in improving medication outcomes and pharmacy practice research and education. To establish relationships with key individuals and organisations to improve the quality use of medicines and health outcomes.
Learning Outcomes
Hospital Pharmacy
Hospital Pharmacy
1. Know various drug distribution methods
2. Know the professional practice management skills in hospital pharmacies.
3. Provide unbiased drug information to the doctors.
Clinical Pharmacy
1. Interpret evidence and patient data.
2. Implement and/or recommend patient care plans.
3. Monitor the patient and adjust the care plan as needed.
Course Syllabus
Module I
Hospital and it’s organization Definition, Classification of hospital- Primary, Secondary and Tertiary hospitals.
Classification based on clinical and non- clinical basis, Organization Structure of a Hospital, and Medical staffs involved in the hospital and their functions.
Hospital pharmacy and its organization Definition, functions of hospital pharmacy Organization structure
Location, Layout and staff requirements, and Responsibilities and functions of hospital pharmacists.
Adverse drug reaction Classifications - Excessive pharmacological effects, secondary pharmacological effects, idiosyncrasy
Allergic drug reactions, genetically determined toxicity, toxicity following sudden withdrawal of drugs
Drug interaction- beneficial interactions, adverse interactions, and pharmacokinetic drug interactions
Methods for detecting 149 drug interactions spontaneous case reports and record linkage studies
Adverse drug reaction reporting and management.
Community Pharmacy Organization and structure of retail and wholesale drug store, types and design
Legal requirements for establishment and maintenance of a drug store, Dispensing of proprietary products
Maintenance of records of retail and wholesale drug store.
Module II
Drug distribution system in a hospital Dispensing of drugs to inpatients, types of drug distribution systems
Charging policy and labelling, Dispensing of drugs to ambulatory patients, and Dispensing of controlled drugs.
Hospital formulary Definition, contents of hospital formulary
Differentiation of hospital formulary and Drug list
Preparation and revision, and addition and deletion of drug from hospital formulary.
Therapeutic drug monitoring Need for Therapeutic Drug Monitoring, Factors to be considered during the Therapeutic Drug Monitoring
Indian scenario for Therapeutic Drug Monitoring.
Medication adherence Causes of medication non-adherence, pharmacist role in the medication adherence, and monitoring of patient medication adherence.
Patient medication history interview Need for the patient medication history interview, medication interview forms.Community pharmacy management Financial, materials, staff, and infrastructure requirements.
Module III
Pharmacy and therapeutic committee Organization, functions, Policies of the pharmacy
Therapeutic committee in including drugs into formulary, inpatient and outpatient prescription, automatic stop order, and emergency drug list preparation.
Drug information services 150 Drug and Poison information centre, Sources of drug information, Computerised services, and storage and retrieval of information.
Patient counseling Definition of patient counseling; steps involved in patient counseling, and Special cases that require the pharmacist
Education and training program in the hospital Role of pharmacist in the education and training program
Internal and external training program, Services to the nursing homes/clinics
Code of ethics for community pharmacy
Role of pharmacist in the interdepartmental communication and community health education.
Prescribed medication order and communication skills Prescribed medication order- interpretation and legal requirements
Communication skills- communication with prescribers and patients.
Module IV
Budget preparation and implementation Budget preparation and implementation
Clinical Pharmacy Introduction to Clinical Pharmacy, Concept of clinical pharmacy.
Functions and responsibilities of clinical pharmacist, Drug therapy monitoring - medication chart review
Clinical review, pharmacist intervention, Ward round participation
Medication history and Pharmaceutical care.
Dosing pattern and drug therapy based on Pharmacokinetic & disease pattern.
Over the counter (OTC) sales Introduction and sale of over the counter, and Rational use of common over the counter medications.
Unit V
Drug store management and inventory control Organisation of drug store, types of materials stocked and storage conditions
Purchase and inventory control: principles, purchase procedure, purchase order, procurement and stocking, Economic order quantity
Reorder quantity level, and Methods used for the analysis of the drug expenditure
Investigational use of drugs 151 Description, principles involved, classification
Investigational use of drugs control, identification, Role of hospital pharmacist, advisory committee. Interpretation of Clinical Laboratory Tests Blood chemistry, hematology, and urinalysis
Books Recommended:(Latest editions)
1. Remington's pharmaceutical sciences.
2.Testing of raw materials used in (1)
3.Evaluation of surgical dressings.
4.Sterilization of surgical instruments, glassware and other hospital supplies.
5.Handling and use of data processing equipments.
Session Plan
Session 1
Hospital-Definition, Function, classifications based on various criteria .
http://https://www.youtube.com/watch?v=0JVgo5JkPvQ
Session 2
Organization and Management health delivery system in India.
Session 3
Hospital Pharmacy: Definition Functions and objectives of Hospital pharmaceutical services.
Session 7
Personnel and facilities requirements including equipments based on individual and basic needs.
Session 8
Requirements and abilities required for Hospital pharmacists .
Session 12
Types of services detailed discussion of unit Dose system .
Session 18
Sterile manufacture-Large an small volume parenterals .
Session 28
Hospital Formulary system and their organization, functioning, composition.
Session 31
Adhesive tapes including their pharmacopoeial tests for quality.
Session 32
Other hospital supply eg. I.V.sets, B.G. sets .
Session 36
Application of computers in maintenance of records, inventory control.
Session 39
Data storage and retrieval in hospital retail pharmacy establishment.
Session 40
Introduction to Clinical pharmacy practice- Definition, scope.
Chapter 1 - Definitions, development and scope of clinical pharmacy 16.08.2010
Session 41
Modern dispensing aspects- Pharmacists and patient counseling .
Session 42
Modern dispensing aspects- Pharmacists and patient counseling .
Session 45
Disease, manifestation and patho-physiology including salient symptoms to understand the disease like :
Tuberculosis .
Session 54
Drug Interactions: Definition and introduction.
Session 56
Drug-drug interaction with reference to analgesics .
Session 65
Drugs in Clinical Toxicity- Introduction, general treatment of poisoning, systemic antidotes .
Session 71
Bio-availability of drugs, including factors affecting it.
Experiment no: 01
To study about the moist heat sterilization by using Autoclave .
Experiment no: 03
To study about the dry heat sterilization by using Hot Air Oven .
Experiment no: 06
To prepare 50 ml of 5% Dextrose solution & sterile it by filtration method .
Experiment no: 07
To study various equipment, materials & clothing used in a aseptic techniques.ml of 5% Dextrose solution & sterile it by filtration method
designingofasepticarea-191022062759
Experiment no: 08
To study various components of computers
Experiment: 11
To Study about the Nomenclature and uses of Surgical Instruments
Case Studies
Case Studies
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