lesson 3

Question 1

They are found in the hospital pharmacy department within the hospital and are responsible for providing medications for the in-patients and out-patients to some extent.

Answer 1

Hospital Pharmacists

Question 2

supports and approves all requirements necessary for the operation and management of the hospital pharmacy.

Answer 2

Chief of the Hospital

Question 3

supervises the overall operations and regulatory compliance of the hospital pharmacy.

Answer 3

Administrative Officer

Question 4

closely coordinates with the pharmacists through the Pharmacy and Therapeutics Committee on the selection, rational drug use and other drug and pharmacy related matters.

Answer 4

Medical Officers and Staff

Question 5

provides the pharmacists with drug information and database on Patient’s Medication Records whenever necessary

Answer 5

Hospital Health Information/Medical Records Officer and Staff

Question 6

participates in the regular pharmacy monitoring of medicines stored in the wards (proper storage, movement and utilization of medicines).

They provide the pharmacists, data on medication errors, adverse drug experiences and other drug- related concerns.

Answer 6

Head and Staff of the Nursing Service

Question 7

provides the pharmacists information on anti-microbial resistance and susceptibility necessary for drug procurement and dispensing

Answer 7

Chief Medical Technologist and Staff of the Laboratory Service

Question 8

provides referrals (on request) for total parenteral nutrition and information on any drug-food interactions

Answer 8

Head and Staff of the Dietary Service

Question 9

provides information in financial capability of the patients and availability of resources for the pharmaceutical requirements of the patients in the service wards

Answer 9

Head and Staff of the Medical Social Work Service

Question 10

analyzes the financial reports submitted by the pharmacists that are used as basis for the hospital pharmacy budget estimate

Answer 10

Chief Accountant and Staff of the Accounting Section

Question 11

Statement of accounts for drugs and medicines are prepared at the _____ based on the charge slips issued by the pharmacist to the patients.

Answer 11

Billing Section

Question 12

provides Official Receipts (OR) to the patients or clients and presented to the pharmacist as confirmation of payment for the drug products being purchased

Answer 12

Cashier Section

Question 13

provides Allocation and Obligation Slip (ALOBS) as an assurance of funds for the purchase of pharmacy supplies and requirements

Answer 13

Budget Section

Question 14

facilitates procurement of supplies and materials needed in the Hospital Pharmacy.

Answer 14

Property and Supply Section

Question 15

Considered by many to be the main function of the Pharmacy. The knowledge in medicines and their actions is the fundamental contribution to health care by the dispensing pharmacist.

Answer 15

Dispensing Service

Question 16

This is also where technical abilities of the pharmacists are utilized. It requires expertise in pharmacology, pathophysiology, therapeutics, patient care and basic communication skills.

Answer 16

Dispensing Service

Question 17

In Dispensing Service, technical abilities of the pharmacists are utilized. It requires expertise in:

Answer 17

pharmacology
pathophysiology
therapeutics
patient care
basic communication skills.

Question 18

Has become part of the overall pharmacy activity which may not be directly associated with the dispensing of medicines.

Answer 18

Clinical Service

Question 19

In Clinical Service, as with the dispensing service, comprehensive knowledge on medicines, diseases, patient and drug product variables, and the ability to interact with other health care professionals are also required. This services includes:

Answer 19

• Drug product information
• Collection of the Pharmacy Patient Data base
• Patient Education or Counseling
• Drug Utilization Review
• Adverse Drug Reaction (ADR) detection, reporting and monitoring
• Performing other similar functions designed to improve patient care by maximizing drug use.

Question 20

Refers to preparation of medications, special dosage forms and formulations not available in the market.

 It requires an adequate understanding of the principles involved in the preparation of medications in special dosage forms.

Answer 20

Compounding Service

Question 21

Refers to the training of new personnel and on the continuous educational programs for staff and students. Likewise, training service of the hospital pharmacy includes drug product updates shared to other health professionals.

Answer 21

Training Service

Question 22

It is the service of the hospital pharmacy in which training activities for pharmacy interns are formulated and implemented.

Answer 22

Training Service

Question 23

Pertains to compliance with regulatory requirements of the pharmacy. It also includes pharmaceutical cost planning, budgeting, inventory management, preparation of reports, financial management, and maintenance of records.

 It is the responsibility of the chief pharmacist to address the needs of the hospital including supplies, materials and other resources.

Answer 23

Administrative Service

Question 24

Administrative Service also includes:

Answer 24

pharmaceutical cost planning
budgeting
inventory management
preparation of reports
financial management
maintenance of records

Question 25

It is the responsibility of the ____ to address the needs of the hospital including supplies, materials and other resources.

Answer 25

chief pharmacist

Question 26

Refers to clinical researches initiated by the medical staff. The pharmacist involved in this activity is equipped with an appropriate training in research methodology.  It enhances pharmacists’ ability in proper data, collection, interpretation, and transmission of reports.

