Annasaheb Dange college of D. Pharmacy Ashta.

2. DIFFERENT COMMITTEES IN THE

HOSPITAL

Presented By: Mr. A.S. Magdum (Asst.Prof. ADCBP Ashta)

 PTC: (Pharmacy Therapeutic Committee)
 Composed of pharmacy and medical staff
 Maximize rational, safe and effective use of drugs
 Formulate policies regarding therapeutic use of drug
 Composition-

 3 Physician
 Pharmacist - secretory
 Nurse representative
 Administrator- Ex-officio chairman
 Quality Assurance Cordinator
 Any other member
 six meetings per year
 Agenda- prepared by secretory and informed to all members
 Record of Minutes of meeting done by secretory
 Purpose-

 Advisory

 Educational
 Functions-

 To Develop and compiles hospital formulary system

 Designing Therapeutic treatment
 Prevents duplication of drugs
 Advice-medical staff and administration- regarding use of drug
 Educational schemes
 Solve Problems- distribution and administration of drugs
 Prepare Policies & procedures for drug procurement
 Review ADR
 Studies on drug use
 Drug stock list- patient care areas
 Advice the pharmacy
 Role in Drug safety-
 Major responsibility of PTC
 To Create awareness regarding drug use
 Guidelines,

 Employment - qualified registered pharmacist

 Drug Dispensing - only by pharmacist
 Identify adequate Number of pharmacists
 Storage facilities
 Equipments

 Separate Storage of poisonous & non-poisonous material

 External preparations – stored separately from internally used
 In-house manufacturing unit- GMP effectively
 Chief pharmacist – organizing teaching programme
 Expired & deteriorated drugs must be stored separately and
discarded as per rules and regulations
 Hospital formulary- revised and upto date
 Library & documentation centre
 Role in ADR-
 Develop procedure- reporting ADR
 Physician notifying ADR – to allergist
 Attending physician – fill ADR report form.
 ADR report form forwarded- clinical pharmacologist or PTC.
 ADR – maintained in medical record
 PTC interact with bodies like FDA & FDA gather information
on drug effect & its ADR.
 HOSPITAL FORMULARY

Definition:
• List drugs, materials- used in hospital for patient care

• Continually updated list of medications and related information

• Represents- clinical judgment - physicians, pharmacists in

diagnosis, prophylaxis or treatment of disease and promotion of
health.
Need:
• Competition - marketing practices or pharmaceutical industry.

• Increases number of new drug

• Increase-Advertisement, unscientific and drug literature.

• Increased complication - unexpected effects- new drug.

• Feels public- health profession giving best possible service or

care- lowest cost

• Appearance/Contents
 Title page
 Names & titles – P&T committee
 Table of contents
 List of Branded & Generic drugs
 Information of drug product-
Formulation, Dosage strength, routes, cost
 Index
 Information- policy & procedure
 Drug use, guidelines for Entry of new drug
 List of approved products in hospital
 Prescription writing guidelines
 Appendix- Normal values, common reagents, calculations
Guiding principle-
 Appoint- PTC

 PTC- prepare its scope, purpose, organization and function.

 PTC – recommends drugs – opinion of staff

 Medical staff – adopt - policies and procedures

 Drug – included as per nonproprietary names and same-

prescribed
 If there is No formulary – pharmacist- follow physician’s

prescription
 Consult – physician if prescribed brand is not available.

 Management – inform-staff- existence of formulary

 Provision - drugs should not included in the formulary without

permission
 Pharmacist – specification- quality, quantity, supply sources

 Limitations- no. of drugs- pharmacy- proper patient care,

financial benefits.
• Addition/Deletion
 Complex decision - not taken by committee members alone.

 Expertise- outside is invited.

CRITERIA

 Medical staff- experience- select drug – helpful clinical use.

 Mfg by licensed manufacturer- not have been punished for any

serious offence under any law of drugs.

 The drugs should be included in official books (I.P./B.P./U.S.P.,

etc) or in N.F.
 No drug preparation - secret composition – admitted in

formulary.
 No drug preparation – contains many drugs- if similar

therapeutic effect - use of single ingredient preparation.

Infection control committee: The committee is integral part of the
patient safety program and health care facility and responsible for
establishing and maintaining infection prevention and control, its
monitoring, surveillance, reporting research and education.
Function of committee:

1.Planning:
• Careful planning of activities is essential for successful achievement
of objectives.
• Preparation of action plan on preventation of infection
• Provide guidance in selecting of chemicals such as detergents,
disinfectants to manage environment
2. Monitoring :
• Monitor the infectious diseases
• Track Infection and incidences that have potential cause of
infection
• Review infection control statistics' to minimize risk, identify the
problems and take corrective action
3. Evaluating:
• Regularly evaluate the process of all department and provide
inputs on it
4. Updating:
• Due to technology changes in medical sciences.
• New bacterial strain complicates and challenges older infection
control, So updating of knowledge and technology is needed
5. Educating:
• Take part in educating staff and validate education
• Organizing various education program will update the
knowledge of infection control.
Infection control practices: it includes existence of functional
infection control committee, Microbiological surveillance
measurement of hospital acquired infection rate, periodic medical
check up and immunization of staff
• Hand-hygiene: It is concerned with practices of hand washing
and antisepsis.
• Personal Protection equipment: Adequate supply of suitable
personal protection equipment (PPE) such as gloves, masks,
apron, eyewears etc. be ensured,
• Processing of equipment: The practices of adequate
decontamination, cleaning disinfection and sterilization of
equipment and instruments should be observed
• Environment control: Environment cleaning processes like
mopping, especially critical areas like operation theatre and ICU
should be observed for adequacy and technique.
• Biomedical waste management: Equipment and practices for
segregation, transportation, disposal and management of
biomedical waste should be available and followed and records
of activity should be maintained
ROLE OF PHARMACIST IN PREVENTING ANTIMICROBIAL
RESISTANCE
• The occurrence of antibiotic resistance in bacterial pathogens is
serious development that threatens the end of the antibiotic era
• The indiscriminate use of antibiotics leads to development of
resistance.
• Pharmacists have responsibility to assist in the war on antibiotic
resistance.
• Indiscriminate use of antibiotics apart from inducing antimicrobial
resistance also damage the ability of good bacteria to maintain
various functions and processes in human body leading to various
ailments.
• Pharmacists shall contribute in antibiotic stewardship team in
the following ways:

1 Educate and vaccinate patients

2 By dispensing antibiotics in safe and rational manner.

3. Spreading awareness about the danger of inappropriate use of

antibiotics.

4. Promoting optimal use of antimicrobial agents.

5. Reducing the transmission of infections.

6. Educating health professionals, patients and public.

7. Stewardship interventions: Among the stewardship interventions

viz. Broad as
(1) Prospective audit and feedback (Post-prescription review):
The external review on antibiotic therapy by an expert
(ii) Preauthorization: This requires prescriber to gain approval prior
to use certain antibiotics.

The following pharmacy based interventions ensure rational use of

antibiotics preventing development of antibiotic resistance
(a) Documentation of indications for antibiotics:
(b) Automatic changes from intravenous (IV) to oral antibiotic
therapy:
(c) Dose adjustments:
(d) Duplicative therapy alerts:

(e) Time sensitive automatic stop orders:

(f) Detection and prevention of antibiotics related drug-drug
interactions: