Pharmacy Practice

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VIVEK BARIK

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Core Courses

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Course Name : Pharmacy Practice

Code(Credit) : BPHT4103(4-0-0)

Course Objectives

  • 1. Know various drug distribution methods in a hospital
    2. Appreciate the pharmacy stores management and inventory control
    3. Monitor drug therapy of patient through medication chart review and clinical review
    4. Obtain medication history interview and counsel the patients
    5. Identify drug related problems
    6. Detect and assess adverse drug reactions
    7. Interpret selected laboratory results (as monitoring parameters in therapeutics) of specific disease states
    8. Know pharmaceutical care services
    9. Do patient counseling in community pharmacy;
    10. Appreciate the concept of Rational drug therapy.

Learning Outcomes

1.Develop, integrate, and apply knowledge from the foundational sciences to evaluate the scientific literature, explain drug action, solve therapeutic problems, and advance population health and patient-centered care
2.Provide patient-centered care as the medication expert
3.Manage patient healthcare needs using human, financial, technological and physical resources to optimize the safety and efficacy of medication use systems
4.Design prevention, intervention, and educational strategies for individuals and communities to manage chronic disease and improve health and wellness
5.Describe how population-based care influences patient-centered care and influences the development of practice guidelines and evidence-based best practices
6.Identify problems; explore and prioritize potential strategies; and design, implement, and evaluate a viable solution
7.Educate all audiences by determining the most effective and enduring ways to impart information and assess understanding
8.Assure that patients' best interests are represented
9.Actively participate and engage as a healthcare team member by demonstrating mutual respect, understanding, and values to meet patient care needs
10Recognize social determinants of health to diminish disparities and inequities in access to quality care. 

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.

Module: 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. 

Reference

  1. Applied Therapeutics (10th edition)
  2. Pharmacotherapy (8th edition)
  3. Pharmacy Practice and the law (6th edition)

Session Plan

Session 1

Hospital and it’s organization Definition, Classification of hospital- Primary, Secondary and Tertiary hospitals.

HOSPITAL PHARMACY & ITS ORG (2)

Session 2

Classification based on clinical and non- clinical basis, Organization Structure of a Hospital, and Medical staffs involved in the hospital and their functions.

Organization of Hospital Pharmacy

Session 3

Hospital pharmacy and its organization Definition, functions of hospital pharmacy Organization structure.

Organization of Hospital Pharmacy

Session 4

Location, Layout and staff requirements, and Responsibilities and functions of hospital pharmacists.

hospital pharmacy

Session 5

Adverse drug reaction Classifications - Excessive pharmacological effects, secondary pharmacological effects, idiosyncrasy .

ADVERSE DRUG REACTION 2

Session 6

Allergic drug reactions, genetically determined toxicity, toxicity following sudden withdrawal of drugs .

drugallergy-130715162102-phpapp02

Session 7

Drug interaction- beneficial interactions, adverse interactions, and pharmacokinetic drug interactions .

Drug-Interactions--What-You-Should-Know-low-res

Session 8

Methods for detecting 149 drug interactions spontaneous case reports and record linkage studies .

Drug-Interactions--What-You-Should-Know-low-res

Session 9

Adverse drug reaction reporting and management.

ADVERSE DRUG REACTION 2

Session 10

Interpretation of Clinical Laboratory Tests Blood chemistry, hematology, and urinalysis .

Interpreting+Lab+Tests

Session 11

Investigational use of drugs control, identification, ) Role of hospital pharmacist, advisory committee.

HOSPITAL PHARMACY

Session 12

Investigational use of drugs 151 Description, principles involved, classification .

Investigational new drug

Session 13

Reorder quantity level, and Methods used for the analysis of the drug expenditure .

Inventory Control

Session 14

Purchase and inventory control: principles, purchase procedure, purchase order, procurement and stocking, Economic order quantity .

