Hospital

Pharmacy Forms, Books and Drug Distribution Systems

HOSPITAL PHARMACY FORMS USES

1. Stock Card They allow staff to account for and

monitor the movement of drugs over
a period of time. They are used to
calculate the quantities of drugs that
needed to be ordered.
2. Pharmacy Medication A current list of all medications
Profile prescribed for an individual, any
allergies the individual has and any
information relevant to an
individual’s ability to safely take
medications.
3. Pharmacy Inventory Sheet Helps keep track of drugs used or
sold. Keep track of how much of the
product is coming into the pharmacy
and how much is going out.
4. Department Charges Document wherein the prices for the
products are listed.
5. Department Work Provides a facility to create, view,
Schedule and manage the work schedule of
the personnel in the pharmacy.
6. Daily (Weekly) Faltas For checking purposes in the
pharmacy supplies as well as to
identify which products are lacking.
7. Company Charges Debits the account from the
company
8. Dangerous Drug Dangerous drugs and Prohibited
Dispensing Form drugs shall be disposed only upon
receipt of duly signed prescription
form issued by the DBB.
9. Temperature Calibration To monitor the temperature to
minimize any measurement
 uncertainty and also enables to have
confidence in the result that they
monitor record and subsequently
control
10. Medicine Pricing To determine the quantity of
payment or compensation needed to
be given by one party
11. Medicine Label Provides important informations,
storage conditions and expiry date.

B. Books and Journals found in a Hospital Pharmacy

1. PNDF Vol. I current edition
2. CRI
3. USP and NF latest edition
4. RA 3720 as amended by FDDC Act
5. RA 6675 Generics Act of 1988
6. RA 5921 as amended by Pharmacy Law
7. RA 4226 Hospital Licensure Act
8. RA 6425 DDA a amended
9. Rules and Regulations pertinent to the above stated laws
10. Remington’s Pharmaceutical Sciences latest edition
11. Goodman and Gilman – Pharmacological Basis of
Therapeutics
12. Martindale’s Extra Pharmacopeia

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 13. Myler’s Side Effects of Drugs
14. Dangerous Drug book
15. Exempt Preparation Book
16. Poison book
17. Record Book for selected non-prescription drugs subject to
abuse as determined
18. Text on Toxicity such as Clinical Toxicology of commercial
products and “Handbook of Poisonings, Diagnosis and Treatment”
19. Text on Clinical Pharmacy such as “Clinical Pharmacy
Handbook for Patient Counselling” and “Clinical Pharmacy and
Therapeutics”
20. Medical Dictionary by Portland
21. Text on Diagnostic Laboratory Test such as “Clinical
Laboratory Medicine” and “Effects of Drugs on Clinical Laboratory
Tests”
22. Other Secondary Literature available


C. Schematic Diagram of the Drug Distribution System in Hospital

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Questions:
1. What are the different ways of disseminating drug information?
• Press releases
• External Q&As
• Consumer Updates
• Perspectives/commentaries in NEJM and other peer-reviewed
medical journals
• Articles in trade journals
• FDA Expert Commentary and Interview Series on Medscape
• Drug Info Rounds videos
• Webinars
• CDER Conversations & From Our Perspective articles
• FDA Voice blog
• Educational outreach materials(e.g.,factsheets, pamphlets, articles)
• Social media
• Email
• Traditional and trademark
2. Why is it necessary for a pharmacist to be updated on drug
information?
The provision of drug information (DI) is among the fundamental
professional responsibilities of all pharmacists. Recent practice trends,
including increased provision of medication therapy management
services and efforts to obtain provider status, have placed pharmacists in
increasingly complex patient-care roles and necessitated a higher level of
competence by all pharmacists in meeting DI needs. The goal of providing
carefully evaluated, evidence-based recommendations to support specific
medication-use practices is to enhance the quality of patient care,
improve patient outcomes, and ensure the prudent use of resources.
3. Give the importance on maintaining separate prescription books
and poison books
The main reason for maintaining medical records is to ensure
continuity of care for the patient. ... For health professionals, good
medical records are vital for defending a complaint or clinical

