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HOSPITAL PHARMACY

The Hospital Pharmacy Department

Assignment 3: (60 pts)


Rubric:
Criteria 30 pts 20 points 10 pts

Content 21 14 7

Mechanic 9 6 3
s

1. Pharmacists are healthcare professionals with specialized education and training who
perform various roles to ensure optimal health outcomes for their patients through the
quality use of medicines. Pharmacy technicians support the work of pharmacists and
other health professionals by performing a variety of pharmacy-related functions and
may also perform administrative duties in pharmaceutical practice. Enumerate the job
responsibilities/descriptions of the different personnel in the hospital pharmacy service?
(20 pts).

Follow this sample format for your answers. Each row size may be extended to fit your
answers.

1. Chief Pharmacist
Provide the overall supervision of the activities of the Pharmacy Service of comparatively
large general or special hospitals and perform other related functions. Specifically, the Chief
Pharmacist shall:
1. Establish and implement policies and procedures of the pharmacy in accordance with the
policies of the hospital and of the DOH;
2. Instruct, train and supervise all employees of the Pharmacy Service;
3. Review and approve schedule of duties of the pharmacy staff
4. Prepare requisitions for awarded drug items and other supplies for procurement based on the
approved price schedule;
5. Provide information concerning drugs and drug therapy to physicians, nurses and other
health personnel of the hospital;
6. Participate actively as member and secretary of the hospital’s Pharmacy and Therapeutics
Committee (PTC);
7. Assist in the evaluation of reports on ADR, DUR and Infection Control Programs;
8. Plan and prepare research activities on behavioral and socio-economic, pharmaceutical
operational and clinical researches;
9. Supervise the posting and checking of deliveries to bulk storeroom of the pharmacy for
safekeeping and proper storage.
10.Prepare reports and memoranda to the COH, Administrator and other departments of the
hospital on pharmacy matters;
11.Plan suitable educational and training programs for professional staff and pharmacy interns
in accordance with the requirements of the DOH National/Regional Committee on Affiliation
and Training of Students (NCATS/RCATS);
12.Prepare/conduct the Quality Assurance Program (QAP) Review of the Pharmacy Service
and participate in the QAP of the hospital multi- disciplinary committee;
13.Attend meetings/seminar-workshops/consultative meetings related to drugs and hospital
pharmacy practices; 14.Recommend pharmacy development or improvements to the COH;
15.Check and evaluate overall performance of the pharmacy staff and approve performance
ratings of the pharmacy personnel;
16.Check the maintenance of the drug inventory control program;
17.Control dangerous and regulated drug distribution and drug dispensing activities; and
18.Perform other related functions. 

2. Supervising Pharmacist
Supervise activities of the Pharmacy Service of smaller general or special hospitals and/or
supervise the activities of employees in the Pharmacy Service of a comparatively large general
or special hospital, and perform other related functions. Specifically, the Supervising
Pharmacist shall:

1. Assume the duties and functions of the chief pharmacist in his/her absence;

2. Assist in the planning of special projects, training of pharmacy interns and personnel in
different areas of the Pharmacy Service;

3. Assist in the preparation of policies and procedures of the Pharmacy Service;

4. Supervise clerical and record-keeping activities;


5. Supervise the preparation of delicate prescriptions not commercially available;

6. Collate ADR, Infection Control and DIJR reports;

7. Supervise the receiving, checking and proper storage of all drugs, biological and medical
supplies;

8. Check the prepared schedule of duties of pharmacists and other personnel; 9. Supervise the
maintenance of drug inventory control program;

10.Assist in the preparation of requisitions through the RIVs on the awarded drug items for
procurement;

11.Assist in the planning and preparation of research activities;

12.Assist in the preparation of suitable educational pharmacy programs for professional staff
and pharmacy interns;

13.Supervise dispensing of drugs to in and out-patients;

14.Check completed work of pharmacist before issuance;

15.Assist in the preparation of the Q~AP of the Pharmacy Service;

16.Attend meetings/seminar-workshops and consultative meetings related to drugs and hospital


pharmacy practices;

17.Assist in the evaluation of the overall performance of the pharmacy staff and review
performance appraisal forms of pharmacy personnel; and

18.Perform other related functions.

