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COURSE CODE: CUTM2033
COURSE OBJECTIVE:
1. Hospital and Hospital Pharmacy organization and set-ups
2. Basics of hospital pharmacy services including the procurement, supply chain,storage of medicines and medical supplies
3. Basics of clinical pharmacy including introduction to comprehensive pharmaceutical care services
4. Basic interpretations of common laboratory results used in clinical diagnosis towards optimizing the drug therapy
COURSE OUTCOMES:
Upon successful completion of this course, the students will be able to
1. Explain about the basic concepts of hospital pharmacy administration
2. Manage the supply chain and distribution of medicines within the hospital settings
3. Assist the other healthcare providers in monitoring drug therapy and address drug related problems
4. Interpret common lab investigation reports for optimizing drug therapy
EVALUATION SYSTEM AS PER UNIVERSITY NORMS:
SYLLABUS:
MODULE :1 (6 HOURS)
Hospital Pharmacy
Definition, scope, national and international scenario Organisational structure
Professional responsibilities, Qualification and experience requirements, job specifications, work load requirements and inter professional relationships
Good Pharmacy Practice (GPP) in hospital
Hospital Pharmacy Standards (FIP Basel Statements, AHSP)
Introduction to NAQS guidelines and NABH Accreditation and Role of Pharmacists
MODULE:2 (4 HOURS)
Different Committees in the Hospital Pharmacy and Therapeutics Committee - Objectives, Composition, and functions Hospital Formulary Definition, procedure fordevelopment and use of hospital formulary
Infection Control Committee – Role of Pharmacist in preventing Antimicrobial Resistance
MODULE : 3( 14 HOURS)
Supply Chain and Inventory Control
Preparation of Drug lists - High Risk drugs, Emergency drugs, Schedule H1 drugs, NDPS drugs, reserved antibiotics
Procedures of Drug Purchases – Drug selection, short term, long term, and tender/e-tender process, quotations,etc.
Inventory control techniques: Economic Order Quantity, Reorder Quantity Level, Inventory Turnover etc.
Inventory Management of Central Drug Store – Storage conditions, Methods of storage, Distribution, Maintaining Cold Chain, Devices used for cold storage (Refrigerator, ILR, Walk-in-Cold rooms)
FEFO, FIFO methods Expiry drug removal and handling, and disposal. Disposal of Narcotics, cytotoxic drugs
Documentation - purchase and inventory
MODULE :4 (7 HOURS)
Drug distribution
Drug distribution (in- patients and out - patients) – Definition, advantages and disadvantages of individual prescription order method, Floor Stock Method, Unit Dose Drug Distribution Method, Drug Basket Method.
Distribution of drugs to ICCU/ICU/NICU/Emergency wards.
Automated drug dispensing systems and devices
Distribution of Narcotic and Psychotropic substances and their storage
MODULE :5(4 HOURS)
Compounding in Hospitals. Bulk compounding, IV admixture services and incompatibilities, Total parenteral nutrition
MODULE :6 (2 HOURS)
Radio Pharmaceuticals - Storage, dispensing and disposal of radiopharmaceuticals
MODULE :7 (2 HOURS)
Application of computers in Hospital Pharmacy Practice, Electronic health records, Softwares used in hospital pharmacy
MODULE :8 (12 HOURS)
Clinical Pharmacy: Definition, scope, and development - in
India and other countries Technical definitions, common terminologies used in clinical settings and their significance such as Paediatrics, Geriatric, Anti-natal Care, Post-natal Care, etc.
Daily activities of clinical pharmacists: Definition, goal, andprocedure of
Ward round participation
Treatment Chart Review
Adverse drug reaction monitoring
Drug information and poisons information
Medication history
Patient counselling
Interprofessional collaboration
Pharmaceutical care: Definition, classification of drug related problems. Principles and procedure to provide pharmaceutical care
Medication Therapy Management, Home Medication Review
MODULE:9 (6 HOURS)
Poisoning: Types of poisoning: Clinical manifestations and
Antidotes Drugs and Poison Information Centre and their services –Definition, Requirements, Information resources with examples, and their advantages and disadvantages
MODULE :10 (2 HOURS)
Pharmacovigilance
Definition, aim and scope Overview of Pharmacovigilance
MODULE:11(6 HOURS)
Medication errors: Definition, types, consequences, and strategies to minimize medication errors, LASA drugs and Tallman lettering as per ISMP
Drug Interactions: Definition, types, clinical significance of drug interactions
SESSION PLAN
SESSION:1
Hospital Pharmacy
Definition, scope, national and international scenario,Organisational structure
Session : 2
Professional responsibilities, Qualification and experience requirements, job specifications, work load requirements and inter professional relationships
Session : 4
Hospital Pharmacy Standards (FIP Basel Statements, AHSP)
Session : 5
Introduction to NAQS guidelines and NABH Accreditation and Role of Pharmacists
Session :6
Pharmacy and Therapeutics Committee - Objectives, Composition, and functions
Session :7
Hospital Formulary - Definition, procedure for development and use of hospital formulary
Session :8
Infection Control Committee – Role of Pharmacist in preventing Antimicrobial Resistance
Session :9
Preparation of Drug lists - High Risk drugs, Emergency drugs, Schedule H1 drugs, NDPS drugs, reserved antibiotics
Session :10
Procedures of Drug Purchases – Drug selection, short term, long term, and tender/e-tender process, quotations, etc.
