A PRACTICE SCHOOL REPORT

On

“HOSPITAL INTERNSHIP”

Session: 2023-24

Submitted to:

Patel College of Pharmacy

Madhyanchal Professional University, Bhopal

Submitted By:

Name- Pankaj Sahu

B.Pharm VII Semester

Enrollment No.: ……………

 CERTIFICATE

This is to certify that the Practice School Report (BP706PS) on “HOSPITAL

INTERNSHIP”, submitted by Pankaj Sahu student of B.Pharm VII Semester, Patel College of
Pharmacy, Madhyanchal Professional University Bhopal during the Academic Session 2023-24.

Date………………

Principal
Madhyanchal Professional University
Bhopal (M.P)
 DECLARATION

I hereby declare that the Practice School Report entitled “HOSPITAL INTERNSHIP” has
been completed Training Under the Guidance of Mr. Dharmendra Patel.

I hereby declare that the above statement is correct to the best of my knowledge.

Student Name –Pankaj Sahu

B.Pharm VII Semester

 Table of Contents

S. No Title Page No.

1 Introduction

2 Objectives

3 Method

4 Details

5 Conclusion
 TRAINING
CERTIFICATE
 1. INTRODUCTION

Fig.No.1. Chirayu hospital

Pharmacy is the health profession that links the health science with the chemical sciences and it is
charged with ensuring the safe and effective use of pharmaceutical drugs. The scope of the pharmacy
practice includes more traditional roles such as compounding and dispensing medications, and it also
includes more safety and efficacy, and providing drug information. A community pharmacy is the
place where most pharmacists practice the profession of pharmacy. Community pharmacists usually
consist of a retail storefront with dispensaries where medications are stored and dispensed. The
dispensary is subject to pharmacy legislation; with requirements for storage condition, compulsory
texts, equipment etc; specified in legislation.

I was going for practice at Chirayu Medical College and Hospital which was located at Bhopal.The
medical store is located in hospital campus. Mr. Dharmendra Patel is the HR Manager of the store.
He is very knowledgeable and genuine person. He started his job at medical store 2 years ago. They
have different doctors for different diseases. Only allopathic drugs are sold in medical store. The
medical.store dispenses the medicine only with prescription. They are given a 10% discount on all
medicine. They use HISTree software for maintainning records of inventory and daily sale.
 2. Layout of Store

The drug store arrangements are nearly same as I mentioned in the layout below where I was going.
There are such good arrangements.

Fig.2. Schematic layout of pharmacy

Fig.3. Arrangements of Tablets

Fig.4. Arrangements of Liquids and cosmestics

 3. Staffing in Pharmacy
In the drug store there were 4 members. Two pharmacists were there. Bills were prepared by the Mr.
Onkesh. Picking of the drugs were done according to the prescription and dispensing was done by all
staff available there with proper counselling. Those patients requiring special counselling likedry
powder inhaler, nasal spray, pessaries, etc were given special directions and precaution for the
assurance of drug compliance.

• Below mentioned four-member list

A. Mr. Dharmendra

B. Mr. Aman

C. Mr. Sumit

D. Mr. Mohit

Workflow in Pharmacy

Collecting of prescription

Picking of drogs

Dispensing of medicines

Making of bills computerized

Payment of bill

Fig.No.7 Flow Chart of Work

 4. Essential Knowledge and Skill Require for Community
Pharmacy Practice

A. Patient Counselling

It refers to the process of providing information, advice and assistance to help patient use their
medication appropriately. The information and advice given by the pharmacist directly to patient or
to the patient's representative, and may also include information about patient's illness or
recommended lifestyle changes. The information usually given verbally, but may be supplemented
with written material.

During counselling, the pharmacist should assess the patient understanding about his/her illness and
the treatment, and provide individualised advice and information which will assist the patient to take
their medication in the most safe and effective manner. To provide accurate advice, information, the
pharmacist should be familiar with pathophysiology and therapeutics of the patient's diseases.

Good communication skills required to gain the patient's confidence and to motivate the patient to
adhere the recommended regimen.

• Effective patient counselling aims to produce following results:

 Better patient understanding of their illness and the role of medication in its treatment
 Improved medication adherence
 More effective drug treatment
 Reduce incidence of medication errors, adverse effect and unnecessary healthcare cost
 Improved quality of the life of the patient
 Better copying strategies for medication-related adverse effect
 Improved professional rapport between the patient and pharmacist
B. Communication Skills for Effective Counselling

The counselling process uses verbal and non-verbal communication skills.

