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HOSPITAL & CLINICAL PHARMACY ER20-25T
CHAPTER -01
Hospital Pharmacy
- Definition, scope, national and international scenario
- Organisational structure
- Professional responsibilities, Qualification and experience requirements, job specifications, work load requirements and inter professional relationships
- Good Pharmacy Practice (GPP) in hospital
- Hospital Pharmacy Standards (FIP Basel Statements, AHSP)
- Introduction to NAQS guidelines and NABH Accreditation and Role of Pharmacists
CHAPTER -02
Different Committees in the Hospital
- Pharmacy and Therapeutics Committee – Objectives, Composition, and functions
- Hospital Formulary – Definition, procedure for development and use of hospital formulary
- Infection Control Committee – Role of Pharmacist in preventing Antimicrobial Resistance
CHAPTER -03
Supply Chain and Inventory Control
- Preparation of Drug lists – High Risk drugs, Emergency drugs, Schedule H1 drugs, NDPS drugs, reserved antibiotics
- Procedures of Drug Purchases – Drug selection, short term, long term, and tender/e-tender process, quotations,
- Inventory control techniques: Economic Order Quantity, Reorder Quantity Level, Inventory Turnover
- Inventory Management of Central Drug Store – Storage conditions, Methods of storage, Distribution, Maintaining Cold Chain, Devices used for cold storage (Refrigerator, ILR, Walk-in-Cold rooms)
- FEFO, FIFO methods
- Expiry drug removal and handling, and disposal. Disposal of Narcotics, cytotoxic drugs Documentation – purchase and inventory
CHAPTER -04
Drug distribution
- Drug distribution (in- patients and out – patients) – Definition, advantages and disadvantages of individual prescription order method, Floor Stock Method, Unit Dose Drug Distribution Method, Drug Basket
- Distribution of drugs to ICCU/ICU/NICU/Emergency
- Automated drug dispensing systems and devices
- Distribution of Narcotic and Psychotropic substances and their storage
CHAPTER -05
Drugs Acting on Central Nervous System
- Anaesthetics: Thiopental Sodium*, Ketamine Hydrochloride*, Propofol
- Sedatives and Hypnotics: Diazepam*, Alprazolam*, Nitrazepam, Phenobarbital*
- Antipsychotics: Chlorpromazine Hydrochloride*, Haloperidol*, Risperidone*, Sulpiride*, Olanzapine, Quetiapine, Lurasidone
- Anticonvulsants: Phenytoin*, Carbamazepine*, Clonazepam, Valproic Acid*, Gabapentin*, Topiramate, Vigabatrin, Lamotrigine
- Anti-Depressants: Amitriptyline Hydrochloride*, Imipramine Hydrochloride*, Fluoxetine*, Venlafaxine, Duloxetine, Sertraline, Citalopram, Escitalopram, Fluvoxamine, Paroxetine
CHAPTER -06
Compounding in Hospitals. Bulk compounding, IV admixture
services and incompatibilities, Total parenteral nutrition
CHAPTER -07
Application of computers in Hospital Pharmacy Practice, Electronic health records, Softwares used in hospital pharmacy
CHAPTER -08
Clinical Pharmacy: Definition, scope, and development – in India and other countries Technical definitions, common terminologies used in clinical settings and their significance such as Paediatrics, Geriatric, Anti-natal Care, Post-natal Care, etc.
Daily activities of clinical pharmacists: Definition, goal, and procedure of
- Ward round participation
- Treatment Chart Review
- Adverse drug reaction monitoring
- Drug information and poisons information
- Medication history
- Patient counselling
- Interprofessional collaboration
Pharmaceutical care: Definition, classification of drug related problems. Principles and procedure to provide pharmaceutical care
CHAPTER -09
Clinical laboratory tests used in the evaluation of disease states – significance and interpretation of test results
- Haematological, Liver function, Renal function, thyroid function tests
- Tests associated with cardiac disorders
- Fluid and electrolyte balance
- Pulmonary Function Tests
CHAPTER -10
Poisoning: Types of poisoning: Clinical manifestations and Antidotes
Drugs and Poison Information Centre and their services –
Definition, Requirements, Information resources with examples, and their advantages and disadvantages
CHAPTER -11
Pharmacovigilance
- Definition, aim and scope
- Overview of Pharmacovigilance
CHAPTER -12
- Medication errors: Definition, types, consequences, and strategies to minimize medication errors, LASA drugs and Tallman lettering as per ISMP
- Drug Interactions: Definition, types, clinical significance of drug interactions