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Dispensing drug to patient

Dispensing procces
Type of Counters

Pharmacy Practice
Concept Chart 4

Arrangemnet of drugs
Main service

Service: Responding to inquiries


provides information and advice on all
aspects of drug therapy to healthcare
professionals and the community
Preparing Pharmacy Bulletin

Patient Medication Counselling


Compounding Extemporaneous preparation
e.g.

Education
Developed by
Pharmacy Practice Unit,
School of Pharmacy
2 Feb 2013

Calculation

Pharmacy Journal Club


Disseminate info to patient &
health personnel

Scope of
services

Updating formulary
(MOH Drug lsit)

Procedure
Administration

OPD

Ubat Melalui Pos 1Msia (UMP)


medication will send to the doorstep of patients house or workplace

Reporting ADRs to NPCB

Miscellaneous
functions

DIS

Resource person for hospital


committees

1 - controlled trials, studies,


case report

posting charges

Other
Services

Maintenance of Drug Journal


Scanning Literature

Integrated Drug Dispensing System (SPUB)


Pts take their medications from the nearer hospital or clinic MOH

SMS & Take


Pt order their medications via SMS 2-4 days
before the date of next drug supply

2 - MEDLINE, IDIS
3 - textbook, review articles

Resources

Books

Return medicine

e.g.

Journals Computer-based
Info System

After Office Hour (AOH) Supply


after 5pm (Mon-Fri)
To monitor patient compliance

Supply medicines to wards, units and satellite pharmacies


Medicine Distribution System

Obj

To advice the health professionals regarding pt


condition
DMTAC

MTAC

DD/ Psychotropic Substances

WMTAC

Scope
of
services
Pt criteria

Ward Pharmacy Services

Scope of
services

Dispensing to discharge patient


Bedside med couselling

Preparation of cytotoxic medications


to patients in wards

Compounding extemporaneous preparations


e.g.:Captopril, Frusemide, Spironolactone, Ferrous fumarate Syrup

Monitor pain control measures


Counsel patient on side effects of
their cancer chemotherapy

Equipment & Facilities


vs
Safe Handling
Procedure

Cleaning &
Waste disposal
Spillage/
Emergency

A special pharmacy unit located near the ward


Practice: UOU / UOD supply system

Calculation

CDR

Satellite
Pharmacy

Eg of Cytotoxic drugs

IPD

Drug counselling
N&V, Anemia (fatigue & dizziness), Alopecia,
Infections, Mucositis / stomatitis, Constipation,
Diarrhea, Nerve & muscle effects,
Bleeding, Daily living tips

Calculation
Preparation

e.g.Mixture Potassium Chloride

SOP

external preparations

Calculation

e.g. Betnovate Cream 1:8, Aqueous Cream, Chlorhexidine 2% in Alcohol 70%

Preparation

e.g.

Calculation
Procedure

A/bc

Prepacking
Packing of commonly used tablets/capsules and galenicals into individual units to
facilitate dispensing

Steroid
Analgesics etc

e.g

TPN

Eye drop

Medication Trolley
A trolley with small compartments
meant for keeping medications for
individual patient

A*, A, A/KK, B, C, C*

Scope of services
providing drug (non sterile) in bulk
Internal preparation

Type

IV Ad
Service

Advantages
Drug prescribing
category

Equipment, Facilities,
Procedures

TPN

Med for each pt are kept in individual drawer


& transported to wards by
means of a medication trolley.

Calculation

MANUFACTURE

Preparation

Sodium Bicarbonate Powder, Ung. Cocois

GMP
APPL
Purchasing

Process of quantifying drug concentrations in patients


Monitoring individual patients medicine(s) level through laboratory analysis.

Procument

Payment procedure

to design individualized dosing regimens

Receiving

to maximize efficacy & minimize toxicity


to provide individualized dosage adjustments through
the measurement of serum drug levels

Control
Stock

to monitor effect of certain drug on the patient to avoid any


possible adverse effect
Concept
Procedures
Working

Level
count

Arrangement

Discrepancy of stock
level
FIFO, FEFO
Injection

Storage
Indication of TDM
level confirmation

Store

Drug store

Method of storage

assess compliance

Formula, Calculation: CrCl, Vd, Ke

Freeze room 2-8 C


General room 18-25C
Bin card: alphabetical order

design individualised dosing

TDM

Tablet

N/drug store

check for toxicity

Type of Drugs assayed


Amikacin, Gentamicin, Theophylline, Phenytoin, Carbamazapine,
Valproic acid, Phenobarbitone, Vancomycin, Methotrexate,
Digoxin, Cyclosporin, Paracetamol

LP

Goods rejection

Method of record

STORE
Supply/Distribution
deal with
product complaint
product recall:

Hosp Inventory system