Professional Documents
Culture Documents
DEPARTMENT OF HEALTH
HOSPITAL PHARMACY SERVICE
GENERAL STATEMENT/PRINCIPLE
The hospital shall maintain a Pharmaceutical Service that conforms with ethical and
professional standards and legal requirements.
The organization of a hospital pharmacy must satisfy the need for pharmacists
performing their role as the vital link in the chain of health professionals dedicated to
patient care. The pharmacists role is to provide at all times, an adequate supply of
safe, effective and good quality drugs in appropriate dosage forms consistent with the
needs of the patients and to rationalize drug utilization in collaboration with the
medical staff.
INSTITUTIONAL GOALS FOR THE HOSPITAL PHARMACY SERVICE
1.
2.
3.
4.
In order to transform these goals into realities, all hospital pharmacists should broaden
and strengthen their abilities in the following areas:
1.
A.
B.
C.
D.
GENERAL OBJECTIVE:
To properly utilize the Pharmacy Service to the maximum geared toward the
actual dynamics of better patient care.
SPECIFIC OBJECTIVES:
1. To provide at all times, medications of the highest standard in appropriate dosage
forms consistent with the needs of the patients in collaboration with the medical
staff;
2. To rationalize drug utilization and procurement in collaboration with the Pharmacy
and Therapeutics Committee;
3. To render effective and efficient professional service to in and out- patients of all
economic levels;
4. To utilize resources of the hospital pharmacy in the development and
improvement of the profession as a whole;
5. To conduct and support medical and pharmaceutical researches appropriate to
the goals, objectives and resources of the pharmacy and hospital;
6. To maintain the appropriate information sources and develop mechanisms of
evaluating and transmitting information to the institutions professional staff and
patients; and
7. To maintain the Pharmaceutical Quality Assurance Program.
CHAPTER 2
designed to meet the specific requirements of the Pharmacy Service. (See Figure
1).
In addition to the chart, an outline showing the subdivisions of the
service and the responsibilities assigned to each subdivision may also be
prepared for larger pharmaceutical services. (See Figure IV)
It is imperative to list all functions of the Pharmacy Service in the
planning of personnel requirements of various work systems (e.g., a unit dose
system will require more personnel for dispensing in-patient drugs than a floor
stock system); the estimate of work load units per function (e.g., a number of outpatient prescriptions, number of drug information requests, etc.); the time
required to complete each workload unit, etc.
B. PERSONNEL
To carry out the broad scope of Pharmaceutical Service in a hospital, there
should be an adequate number of competent and qualified personnel that conforms
with the established staffing pattern of the DOH (See Table 1). Sufficient supportive
personnel (technical, clerical and other non-technical) are needed to prevent
pharmacists from performing non-judgmental tasks. Appropriate supervisory
controls for supportive personnel must also be maintained.
All personnel must possess the required education and training needed. Their
competence must be maintained through relevant continuing education programs
and activities.
A set of hospital policies, wherein the component service objectives of the
hospital are reflected, should be formulated. Written policies to govern the
procedural conduct of the pharmacy should exist and these should be kept current.
Implementing policies should be clearly understood and complied with, when
applicable.
The Pharmacy Service should be under the supervision of a professionallycompetent and legally-qualified pharmacist whose training conforms with the
standard qualifications established by the DOH.
The head of the Service shall perform both technical and administrative
functions associated with the operation of the pharmacy. In the performance of
these duties, the pharmacist is expected to coordinate the activities of the
pharmacy with other hospital services and to work within the overall policies of the
hospital and the DOH.
The management of a pharmacy in a hospital utilizes the same concepts
common to all organizations whether it be in industries, offices, etc. As a manager
or supervisor, the pharmacist must plan, organize, direct, coordinate and control
people, supplies and equipment in a manner that would produce a drug service that
is efficient and economical.
One resource available to a manager or supervisor which he/she is least
conscious of, is the resource of TIME. But time, along with money and people, limits
the output of any manager because of all the resources available to him/her, time is
the most scarce, for it cannot he rented, hired nor bought.
The higher the manager is in an organization and the larger the organization,
the more demands are made on his time. But, whatever is his/her level or the size
of his organization, it is crucial to his/her productivity that he/she develop effective
techniques in dealing with time and getting things done.
Top time management specialists agree on two basic concepts to maximize
time: (1)the direct and controlled use of time, and (2) setting of priorities and the
allocation of time based on these priorities.
RELATIONSHIP
The Pharmacy Service shall expect the following services from:
1. The Office of the Chief of Hospital
Supports and approves all official requirements relevant to the pharmacy
activities/programs.
2. Administrative Services
Attends to the following financial matters:
a. Budget - budget requirements
b. Supply - actual drug procurement and turn-over of delivered drugs
properly documented to the pharmacy.
c. Accounting - availability of funds and replenishment of revolving
fund.
d. Billing - report on all drugs paid by the patient based on forwarded
charge slips.
Plus other personnel, housekeeping, engineering and maintenance
requirements.
4. Nursing Service
Provides drugs needed by patients by doctors orders and other related
matters that affect the Nursing Service.
5. Medical Social Service
Assures availability of drugs for deserving patients.
6. Dietary Service
Disseminates drug information on food-drug interaction.
7. Medical Records Service
Prepares monthly report on the number of prescriptions filled;
Prepares statement of expenses on drugs/medicines.
8. Resident COA Auditor
Establishes a Good Inventory Control System - such as no over and
under stocking of drugs, expired and deteriorated drugs, breakages, etc.
9. Services the drug requirements of personnel and the general public including
referrals to health facilities and the Murang Gamot Project of selected
hospitals.
JOB DESCRIPTIONS
CHIEF PHARMACIST
Provide the overall supervision of the activities of the Pharmacy Service of
comparatively large general or special hospitals and perform other related functions.
Specifically, the Chief Pharmacist shall:
1. Establish and implement policies and procedures of the pharmacy in
accordance with the policies of the hospital and of the DOH;
2. Instruct, train and supervise all employees of the Pharmacy Service;
3. Review and approve schedule of duties of the pharmacy staff
4. Prepare requisitions for awarded drug items and other supplies for
procurement based on the approved price schedule;
UTILITY WORKER
1. Completion of elementary school course or must be able to read, write, count,
and interpret verbal or written instruction of normal complexity
2. Six (6) months of experience in manual work;
3. Civil Service Eligibility not required; and
4. Physically, mentally, emotionally, and morally fit to work.
CHAPTER 3
PLANTS, FACILITIES, EQUIPMENT AND OTHER MATERIALS
Plants, facilities, equipment and other materials of the hospital pharmacy must
comply with the BFAD minimum standard requirements for the issuance of LTO in the
establishment of the hospital pharmacy. However, these are further standardized based
on the hospitals capability levels, size, and scope of service.
Adequate spaces, equipment and supplies are provided for the professional and
administrative functions of the Pharmacy Service to assure patient safety through the
proper storage, preparation (compounding, packaging and labelling) and dispensing of
drugs.
Drugs are stored under proper condition of sanitation, temperature, light,
ventilation, segregation and security.
The pharmacy must develop a design which would be accessible to both in and
out-patients, business offices and frontline services.
Premises must be well-ventilated and should have concrete tiles or wooden
flooring.
There must be suitable areas for compounding, manipulating parenteral
medications, dispensing, adequate storage of drugs with wooden pallets for drug boxes
and biological products as specified in the label, for flammables and for administrative
functions.
It must be provided with suitable cabinets for storing poison and/or dangerous
drugs with sectional type of cabinets and must have an adequate supply of water.