3A - Hospital Pharmacy

Hospital pharmacy
Erkiso Sh. [BPharm, MPharm]
1
Introduction
• Pharmacy service is the last and critical step for client’s services in
hospitals.
• Since the ultimate health outcome is determined by appropriate selection,

quantification, procurement and rational use of pharmaceuticals,
 pharmacy services should be designed to provide assurance that

quality and safety is maintained at all stages of service provision.
 Hospital pharmacy is concerned with the pharmacy service to all kinds of

hospital settings.
2
Organization of a typical hospital pharmacy
department
• Hospital pharmacy services need be effectively managed so as

to provide patient-centered services.
• To achieve this, the department shall be led by head/ director

who is assigned by the hospital management.
• The department head/director in turn assigns unit

coordinators; and team leaders may be formed to execute
activities as deemed necessary.
3
Organization…
• Organization of the pharmacy services

 should ensure patient’s safety, privacy and satisfaction.
• To achieve this, the following issues should be addressed:
4
A. Pharmacy Service Organization
• The pharmacy services of the hospital should be organized as
 outpatient pharmacy services unit,
 inpatient pharmacy services unit,
 emergency pharmacy services unit, pharmaceutical supply management unit,
 drug information services unit,
 compounding pharmacy services units.
 Other units shall also be established depending on the hospital complexity and
demand.
5
B) OPD Pharmacy
• can be organized in multiple locations (e.g. ART pharmacy, Adult OPD

pharmacy, pediatric OPD pharmacy, chronic care pharmacies, MCH
pharmacy etc.)
 depending on the arrangement of the OPD clinics, geographical proximity and
complexity of the hospital so as to improve accessibility and convenience to
patients.
• Patient waiting areas at the OPD pharmacy units should be fitted with
appropriate seat and should provide enough safety and protection.
6
C) Inpatient pharmacy
• Depending on patient load, number of beds, and geographical accessibility,

there should be adequate number of inpatient dispensaries and specialty
pharmacies located near to the major wards.
• These dispensaries should be led by pharmacists (preferably clinical

pharmacists).
• Inpatient pharmacy services should function under the unit dose

dispensing and work for 24 hours and 7 days a week.
7
D) Emergency pharmacy
• Should be organized near emergency department.
• The dispensing process should be organized such that

pharmaceuticals should reach to the patient as fast as
possible.
• Besides the routine prescription based dispensing, emergency

crash cart system shall be used to avoid delays in availing
pharmaceuticals to emergency patients.
8
Emergency…
• Emergency crash cart is a trolley used in hospitals for

transportation and dispensing of emergency pharmaceuticals
at site of medical/surgical emergency for life support
protocols to potentially save patient’s life.
• In crash cart system, the emergency physician, pharmacist,

nurse shall determine the list and amount of pharmaceuticals
to be included in the crash cart (Emergency Medicine List).
9
E) Extemporaneous Compounding:
• In order to respond to specific patient needs, the hospital

pharmacy should have compounding services with separate
premises and equipped with the necessary facilities in
fulfillment of relevant regulatory requirements.
10
F) Pharmaceutical supply management
• To ensure uninterrupted supply of pharmaceuticals, the hospital

pharmacy should have pharmaceutical supply management unit.
• The unit has separate pharmaceutical stores for medicines and supplies.
• The overall operation of the unit (selection, quantification, procurement,

inventory management, warehousing and distribution) should be
coordinated by a dedicated pharmacist and stores should be managed by
a separate store managers.
11
G) Drug Information Services (DIS)
• The hospital pharmacy should have a drug information

service unit
 to effectively provide evidence based and
 up-to-date drug information for health care providers and

patients.
12
THANK YOU
13

3A - Hospital Pharmacy

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Hospital pharmacy

Erkiso Sh. [BPharm, MPharm]

• Since the ultimate health outcome is determined by appropriate selection,

 pharmacy services should be designed to provide assurance that

 Hospital pharmacy is concerned with the pharmacy service to all kinds of

• Hospital pharmacy services need be effectively managed so as

• To achieve this, the department shall be led by head/ director

• The department head/director in turn assigns unit

• Organization of the pharmacy services

• To achieve this, the following issues should be addressed:

• The pharmacy services of the hospital should be organized as

 outpatient pharmacy services unit,

 inpatient pharmacy services unit,

 emergency pharmacy services unit, pharmaceutical supply management unit,

 drug information services unit,

 compounding pharmacy services units.

• can be organized in multiple locations (e.g. ART pharmacy, Adult OPD

• Depending on patient load, number of beds, and geographical accessibility,

• These dispensaries should be led by pharmacists (preferably clinical

• Inpatient pharmacy services should function under the unit dose

• Should be organized near emergency department.

• The dispensing process should be organized such that

• Besides the routine prescription based dispensing, emergency

• Emergency crash cart is a trolley used in hospitals for

• In crash cart system, the emergency physician, pharmacist,

• In order to respond to specific patient needs, the hospital

• To ensure uninterrupted supply of pharmaceuticals, the hospital

• The overall operation of the unit (selection, quantification, procurement,

• The hospital pharmacy should have a drug information

 to effectively provide evidence based and

 up-to-date drug information for health care providers and

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