Answer 26

Research

Question 27

Includes the chief pharmacist and/or deputy chief pharmacist, who is responsible for procurement, distribution, and control of all drug products used within the hospital, and in the management of personnel within the hospital pharmacy section.

Answer 27

Management Staff

Question 28

These professionals are qualified pharmacists who procure, distribute, and control drug products/medicines and supervise support staff undertaking pharmacy activities.

Answer 28

Professional Staff

Question 29

Often includes a combination of trained pharmacy technicians and administrative aides.

Answer 29

Support Staff

Question 30

Often includes a combination of trained pharmacy technicians and administrative aides.

Answer 30

Support Staff

Question 31

Chief Pharmacist qualification (work experience and degree)

Answer 31

- minimum of 6 years (3 years supervisory work in a pharmacy and 3 years as dispensing pharmacist) - bs pharmacy, ms in pharmacy or its equivalent

Question 32

Supervising Pharmacist qualification (work experience and degree)

Answer 32

- minimum of 5 years work experience (3 years supervisory work in a pharmacy and 2 years as dispensing pharmacist) - bs pharmacy, at least 18 units post graduate studies

Question 33

Senior Pharmacist qualification (work experience and degree)

Answer 33

- minimum of 3 years work experience (at least 1 year supervisory work in a pharmacy and 2 years as dispensing pharmacist) - bs pharmacy

Question 34

Staff Pharmacist qualification (work experience and degree)

Answer 34

- at least 1 year experience in pharmacy practice - bs pharmacy

Question 35

Laboratory Aide qualifications

Answer 35

- pharmacy aide graduate or at least 2 years of any science college studies - at least 2 years experience in pharmacy practice

Question 36

Administrative Aide (II-IV) qualifications

Answer 36

- at least 2 years of any college studies - at least 1 year experience in the preparation of routine office

Question 37

Administrative Aide (I) qualifications

Answer 37

 At least high school graduate  With good moral character  Physically, mentally, and morally fit to work

Question 38

The hospital shall provide equipment, materials, and supplies in accordance with the licensure requirement of the:

Answer 38

Food and Drugs Administration (FDA) Bureau of Health Facility Services (BHFS).

Question 39

The New PhilHealth Accreditation Standards specifically requires that ____ be prominently posted to help locate service areas within the organization.

Answer 39

Directional Signage

Question 40

Compounding functions and storage requirements of refrigerator

Answer 40

for biological and other products needing refrigeration

Question 41

Compounding functions and storage requirements of Prescription balance

Answer 41

one centigram sensitivity and a set of weights

Question 42

Compounding functions and storage requirements of glass volumetric measures

Answer 42

a set of not less than six (6) pieces from 15 to 1000 mL capacity

Question 43

Compounding functions and storage requirements of mortar and pestle

Answer 43

a set of not less than three (3) in assorted sizes

Question 44

Books: Latest edition required by FDA in hospital pharmacy

Answer 44

• Philippine National Drug Formulary (PNDF) • United States Pharmacopeia/National Formulary (USP- NF) • Remington’s Pharmaceutical Sciences • Goodman and Gilman Pharmacological Basis of Therapeutics

Question 45

Documents: Latest edition required by FDA in hospital pharmacy

Answer 45

• RA 5921 - Pharmacy Law • RA 6675 - Generics Act of 1988 • RA 3720 - Food, Drugs and Devices, and Cosmetics Act • RA 8203 - Special Law on Counterfeit Drugs

Question 46

Optional References (Documents)

Answer 46

DOH Administrative Orders pertaining to: • DOH Memorandum Circulars • FDA Bureau/Memorandum Circulars • Medical Index Medical Specialties (MIMS) • Journals and other Secondary Literatures (if available) • Handbook on Philippine Government Procurement (RA 9184) Copies of the following Republic Acts: • R.A. 4226 - Hospital Licensure Act • R.A. 7394 - Consumer Act of the Philippines • R.A. 7432 - Senior Citizen’s Act • R.A. 7581 - Price Act •R.A. 9184 - Government Procurement Act • R.A. 9165 - comprehensive Dangerous Drugs Act of 2002 • R.A. 9502 - Universally Accessible Cheaper and Quality Medicine Act of 2008

Question 47

duly registered with the appropriate Government Regulatory Agency. The duly registered record books are still required by regulatory bodies for documentation purposes

Answer 47

Record Books

Question 48

Record Books:

Answer 48

 Prescription Book (DOH Hospital Pharmacies as exempted as per A.O. No. 63 s. 1989)  Dangerous Drug Book and Additional Dangerous Drug Book  Poison Book

Question 49

May be defined as a series of administrative and professional policies which may serve as guide to the hospital pharmacist in the development and execution of effective and proficient pharmaceutical services in the hospital.

