PHARMACEUTICAL EXPERTISE PROGRAM FIELD PRACTICE REPORT AT

DEWI'S APOTHECARY

Jl. Ry. Kr. Anyar Dusun Vb. Kr, Sari, Jt Agung South Lampung

Arranged by:

Name :Kholilatun Naili

NIS/NISN :3668/0046644486

Field of Study Expertise: Pharmacy

Expertise Study Program: Health

Skill competency : Pharmacy

AL-HUDA VOCATIONAL SCHOOL

AL-HUDA JATI AGUNG FOUNDATION

SOUTH LAMPUNG
 APPROVAL PAGE

Name :Kholilatun Naili

NIS/NISN :3668/0046644486

Field of Study Expertise : Pharmacy

Expertise Study Program : Health

Skill competency : Pharmacy

Institution : Dewi Pharmacy

Pharmacy Address : Jl. Ry. Kr. Anyar Dusun Vb. Kr, Sari, Jt Agung

South Lampung

Pharmacy Supervising Pharmacy Facilities Teacher Examiner

( Apt Dewi Ratna Asih, S.farm ) ( Apt Febrio Makaira, S. farm )

Knowing,

Principal

( Dwinanto ST)
 ENDORSEMENT PAGE

It has been tested on the Board of Examiners on:

Day :

Date :

agree,

Head of Study Program

Pharmacy Supervising Pharmacy Facilities Teacher Examiner

( Apt Dewi Ratna Asih, S.farm ) ( Apt Febrio Makaira, S. farm )

Head of Study Program

Pharmacy

( Apt Dewi Ratna Asih,S.farm )

 PAGE PAGE

Praise be to ALLAH S.W.T for His grace and guidance so that I can complete this PKL
report properly.

I dedicate this report to:

All family members who have nurtured, supported, motivated and had an important role in
realizing my dreams and waiting for my success.

To the Pharmacy Study Program, Facilities Supervisor and Examiner Teacher who have
helped organize this report.

And the teachers at AL-HUDA SMK who have provided knowledge, motivation, good
advice and prayers to support us in achieving our goals.

Friends and friends who take part in motivating, and giving encouragement and prayers to
achieve success.

And my beloved alma mater who has given knowledge to achieve success.
 MOTTO

Achieve goals for love, then there is nothing you do without definite considerations
and goals, because when you love ALLAH S.W.T all your steps are accompanied by prayers
to Him, without fear of failure whatever the risk you will continue to rise, try and be grateful,
always remember those you love, your parents, your teachers, and your friends who always
pray for your success and await happiness with you later when your goals are achieved.
 FOREWORD

Praise the presence of ALLAH S.W.T, who has bestowed His grace and guidance so that the
author can complete the Field Work Practice (PKL) report at Dewi's pharmacy well and
smoothly. This practice is held in order to provide students with knowledge, skills, and
experience in pharmacy management and to improve their ability to devote their profession to
the community.

In compiling this report I tried my best, but of course there are still many shortcomings. And
I realize that the preparation of this report cannot be separated from the support of various
parties, therefore on this occasion I would like to express my gratitude to:

1. Mr. KH. Ahmad Habib, S.pd.I as chairman of the AL-HUDA foundation

2. Mr. Dwinanto, ST as the principal of SMK AL-HUDA

3. Mrs. Sri Murtini Wati, S.pd as deputy principal of SMK AL-HUDA

4. Mrs. Dewi Ratna Asih S.farm.,Apt as the Supervising Teacher for Field Work Practices

5. Mr. Febrio Makaira S.farm, Apt

6. All employees of Apotek DEWI who have been willing to provide input and motivation as
well as cooperation.

7. Mr. / Mrs. Teacher of SMK AL-HUDA

I realize that there are still many shortcomings and mistakes in the preparation of this Field
Work Practice report, constructive criticism and suggestions from readers for better writing in
the future.