19.Listing of all regulated and narcotic drugs on their appropriate books

3. Senior Pharmacist
Under general supervision, the Senior Pharmacist shall supervise the activities of a small
group of employees of the Pharmacy Service of a general hospital or special hospital and
perform other related functions. Specifically, the Senior Pharmacist shall:

1. Assume the functions and responsibilities of the supervising pharmacist in his/her absence;

2. Assist the supervising pharmacist in the supervision of Pharmaceutical Service activities or


perform other duties relating to the preparation, care, distribution, disposition and inspection of
drugs and supplies;

3. Assist the supervising pharmacist in planning, organizing and implementing pharmacy


policies and procedures in accordance with established policies of the hospital and the DOH;

4. Guide subordinates in work prioritization and specific tasks to be performed and reviewed;

5. Record controlled drugs to registered opium and additional opium books;

6. Supervise bulk compounding activities;

7. Supervise the maintenance of the Drug Information Center with updates, journals and
literature files, etc.;

8. Prepare prescriptions not commercially available;

9. Supervise the bottling and labelling of stocks from bulk compounded stocks;

10.Inspect and monitor drugs in all treatment areas;

11.Participate in all research activities;

12.Discuss performance report with subordinate employees;

13.Inspect stocks, equipment and requisitions as needed;

14.Supervise the preparation of intravenous admixtures;

15.Assist in the training of pharmacy interns;

16.Participate in the QAP of the Pharmacy Service; and

17.Perform other related functions.

4. Staff Pharmacist
Under general supervision, the pharmacist fills and dispenses drugs and medical supplies to in-
patients and Out-out-patients ordered or prescribed by a licensed physician, dentist or
veterinarian. The Staff Pharmacist shall:

1. Fill prescriptions and dispense drugs;

2. Compound preparations not available commercially;

3. Label all drug containers issued to various services;

4. Check the manufacture and expiration dates and labels of drugs;

5. Post delivery receipts and record issuances of drugs to ledger cards and accomplish issue
report forms after every shift;
6. File prescriptions and maintain them for the required number of years as prescribed by law;

7. Participate in medical rounds when deemed necessary for medication history of patients in
promoting rational drug therapy;

8. Notify physicians of any therapeutic incompatibilities, potential drug interactions and


duplicate prescriptions;

9. Make certain that the right patient takes the right drug and right dosage at the right time;

10.Maintain follow-up inventory weekly;

11.Prepare/check/sign charges to pay/Medicare patients on medications;

12.Participate in research activities;

13.Attend scientific seminar-workshops/consultative meetings and continuing education on


drug-related matters and hospital pharmacy practices;

14.Participate in the QAP of the Pharmaceutical Service;

15.Prepare performance appraisal report; and

16.Perform other related functions.

5. Laboratory Aide 
Under direct supervision, provides routine assistance in the performance of laboratory tests
and/or research. Cleans, breaks down, and stores laboratory facilities, equipment, and supplies
as appropriate, and may keep routine records and reports on laboratory results according to
established procedures.

Duties and Responsibilities

1.Transports laboratory materials and/or specimens to and from other laboratories, as required.

2.Prepares standard equipment, facilities, and/or solutions for laboratory experiments, in


accordance with detailed procedures and instructions.

3.Cleans, breaks down, and stores laboratory equipment, facilities, and supplies after
completion of laboratory exercises, as required.

4.Practices safety, environmental, and/or infection control methods.

5.Performs miscellaneous job-related duties as assigned.


6. Administrative Aide (II-IV) 
Administrative Assistant II-IV provides administrative support to an individual, team,
department or group in an organization. Collects, reviews and analyzes data and prepares
reports, charts, budgets, and other presentation materials utilizing word processing,
spreadsheet, or specialized software Being an Administrative Aide II-IV prepares and
distributes reports or routine inquiries from external or internal sources with appropriate
correspondence or other messaging. Schedules and coordinates meetings, travel, and other
group activities. May manage expense reporting, invoicing, office supply inventory, or other
routine process.

7. Administrative Aide (I) 


Performs a variety of office support and/or secretarial duties for a specified unit/department,
such as composing a variety of standard documents and correspondence, relaying and
resolving routine telephone and/or walk-up inquiries, scheduling calendar items and meetings,
making travel arrangements, processing forms, performing data entry, and establishing and
maintaining records. Edits and proofreads documents to ensure accuracy. May perform duties
involving simple mathematical calculations.

