1. Hospital Pharmacy

2. Departmental Activity Chart
Pharmacy
Drug
information
Inventory
Dispensing
Compounding &
Additives
Education &
Training
Quality Improvement
Bulk
Out-Patient
Research
TPN
In-Patient
Fortified Eye Drops
Floor Stock
Miscellaneous
Controlled & Narcotics

3. Out Patient Activity Chart
Rx Written
By Doctors
Rx Received
By Pharmacist
Transcription
Selection
Filling of
Prescription
Labeling
Regular
Prescription File
Dispensing
to Out-Patient
Controlled
Prescription File

4. In-Patient Activity Chart
Rx Written
By Doctors
Rx Received
By Pharmacist
Renewal
Prescription
Transcription
Checked by
Pharmacist before
dispense
Filling of
Prescription
Selection
Labeling
Dispensed and Filled
In Medication cart
Recorded in
Patient’ Profile
Regular
Prescription File
Sent to wards
Controlled
Prescription File

5. Pharmacy Organizational Chart
Chief of Pharmacy
Pharmacy Supervisor
Secretary
Clinical Pharmacist
Dispensing
Pharmacist
Narcotic
In-Charge
Assistant
Pharmacists
Ware House
In-charge
Data Entry
Clerk
Pharmacy Aids
Cleaner

6. Abilities required to Hospital pharmacist
By the recognition of ASHP/ASHSP and AACP, the professional staff of the pharmacy department must have the ability to carry out collectively the following functions.
effective administration and management of a pharmacy department in institution
Assimilation and provision of comprehensive information on drugs and their actions,
development and conduct of a product formulation and packaging program,
conduct of and participation in research
development and conduct of patient-oriented services
conduct of and participation in educational activities
development and conduct of a quality assurance program for pharmaceutical services.

7. Job Description
Job Summary:
To participate in the provision of a pharmaceutical service, including general dispensing, aseptic dispensing, and to supervise Pharmacy Technicians and Aides. The job involved working shifts.
Duties and Responsibilities:
Monitor Physician’s order and the medication administration record to ensure the proper dispensing of pharmaceuticals, the identification and correction of potential allergic reactions, drug interactions and incompatibilities.

8. Job Description
To participate in dispensing of pharmaceuticals for in-patients and outpatients.
Prepare check and dispense:
Intravenous admixtures,
Unit dose medications
Floor stock requests
Compounded products
Outpatient medication prescriptions
- To participate in provision of a Total Parental Nutrition (TPN) Service.

9. Job Description…
To supervise Pharmacy Technicians and Pharmacy Aides and to assists in their training.
To participate in a 24-hour I.V. Additive Service
Participate in Ward Pharmacy Service providing Drug Information when necessary; to advise outpatients on correct administration of medicines.
Provide advisory service to medical and nursing staff on all aspects of Drug Information and product availability.
Conduct or assist with in-service and training of hospital/pharmacy personnel.

10. Job Description…
Maintain an up-to-date knowledge of pharmaceutical developments.
Ensure stocks levels within the pharmacy section are maintained.
Perform monthly inspection of medication storage throughout the hospital.
Ensure that the pharmacy and other pre-designated areas of drug storage are stocked, equipped and maintained according to appropriate regulations.
Perform other applicable tasks and duties assigned within the realm of his/her knowledge, skills and abilities.

11. Supportive Personnel
The role of community or retail pharmacist is viewed by many people as simply transferring pills from a large bottle to a small one - counting tablets, typing labels and calculating the price.
Much of his time is seen as devoted to routine merchandising of cosmetics, shaving supplies, stationery and other commodities which have little or no relationship to health care.

12. Supportive Personnel
Concerning the relevance of modern pharmacy education, as with other members of health professions, it would seem that much of the traditional education is not utilized, since a nonprofessional person – working under the supervision of a licensed pharmacist – can effectively perform many of the routine tasks of counting, labeling and pricing.
At the same time, many pharmacists are seeking a new role as drug information specialists, and thus their formal education has taken this into account.

13. Definition: Supportive Personnel
Experience in numerous pharmacies – military and hospitals – has demonstrated that individuals without formal pharmacy education can effectively undertaken many of the routine activities of pharmacists, under subversion of a licensed pharmacist. Such individuals are regarded as supportive personnel (Pharmacy Technician)
These activities have stimulated many hospitals to develop training programs to meet this need.

14. Necessity/benefit of supportive personnel
Due to increasing demand of hospital pharmacists, many of the tasks performed in today’s modern hospital pharmacy could be delegated to supportive personnel under the supervision of a pharmacist and, in fact, such personnel have long been used in most hospital.
If the hospital pharmacist could be freed to a greater extent from performing routine tasks which could be delegated with supervision to trained supportive personnel, he could be able to direct more of his attention to professional tasks only, thereby expanding professional pharmacy in the interest of patient care.

15. Necessity/benefit of supportive personnel
Hospital pharmacy must do likewise if it is to keep pace with progress in the health field, meet the growing demand for hospital pharmacy manpower, make maximum use of the hospital pharmacists’ unique body of knowledge, and provide an opportunity for developing a scope of pharmaceutical services yet undefined and unrealized in the institutional setting.

16. ASHP/ASHSP Standards for Pharmacy Supportive Personnel
Standard I
The technician shall demonstrate appropriate knowledge and understanding of health care institution and its pharmacy department.
Standard II:
The technician shall demonstrate a thorough knowledge and understanding of the duties and responsibilities of his position.
Standard III
The technician shall have a working knowledge of the pharmaceutical medical terms, abbreviations and symbols commonly used in the prescribing, dispensing and charting of medications in the institution.

17. ASHP/ASHSP Standards for Pharmacy Supportive Personnel
Standard IV
The technician shall have a working knowledge of the general chemical and physical properties of all drugs handled in compounding and packaging operations in the pharmacy.
Standard V
The technician shall have a working knowledge of commonly used weight and volume equivalents and shall demonstrate an ability to carry out the arithmetic calculations required for the usual dosage determinations and solutions preparation.
Standard VI
The technician shall demonstrate the ability to perform the essential functions relating to drug purchasing and inventory control.

18. ASHP/ASHSP Standards for Pharmacy Supportive Personnel
Standard VII
The technician shall demonstrate a working knowledge of drug dosages, routes of administration and dosage forms.
Standard VIII
The technician shall have working knowledge of the procedures and operation relating to the manufacturing, packaging and labeling of drug products.
Standard IX
The technician shall demonstrate the ability to perform the usual technician function associated with a unit dose drug distribution system.

19. ASHP/ASHSP Standards for Pharmacy Supportive Personnel
Standard X
The technician shall have a working knowledge of the procedures and techniques relating to aseptic compounding and parenteral admixture operations.
Standard XI
The technician shall demonstrate the ability to perform the manipulative and record-keeping functions associated with the dispensing of prescriptions for ambulatory patients.

20. Conclusion
Hospital pharmacists and Pharmacy Technicians must recognize their obligation to the patient, the institution, the profession, the allied health professions and society.
They shall not deprive the patients of pharmaceutical services by withholding their services in any means.
Provide safe pharmaceutical services to your patients as well as the society being a professional.