Hospital and clinical Pharmacy (अस्पताल एवं नैदानिक ​​फार्मेसी) Bilingual Book D.Pharm 2nd Year

Chapter

Topic

Hrs

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

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

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

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

5

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

4

6

Radio Pharmaceuticals - Storage, dispensing and disposal of radiopharmaceuticals

2

7

Application of Computers in Hospital Pharmacy Practice, Electronic health records, Softwares used in hospital pharmacy

2

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

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

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

11

Pharmacovigilance

·         Definition, aim and scope

·         Overview of Pharmacovigilance

2

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