Session :11
Inventory control techniques: Economic Order Quantity, Reorder Quantity Level, Inventory Turnover etc.
Session :12
Inventory Management of Central Drug Store – Storage conditions, Methods of storage, Distribution, Maintaining Cold Chain, Devices used for cold storage (Refrigerator, ILR, Walk-in-Cold rooms)
Session :14
Expiry drug removal and handling, and disposal. Disposal of Narcotics, cytotoxic drugs
Expiry drug removal and handling, and disposal. Disposal
Session :16
Drug distribution (in- patients and out - patients) – Definition, advantages and disadvantages of individual prescription order method, Floor Stock Method, Unit Dose Drug Distribution Method, Drug Basket Method.
Drug Distribution System in Hospitals (IN INPATIENT AND OUT PATIENT)
Session :17
Distribution of drugs to ICCU/ICU/NICU/Emergency wards.
Session :19
Compounding in Hospitals. Bulk compounding, IV admixture services and incompatibilities, Total parenteral nutrition
total parenteral nutritionCompouding in Hospitals IV ADMIXTURE MIXTURE
Session :20
Radio Pharmaceuticals - Storage, dispensing and disposal of radiopharmaceuticals
Session :21
Application of computers in Hospital Pharmacy Practice, Electronic health records, Softwares used in hospital pharmacy
Application of computers in Hospital Pharmacy Practice
Session :22
Clinical Pharmacy: Definition, scope, and development - in India and other countries
-Definitions-development-and-scope-of-clinical-pharmacy
Session :23
Technical definitions, common terminologies used in clinical settings and their significance such as Paediatrics, Geriatric, Anti-natal Care, Post-natal Care, etc.
Session :24
Daily activities of clinical pharmacists: Definition, goal, and procedure of Ward round participation
Session :25
Daily activities of clinical pharmacists: Definition, goal, and procedure of Treatment Chart Review
Session :26
Daily activities of clinical pharmacists: Definition, goal, and procedure of Adverse drug reaction monitoring
Session :27
Daily activities of clinical pharmacists: Definition, goal, and procedure of Drug information and poisons information
Session :28
Daily activities of clinical pharmacists: Definition, goal, and procedure of Medication histor
Session :29
Daily activities of clinical pharmacists: Definition, goal, and procedure of Patient counselling
Session :30
Daily activities of clinical pharmacists: Definition, goal, and procedure of Interprofessional collaboration
Session :31
Pharmaceutical care: Definition, classification of drug related problems. Principles and procedure to provide pharmaceutical care
Session:33
Clinical laboratory tests used in the evaluation of disease states - significance and interpretation of test results Haematological
haematologicalClinical laboratory tests used in the evaluation of disease states
Session:34
Clinical laboratory tests used in the evaluation of disease states - significance and interpretation of test results , Liver function, Renal function, thyroid
function tests
Clinical laboratory tests used in the evaluation of disease states
Session:35
Clinical laboratory tests used in the evaluation of disease states - significance and interpretation of test results Tests associated with cardiac disorders
Clinical laboratory tests used in the evaluation of disease states
Session:36
Clinical laboratory tests used in the evaluation of disease states - significance and interpretation of test results Pulmonary Function Tests
Clinical laboratory tests used in the evaluation of disease states
Session:37
Clinical laboratory tests used in the evaluation of disease states - significance and interpretation of test results Fluid and electrolyte balance
Clinical laboratory tests used in the evaluation of disease fluid and electrolyte balance
Session:39
Drugs and Poison Information Centre and their services –Definition, Requirements, Information resources with examples, and their advantages and disadvantages
Session:40
Pharmacovigilance Definition, aim and scope Overview of Pharmacovigilance
Session:41
Medication errors: Definition, types, consequences, and strategies to minimize medication errors, LASA drugs and Tallman lettering as per ISMP
Session:42
Drug Interactions: Definition, types, clinical significance of drug interactions
ASSIGNMENT QUESTION:
Various types of sterilizers and sterilization techniques used in hospitals
ASSIGNMENT QUESTION:
Total parenteral nutrition and IV admixtures and their compatibility issues
ASSIGNMENT QUESTION:
Measures to be taken in hospitals to minimize Antimicrobial Resistance
ASSIGNMENT QUESTION:
Invasive and Non-invasive diagnostic tests - HRCT, MRI, Sonography, 2D
ECHO, X-rays, Mammography, ECG, EMG, EEG