South Lampung, 31 October 2021

TABLE OF CONTENTS

Page

TITLE PAGE ................................................................................................. i

APPROVAL PAGE……………………………………………………………... ii

PKL REPORT REPORT APPROVALATION PAGE………………………….. iii

PRESENTATION PAGE………………………………………………………… iv

MOTTO…………………………………………………………………………... v

FOREWORD……………………………………………………………………… viii

TABLE OF CONTENTS…………………………………………………………. x

LIST OF PICTURES ………………………………………………………………xv

LIST OF APPENDICES…………………………………………………………… xx

CHAPTER I INTRODUCTION

1.1 Background of street vendors.

1.2 Purpose of street vendors.

1.3 Benefits of street vendors.

CHAPTER II THEORY BASIS

 2.1 Definition of Pharmacy.

2.2 Duties and Functions of the Pharmacy.

2.3 Pharmaceutical Resources.

2.4 Pharmaceutical Service Standards.

CHAPTER III DISCUSSION

3.1 Place and Implementation of PKL.

3.2 Pharmacy Profile and Organizational Structure.

3.3 Pharmaceutical Resources.

3.3.1 Human Resources.

3.3.2 Facilities and Infrastructure.

3.4 Pharmaceutical Services.

3.4.1 HR Management.

3.4.2 management of Pharmaceutical Preparations, Medical Devices, and

Medical Consumables.

3.4.2.1 Planning.

3.4.2.2 Procurement.

3.4.2.3 Acceptance. 3.4.2.4 Storage.

3.4.2.5 Destruction and Withdrawal.

3.4.2.6 Control.

3.4.2.7 Recording and Reporting.

3.4.3 Clinical Pharmacy Services.

 3.4.3.1 Prescription review and service.

3.4.3.2 Dispensing.

3.4.3.3 Drug Information Service (PIO).

3.4.3.4 Counseling.

3.4.3.5 Home pharmacy care.

3.4.3.6 Drug Therapy Monitoring (PTO).

3.4.3.7 Monitoring of Drug Side Effects (MESO).

CHAPTER IV CONCLUSIONS AND SUGGESTIONS

4.1 Conclusion.

4.2 Suggestions.

BIBLIOGRAPHY

ATTACHMENT
 LIST OF FIGURES

Figure.1 Pharmacy Organizational Structure

 APPENDIX LIST

Appendix.1 Generic Medicine Shelf

Appendix.2 Patent Medicine Shelf

Appendix.3 Letter of Order

Appendix.4 Precursor Order Letter

Appendix.5 Notes
 PRELIMINARY

1.1 Street vendors background

Efforts to realize optimal public health need to provide health workers through
education and training carried out by the government, agencies, or the community. Health as
one of the elements of general welfare that must be realized. Therefore, health development
involves efforts to improve health (promotive), prevention disease (preventive), and health
recovery (rehabilitative) must be carried out in a comprehensive, integrated and sustainable
manner. The process of realizing quality health development requires adequate health
personnel to be prepared.

Pharmacies as one of the means of supporting public health, where pharmacies must
have a leader, namely a pharmacist to provide direction, learning, and socialization about
drugs and diseases to patients or the community not only in the technical field of pharmacy
but also non-technical pharmacy. Pharmacists can also be assisted by a pharmacist assistant
or pharmaceutical technical personnel to help provide pharmaceutical information services.

Field Work Practice (PKL) is a special program that must be carried out by
Vocational High Schools (SMK) in accordance with the SMK curriculum. This program is
carried out outside of school in the form of work practices in the business or industrial world
(Agencies) and takes into account the structure of the curriculum program, educational
calendar, and the willingness of the business or industrial world (Agencies) to be able to
accept these street vendors.

1.2 Purpose of street vendors

The implementation of street vendors aims to:

1. Able to adapt to the real world of work.

2. Get to know the activities of implementing public health programs as a whole, both
in terms of administrative or socio-cultural aspects.

3. Cultivate the attitude of professionalism that students need to enter the workforce
according to their field.
 4. Improve, expand, improve skills that shape the ability of students as a provision to
enter the workforce in accordance with the needs of the required educational program.

5. Students can directly apply the knowledge of the world of work, namely health
services, especially pharmaceutical services in pharmacies.

6. Train future pharmacists to be able to adapt to the work environment.

7. To gain work experience.

1.3 Benefits of street vendors

1. Understand, strengthen and develop the lessons learned in school and its
application in the business world, especially in the pharmaceutical field.

2. Sharing knowledge that is known by the participants in the Field Work Practice.

3. Improving the quality of health services and the independence of the profession in
health services as the application of the acquired knowledge.

4. Can improve the quality of knowledge, skills, creativity, and practical performance
of students in pharmaceutical services.

5. Can improve their standard of living and provision to develop themselves in a

sustainable manner.

6. Ready to work after graduation.

 CHAPTER II

THEORETICAL BASIS

2.1 Definition of Pharmacy

Based on the Regulation of the Minister of Health of the Republic of Indonesia No. 73
of 2016 concerning Pharmaceutical Service Standards at Pharmacies, what is meant by
Pharmacy is a pharmaceutical service facility where pharmacists practice pharmacy.