Verbal communication skills include language and paralinguistic features such as tone, volume,
pitch, and rate of speech.

Paralinguistics, or the way we say words, accounts for 40% of how a message received, so the way
in which we speak has an impact on patient understanding.

 Language
 Tone
 Volume
 Speed
 Eye contact
 Facial expression
 Body language
 Proximity

C. Medical adherence

It is the extent which a patient's medication taking behaviour coincides with the intention of the health
advice he or she has been given.

It's a one of the most important factors that determine therapeutic outcomes, especially in- patient
suffering from chronic illnesses.

Low medication adherence has assumed importance as it seriously undermines the benefits of current
medical care and imposes a significant financial burden on individual patients and the healthcare
system as a whole.

There are many situations in clinical practice where adherence is extremely important for better
therapeutic outcomes.

Adherence to treatment and lifestyle changes is the key link between process and outcomes in medical care.
 D. Drug Interactions

All pharmacist working in clinical setting whether dispensing medicines o advice, require a

well-grounded knowledge of drug interaction to prevent harm to patient for medicine

combination.

This is an area in which a pharmacist's expertise is values by other health professionals and

where a pharmacist's knowledge of pharmacology can be recognised and appreciated.

Pharmacist play a valuable role in screening for interaction and advising on management when
interaction occur.

This may be at the patient's bedside, as part of the dispensing process or during sale offer non-
prescription medicine.

A drug is a teratogen if its administration to the pregnant mother, directly or indirectly, causes a
structural or functional change in the foetus or child.

List of teratogenic drugs which should not be dispensed to pregnant women,

 ACE (angiotensin converting enzyme) inhibitors

 Acne medication isotretinoin (Accutane, Retin-A)
 Alcohol ingested chronically or in binges
 Androgens (male hormones)
 Antibiotics tetracycline (Achromycin), and doxycycline (Vibramycin), and streptomycin
 Anticonvulsants (seizure medications)
 Anti-depressant drug lithium (Eskalith, Lithob)
 Antimetabolite/anticancer drugs methotrexate (Rheumatrex) and aminopterin
 Antirheumatic agent and metal-binder (chelator) penicillamine (Ciprimene, Depen)

Note : while counselling a pregnant she should must be provided with knowledge of those

teratogenic drug and other drug interaction which may harm her foetus as well as herself.
 5. Purpose of Training
1. To develop a concern for a patient health and welfare and an appreciation for the impact

of a community pharmacist in the healthcare system

2. To faster the development of a responsibility, professional attitude.

3. To develop professional judgement.

4. To develop proficiency in educating patient on health and medication related matters.

5. To learn the value, the importance and application of patient profile.

6. To apply information gained in the didactic education component of curriculum in to clinical practice.

7. To process prescription and acquire knowledge in the specificity of community pharmacy management.

8. To provide a variety of exposure to pharmacy operation and to different practitioner philosophies and
problem-solving skills.
 6. Functions

The function of the community pharmacy practice is:

1) Patient Interaction:

It includes securing correct information from patients concerning an accurate and complete drug
history, advising the patient as to proper use and storage of drugs. Moreover, current Public Health
information example information related to cancer, diabetes, heart, sexually transmitted disease etc;
can be obtained. Also, the patient can be monitored through outcomes assessment.

2) Dispensing of Prescription:

It includes receiving, verification, checking for errors, drug selection, filing, recording feeling and
delivery of prescription to the patient. Besides contacting physicians, instituting telephone and return
Orders and handling of patient records and understanding laws related to drug types ofpricing
Strategies and completing all third-party medical reimbursement are a part of it.

3) Pharmacy Administration:

Inventory control ordering and returning merchandise receiving and pricing drug products stop
arrangements and storage management policies bookkeeping payroll employee policy complaints
correspondence pharmacy layout traffic patterns pharmacy administration.

4) Drug and Product Information:

It includes identifying information about both prescription and non-prescription drugs so that one can
obtain the knowledge of general drugs information, generic and trade name common doses forms,
indications, side-effects, interaction and patient counselling for the top 200 drugs dispensed.
 7. My Routine Work During Training
I was posted for 3 m o n t h s and 6 2 4 hrs at c hi r a yu hospital , it completed between 0 9 . 0 4 . 2 0 2 2 to
09.07.2022.time 8am to 6pm daily including Sunday.

On my first day 09.04.2022 .I checked the arrangement of the drug and understood it and understood how to
dispense medicines.

