DISPENDING OF DRUG

TO AMBULATORY
PATIENTS
AMBULATORY PATIENTS

 Ambulatory refers to patients not occupying

beds in hospitals or other inpatient setting,
And to care given in physician’s offices,
clinics, other health centers, and other
places where ambulatory patients usually go
for health care.
CATEGORIES OF AMBULATORY
PATIENTS

 EMERGENCY CARE

 REFERAL OR TERTIARY CARE

 PRIMARY CARE
PROVISION OF PHARMACEUTICAL SERVICES
IN AMBULATORY CARE SETTINGS

 Patient medication histories

 Safety efficacy of drug therapy
 Providing drug information
 Assisting prescribers
 Utilizing assessment skills
 Detecting and reporting adverse drug
reaction
 Education and counseling patients
 Participating in drug use reviews
 Education of health care provider
 Supervising the storage, preparation,
dispending, and administrating of medication
in the patient care area
 Developing system
 Developing and utilizing system
MINIMUM STANDARD FOR AMBULATORY-
CARE PHARMACEUTICAL SERVICES:

 By a qualified pharmacist.
 Appropriateness of choice of drug and its
dosage, route of administration, amount
must be verified by the pharmacist
 Maintenance of medication profiles for
patients
 Correctly labeled and packaged
 Proper controlled
AREAS OF EMPHASIS
 Acute illnesses
 Chronic illnesses
 Preventive care
 Self care
 Emergency care
 Family plannng
 Devices
 Communications skills
LOCATION OF AMBULATORY
PATIENTS DISPENDING AREA

 There is no set rule as to the best area to

locate an ambulatory patients dispending
pharmacy. This is evidence by the fact that n
today‘s practice three equally suitable
provisions are made for this area

 A separate pharmacy is available

Layout of ambulatory patient department
TYPES OF PRESCRIPTION
RECEIVED:

 Private patients ( where permitted by the

state board of registered in pharmacy ),
indigent patients, employees, and patients
being discharge from the hospital.
 500 or more beds fill approximately 1
prescription per 3 ambulatory patient visits,
whereas the 100 to 199- bed hospitals
average about 1.25 prescription for each
visit.
DISPENDING ROUTINE

 Clinical patients.

 A prescription written by the physician.

 Pharmacy where it is compounded by a

pharmacist.
 LABELING OF DRUGS

 Labels may be used for any combination of

identification, information, warning,
instructions for use, environmental advice
or advertising. They may be stickers,
permanent or temporary labels or printed
packaging
GENERAL LABELING REQUIREMENTS:

 Brand and generic name

 an identity statement
 a net weight statement
 a list of ingredients
 company name and address
 Manufacturing license No., MIG, LIC.NO
 Quantity
 Instruction for patients
 Date of dispending
 Batch No. or ‘B.No’
 Expiry particulars
 Precautions
 General information such as physician’ s
sample NOT FOR SALE
 Medication containers and labels should not
be alter by anyone other than pharmacy.
 Prescription labels should not be distributed
outside the pharmacy.
 Ancillary labels and statement ( shake well ,
may not be refilled , e.t.c ) should be used
as required.
 It is important to avoid abbreviations and
unfamiliar expressions should not be used.
 The labels for stock container should be protected
from chemical action or abrasion and bear the
name address and telephone number of the
hospitals.