2.2 Pharmacy duties and functions

Based on the Regulation of the Minister of Health of the Republic of Indonesia No. 51
of 2009 concerning the Duties and Functions of Pharmacies:

1. Place of professional service for a pharmacist who has taken the pharmacist's oath
of office.

2. The means used to perform pharmaceutical work.

3. The facilities used to produce and distribute pharmaceutical supplies include drugs,
medicinal ingredients, traditional medicines, and cosmetics.

4. Means of manufacture and quality control of pharmaceutical preparations, security,

procurement, storage and distribution or distribution of drugs, drug management, drug
services based on doctor's prescriptions, drug information services and development
of drugs, medicinal ingredients and traditional medicines.

2.3 Pharmaceutical resources

Pharmaceutical resources include:

a. Human resources, and

b. Facilities and infrastructure.

2.3.1 Human Resources

Pharmacy services at pharmacies are organized by pharmacists, can be assisted by

accompanying pharmacists and/or pharmaceutical technical personnel who have a
registration certificate and practice license.

In performing Pharmacy Services Pharmacists must meet the following criteria:

1. Administrative requirements.

a. Administrative requirements. Have a diploma from an accredited pharmacy

education institution.

b. Have a Pharmacist Registration Certificate (STRA).

c. Have a valid competency certificate.

d. Have a Pharmacist Practice License (SIPA).

2. Using practice attributes, including practice clothes, identification.

3. Must attend continuing education/Continuing Professional Development (CPD) and

be able to provide continuous training.

4. Pharmacists must be able to identify the need for self-development, either through
training, seminars, workshops, continuing or independent education.

5. Must understand and implement and comply with applicable laws and regulations,
pharmacist oath, professional standards (educational standards, service standards,
competency standards and code of ethics).

In carrying out Pharmaceutical Services, a pharmacist must carry out the following roles:

1. Service provider.

Pharmacists as service providers must interact with patients. Pharmacists must

integrate their services into the health care system on an ongoing basis.
2. Decision maker.

Pharmacists must have the ability to make decisions by using all available resources
effectively and efficiently.

3. Communicator.

Pharmacists must be able to communicate with patients and other health

professionals regarding patient therapy. Therefore, you must have good
communication skills.

4. Leader.

Pharmacists are expected to have the ability to become leaders. The expected
leadership includes the courage to make empathetic and effective decisions, as well as
the ability to communicate and manage the results of decisions.

5. Manager.

Pharmacists must be able to manage human, physical, budgetary and information

resources effectively. Pharmacists must keep abreast of advances in information
technology and be willing to share information about Drugs and other matters related
to Drugs.

6. Lifelong learner.

Pharmacists must continue to improve knowledge, attitudes and professional skills

through continuing education (Continuing Professional Development/CPD)

7. Researcher.

Pharmacists must always apply scientific principles/rules in collecting information on

Pharmaceutical Preparations and Pharmaceutical Services and using it in the
development and implementation of Pharmaceutical Services.
2.3.2 Facilities and Infrastructure

Pharmacies must be easily accessible to the public. Pharmacy facilities and

infrastructure can guarantee the quality of Pharmaceutical Preparations, Medical Devices, and
Consumable Medical Materials as well as the smooth practice of Pharmaceutical Services.

The facilities and infrastructure needed to support Pharmaceutical Services at the

Pharmacy include facilities that have the following functions:

1. Recipe reception room.

The Prescription reception room shall at least consist of a Prescription reception area,
1 (one) set of tables and chairs, and 1 (one) set of computers. The prescription
reception room is placed at the very front and is easily visible to the patient

2. Prescription and compounding service room (limited production of preparations).

The prescription and compounding service room or limited production of

preparations includes a drug rack as needed and a compounding table. In the
compounding room, at least there are compounding equipment, medicine scales,
drinking water (mineral water) for diluent, medicine spoons, medicine packaging
materials, refrigerators, room thermometers, blank copies of prescriptions, medicine
labels and labels are provided. This room is arranged to get enough light and air
circulation, can be equipped with air conditioner.

3. Drug delivery room Drug delivery room.

in the form of a Drug delivery counter that can be combined with a prescription
reception room.

4. Counseling room.

The counseling room has at least one set of counseling tables and chairs, bookcases,
reference books, leaflets, posters, counseling aids, counseling notebooks and patient
medication record forms.