Duties and Responsibilities


1. Performs a wide variety of assignments which may be confidential in nature and
require research to complete; operates personal computer to compose, edit, revise,
tabulate, and print letters, tables, reports, and other materials.
2. Greets and directs visitors, resolves routine administrative problems and answers
inquiries concerning activities and operations of department/division; accepts,
screens, and routes telephone calls; maintains log of inquiries as required.
3. Performs a range of staff and/or operational support activities; may serve as a liaison
with other departments on basic administrative and/or operational matters.
4. Sorts, screens, and distributes incoming and outgoing mail, drafts or prepares responses
to routine inquiries, and operates a variety of office equipment.
5. Establishes, maintains, processes, and updates files, records, certificates, and/or other
documents.
6. Arranges meetings and conferences, schedules interviews and appointments, and
performs other duties related to maintaining one or more individual schedules;
makes travel and lodging arrangements, either directly or through travel agencies.
7. Orders, stocks, and distributes office supplies.
8. Performs basic, routine bookkeeping functions, which may involve simple billing and
cash receipt activities.
9. May instruct and oversee the activities of student employees performing the same type
of work.
10. May serve as Campus Security Authority as outlined by the Clery Act.
11. Performs miscellaneous job-related duties as assigned.

8.CLERK
Under general supervision, the clerk shall:
1. Do all the typing/filing/safekeeping of documents, receiving and releasing papers pertinent
to the operation of the Pharmacy Service;
2. Counter-check submitted issue forms of the pharmacy staff on duty for entry to
stock/supplies ledger cards;
3. Record issuances of drugs daily in the ledger cards;
4. Prepare adjustment sheets as the basis for the statistical report on the monthly consumption
and balances of stocks in the pharmacy;
5. Participate in the QAP of the Pharmacy Service;
6. Attend staff development programs and seminar/workshops relevant to his/her work;
7. Accomplish the performance appraisal report; and
8. Perform other related functions.

9.STOREKEEPER
Under general supervision, the storekeeper shall:
1. Receive/check/post drugs on ledger cards for safekeeping and proper storage in the bulk
storage area and record releases for pharmacy stocks in the active storage area;
2. Transfer/withdraw drug items from bulk storeroom to active storeroom of pharmacy for
distribution assisted by the utility worker;
3. Conduct regular and weekly follow-up of physical inventory of drugs;
4. Inspect drugs stored at the bulk storeroom as to expiry dates, slow and fast moving drugs,
etc.;
5. Attend seminar/workshops, and other staff development programs relevant to the work;
6. Participate in the QAP of the Pharmacy Service;
7. Accomplish performance appraisal report; and 8. Perform other related functions.
10.UTILITY WORKER
Under general supervision, the utility worker shall:
1. Maintain housekeeping and sanitation of the pharmacy as well as its bulk and active storage
areas;
2. Maintain facilities of the pharmacy;
3. Attend to the administrative needs in the operation of the Pharmacy Service; 4. Assist the
storekeeper in the transfer or withdrawal of drug items from the bulk storage area to the active
storage area of the pharmacy for eventual distribution;
5. Participate in the QAP of the Pharmacy Service;
6. Accomplish the performance appraisal report; and
7. Perform other related function

2. What are the different (14) divisions of the Hospital Pharmacy Department? Identify
and enumerate its functions. (30 pts)

1.Administrative Services Division


o Plan and coordinate departmental activities.
o Develop policies regarding health professionals.
o Schedule personnel and provide supervision.
o Coordinate administrative needs of the Pharmacy and Therapeutics Committee.
o Supervise departmental office staff.

2.Education and Training Division


o Coordinate programs of undergraduate and graduate pharmacy students.
o Participate in hospital-wide educational programs involving nurses, doctors etc.
o Train newly employed pharmacy department personnel.

3.Education and Training Division


o Coordinate programs of undergraduate and graduate pharmacy students.
o Participate in hospital-wide educational programs involving nurses, doctors etc.
o Train newly employed pharmacy department personnel.

4.Pharmaceutical Research Division


o Develop new formulations of drugs, especially dosage forms not commercially
available, and of research drugs.
o Improve formulations of existing products.
o Cooperate with the medical research staff of projects involving drugs.

5.In-Patient Services Division


o Provide medications for all in-patients of the hospital on a 24-hour per day basis.
o Inspection and control of drugs on all treatment areas.
o Cooperate with medical drug research.
o Maintain prescription records.
6.Out-Patient Services Division
o Compound and dispense out-patient prescriptions.
o Inspect and control all clinical and emergency services
o Maintain prescription records.
o Provide drug consultation services to staff and medical students.

7.Drug Information Services Division


o Provide drug information on drugs and drug therapy to doctors, nurses, medical
and nursing students.
o Maintain the drug information center.
o Maintain literature files.

8.Departmental Services Division


o Control and dispense intravenous fluids.
o Control and dispense controlled substances.
o Coordinate and control all drug delivery and distribution systems.

9.Purchasing and Inventory Control Division


 Maintain drug inventory control.
 Purchase all drugs.
 Receive, store and distribute drugs.
 Interview medical service representatives.

10.Central Supply Services Division


 Develop and coordinate distribution of medical supplies and irrigating fluids.