When time had been spent in drug store, I clearly understood the procedure of dispensing medicines to
patients and how to communicate with them.

Hereby I’m Mentioning the Name of Medicines Which I Had Dispensed During
My Internship Period.

Soliten 10mg Solifenacin (Muscarinic antagonist) 10mg

Nexito L. S Clonazepam(0.25mg) + Escitalopram oxalate(10mg)

Fig.No.8 Nexito L.S Tablet

Fig.No.9 Soliten Tablet

Table No.1 The Name of Medicines Which I Have Dispense During My Internship Period

Thyronorm Thyroxine(50mcg) or Levothyroxine

Flazole Ofloxacin (200mg) + Ornidazole (500mg)

Telma Telmisartan(40mg)
Kufstil Syp Guaifenesin (50mg) + Bromhexine (8mg) + Chlorpheniramine
Maleate (2mg) + Dextromethorphan Hydrobromide (10mg)
K-Fresh Eye Drops Carboxymethylcellulose sodium
Tiova Rota Caps Tiotropium(18mg)

Dytor 10 Torsemide(10mg)
Criticold Plus syp Chlorpheniramine Maleate (2mg/5ml)+ Paracetamol (250mg/5ml)+
Phenylephrine (5mg/5ml)
Actapro Acotiamide(100mg)

Signoflame Acelofenac(100mg) +Paracetamol(325mg) +Sarratiopeptidase(15mg)

Neurobion Forte Tab.. Vitamin B complex with Vitamin B12

Kineto-Dp Cap.. Diclofenac (50mg) +Serratiopeptidase(15mg)

Pantocid-D Domperidone(10mg) +Pantoprazole(20mg)

Tobacin Drops Tobramycin (0.3%w/v)

Esogress-40 Esomeprazole(40mg)

Esomefa-20 Esomeprazole(20mg)

Mucaine-Gel Oxetacaine(10mg/5ml) + Aluminium Hydroxide(0.291gm/5ml) + Milk of

Magnesia(98mg/5ml)
Maxxcet Tab. Cetirizine(10mg)

Unispas Tab. Dicyclomine(10mg) + Mefenamic Acid(250mg)

Ns 0.9% Infusion Sodium chloride (0.9%w/v)

Enraiz Pro Onco Low protein supplement

Aten-50 Atenolol(50mg)

Atorva-40 Atorvastatin(40mg)

Folvite 5mg Tab. Folic acid(5mg)

Drotin-DS Drotaverine(80mg)

Esogress-40 Esomeprazole(40mg)

Glycomet 500 Sr Tab. Metformin(500mg)

 8. Here Is the Information About Some Devices and Medicines.

1. Oximeter

 The Pulse oximeter observes a rapid measurement of oxygen saturation level in body
without using needles or taking a blood sample.

Fig.no.10 Oximeter
2. Digital Thermal Scanner

 It scans the infrared heat that is naturally emitted from the body to excess body
temperature

Fig.no.11 Digital Thermal Scanner

 These two devices show more demands during this covid-19 pandemic situation.
3. Insulin pen
 This insulin pens are used for injecting insulin in human body, it has more efficiency.
 It is easy to operate and has more patient compliance.
 4-6 mm needle is used for injection purpose.

Fig.No.12 Insulin Pen

4. Sibagem Inj.

 It is a class of antimetabolic drug it also shows very good activity in stopping or

slowing growth of cancer cell in human body.
 It also used in treatment of,
o Urinary bladder cancer
o Ovarian cancer
o Breast cancer
o Pancreatic cancer

Fig.No.13 Sibagem Injection

5. Xarelto-20
 Xarelto 20mg Tablet is a known as an anticoagulant or blood thinner.
 It helps prevent and treat blood clots.
 It is used to reduce the risk of stroke and heart attack.
 It prevents and treats clot formation in the veins of your legs, lungs, brain and heart.

Fig.no.14 Xarelto Tablet

6. jaradiance-25

 Jaradiance 25mg Tablet is used to treat type 2 diabetes mellitus.

 It helps control the high blood sugar levels seen in diabetes.
 This reduces the chances of serious complications of diabetes and also helps prevent heart
disease.

Fig.no.15 Jaradiance-25 Tablet

7. Brintellix-10

 Brintellix 10mg Tablet is a medicine prescribed to treat depression in adults.

 It belongs to a group of antidepressants known as serotonin modulator and stimulator
(SMS).
 This medication helps to improve mood and energy levels, and reduce sadness and feelings
of worthlessness in people with depression.