5. Storage room for Pharmaceutical Preparations, Medical Devices, and Medical

Consumables.
 The storage room must pay attention to sanitary conditions, temperature, humidity,
ventilation, separation to ensure product quality and staff safety. The storage room
must be equipped with drug shelves/cupboards, pallets, air conditioners (AC),
refrigerators, special narcotics and psychotropic storage cabinets, special drug storage
cabinets, temperature gauges and temperature cards.

6. Archive room.

The archive room is needed to store documents related to the management of

Pharmaceutical Preparations, Medical Devices, and Consumable Medical Materials
and Pharmaceutical Services within a certain period of time.

2.4 Pharmaceutical Service Standards

Pharmaceutical service standards are benchmarks used as guidelines for

pharmaceutical staff in providing pharmaceutical services.

Pharmacy service standards at pharmacies include the following standards:

a. Management of Pharmaceutical Preparations, Medical Devices, and Consumable

Medical Materials, and

b. Clinical Pharmacy Services.

2.4.1 Management of Pharmaceutical Preparations, Medical Devices, and Medical

Consumables

A. Planning.

In planning the procurement of Pharmaceutical Preparations, Medical Devices, and

Medical Consumables, it is necessary to pay attention to disease patterns, consumption
patterns, culture and community capabilities.

B. Procurement.

To ensure the quality of Pharmaceutical Services, the procurement of Pharmaceutical

Preparations must go through official channels in accordance with the provisions of laws and
regulations.
C. Reception.

Acceptance is an activity to ensure the conformity of the type of specifications,

quantity, quality, delivery time and price stated in the order letter with the physical condition
received.

D.Storage.

1. Drugs/medicine ingredients must be stored in the original container from the

manufacturer. In exceptional or emergency cases where the contents are transferred to
another container, contamination must be prevented and clear information must be
written on the new container. The container at least contains the name of the drug,
batch number and expiration date.

2. All drugs/drug materials must be stored in suitable conditions so that their safety
and stability are guaranteed.

3. Drug storage areas are not used for storage of other items that cause contamination

4. Storage system is carried out by taking into account the dosage form and drug
therapy class and arranged alphabetically.

5. Drug issuance using the FEFO (First Expiry First Out) and FIFO (First In First
Out) system

E. Annihilation and withdrawal.

1. Expired or damaged drugs must be destroyed according to the type and dosage
form. The destruction of expired or damaged drugs containing narcotics or
psychotropic substances is carried out by a pharmacist and witnessed by the
District/City Health Office. The destruction of drugs other than narcotics and
psychotropics is carried out by a pharmacist and witnessed by other pharmaceutical
personnel who have a practice permit or work permit. The destruction is evidenced by
the minutes of destruction using Form 1 as attached.

2. Recipes that have been stored for more than 5 (five) years may be destroyed.
Prescription destruction is carried out by the Pharmacist witnessed by at least other
officers at the Pharmacy by burning or other methods of destruction as evidenced by
 the Minutes of Destruction of Prescriptions using Form 2. as attached and
subsequently reported to the district/city health office. district/city.

3. The destruction and withdrawal of Pharmaceutical Preparations and Medical

Consumables that cannot be used must be carried out in a manner that is in
accordance with the provisions of the legislation.

4. Withdrawal of pharmaceutical preparations that do not meet the

standards/stipulations of laws and regulations is carried out by the owner of the
distribution permit based on a withdrawal order by BPOM (mandatory recall) or
based on voluntary initiation by the owner of the marketing permit (voluntary recall)
while still reporting to the Head of BPOM.

5. Recall of Medical Devices and Consumable Medical Materials is carried out on

products whose distribution permit is revoked by the Minister.

F. Control.

Control is carried out to maintain the type and amount of inventory according to
service needs, through setting up an order system or procurement, storage and expenditure.
This aims to avoid the occurrence of excess, shortage, vacancy, damage, expiration, loss and
return of orders. Inventory control is carried out using stock cards either manually or
electronically. The stock card shall at least contain the name of the drug, the expiration date,
the amount of income, the amount of expenditure and the remaining inventory.

G. Recording and Reporting.

Recording is carried out in every process of managing Pharmaceutical Preparations,

Medical Devices, and Medical Consumables including procurement (order letters, invoices),
storage (stock cards), delivery (receipts or sales receipts) and other records tailored to the
needs.