Inventory Control

Session 15

Drug store management and inventory control Organisation of drug store, types of materials stocked and storage conditions .

inventory

Session 16

Over the counter (OTC) sales Introduction and sale of over the counter, and Rational use of common over the counter medications.

Over - the - Counter drugs

Session 17

Dosing pattern and drug therapy based on Pharmacokinetic & disease pattern. .

Therapeutic drug monitoring

Session 18

Medication history and Pharmaceutical care.

h5s-sop

Session 19

Clinical review, pharmacist intervention, Ward round participation .

h5s-sop

Session 20

Functions and responsibilities of clinical pharmacist, Drug therapy monitoring - medication chart review .

THERAPEUTIC DRUG MONITORING (2)

Session 21

Clinical Pharmacy Introduction to Clinical Pharmacy, Concept of clinical pharmacy.

Clinical Pharmacy

Session 22

Budget preparation and implementation Budget preparation and implementation .

The Budget preparation

Session 23

Communication skills- communication with prescribers and patients.

Communication Skills

Session 24

Prescribed medication order and communication skills Prescribed medication order- interpretation and legal requirements .

Medication Error Management

Session 25

Role of pharmacist in the interdepartmental communication and community health education.

Communication Skills in pharmacy practice

Session 26

Code of ethics for community pharmacy.

codeofethicsforcommunitypharamcists-180623145009

Session 27

Internal and external training program, Services to the nursing homes/clinics .

Education and Training Prog

Session 28

Education and training program in the hospital Role of pharmacist in the education and training program .

Education and Training Prog

Session 29

Patient counseling Definition of patient counseling; steps involved in patient counseling, and Special cases that require the pharmacist .

Patient Counselling

Session 30

Therapeutic committee in including drugs into formulary, inpatient and outpatient prescription, automatic stop order, and emergency drug list preparation.

Pharmacy and Therapeutics Committee edit

Session 31

Therapeutic committee in including drugs into formulary, inpatient and outpatient prescription, automatic stop order, and emergency drug list preparation.

Pharmacy and Therapeutics Committee edit

Session 32

Pharmacy and therapeutic committee Organization, functions, Policies of the pharmacy .

Pharmacy and Therapeutics Committee edit

Session 33

Community pharmacy management Financial, materials, staff, and infrastructure requirements.

Community Pharmacy

Session 34

Patient medication history interview Need for the patient medication history interview, medication interview forms.

medication-history---a-path-to-higher-quality-hospital-care---july-2014

Session 35

Medication adherence Causes of medication non-adherence, pharmacist role in the medication adherence, and monitoring of patient medication adherence.

MEDICATION ERRORS PPT

Session 36

Indian scenario for Therapeutic Drug Monitoring.

THERAPEUTIC DRUG MONITORING (2)

Session 37

Therapeutic drug monitoring Need for Therapeutic Drug Monitoring, Factors to be considered during the Therapeutic Drug Monitoring .

Pharmacy and Therapeutics Committee

Session 38

Preparation and revision, and addition and deletion of drug from hospital formulary.

Hospital Formulary

Session 39

Differentiation of hospital formulary and Drug list .

Hospital Formulary

Session 40

Hospital formulary Definition, contents of hospital formulary .

Hospital Formulary

Session 41

Charging policy and labelling, Dispensing of drugs to ambulatory patients, and Dispensing of controlled drugs.

Drug Distribution in Hosp Pharmacy

Session 42

Drug distribution system in a hospital Dispensing of drugs to inpatients, types of drug distribution systems .

DRUG DISTRIBUTION METHODS

Session 43

Maintenance of records of retail and wholesale drug store.

ORGANISATION OF DRUG STORE

Session 44

Legal requirements for establishment and maintenance of a drug store, Dispensing of proprietary products .

Organization of Hospital PharmacyORGANISATION OF DRUG STORE

Session 45

Community Pharmacy Organization and structure of retail and wholesale drug store, types and design .

Community Pharmacy

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