Answer 49

The Pharmacy Procedural Manual

Question 50

Pharmacies within hospitals differ considerably from community pharmacies and other areas of pharmacy practice. Some pharmacists in hospital pharmacies may have more complex clinical medication management issues, and pharmacists in community pharmacies often have more complex business and customer relations issues.

Question 51

the hospital pharmacists shall collaborate work with the ____ and ____ to assure quality patient care and to improve pharmacy operations and management.

Answer 51

medical staff hospital administration

Question 52

a department or service in a hospital which is under the direction of a professionally, competent, legally qualified pharmacist

Answer 52

Hospital Pharmacy Department

Question 53

The modern practice of Hospital Pharmacy involves on the computerization of the pharmacy department makes it possible for the staff to:

Answer 53

• Participate in patient education program • Participate in poison control center activities • Preparation of patient drug use profiles • Parenteral nutrition program participation • Cooperating in the teaching and research programs of the hospital • Communicating new product information to nursing service and other hospital personnel •Dispensing radiopharmaceuticals

Question 54

 The success in the delivery of any pharmacy serviced offered will be based on expert management and administrative procedures.  As part of the function, the chief pharmacist must be familiar with the health care system in general and the specific functions of the health institution in order to achieve the pharmacy’s goal in cooperation with all other departments and programs that ensures quality care for the patients.

Question 55

The hospital pharmacy service section is structured to:

Answer 55

- maximize teamwork - promote decision making - specify administrative line of authority, functional responsibilities, accountabilities, and designation of employees.

Question 56

Generally, the hospital pharmacy is directly under the supervision of the ___, ____ and has direct accountability to the Chief of the Hospital. However, there are government hospitals in which the pharmacy section is under the supervision of the ___, and ___.

Answer 56

Chief, Administrative officer Chief of Clinics/Chief Medical and Professional Service

Question 57

They must be licensed in accordance with the Professional Regulation Commission (PRC).

Answer 57

Pharmacists

Question 58

They must have basic educational qualifications and training in order to properly assist the professional staff.

Answer 58

Technicians and Support Personnel

Question 59

All personnel are provided with regular continuing education and training to maintain proficiency and competence.

Question 60

Small hospitals hires a pharmacist that would take eight (8) hours work and be on call to duty whenever needed. Likewise, in hospitals with only one pharmacist, the practice is to maintain a floor stock medicines in the ward.

Question 61

The nurse on duty or staff trained in dispensing of commonly prescribed drug products is allowed to issue such medications in the absence of the pharmacist. He/She is required to record the drug products dispensed and are later validated by the pharmacist.

Question 62

Some teaching and training hospitals that provide extensive drug distribution and clinical services have more than twenty (20) staff pharmacists.

Question 63

In large hospitals, satellite pharmacies are establish at wards to assure drug availability and timeliness of pharmaceutical service. Likewise, satellite pharmacies suited outside the hospital premises are built to make affordable, quality, safe drugs accessible to the general public.

Question 64

Other Additional Requirements

Answer 64

• file of invoices • file of filled prescriptions • red and white label indicating the name and address of the drugstore. • dry seal or rubber stamp containing the name and address of the drugstore. • dry seal or rubber stamp for dangerous drug prescriptions. • partially-filled (used for ......) • completely filled (used in full)

Question 65

Content and Format

Answer 65

• Organization • Equipment and Physical Plant • Personnel Policies • Services and Activities

Question 66

Administrative Service and Activities

Answer 66

• Policies of the Pharmacy Service • Personnel recruitment • Hours of operation • Performance evaluation • Purchasing procedure • Handling of cash receipts • Pricing policy

Question 67

Professional Service and Activities

Answer 67

• Distribution system for inpatients • Distribution of ward stock drugs and emergency drugs • Verification of medication orders • Narcotic regulations • Bulk compounding • Sterile compounding • Prepackaging of bulk drugs

Question 68

Personnel Policies

Answer 68

Job Description Fringe Benefits - General Policy

Question 69

Fringe Benefits

Answer 69

• Sick leave, Vacation leave, Holidays • Jury duty, Attending institutes • Seminars/Conventions, etc. • Hospital employee relations • Discipline - Criteria for warning, probation, and dismissal

Question 70

9 sqm areas in 100 Bed Capacity

Answer 70

Office with T/B Staff Working Area Dispensing and Drug Info Service Area Bulk Stock Room Parenteral/Admixture Area

Question 71

8 sqm area in 100 Bed Capacity

Answer 71

Receiving/Breakout/Inspection area

Question 72

3.5 sqm area in 100 bed capacity

Answer 72

flammables

Question 73

6 sqm area in 100 bed capacity

Answer 73

Extemporaneous Preparation Area