Reporting consists of internal and external reporting. Internal reporting is reporting

that is used for the needs of Pharmacy management, including financial, goods and other
reports. External reporting is a report made to fulfill obligations in accordance with the
provisions of the legislation, including reporting on narcotics, psychotropics and other
reports. . Technical instructions regarding recording and reporting will be further regulated by
the Director General.

2.4.2 Clinical Pharmacy Services

Clinical pharmacy services at pharmacies are part of Pharmaceutical Services that are
directly and responsible to patients with regard to Pharmaceutical Preparations, Medical
Devices, and Medical Consumables with the aim of achieving definite results to improve the
quality of life of patients.

Clinical pharmacy services include:

1. Prescription assessment and service.

2. Dispensing.

3. Drug Information Service (PIO).

4. Counseling.

5. Home pharmacy care.

6. Drug Therapy Monitoring (PTO), and

7. Monitoring of Drug Side Effects (MESO)

A. Prescription Assessment and Services Prescription review activities include

administration, pharmaceutical suitability and clinical considerations.

Administrative studies include:

1. Patient name, age, gender and weight

2. doctor's name, practice license number (SIP), address, telephone number

and initials; and

3. Prescription date.
 Pharmaceutical suitability studies include:

1. dosage form and strength.

2. Stability, and

3. compatibility (drug miscibility).

Clinical considerations include:

1. accuracy of indications and dosage of drugs.

2. rules, methods and duration of drug use.

3. duplication an

4. Undesirable drug reactions (allergies, drug side effects, other clinical

manifestations).

5. contraindications, and

6. interaction.

B. Dispensing.

Dispensing consists of the preparation, delivery and provision of drug information.

After reviewing the Recipe, the following are carried out:

A. Preparing Medicines according to Prescription requests:

a) calculate the required amount of Medicine according to the Prescription.

b) take the needed Drugs on the storage shelf by taking into account the name
of the drug, expiration date and physical condition of the drug.

B. Compounding Drugs when needed.

C. Provide etiquette at least includes.

a) white color for medicine in/oral.

b) blue for external and injectable drugs.

 c) attach the label "shake first" on the suspension or emulsion preparations.

D. Putting Medicines in proper and separate containers for different Drugs to maintain
the quality of Medicines and avoid misuse. After the preparation of the drug, the
following are carried out:

a) Before the drug is handed over to the patient, a re-examination must be

carried out regarding the writing of the patient's name on the label, how to use
it as well as the type and amount of the drug (compatibility between the
writing of the label and the prescription).

b) Call the patient's name and waiting number.

c) Re-check the patient's identity and address.

d) Delivering Drugs accompanied by the provision of Drug information.

e) Provide information on how to use drugs and matters related to drugs,

including the benefits of drugs, foods and drinks that must be avoided,
possible side effects, storage methods for drugs and others.d/or polypharmacy.

f) Dispensing of drugs to patients should be carried out in a good manner,

considering that patients who are in an unhealthy condition may be
emotionally unstable.

g) Ensure that the recipient of the drug is the patient or his family.

h) Make a copy of the prescription in accordance with the original prescription

and initialed by the pharmacist (if needed).

i) Keep the Recipe in its place.

j) Pharmacists make patient medication records using Form 5 as attached.

Pharmacists at the pharmacy can also serve non-prescription drugs or self-

medication services. Pharmacists must provide education to patients who need
non-prescription drugs for minor ailments by choosing the appropriate over-
the-counter or over-the-counter medicines.
C. Drug Information Service (PIO).

Drug Information Service is an activity carried out by pharmacists in providing

impartial information about drugs, critically evaluated and with the best evidence in all
aspects of drug use to other health professionals, patients or the public. Information regarding
Drugs including Prescription Drugs, Over-the-counter Medicines and herbs.

Information includes dosage, dosage form, specific formulation, route and method of
administration, pharmacokinetics, pharmacology, therapeutics and alternatives, efficacy,
safety for use in pregnant and lactating women, side effects, interactions, stability,
availability, price, physical or chemical properties of the drug. and others.

Drug Information Service Activities at Pharmacies include:

1. Answering questions both verbally and in writing.

2. Create and distribute bulletins/brochures/leaflets, community empowerment

(counseling).

3. Provide information and education to patients.

4. provide knowledge and skills to pharmacy students who are practicing professions.

5. conduct research on the use of drugs.

6. Create or submit papers in scientific forums.

7. carry out a quality assurance program.

Drug Information Services must be documented to help trace back in a relatively short time
using Form 6 as attached.