11.Assay and Quality Control Division


 Perform analyses on products manufactured and purchased.
 Develop and revise assay procedures.
 Assist research division in special formulations.

12.Manufacturing and Packaging Division


 Manufacture wide variety of items in common use at the hospital.
 Operate an overall drug packaging and prepackaging program.
 Undertake program in product development.
 Maintain a unit dose program.

13.Sterile Products Division


 Produce small volume parenteral.
 Manufacture sterile ophthalmologic, irrigating solutions etc.
 Prepare aseptic dilution of lyophilize and other “unstable” sterile injections for
administration to patients.

14.Radiopharmaceutical Services division


 Centralize the procurement, storage and dispensing of radioisotopes used in clinical
practice

15.Intravenous Admixture Division


 Centralize the preparation of intravenous solution admixture.
 Review each I.V. admixture for physio-chemical incompatibilities.

3. What are the services that the pharmacy department can provide within a hospital
setting? Identify and describe. (10 pts).

1. The Office of the Chief of Hospital – Supports and approves all official requirements relevant to the
pharmacy activities/programs.
2. Administrative Services – Attends to the following financial matters:
a. Budget – budget requirements
b. Supply – actual drug procurement and turn-over of delivered drugs properly documented to the
pharmacy.
c. Accounting – availability of funds and replenishment of revolving fund.
d. Billing – report on all drugs paid by the patient based on forwarded charge slips. Plus other
personnel, housekeeping, engineering and maintenance requirements.
3. Medical Social Work Service – Responsible for patient classification, and assistance for drug
availability to patients.
4. Nursing Service – Responsible for the patient’s drug needs and all other drug-related matters.
5. Medical Service – Coordinates with the PTC on drug and drug-related matters.Provides the drug
requirements of patients in coordinating efforts:
a. Assistance in the preparation of the hospital formulary based on the Philippine National Drug
Formulary (PNDF) and the Generics Act of 1988.
b. Assistance in the preparation of the Annual Drug Procurement Program (ADPP) and the semi-
annual drug requirement for the DOH bidding.
c. Active participation and inputs on drug and drug-related matters such as Adverse Drug
Reaction (ADR), Drug Utilization Review (DUR), Infection Control, etc.
6. Dietary Service – Provides referrals on request for hyper-alimentation diet and/or total parenteral
nutrition.
7. Resident Commission on Audit (COA) Auditor – Responsible for auditing matters Pharmaceutical
Services expected by other hospital service components:
1. Chief of Hospital (COH) – Provides an adequate supply of safe, effective and good quality
drugs in appropriate dosage forms consistent with the needs of the patients and rationalizes drug
utilization in collaboration with the medical staff.
2. Administrative Service – Submits budgetary requirements. Submits monthly report to the
accountant for the reimbursement of the Maintenance and Other Operating Expenses (MOOE)
Fund of the hospital issued to charity/service patients. Forwards charge slip to the billing section
for drug payment of patients prior to their discharge. Prepares Requisition Issue Vouchers (RIVs)
with the specifications, quantity arid cost of drugs based on the Official Price Schedule with
attached individual stock position sheet of each item for the actual procurement of drugs.
3. Medical Service – Coordinates closely with the medical staff on drug and drug-related matters:

 Provides the drug requirements through the PTC.


 Prepares the final ADPP and the semestral drug requirements for bidding.
 Establishes the Hospital Drug Formulary.
 Disseminates information on other drug-related matters.
 Participates actively in committee activities as ADR, DUR, Infection Control, etc.
4. Nursing Service – Provides drugs needed by patients by doctors’ orders and other related matters that
affect the Nursing Service.
5. Medical Social Service – Assures availability of drugs for deserving patients.
6. Dietary Service – Disseminates drug information on food-drug interaction.
7. Medical Records Service – Prepares monthly report on the number of prescriptions filled; Prepares
statement of expenses on drugs/medicines.
8. Resident COA Auditor – Establishes a Good Inventory Control System such as no over and under
stocking of drugs, expired and deteriorated drugs, breakages, etc.
9. Services the drug requirements of personnel and the general public including referrals to health
facilities and the “Murang Gamot Project” of selected hospitals.

REFERENCES:

https://jobdescriptions.unm.edu/detail.php?id=Z0011#:~:text=Summary,results%20according%20to
%20established%20procedures.

https://slideplayer.com/slide/12430852/

https://www.slideshare.net/maroofahmad3/hospital-pharmacy-service

https://jobdescriptions.unm.edu/detail.php?id=A1004

https://www.slideshare.net/maroofahmad3/hospital-pharmacy-service

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