The
Hospital Pharmacy Organization
Topics
• The Hospital Pharmacy Staff & their
Responsibilities
• Pharmacy Procedural Manual
• Hospital Pharmacy Facilities
The Hospital Pharmacy Staff
• Director of the Pharmacy
– Aka Chief Pharmacist, Pharmacy Manager
– Leadership responsibilities
• Oversees both personnel & budgetary or fiscal matters
• Serve in various hospital committees (eg. Secretary of the
PT&C)
• Member of the healthcare team may participate in
community outreach programs
• Sets quality standards for the department, evaluates policies
& procedures, implements changes & innovations as
necessary
The Hospital Pharmacy Staff
• Director of the Pharmacy
– Leadership responsibilities
• Develops managerial strategies to assure cost effective
pharmaceutical services & for implementing TQM
concepts
• Compliance with accrediting & regulatory agencies
The Hospital Pharmacy Staff
• Director of the Pharmacy
– Qualifications:
• Registered pharmacist
• At least 7 years of experience as a licensed hospital
pharmacist
• Must have an advanced management degree
The Hospital Pharmacy Staff
• Associate or Assistant Director of Pharmacy
– Depending on the department size, the pharmacy have
one or more associate or assistant director
– Responsibilities:
• Aids the pharmacy director in the operation of the
pharmacy
• Specific tasks: overseeing day-to-day pharmacy operations,
supervising the sterile products rooms, directing pharmacy
purchasing
• Assumes administrative responsibilities in the absence of
the director
The Hospital Pharmacy Staff
• Associate or Assistant Director of Pharmacy
– Qualifications:
• Registered Pharmacist
• Atleast 5 years of hospital pharmacy practice
The Hospital Pharmacy Staff
• *Senior Pharmacists
– Responsibilities:
• Has technical responsibility for a certain pharmacy unit
which employs at least 2 other pharmacists
• Develop and implement general educational and
training programs for pharmacists & ancillary personnel
• Prepare special reports or conduct researches
– Qualification:
• Registered pharmacist with atleast 2 years of hospital
pharmacy experience
The Hospital Pharmacy Staff
• Staff Pharmacists
– Distributive duties:
• Physician order review and filling
• Extemporaneous compounding of parenteral
admixtures, oral solution and topical preparations
• Specific assigned tasks: purchasing, inventory control,
narcotic distribution control
The Hospital Pharmacy Staff
• Staff Pharmacists
– Clinical duties:
• Therapeutic Assessment
– Evaluation of the appropriateness of prescribed drugs
– Monitoring of drug interactions & ADRs
• Participates in physician rouds
• Other duties:
– Pharmacokinetic monitoring, patient discharge counseling, in
service education
The Hospital Pharmacy Staff
• Clinical Pharmacists
– Has specialized education & training
• BS Clinical Pharmacy
• MS Pharmacy
• PharmD
• PhD in Pharmacy
• Completed residency program
The Hospital Pharmacy Staff
• Clinical Pharmacists
– Duties:
• Plays a major role in monitoring & evaluating drug
therapy and intervening when appropriate
• Depending on the departmental size, may also have
drug distribution duties
• Serves as preceptors for undergraduate students
The Hospital Pharmacy Staff
• Hospital Pharmacy Residents
– Pharmacy graduates having special interest in
hospital practice
– Residency programs are offered by hospitals alone
or in conjunction with a college of pharmacy
– Gains intensive experience in distributive, clinical
& administrative aspects of institutional practice
The Hospital Pharmacy Staff
• Technicians and Other Support Personnel
– May be BS Pharmacy students fulfilling internship
– Work under the direct supervision of a pharmacist
– Duties:
• Fill unit dose cart
• Fill floor stock pharmacy supplies
• Extemporaneously compound & prepare intravenous
admixtures for approval by a pharmacist
Pharmacist Requirement
Bed Strength # of Pharmacist Required
Up to 50 beds 3
Up to 100 beds 5
Up to 200 beds 8
Up to 300 beds 10
Up to 500 beds 15
The Pharmacy Procedural Manual
• Content & Format of the Policy &
Procedure Manual
– Varies based on the organization & practice
environment
– Common Sections:
• General information
• Administrative information
• Professional practice
The Pharmacy Procedural Manual
• General Information
– Policies pertaining to the general operation of the
organization
• Mission statements
• Goals & objectives
• Scope services
• Patients served
• Institutional philosophy
• Organizational charts
The Pharmacy Procedural Manual
• General Information
– Contents cont.
• Preamble or preface that introduces the reader to the
content of the manual
• Subject matter experts & authors of the manual
• Definitions & conventions used throughout the manual
• Processes of developing & approving the policies &
procedures
• Procedures for reviewing the manual
The Pharmacy Procedural Manual
• Administrative Information
– Contain policies such as standards of:
• Operation
• Human resource management
• Resource & fiscal management
• Departmental & organizational relationships, safety &
security
The Pharmacy Procedural Manual
• Professional Practice Section
– Contains policies addressing to the following
topics on medication use & management:
• Procurement
• Storage
• Preparation
• Distribution
... of medications, investigational drugs, controlled
substances & clinical services.
The Pharmacy Procedural Manual
• Characteristics of a Well-designed Manual
– Contains many cross-referenced policies
– Provides a common pathway for identifying &
obtaining goals & objectives throughout the
organization
– Format should be consistent & follows a logical
sequence
The Pharmacy Procedural Manual
• PRELIM EXAM FOR THE LAB:
– Group 1: Bolastig, Bunagan, Diwa
– Group 2: Guiraldo, Hadji Taha, Hajay
– Group 3: Hernandez, Joson, Padama
– Group 4: Rodriguez, Roman, Salazar
– Group 5: Seculles, Tawano, Velasco
The Pharmacy Procedural Manual
• PRELIM EXAM FOR THE LAB:
– Activity
• Create your own Pharmacy Procedural Manual
– Assume that you are an administrator of a hospital pharmacy
• Follow the typical format of the manual
– Create your own mission, goals, operational policies etc.
• Topic for the Professional Section portion: Pharmacist’s
Involvement on Antimicrobial Stewardship and Infection
Prevention and Control
• Deadline: February 27, 2015; 5pm
• Late projects will no longer be accepted
Facilities of a Hospital Pharmacy
• Things to Remember:
– Small hospital with 1 pharmacist 1 room is
required for the pharmacy (with complete
pharmaceutical service)
– Separate room for sterile products preparation
• Reconstitution of lyophilized injections
• Ophthalmic preparations
• Packaging of unit-dose injections into syringes
• Preparation of IV admixtures
Facilities of a Hospital Pharmacy
Facilities of a Hospital Pharmacy
• Things to Remember:
– For hospitals with ≥200 beds, there must be a
separate area for the following:
• In-patient services & unit dose dispensing
• Out-patient service
• Office for the manager
• Storeroom
• Sterile products & IV admixture clean room
• Room or area for departmental computer
• Area for drug information service
Facilities of a Hospital Pharmacy
• Things to Remember:
– For hospitals with ≥200 beds, there must be a
separate area for the following:
• Space assigned on various patient care areas for:
– Unit dose medication storage
– Automated dispensing technology medication admnistration
preparation
– Clinical pharmacy
– For hospitals with 500 beds or larger space
requirements will also increase
End of Lecture
Quiz on Feb. 23