Things that must be considered in the documentation of Drug Information services:

1. Question Topic.

2. Date and time Drug Information Service is provided.

3. Drug Information Service Methods (oral, written, by telephone).

 4. Patient data (age, gender, weight, other information such as allergy history, whether
the patient is pregnant/breastfeeding, laboratory data).

5. Description of the question.

6. Answer questions.

7. Reference.

8. Method of giving answers (oral, written, telephone) and data on Pharmacists who
provide Drug Information Services.

D. Counseling.

Counseling is an interactive process between pharmacists and patients/families to

increase knowledge, understanding, awareness and compliance so that behavior changes
occur in the use of drugs and solve problems faced by patients.

To initiate counseling, pharmacists use three prime questions. If the level of patient
compliance is considered low, it is necessary to continue with the Health Belief Model
method. Pharmacists must verify that the patient or patient's family understands the drug
used.

Criteria for patients/patient families who need to be counseled:

1. Patients with special conditions (pediatric, geriatric, impaired liver and/or kidney
function, pregnant and lactating women).

2. Patients with long-term therapy/chronic disease (eg: TB, DM, AIDS, epilepsy).

3. Patients who use drugs with special instructions (use of corticosteroids with
tapering down / off).

4. Patients taking drugs with a narrow therapeutic index (digoxin, phenytoin,

theophylline).

5. Patients with polypharmacy; The patient received several drugs for the same
indication of the disease. This group also includes the administration of more than one
drug for a disease that is known to be curable with one type of drug.
 6. Patients with low adherence. Stages of counseling activities:

a) Open communication between pharmacists and patients.

b) Assessing the patient's understanding of the use of drugs through Three

Prime Questions, namely:

a. What did the doctor say about your medicine?

b. What did the doctor explain about how to use your medicine?

c. What did the doctor explain about the expected results after you
received the drug therapy?

c) Explore further information by giving the patient the opportunity to explore drug
use problems.

d) Provide explanations to patients to resolve drug use problems.

e) Perform final verification to ensure patient understanding The pharmacist

documents the counseling by asking for the patient's signature as evidence that the
patient understands the information provided in the counseling using Form 7 as
attached.

E. Home pharmacy care.

Pharmacists as service providers are also expected to be able to carry out

pharmaceutical services that are home visits, especially for the elderly group and patients
with treatment for other chronic diseases.

Types of home pharmacy services that can be performed by pharmacists include:

1. Assessment/assessment of problems related to treatment.

2. Identification of patient compliance.

3. Assistance in the management of drugs and/or medical devices at home, for

example how to use asthma drugs, storage of insulin.

4. Consultation on drug problems or general health.

 5. Monitoring the implementation, effectiveness and safety of drug use based on
patient treatment records.

6. Documentation of the implementation of Pharmaceutical Services at home using

Form 8 as attached.

F. Drug Therapy Monitoring (PTO).

It is a process that ensures that a patient gets an effective and affordable drug therapy
by maximizing efficacy and minimizing side effects.

Patient criteria:

1. Children and the elderly, pregnant and lactating women.

2. Receiving more than 5 (five) types of Drugs.

3. The existence of multiple diagnoses.

4. Patients with impaired renal or hepatic function.

5. Receiving Drugs with a narrow therapeutic index.

6. Receiving drugs that are often known to cause adverse drug reactions

Activity:

1. Selecting patients who meet the criteria.

2. Take the required data, namely the patient's medical history consisting of a history
of disease, history of drug use and history of allergies; through interviews with
patients or their families or other health workers.

3. Identifying problems related to drugs. Drug-related problems include indications

but not treatment, administration of drugs without indications, inappropriate drug
selection, too high a dose, too low a dose, unwanted drug reactions or drug
interactions.

4. The pharmacist determines the priority of the problem according to the patient's
condition and determines whether the problem has or has the potential to occur.
 5. Provide recommendations or follow-up plans that contain a monitoring plan with
the aim of ensuring the achievement of therapeutic effects and minimizing unwanted
effects.

6. The results of the identification of drug-related problems and recommendations

made by pharmacists must be communicated to the relevant health professionals to
optimize therapeutic goals.

7. Document the implementation of drug therapy monitoring using Form 9 as

attached.

G. Monitoring of Drug Side Effects (MESO).

It is an activity to monitor any response to an adverse or unexpected drug that occurs

at normal doses used in humans for prophylactic, diagnostic and therapeutic purposes or to
modify physiological function.

