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Hospital Pharmacy : -:

Hospital Pharmacy : - Definition: Hospital pharmacy is the department , service or a domain in the hospital organization managed under the direction of a professionally competent, legally qualified pharmacist. Hospital pharmacist is responsible for the following: Dispensing of drugs and medicines as per the prescriptions of the medical staff or the hospital for out patients and inpatients.

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2) Management of the stores which include: Purchase of drugs and medicines and other allied stores as per the recommendations of the pharmacy and therapeutics committee(PTC). Providing instructions for proper storage of such drugs and medicines. Maintenance of proper records of the drugs purchased and the distribution thereof. Storage and dispensing of narcotic and biological products. Supply and storage of ancillary products and articles required in the hospital.

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3) Manufacture and distribution of medicaments and products such as transfusion fluids, tablets, capsules, ointments, stock mixtures as per the hospitals formulary. 4) Providing therapeutic drug monitoring services by studying effects of various drugs administered to the inpatients. 5) Establishment and maintenance of drug information centre. 6) Patient counseling service while supplying drugs especially from the out-patient department. 7) Maintaining liasion with the medical staff , nursing staff and the patients themselves. 8) To maintain the nursing department and the central sterile supply unit in the hospital. 9) Participate in the teaching programmers of nursing and the pharmacy students.


( 1) INPATIENT (or)INDOOR PHARMACIST RESPONSIBILITIES :- CENTRAL DISPENSING AREA :- To ensure that all drugs are stored, dispensed correctly. To check the accuracy of the dosages prepared especially of intravenous admixtures and unit doses. To keep proper records and preparation of bills. He has also to maintain record of all reports on drug used and/or issued from his section. To coordinate the overall pharmaceutical needs of the “patient care’’ areas with the centrally dispensing areas. To ensure that the established policies and procedures laid down are followed. To communicate with all pharmacy staff regarding new developments in the area and assists in evaluations of employees of his section. To coordinate the activities of the area with the available staff to make the best possible use of the personnel and the resources.

b) Patient Care Areas:

b) Patient Care Areas To maintain a liasion with nurses who are involved in the drugs administration to the patients. Reviewing of drug administration in each patient periodically to ensure that all doses are being administered and charted accordingly. To provide instruction and assistance to the junior pharmacists as needed in dealing with difficult patients and new procedures. To coordinate the overall pharmaceutical services on the running unit level

c) Direct patient care areas: -:

c) Direct patient care areas: - Identification of drugs brought in to hospitals by the patients. Obtaining patients medication history and communicating all the information to the attending physicians. To assist in the selection of drug products and their identities. To monitor patient drug therapy for 1.Effectiveness 2.Sideeffects 3.Toxicities 4.Allergic drug reactions 5.Drug interactions etc.

Counseling patients on: -:

Counseling patients on: - Medications which are to be self administered in the hospital. Regarding the use of discharge medicines. Participating in cardiopulmonary emergencies by 1. Procurement and/or preparation of drugs needed. 2.Charting all medications given. 3.performing cardio-pulmonary resuscitation if necessary.

d) General responsibilities: :

d) General responsibilities: Pharmacist is expected to provide in service and education for the Pharmacists , Pharmacy students, Nurses, Nursing students, Physicians and Medical students


(2).OUTDOOR PHARMACISTS RESPONSIBILITIES : - The Central Dispensing Area:- The pharmacist ensure that proper techniques are used in extemporaneous compounding . provides for adequate record keeping and billing in respect of patient medication particulars, records of investigational drugs , records of out patient bills for the charges of services and material , furnished by the department. Correctly maintaining the prescription files. Keeps the outdoor pharmacy in a neat and tidy manner.

b) Patient Care Area:- :

b) Patient Care Area:- To periodically inspect the medication areas on the nursing unit and to make sure that they are always adequately supplied with other articles required. To identify drugs brought in to the clinic by the patient and record the patients medication history. Monitoring of drugs as explained earlier. To counsel the patients on the proper use of their medication and prepare the medication for the intravenous administration

C) General Responsibilities: - :

C) General Responsibilities: - To co-ordinate overall pharmaceutical needs, of the outdoor service area and exercise adequate control over such drugs. To ensure that all drugs are handled properly such as storage of investigational drugs. To participate in cardio pulmonary emergencies. To provide for in service education and training for the pharmacists, pharmacy items i.e. the pharmacy students sent for practical training as a part of diploma or degree courses, nurses.


References: Basics of Hospital and Clinical Pharmacy;Dr.R.K.Goyal; Page. No:-18-26. 2) A Text Book of Hospital Pharmacy, Merchants &Qadry’s Page No:20-27

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