Hospital and Clinical Pharmacy Notes PDF D.Pharm 2nd Year

CHAPTER – 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

CHAPTER – 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

CHAPTER – 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

CHAPTER – 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

CHAPTER – 5

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

CHAPTER – 6

  • Radio Pharmaceuticals – Storage, dispensing and disposal of radiopharmaceuticals

CHAPTER – 7

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

CHAPTER – 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

CHAPTER – 9

  • Clinical laboratory tests used in the evaluation of diseasestates – 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

CHAPTER – 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

CHAPTER – 11

  • Pharmacovigilance
  • Definition, aim and scope
  • Overview of Pharmacovigilance

CHAPTER – 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

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