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Introduction to Hospital
Pharmacy Tutorials
PharmD students – 9th Semester
2023

1. Introduction
2. Pharmaceutical Calculations
3. Healthcare/ medical accessories
4. Medication errors and adverse drug
Topics reactions
5. IV admixtures and incompatibilities
covered
6. Plasma expanders
7. Handling of cytotoxic drugs

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Grades and Assessment

Total of 25 marks
• Attendance and positive contribution/attitude
during sections
• Online assignment(s)
• Final practical exam
• + Bonus!

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FAQs - Sections
• Provisional schedule will be finalized and uploaded on teams
• Substitution form will be shared (only 1 of the 2 students who will substitute need to
fill it in)
• No excuses will be allowed to attend at a different time
• After 5-10 mins, no student will be allowed to enter the section
• For medical and other ‘official’ excuses, submit excuse to student affairs (‫)شؤون الطلبة‬
• More than 25% absence  Forced withdrawal
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All sections will be included

in the exam

FAQs - Type of questions will be

shared prior to the exam
Exams (MCQ, T/F, etc.)

Final date and time of exam

will be shared as soon as
possible

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Introduction to Hospital Pharmacy

Organization and Structure

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Hospital Pharmacy vs. Clinical Pharmacy

• Hospital pharmacy and clinical pharmacy are the two main

types of services the pharmacist could render in the hospital
• Both are crucial and must work together for the best outcome
• The clinical pharmacist is more • The hospital pharmacist is
clinical, and patient oriented in his concerned mainly with the drug
job. supply chain management.
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Note that:
Staff Structure
• Chief pharmacist is the ‘Procurement
Manager and Director of Pharmacy’
• Secretarial assistant is a non-technical
person
Chief Pharmacist
• Both the department pharmacy
managers and secretarial assistant report
to the chief pharmacist.
• The senior and junior pharmacists Department
Secretarial
report the heads of the department. Pharmacy Assistant
Managers (heads)

Senior and Junior

Pharmacists

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Dispensing Systems

Preparation and Administration

Ward Services
Drug and Poison Information
Centre

Pharmacovigilance
Hospital
pharmacist
Pharmacy & Therapeutics Committee

Discharge Medications and Outpatient

Services
Beyond the Ward
Procurement & Supply Chain Management

Hospital Management and Quality Assurance

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Integral Part of The Healthcare Team

Ordering Transcribing Dispensing

Confirm and review Transcribe the order to Repackaging and

medication order Medication labeling
In cooperation with Administration Record
the physician (MAR)
In cooperation with
medical coder

Administration Monitoring
In cooperation with the In cooperation with
nurses the clinical pharmacist

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Different Roles
Preparation and dispensing Administration
Pharmacist’s role Nurse’s role (pharmacist prepares
labels/ instructions)

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Dispensing Systems

Preparation and Administration

Ward Services
Drug and Poison Information
Centre

Pharmacovigilance
Hospital
pharmacist
Pharmacy & Therapeutics Committee

Discharge Medications and Outpatient

Services
Beyond the Ward
Procurement & Supply Chain Management

Hospital Management and Quality Assurance

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Dispensing roles (other than medications)

• Dispensing of blood & related products
• Dispensing of medical/ healthcare accessories

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Other roles (ward services)

• Role of hospital pharmacist in fighting infection
(Infection Prevention and Control –IP&C)

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Dispensing Systems

Preparation and Administration

Ward Services
Drug and Poison Information
Centre

Pharmacovigilance
Hospital
pharmacist
Pharmacy & Therapeutics Committee

Discharge Medications and Outpatient

Services
Beyond the Ward
Procurement & Supply Chain Management

Hospital Management and Quality Assurance

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Other Responsibilities of
Hospital Pharmacists

“Administrative/Managerial
Tasks”

(Beyond The Ward)

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Other Responsibilities of Hospital

Pharmacist
(Beyond The Ward)
1. Pharmacy & Therapeutics Committee
2. Discharge Medications and Outpatient Services
3. Healthcare procurement and supply chain management
Monitoring the supply of all medicines, Purchasing and stock
control, Ensuring the availability and the quality of medication
stock
4. Hospital management and Quality Assurance:
The hospital Pharmacists are often involved in administrative
tasks including quality assurance and accreditation programs

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1) Pharmacy & Therapeutic committee

(PTC)

Important medical staff advisory group.

Composed of facility medical staff, other prescribers, pharmacists, nurses,

and administrators.

Functions on the development of drug policies (e.g., antibiotic policy),

evaluating & selecting medicines for the formulary list

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A drug formulary is a continually updated list of medications

and related information which are routinely stocked by the
health care system and advised by the clinical judgment of
the Pharmacy and Therapeutic committee.

The formulary process is the preparing, using & updating of

the formulary list and the formulary manual (providing
The information on drugs on the formulary list).

Formulary Essential Drug List (EDL) (WHO List) should be always

available within a functioning health system, in adequate
process amounts, in the appropriate dosage forms with assured
quality at a price the community can afford.

Essential medicines are selected (added or deleted) in regard

to the disease prevalence, evidence of efficacy, safety &
comparative cost effectiveness.

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Drug formulary

Advantages Disadvantages
• Clinical effectiveness (improving • Limiting access to clinically
health outcomes) indicated medications (non-
• Cost effectiveness (reducing costs) formulary drugs)

• Provides an adequate and

consistent supply of medications
needed

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2) Outpatient Services (Ambulatory Care)

• Discharge Patients
• Keep track of discharge patients
• Their contact details and their refill dates
• Outpatient dispensing areas:
• Prescriptions received include those of private patients
(physicians' clinics) & patients being discharged from the
hospital.

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3) Healthcare Procurement and Supply Chain

Management

Monitoring the supply of all medicines, purchasing and stock control and
ensuring the availability and the quality of medication stock
• Purchasing Orders
• Stock Database
• Inventory Management
• Inventory Forecasting

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U.P.A. (Unified Procurement Authority)

"‫"الهيئة المصرية للشراء الموحد‬
• Sole authority able to carry out purchase
and transactions of pharmaceutical
products and medical equipment for
governmental and public hospitals in
Egypt.
• The idea behind the UPA is to unify
access to medicinal products

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U.P.A. (Unified Procurement Authority)

"‫"الهيئة المصرية للشراء الموحد‬
Ensures cost-effectiveness of the medical supply
process
• Unifying purchase authority gives higher negotiating
power (higher discounts)
• Ensures the authenticity and integrity of suppliers
• Saving resources whenever possible.
• Establishing a procurement database for all public
health institutions.

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4) Hospital Management and Quality Assurance

The hospital Pharmacists are often involved in administrative

tasks including quality assurance and accreditation programs

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Hospitals Accreditation Entities

• National
• GAHAR
• General authority for healthcare accreditation and
regulations
• GAHAR handbook for hospital standards
• Ex. ‫مستشفيات التأمين الصحي الشامل‬

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Hospitals Accreditation Entities - International

JCI ASHP
• Joint Commission International • American Society of Health System
• The Gold Seal Approval for Pharmacists
healthcare quality and patient • Most used for Training and
safety Residency Programs
• ACPE (American council of
• Examples: pharmacy education)
• Dar El Fouad (up to 2017) • Ex. 57357 Training & Education
• IMC (up to 2019) Programs
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Important Resources

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Established in 2019

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