Manual of Practice DRUGS

OBJECTIVE: To establish the general requirements of Practice to be observed in p

harmaceutical care applied to the acquisition, storage, preservation and dispens
ation of industrial products in pharmacies and drugstores. DEFINITIONS: Dispensa
tion: The act of providing guidance and consumer of drugs, medicines, pharmaceut
ical and related to financial reward or not. Specialty Pharmaceuticals: product
from the pharmaceutical industry registered with the Ministry of Health and avai
lable on the market. Drugstore: establishment of dispensing and sale of drugs, m
edicines, pharmaceutical and related supplies in their original packaging. Techn
ical Manager: a qualified professional registered with the Regional Council of P
harmacy, according to the law. Sanitation: A set of procedures designed to maint
ain hygienic conditions. Product: substance or mixture of natural substances (mi
nerals, animal and vegetable) or synthetic used for therapeutic, prophylactic or
diagnostic purposes. Medicine: pharmaceutical product, technically obtained or
prepared, with purpose: prophylactic, curative, palliative or diagnostic purpose
s. Drug Reference: innovative product registered with the federal agency respons
ible for health surveillance and marketed in the country, whose efficacy, safety
and quality have been scientifically proven by the competent federal agency at
the time of registration. Generic Drug: medicine similar to a reference product
or innovative, it is intended to be interchangeable in this, usually produced af
ter expiration or termination of patent protection or other exclusive rights, pr
oven its effectiveness, safety and quality, and designated by the DCB or failing
that by the DCI. Similar Drugs: one that contains the same or more active ingre
dients, has the same concentration, dosage form, route of administration, dosage
and therapeutic indication, prevention or diagnosis of the reference product re
gistered with the federal agency responsible for health surveillance, which may
differ only
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Manual of Practice DRUGS characteristics related to size and shape of the produc
t, shelf life, packaging, labeling, ingredient, and vehicles should be identifie
d by its trade mark. Correlative: it's all substance, product, appliance or acce
ssory, the use or application is connected to the defense and protection of indi
vidual or collective health, hygiene and personal environments, or for diagnosti
c and analytical. Storage / storage: A procedure that enables the orderly and ra
tional stock of various categories of materials and products. Product Registrati
on: private act of the competent organ of the Ministry of Health, designed to sh
ow the right to manufacture the product, subject to a system of sanitary surveil
lance. Batch number: name printed on the label of a medicinal product and subjec
t to the system of health surveillance, identifying the batch or shipment to whi
ch he belongs. Disposable product: any product of single use. Shelf life of prod
uct: the deadline for use of a product. Packaging: wrapping, container or any fo
rm of packaging, removable or not to cover, packaging, bottling, protect or main
tain specific or not the products. Label: identification printed or lithographed
, and words painted or engraved on fire, pressure, or modeled, applied directly
on the container, containers, wrappers, wraps or other protective packaging. Pha
rmaceutical Care: the compendium of attitudes, behaviors, commitments, from worr
y, ethical values, functions, knowledge, responsibilities and skills of pharmaci
sts in the provision of pharmacotherapy with the objective of achieving defined
therapeutic outcomes in health and quality of life of patients. Recipe: written
prescription drug, containing guidelines for use by the patient, performed by a
legally qualified. Drill cutting: drilling and cutting tool at the same time. An
tisepsis: use of substances capable of preventing the action of microorganisms b
y destruction or inactivation.
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Manual of Good Practices Correlate DRUGS: substance, product, device, or applica
tion whose use is linked to the defense and protection of individual or collecti
ve health. Pharmaceutical Care: the set of actions and services to ensure compre
hensive care, the promotion, protection and restoration of health in public or p
rivate, performed by the pharmacist or under his supervision.€QUALIFICATION AND
RESPONSIBILITY OF STAFF The admission of officials should be preceded by medic
al examinations. Personnel involved with the drugs both in handling and in the
ir control, should receive training so that knowledge and experience to the work
to which it proposes. The Pharmacist in charge, if not the owner, needs to re
ceive from his superiors all the assistance necessary for efficient work, as req
uired by the practice of dispensing drugs. In the event of suspected or confir
med illness the employee must be away from their activities complying with legis
lation. All employees should be counseled about the personal hygiene and unifo
rms must be clean and in good condition. PHYSICAL FACILITIES The pharmacy must
be located, designed and built with an adequate infrastructure for the activiti
es developed. Access to the drugstore to be independent so as not to allow com
munication with home or elsewhere other than the establishment. The premises m
ust have surfaces (floor, wall and ceiling) are smooth and impermeable, no crack
s, resistant to sanitizers and easily washable. The environments must be prote
cted against entry of insects and rodents. The conditions of ventilation and l
ighting must be compatible with the activities.
