Title 2a.docx ✅

HOSPITAL PHARMACY-ORGANISATION AND MANAGEMENT Definition *Hospital Pharmacy is department service in the hospital organization, managed under the direction of professionally commitment, legally qualified pharmacist. *Hospital Pharmacy- Organisation *Director of Pharmacy *Associate Director of Pharmacy *Organization structure: Staff, Infrastructure and work load statistics STAFF, INFRASTRUCTURE AND WORKLOAD STATISTICS STAFF *The staff requirement for a hospital pharmacy depends on Number of beds in the hospital *Average number of in-patients and out patients *Activities of the unit * Whether the pharmacy also stocks and dispenses surgical and laboratory supplies. GENERAL GUIDELINES FOR THE DETERMINATION OF STAFF OF PHARMACY *1 chief pharmacist *1 registered pharmacist for an average daily attendance of 60 patients with a minimum of 4 pharmacists for smaller hospitals *Adequate no: of assistants, attendants and sweepers *1 typist cum clerk *For manufacturing and formulation of drugs A deputy to the chief pharmacist designated as manufacturing pharmacist 1 analytical pharmacist *In general, hospitals having a bed strength of upto 50, 100, 200, 300 beds require 3, 5, 8 and 10 pharmacists respectively *For large hospital 1 pharmacist should be appointed for every 133 patients INFRASTRUCTURE SPACE *Space requirement depends on the no: of beds, number and types of sections in pharmacy unit, no: and types of out patients and location of the hospital *Dispensing department should not be less than 6 sq.metres for 1 pharmacist and additional 2 sq.metres for each additional pharmacist *A modern hospital pharmacy should provide i.Waiting room *ii. Office of the chief pharmacist * iii. Office for clerk cum typist *iv. In patient and out patient dispensing *v. Manufacturing laboratory lab *vi. Product formulation, control and research laboratory *vii. Pharmacy store room *viii. Alcohol and volatile liquids vault or room *ix. Additional bulk storage facilities *x. Radiopharmaceutical lab
AREA EQUIPMENT Compounding and dispensing unit Balance, beakers, bottles, tripot stand, water bath, book shelves, suppository moulds, funnels, glass Pharmacy store Cabinets, racks, refrigerator, exhaust fan, alcohol vault, equipment for packing and repacking of cases Equipment for manufacture of external preparations Mixing tanks, kettle, steam. Colloid mill, liquid filling equipment, storage tanks Equipment for the manufacture of powders Disintegrator, mixer, stainless steel vessels, filling equipment, sifter, scoops Equipment for filling of hard gelatin capsules Mixing and blending equipment, capsule counters Equipment for the manufacture of pessaries and suppositories Mixing and pouring equipment, moulding equipment WORKLOAD STATISTICS *The federal government in 1952 provided job description for chief pharmacist, pharmacist and pharmacy helper Job summary of chief pharmacist : compounds and dispenses medicines and preparations according to prescription written by physicians, dentists and other practitioners authorized by law to prescribe. Prepares and sterilizes injectable medication manufactured in hospital. Furnishes information concerning medications to physicians, interns and nurses. Plans, organizes and directs pharmacy policies and procedures in accordance with established policies of hospital. Implements decision of PTC of which he is a member. DETERMINING THE DEPARTMENTAL STAFF PROFESSIONAL *Is the department to serve in patients only? *How many in patients? *Is there to be any out patient service? *How many out patient peer day? Is there to be a manufacturing section of the pharmacy? *Is the pharmacy going to stock and dispense surgical and laboratory supplies?
DEPARTMENTAL ACTIVITY CHART LOCATION *Separate outpatient pharmacy *Easily accessible to the out patients *minimum disturbance is caused to the inpatients and the routine working to the hospital and its pharmacy LAYOUT: *provided with a prescription receiving window and a delivery window *Waiting area *Patients can also be made familiar with family planning projects, general hygiene etc through display of wall posters RECOVERY AND SERVICE CHARGES: *arbitrary fee depending on dosage form and number of doses supplied *Simple mark up procedure depending upon the cost of the drug *Professional fee system *PE= COD + PROFIT *COD= Total expenses - Drug costs /No of medication order dispensed