HOSPITAL AND CLINICAL PHARMACY – THEORY

Chapter

Topic

Hours

Marks

1

Hospital Pharmacy:

· Definition, scope, national and international scenario.

· Organisational structure.

· Professional responsibilities, Qualification and experience requirements, job specifications, work load requirements and inter professional relationships

· Good Pharmacy Practice (GPP) in hospital.

· Hospital Pharmacy Standards (FIP Basel Statements, AHSP).

· Introduction to NAQS guidelines and NABH Accreditation and Role of Pharmacists.

6

9

2

Different Committees in the Hospital:

· Pharmacy and Therapeutics Committee: Objectives, Composition, and functions.

· Hospital Formulary: Definition, procedure for development and use of hospital formulary.

· Infection Control Committee: Role of Pharmacist in preventing Antimicrobial Resistance.

4

9

3

Supply Chain and Inventory Control:

· Preparation of Drug lists: High Risk drugs, Emergency drugs, Schedule H1 drugs, NDPS drugs, reserved antibiotics.

· Procedures of Drug Purchases: Drug selection, short term, long term, and tender/e-tender process, quotations, etc.

· Inventory control techniques: Economic Order Quantity, Reorder Quantity Level, Inventory Turnover etc.

· Inventory Management of Central Drug Store: Storage conditions, Methods of storage, Distribution, Maintaining Cold Chain, Devices used for cold storage (Refrigerator, ILR, Walk-in-Cold rooms).

· FEFO, FIFO methods.

· Expiry drug removal and handling, and disposal. Disposal of Narcotics, cytotoxic drugs.

· Documentation: purchase and inventory.

14

8

4

Drug distribution:

· Drug distribution (in-patients and out-patients): Definition, advantages and disadvantages of individual prescription order method, Floor Stock Method, Unit Dose Drug Distribution Method, Drug Basket Method.

· Distribution of drugs to ICCU/ICU/NICU/Emergency wards.

· Automated drug dispensing systems and devices.

· Distribution of Narcotic and Psychotropic substances and their storage.

7

9

5

Compounding in Hospitals: Bulk compounding, IV admixture services and incompatibilities, Total parenteral nutrition.

4

4

6

Radio Pharmaceuticals: Storage, dispensing and disposal of Radiopharmaceuticals.

2

4

7

Application of computers in Hospital Pharmacy Practice, Electronic health records, Software used in hospital pharmacy.

2

4

8

· Clinical Pharmacy: Definition, scope, and development - in India and other countries, Technical definitions, common terminologies used in clinical settings and their significance such as Paediatrics, Geriatric, Anti natal Care, Post-natal Care, etc.

· Daily activities of clinical pharmacists: Definition, goal, and procedure of:

· Ward round participation.

· Treatment Chart Review.

· Adverse drug reaction monitoring.

· Drug information and poisons information.

· Medication history.

· Patient counselling.

· Interprofessional collaboration.

· Pharmaceutical care: Definition, classification of drug related problems. Principles and procedure to provide pharmaceutical care.

· Medication Therapy Management, Home Medication Review.

12

9

9

Clinical laboratory tests used in the evaluation of disease states - significance and interpretation of test results:

· Haematological, Liver function, Renal function, thyroid function tests.

· Tests associated with cardiac disorders.

· Fluid and electrolyte balance.

· Pulmonary Function Tests.

10

5

10

· Poisoning: Types of poisoning: Clinical manifestations and Antidotes.

· Drugs and Poison Information Centre and their services: Definition, Requirements, Information resources with examples, and their advantages and disadvantages.

6

9

11

Pharmacovigilance:

· Definition, aim and scope.

· Overview of Pharmacovigilance.

2

7

12

· Medication errors: Definition, types, consequences, and strategies to minimize medication errors, LASA drugs and Tallman lettering as per ISMP.

· Drug Interactions: Definition, types, clinical significance of drug interactions.

6

5

TOTAL

75

88