. Activity:

1. Identify drugs and patients who have a high risk of experiencing drug side effects

2. Fill in the Drug Side Effect Monitoring (MESO) form.

3. Report to the National Drug Side Effect Monitoring Center using Form 10 as
attached. Factors to consider:

a) Cooperation with other health teams.

b) Availability of Securities Monitoring form

 CHAPTER III

DISCUSSION

3.1 Time and Place of PKL pelaksanaan

The place for the implementation of the Field Work Practice (PKL) is at the DEWI
Pharmacy, having the address Jl. P. Senopati, Karang Sari, Kec. Great Teak. The
implementation of street vendors lasts for 5 months starting from August 1, 2021 to
December 31, 2021.

PKL at Apotek Dewi is divided into 2 shifts, namely:

1. morning shift, which practice time is from 07.00 to 14.00 WIB, and

2. Afternoon shift starts at 13.00-20.00 WIB.

We have experienced the morning shift and afternoon shift which changes every 1 week.

3.2 Pharmacy Profile and Structure

3.2.1 Pharmacy Profile.

Apotek Dewi was established in May 2009, only has 1 employee with PSA as well as
Apt. Febrio Makaira, S.Farm. in 2016 until now PSA as well as APA has been replaced with
Apt Dewi Ratna Asih, S.Farm with 4 employees.
3.2.2 Struktur Organisasi Apotek

Owner of Pharmacy Facilities, Responsible

Pharmacy

Apt Dewi Ratna Asih,S,farm

Companion pharmacist

Apt Febrio Makaira.S,farm

Procurement
Cashier Reception
department General staff
Rati Revanti Lia
Susi Srianti Sri Sartiwi

Personnel:

a) Owner of Pharmacy Facilities : Apt Dewi Ratna Asih, S.farm

b) Responsible Pharmacy: Apt Dewi Ratna Asih, S.farm

c) Companion pharmacist: Apt Febrio Makaira, S.farm

d) Procurement department : Susi Srianti

e) Cashier : Rati Revanti

f) Reception: Lia

g) General staff : Tiwi

3.3 Pharmaceutical Resources

3.3.1 Human resources

At the pharmacy Dewi Pharmacist, the Pharmacy Manager meets the following criteria:

1. Have a diploma and an accredited Pharmacy educational institution.

2. Have a Pharmacist Registration Certificate (STRA)

3. Have a valid competency certificate.

4. Have a Pharmacist Practice License (SIPA)

3.3.2 Facilities and Infrastructure

Facilities and infrastructure available at Dewi Pharmacy

1. Medicine Cabinet

2. Refrigerator

3. Fan

4. AC

5. Television

6. Wifi connection

7. CCTV

8. Recipe reception room

3.4 Pharmaceutical services

3.4.1 HR management

Each HR has an important role in the pharmacy organization, at least consisting of the
owner of the pharmacy facility, the pharmacist managing the pharmacy, the pharmacy
assistant, the cashier, and also public services.

Human Resources at Dewi Pharmacy:

1. Apt Dewi Ratna Asih as the owner of the facility as well as the pharmacist
in charge of Apotek Dewi.

2. Apt Febrio Makaira.S,farm as assistant pharmacist at Apotek Dewi.

3. Susi Srianti as part of procurement at Apotek Dewi.

4. Rati Revanti as cashier at Dewi Pharmacy

5. Lia as part of receiving goods at Dewi Pharmacy

6. Sri Sartiwi as general staff at Dewi Pharmacy.

3.4.2 Management of Pharmaceutical Preparations, Medical Devices, and Medical

Consumables

3.4.2.1 Planning

In planning the procurement of preparations at the Dewi Pharmacy using the

consumption method as well as using the just in time method (buying drugs at the same
time), the planning of pharmaceutical preparations is carried out by the procurement
department.

3.4.2.2 Procurement

Procurement of pharmaceutical preparations at pharmacies usually orders drug

distributors or Pharmaceutical Wholesalers (PBF), via telephone or whatsapp. Procurement
management at the Dewi Pharmacy is to use an official drug order letter that is in accordance
with the classification of the drug.
There are two kinds of orders at Dewi's pharmacy, namely:

1. Ordinary order letter (over-the-counter drugs and limited over-the-counter drugs)

2. Precursor orders.

3.4.2.3 Admission

Receipt at the Dewi Pharmacy, namely the goods received must be accompanied by
an invoice, to ensure the suitability of the specific type, quantity, delivery time, maturity and
price stated in the order letter with the physical condition received, and if there is a
discrepancy in the number of goods or types of goods which is ordered will be returned
(rektur), if the check has been completed and is considered appropriate, the invoice will be
stamped by the pharmacy.