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 negligence claim; they provide a window on the clinical judgment
being exercised at the time
4. What is the procedure for reporting the use of dangerous drugs?
SECTION 1. Creation of Task Forces
The Office of the President, the PNP and other agencies which were
performing drug law enforcement and prevention functions prior to
the enactment of R.A. No. 9165 shall organize anti-drug task force to
support the PDEA.
SECTION 2. Supervision and Support
The PDEA shall exercise operational supervision and provide technical
support to the main task force created by the PNP. In the case of other
task forces, created within the PNP or other agencies, the President of
the Philippines shall determine whether DDB or the PDEA shall
exercise operational supervision.
SECTION 3. Funding
Funds for the operation of the task forces shall be sourced from the
mother agencies creating the task force and from the gross receipts of
lotto operations. For this purpose, the Philippine Charity Sweeptakes
Office is hereby ordered to create a standby fund in the amount of
One Billion Pesos (P1,000,000,000.00) to fund the operations of the
PDEA and the task forces supporting it.
SECTION 4. Repeal
Executive Order No.206 dated May 15,2003 is hereby repealed. All
orders, rules, regulations and issuances, or parts thereof, which are
inconsistent with this Executive Order are hereby repealed or modified
accordingly.
SECTION 5. Effectivity
This Executive Order shall take effect immediately upon approval.
5. What are the different types of drug distribution system?
- Individual prescription order system: It is a type of prescription
system where the physician writes the prescription for individual

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 patient who obtains the drug prescribed from any medical store
or hospital dispensary by paying own charge.
- Complete floor stock system: Under this system ,the drugs are
given to the patient through the nursing station and the
pharmacy supplies from the drug store of a hospital. • Drugs on
the nursing station or ward may be divided in to.
A. Charge floor stock drugs- Medicines which are stocked on
the nursing station at all times and charged to the patient’s
account after they have been administered to them.
Dispensing of floor stock drugs. The patient is charged for
every single dose administered to him. Selection of these
drugs in various wards is decided by PTC Once the floor
stock list is prepared ,it becomes the responsibility of the
hospital pharmacist to make the drugs available
B. Non charge floor stock drugs - Non charge floor stock
drugs are the medicaments that are placed at the nursing
station for the use of all patients on the floor. These
drugs ,there shall be no direct charge from the patients
account. It is divided in to two methods.
a. Drug basket method - Nurse fill a requisition form
for delivery of drugs at their floor; When there is an
empty container ,the nurse place it in the drug basket.
Once the basket is completed it delivery to the floor via
messenger service. Alternatively mobile dispensary can
be utilised.
b. Mobile dispensary unit - It is specially constructed
stainless steel . 60 inches high. 48 inches wide and 25
inches deep. It is mounted on bottom tyres.
Difference between floor&non floor stock system Charge floor stock
system Non-charge floor stock The charges are made in the system
patients account after the have been administered from the stock drugs.
Every dose of the drug administered to the patients are charged . Only
those dose are charged which are expansive can rarely used. Floor stock
list is prepared which is sent to make the drugs available to all the nursing
station the drugs are not made in the account directly even after the drug
have been administered . This system charges are made indirectly to the

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patients. The cost of the drugs are not high as they are mostly used in
tablets, capsules. A pre-determined list is prepared by nursing station.
- Combination of individual and floor stock system: This system is
fallowed in the government and also in private hospital who run
on the basis of no profit and no loss. Individual prescription or
medication system is fallowed as a major means. Requirement of
drugs or surgical items are given to the patient who purchase
and deposit these items in hospital wards or rooms under
supervision of registered nurse .
- Unit dose dispensing: Those medications which are
ordered ,packed ,handled administered and charged in multiples
of single dose units containing a predetermined amount of drug
or supply sufficient for one regular dose. A single unit package is
one witch contains one complete pharmaceutical dosage forms
o Two methods of dispensing unit doses are:
- A.Centralised unit-dose drug distribution system(CUDD): All
in-patient drugs are dispensed in unit doses and all the drugs are
stored in central area of the pharmacy and dispensed at the time
the dose is due to be given to the patient. Drugs re transferred
from the pharmacy to the indoor patient by medication cards.
- B.Decentralized unit dose dispensing: This operates through
small satellite pharmacies located on each floor of the hospital.
Procedure: Patient profile card containing full
date ,disease ,diagnosis is prepared. Prescription are sent
directly to the pharmacist witch are then entered in the patient
profile card. Pharmacist checks medication order. Patient profile
card and prescription order is filled by pharmacy technicians. The
nurses administer the drugs and make the entry in their records.