Fig.No.16 Brintellix-10 Tablet

8. Fabiflu

 FabiFlu Tablet is an antiviral

 It has recently been approved for the treatment of mild coronavirus disesse (COVID-19)
 It inhibit an enzyme called RNA polymerase that helps the virus make more copies.
 This way it decreases the viral load in the body

Fig.No.17 Fabiflu Tablet

9. Istavel

 Istavel 50mg Tablet is a medicine used to treat type 2 diabetes mellitus.

 It is used together with a healthy diet exercise to control blood sugar levels.
 This helps to prevent serious complications of diabetes like kidney damage and blindness.

Fig.No.18 Istavel Tablet

10. Neosurf

 It restores surfactant activity, in neonates with NRDS(It is a serious medical condition

where a new born baby's lungs cannot provide their body with enough oxygen. NRDS is
also known as hyaline membrane disease, infant respiratory distress syndrome or newborn
respiratory distress syndrome.), thereby decreasing alveolar surface tension, thereby
improving gaseous exchange, and promoting lung complianc.

Fig.No.19 Neosurf Injection

 Cosmetics

1. Sensodyne

 Sensodyne is a daily toothpaste specially formulated to relieve and protect against tooth
sensitivity. And it is the recommended toothpaste brand for sensitive teeth.

Fig.No.20 Sensodyne

2. Aloe vera gel

 It contains antioxidants, enzymes, Vitamins A and C, it is highly anti-inflammatory.

 It can help to treat burns, acne and dry skin.
 Chang added that when it comes to acne, Aloe Vera works best on superficial surface acne
rather than cystic or deeper acne.

Fig.No.21 Aloe Vera Gel

3. Johnson’s Baby Lotion

 This medication is used as a moisturizer to

treat or prevent dry, rough, scaly, itchy skin
and minor skin irritation (e.g., diaper rash,
skin burns from radiation therapy).
 Emollients are substances that soften and
moisturize the skin and decrease itching and
flaking.

Fig.No.22 Johnson’s Baby Lotion

4. Baby Soap
 A baby soap will perfectly moisturize
the skin of your baby and make it soft
and supple. It is free from chemicals
and harsh ingredients.
 Its real and organic ingredients will
make your baby’s skin softer and
smoother.

Fig.No.23 Baby Soap

5. Vaseline Lotion

 This medication is used as a moisturizer to treat or

prevent dry, rough, scaly, itchy skin and minor skin
irritations.
 Emollients are substances that soften and moisturize
the skin and decrease itching and flaking.

Fig.No.24 Vaseline Lotion

 Surgical Products

1. Bactigras
 Bactigras is an antiseptic, soft paraffin dressing
which soothes and protects the wound whilst
helping to reduce wound infection and
inflammation
 It has low adherence and allows the wound to
drain freely into an absorbent secondary dressing.
Fig.No.25 Bactigras Patch
2. Ultrefine Needles
 Used with the appropriate injection technique,
the BD Ultra-Fine 4mm Pen Needle with Easy
Flow Technology.
 It ensures medication is injected to the correct
skin depth over 99.5 percent of the time, at all
injection sites.
Fig.No.26 Ultrafine Needles

Fig.No.27 Sterile Needle

 Covid-19 Pandemic Most Essential Items

1. PPE Kit

 Personal Protective Equipment kit is one such safety essential that will minimize the risk of
your body contact with the virus by covering all parts of your body.

Fig.No.28 PPE Kit

2. N95 Mask & Face Shield

 The CDC reports that prolonged N95 mask use can be safe for up to 8 hours, and
encourages each user to review each manufacturer’s recommendations prior to following
this strategy.
 Current guidelines encourage wearning a face shield over the N95 to decrease the chances
of soiling the mask.

Fig.No.29 N95 Mask Fig.No.30 Face Shield

3. Sanitizer

 Dettol hand sanitizer kills 99.9% of germs instantly, without water.

 Use anytime, anywhere and it leaves hands refreshed.
 Use as often as required.

Fig.No.31 Sanitizer
 9. Conclusion
During my 3-month internship period in pharmacy, I came to know that the role of pharmacist is
very crucial in a community pharmacy.

Throughout my training period I was able to acquire knowledge on the system of drug procurement
in community pharmacy, dispensing of drugs and counselling techniques of medical appliances.

To be a trainee in pharmacy was indeed an honour for me.