Hospital Pharmacy-II 27-Apr-2021

PD334 Pharmacy Practice-IVB

(Hospital Pharmacy-II)
ASSIGNMENT:
Inspection of Wards in the Hospital

Group Members :
1. Amna Mushtaq 1844
2. DAWOOD AKHTAR 1964
3. MUHAMMAD HUZAIFAH PARWEZ 1986
4. ABDUL BASIT RAJA 2025
Hospital Pharmacy-II 27-Apr-2021
Inspection of wards in the hospital with reference to
drug storage and administration.

An inspection of wards is, most generally, an organized examination or formal evaluation

exercise performed in wards with reference to drug storage and administration
The use of medicines has become an essential part of the care. With the risks involved
related to misuse, diversion or unintended loss of medicinal products, it is essential that
processes are in place to control access to medicines to appropriate personnel. By implementing
safe systems to control access and effectively managing ward closures and minimizing any
associated risks, we can ensure the effective use of medicines.

System:
All wards should have standard operating procedures (SOPs) covering each of the
activities concerned with medicines use to ensure the safety and security of medicines stored
and used in them. The responsibility for establishing and maintaining a system for the security
of medicines should be that of a Senior Pharmacist in consultation with appropriate medical
staff and senior nursing staff.
Where no pharmacist is employed by the organization, the Registered Manager or
manager with designated responsibility for the unit should take responsibility and seek
pharmaceutical advice when necessary.

SOP’s regarding ward medicine inventory management:

A list of stock
medicines to be held on the ward should be decided by a Pharmacist in consultation with
appropriate medical staff and the Appointed Nurse in Charge.
Pharmacy staff should determine the amount of each stock medicine to be held at any
time from usage patterns. This amount should be stated on the record of ward orders. This may
be done automatically using computer-controlled systems and electronic orders.
Then this electronic order must be used to determine drug usage at the periodic inspection
of ward’s medication cabinet to ensure that all the medications are stored according to SOP’s
and identification of expired medications if any.
The security of hospital ward stocks should be checked by pharmacy staff/ Senior
Pharmacist periodically, in accordance with locally agreed procedures. They should carry out
inspections of ward stocks, with reconciliation where necessary.

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Hospital Pharmacy-II 27-Apr-2021
Control drug disposal:
Disposal of Controlled Drugs should follow the agreed local
procedure that complies with the current legal framework.
The senior Pharmacist should be responsible for devising such local procedures. Any
medicine liable to diversion should be disposed of in a safe and secure manner.

Drug storage:
On the ward the responsibility for the safekeeping of the medicine’s rests with
the Appointed Nurse in Charge. 
There should be separate lockable ward cupboards as follows:

 Controlled Drugs Cabinet

 Internal Medicines Cupboard
 External Medicines Cupboard
 Refrigerator/freezer for medicines

Drug cupboards to be used for internal and external medicines should comply with the
current Standard(s). Medicine trolleys should be lockable and immobilized when not in use. 
The Appointed Nurse in Charge of a ward should be responsible for controlling access
(by keys or other means) to the medicine cupboards and trolley. The responsibility remains with
the Appointed Nurse in Charge even if he/she decides to delegate the duty.
Periodic inspection of ward’s medication cabinet should be carried out by pharmacists to
ensure that all the medications are stored according to SOP’s.

Drug Administration:
Sufficient information about the medicine should be available to the
staff and/or patient to enable identification and correct use of the product.
If there are any risks associated with handling or administration of a medicine, then there
should be a procedure to minimize the risks and suitable equipment. Staff should also have the
necessary training and education regarding the administration protocols.

Drug regimen review:

Drug regimen must be reviewed at least once a month by the
pharmacist. Any irregularity found during the review must be reported to the physician and
director of nursing.
E.g., Use of three or more analgesic at the same time, Concurrent use of two or more hypnotics.

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Hospital Pharmacy-II 27-Apr-2021
The patient drug regimen must not include any unnecessary drugs. Pharmacist must
check the medication order for drug, dose, route of administration, frequency, and reason of
use.

SOP’s regarding medicines brought into hospital by patients:

Patients may bring
their current or old medicines with them on admission. These medicines are the property of the
patient, and should not, therefore, be destroyed or otherwise disposed of without the agreement
of the patient or the patient’s agent.
Medicines brought in by the patient should only be used in the hospital when they can be
positively identified, meet defined quality criteria and are appropriately labelled.

SOP’s regarding ordering of medicines:

Only the Appointed Nurse in Charge or a
member of the pharmacy staff should be responsible for ordering medicines from the pharmacy
for maintaining ward stocks and for individual patients.
And these orders should be in a permanent. Electronic ordering systems should be
designed is such a way that a permanent record of orders is kept.

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