Subject : Pharmacy Practice

Subject Incharge : Mr. Devid Chutia

Course : B. Pharm
Semester : VII

COMMUNITY PHARMACY
 COMMUNITY PHARMACY

In community pharmacy (retailer and health care settings), involved in various skills such as

dispensing of drugs, responding to minor ailments by providing suitable safe medication,

patient counseling for improved patient care in the community set up.
The main responsibilities of a community pharmacy include compounding, counseling, and dispensing of

drugs to the patients with care, accuracy, and legality along with the proper procurement, storage,

dispensing and documentation of medicines.

A community pharmacist should

(i) Have a sound background of pharmaceutical care, pharmacotherapy, and health promotion.

(ii) Have good communication skills with patients and other healthcare providers.

(iii) Maintain a high degree of standard in products, services, and communication.

(iv) Record and maintain documents in order.

 ORGANIZATION OF DRUG STORE

Stores are defined as a sub organised in any hospital where materials obtained are held in abeyance till

inspected, approved and stocked. A store should have a standard specifications of materials and since

the stores procure drugs on behalf of the departments, for regular flow of materials, the condition of

storage should be proper.

 OBJECTIVES

1. To stock all drugs and accessories required in the hospital.

2. To procure drugs from different sources.

3. To supply drugs to the consuming departments.

4. To store drugs required in research work.

5. To preserve certain categories of drugs.

6. To maintain records of receipt and issue of drugs.

7. To carry out all operations regarding drugs economically to save revenue.

 STRUCTURE OF DRUG STORE

The drug store should be located preferably on the ground floor close to the pharmacy. An area of at least

600-1000 sq.ft should be allotted to medical store. A adequate storage facilities should be there so that

the drugs, chemicals, biological etc. Do not get detoriated by moisture or heat.

.
 STRUCTURE OF DRUG STORE

A modern drug store should fulfill all the requirements in schedule “N” of drug and cosmetics rules. To start

a drug store a minimum of 150 sq. feet area is required similar to whole sale drug store a minimum of

200 sq. feet.

An ideal store have two entrances, one for receiving the articles and other for issue of materials. Generally

racks are used for storage of material made of angled iron , having partitions. Costly items are stored in

closed bins. The height of racks depends upon the height of ceiling and should be about 2/3 rd of the

height.
STRUCTURE OF DRUG STORE
 STRUCTURE OF DRUG STORE
Since large number of products are to be stored in the store, a definite location code is to be followed in

order to identify the product or material placed in store. For this purpose analysis is carried out like :

1. F S N : Fast moving, Slow moving, Non moving.

2. H M L : Heavy, Medium, Light materials.

According to FSN, HML categorisation, fast moving are placed near the issue exist while non moving

articles are placed far from the exist. Similarly heavy metals items are placed at the bottom and light on

the top.

Following steps in doing the FSN analysis

3. Calculation of average stay and the consumption rate of the material in warehouse

4. FSN Classification of materials based on average stay in the inventory

 STOCK RECORD SYSTEM

Stock records are maintained in the following different forms:

1. Bin card

2. Stores ledger

Now a days records are maintained using bin card system.

Bin card is a record of movement of materials against each kind of stock in respect of daily transaction,

which is attached to each bin. It shows daily receipts, issues, balance quantity on hand, maximum and

minimum and recorder levels.

A stores ledger is a manual or computer record of the raw materials and production supplies stored in a

production facility. It is maintained by the person responsible for these assets, such as the warehouse

manager. A stores ledger is particularly useful for maintaining the inventory system, since it tracks the

current quantity of items on hand.

BIN CARD FORMAT
Store’s Ledger
DIFFERENCE BETWEEN BIN CARD AND STORE LEDGER
 TYPES OF MATERIAL STOCKED

Sufficient no of racks should be provided for storage of drugs and supplies. Carbon dioxide

fire extinguishes should be provided at strategic points along with fire buckets to fight

sudden fires due to stored drugs and chemicals. Materials which are stocked are listed as

under-----

 Capsules, tablets, liquid dosage form and Injection etc.

 Biological, antibiotics are stored properly in refrigerator.

 Narcotics and psychotropic's substances are stored under lock and key.
 TYPES OF MATERIAL STOCKED

 Poison are stored in separate closed rack, labelled as Poison.

 Alcohol and alcohol containing preparations.

 Large bulk items on bottom.

 Vaccines and other thermo labile drugs are required to be stored at cold storage 2º C -10ºC.

Antibiotics, vitamins, liver preparations etc. should be stored at cool temperature( 15º C- 20ºC).

 To avoid pilferage costly drugs and prescribed schedule X drugs should be stored separately

under lock and key.

 MONITORING OF STORED DRUGS

Any medicine stock must be stored in a dedicated locked cupboard or locked refrigerator. No

other substances or articles may be stored in these places. The majority of medicinal

products that do not require refrigeration can be stored under conditions of controlled

room temperature without compromise to their stability and recommended shelf life. These

products are usually labeled ‘do not store above 25°C’.

A maximum/minimum thermometer should be placed in all rooms where medicines are stored

and the temperature of the room monitored on a daily basis to ensure that medicines stored in

the room are stored within the recommended limit.

 STORAGE OF DRUGS AND VACCINE
Indian Pharmacopoeia describes conditions for storage of some official substances which are

likely to deteriorate, if not stored properly. It is important to follow the manufacturer’s

recommended storage conditions for all products.

The terms used under definite meaning of the pharmacopeia are:

 Cold storage : 2ºC- 8ºC.

 Cool temperature: 8º C -25º C.

 Room temperature RT: temperature prevailing in working area.

 Warm: 30 º C- 40º C.

 Excessive Heat : above 40º C.

 DRUGS REQUIRING COLD STORAGE 2ºC -8º C
1. Sera

2. Vaccines

3. Whole human blood

4. Concentrated human red blood corpuscles

5. Normal human plasma.

6. Frozen plasma.

7. Thrombin

8. Thromboplastin.

9. Cobra venom in solution.

10. Oxytocin injection.

11. Vasopressin injection.

12. Corticotrophin zinc oxide injection.

13. Insulin preparation.

 DRUGS REQUIRING STORAGE AT COOL TEMPERATURE
8º C- 25º C.
Antibiotics
1. Crystalline penicillin preparation.
2. Potassium phenoxyl methyl penicillin preparation.
3. Chloramphenicol and its preparation.
4. Viomycin preparation.
5. Cyclosporine preparation.
Arsenics
6. Neoarsephenamine injection.
7. Sulpharsphenamine injection.
Blood preparations.
8. Dried plasma below –below 20º C.
9. Human fibrinogen- below 20º C.
Hormone and vitamin preparations
10. Corticotrophin
11. Oxytocin tablets
12. Preparation containing Vit. A, Vit. B, Vit. C, Vit D, Vit B complex Elixir and Injection.
 Questions hour
1. Define community Pharmacy?

2. Define store?

3. What is schedule N ?

4. Discuss on FSN analysis.

5. Write a note on stock record system.

6. List out the differences between bin card and Ledger card.

7. Write a note on storage of drugs and vaccine.

 Reference
1. A text book of Hospital & Clinical Pharmacy by Dr. Pratibha Nand

2. Official gazettes.