3.4.2.4 Storage

Drug storage at Apotek Dewi uses the following methods:

1. FEFO (First Expired First Out) ie goods that have a near expiration date are the
first to be issued.

2. Alphabetic, which serves to facilitate the search for drugs in need.

3. Dosage forms, OTC drugs (free and limited free drugs) are stored in the front
window, hard drugs are stored in a storefront inside the pharmacy so they are not seen
by patients because hard drugs are only obtained by using a doctor's prescription, for
suppository preparations stored in the refrigerator.

4. Cotton, sterile gauze, and plaster are stored separately.

5. Based on drug therapy class.

Storage tools at Dewi's pharmacy:

1. Storefront, and

2. Cooling device (refrigerator).

3.4.2.5 Destruction and Withdrawal

Treatment of expired or damaged drugs at the Dewi Pharmacy will be destroyed

according to the dosage form. For the destruction and withdrawal of Narcotics and
Psychotropic drugs at the Dewi Pharmacy, there is no availability, because Dewi Pharmacy
does not serve and does not provide Narcotics and Psychotropic drugs.

3.4.2.6 Control.

Control of pharmaceutical preparations and medical devices at Apotek Dewi uses

records, this aims to avoid the occurrence of excess, shortage, void, damage, expiration, loss.
Inventory control is done manually.

3.4.2.7 Recording and reporting.

Recording at Apotek Dewi is carried out in the procurement process (order letters,
invoices), sales (sales books), delivery (notes).

Reporting for Narcotics and Psychotropic drugs is carried out using SIPNAP every
month before the 10th by the Managing Pharmacist of the Dewi Apothecary, with Nil
reporting, because Dewi Pharmacy does not provide and serve the use of Narcotics and
Psychotropic drugs.

3.4.3 Clinical Pharmacy Services.

3.4.3.1 Prescription review and service.

At the stage of reviewing the Dewi Pharmacy Prescription, the Dewi Pharmacy only
accepts doctor's prescriptions with finished drugs, the Dewi Pharmacy does not serve
compounding.

3.4.3.2 Dispensing.

Dispensing by Apotek Dewi:

1. Prepare drugs according to prescription requests.

2. Provide information on how to use drugs and things related to drugs, including the
benefits of drugs, how to use them, side effects, storage methods and others.
3.4.3.3 Drug Information Service (PIO).

Drug Information Service (PIO) at the Dewi Pharmacy that is given to the patient is
carried out by the pharmacist with information about what drugs are given to the patient
according to the prescription given by the doctor.

3.4.3.4 Counseling.

In conducting counseling at the Dewi Pharmacy, pharmacists interact directly with

patients to increase knowledge, understanding, awareness and trust of patients to solve
problems faced by patients.

3.4.3.5 Home pharmacy care.

At Dewi's pharmacy, she does not do home pharmacy care or pharmacy services at
home.

3.4.3.6 Drug Therapy Monitoring (PTO).

At Dewi's pharmacy, she does not apply Drug Therapy Monitoring to each of her
patients.

3.4.3.7 Monitoring of Drug Side Effects (MESO).

In the pharmacy, Dewi does not monitor the patient's side effects of drugs.
 CHAPTER IV

CLOSING

4.1 Conclusion.

The Field Work Practice at Apotek Dewi gave us learning in the world of work,
providing insight through working directly on the real job. With this Field Work Practice, we
can feel and know how the world of work and what activities are directly at the pharmacy,
and gain knowledge that we don't get at school.

4.2 Suggestions.

As for the suggestions given by us in an effort to be considered in the future to advance Dewi
Pharmacy.

1. Improving clinical pharmacy services, such as monitoring drug therapy for patients
with special conditions.

2. Maintaining the quality of service and improving the quality of service to the
community.
 BIBLIOGRAPHY

Minister of Health Regulation No. 73 of 2016 concerning Pharmaceutical Service Standards

in Pharmacies-Definition Pharmacies

Minister of Health Regulation No. 51 of 2009 concerning Pharmacy Work-Duties and

Functions of Pharmacies.

Minister of Health Regulation no.73 of 2016 concerning Pharmaceutical Service Standards in

Pharmacies.
 LAMPIRAN

Appendix. 1 Generic Medicine Shelf.

Appendix.2 Patent Medicine Shelf.

Appendix.3 Letter of Order

Appendix.4 Precursor Order Letter

Appendix.5 Notes