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Manual of Practice DRUGS The electrical installations must be well kept in goo
d conditions of safety and usage. The toilet should be easily accessible, kept
in a clean condition and have sink with running water. The local drugstore sh
ould have to guard the belongings of employees. Must possess fire fighting equ
ipment in adequate quantities, as specific legislation. RECEIPT OF GOODS Upon
receipt, each supply must be examined as to their documents and physically inspe
cted to ensure that the physical conditions are checked, label, type, manufactur
ing date, expiration date and quantity. Check the invoice as to the name, quan
tity, price, payment terms and that the shipment was made to order. The produc
ers (manufacturer or laboratory) are required to inform on each unit produced, t
he following items: • • • • • • • • • • • The name of the pharmaceutical product
- the generic name and trade (see the legislation). Name and address of the man
ufacturer with telephone service for customer care (SAC). Name of the technical,
registration number and acronym of the Regional Council of Pharmacy of your sta
te. Registration number in the Ministry of Health as published in the Official G
azette. Date of manufacture. Expiration date, that period must be at least a yea
r to a higher turnover of products. Lot number to which the unit belongs. Compos
ition of pharmaceuticals. Weight, net volume or number of units if applicable. P
urpose, use and application. Precautions, special care.
If there is disagreement on one or more of the above items, do not receive the p
roducts, doing the following:
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Manual of Practice DRUGS • • Sign-handed the invoice and return it to the delive
rer. Forward the invoice as directed by the company.
STORAGE AND CONSERVATION OF MEDICINAL Space for the rational flow of people an
d materials in order to minimize the risk of: • Breaks / contamination. The bo
xes of medicines should not be placed directly on the floor. The thermolabile
medicines must be stored immediately when they arrive at the pharmacy, and must
be done to check the temperature of the refrigerator to see if it's ideal. It sh
ould also be avoided to the maximum, the exposure of these products, any type of
light, avoid direct exposure to soil and does not allow the freezing of these p
roducts, they lose their pharmacological activities. The workplace must be kep
t clean, free from dust and contamination, the garbage collected on the premises
 must be disposed of through safe and sanitary systems, and deposited in special
containers with lid and removed as quickly as possible, special attention shoul
d be given the garbage room of injectables. The area or place of storage shoul
d have sufficient capacity to ensure the orderly storage of various product cate
gories. Have adequate security conditions for storage of flammable second tech
nical standards, federal, state, municipal and Federal District. Have local or
segregation system properly identified,€outside the area of dispensation for th
e safekeeping of products that have proven irregularities or expiry date. Drug
s abused or suspected of contamination should be removed from stocks traded, ide
ntified and segregated into completely separate areas so as not to be sold by mi
stake and not contaminate other goods. Check that the transport conditions wer
e compatible with the storage conditions required for medications and products.
The drugs and the products must be accompanied by their periods of validity, b
atch number, number of registration at the Ministry of Health and
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Manual of Practice DRUGS present with specified composition and packaging, leafl
ets and labels intact. It is forbidden to place labels with new expiry dates a
nd / or lot number on the validity and / or lot number in the original packaging
and dispensing to the public of products and medications with expiration dates.
All products and medicines with problems and / or irregularities should be re
moved from the area of dispensing to the public and communicated to the Departme
nt of Health Surveillance for the appropriate measures, especially those related
to a precautionary ban and / or destruction. The drugs must be stored on shel
ves in places that do not receive direct sunlight. Products with expiry date o
r malfunctioning may segir two destinations: • Can be returned to the supplier (
manufacturer or laboratory), by invoice to return with the words "damaged goods
or goods due", aiming at the goal of discarding . If no conditions for implement
ing the above procedure, the pharmacist in charge must apply to the competent he
alth authority, to receive guidance on the disposal of such.
•
SUPPLY / DISPENSATION The act of dispensing pharmaceuticals to the public, its
operations must be properly recorded as a separate document and available to th
e competent health authority. The sanitizing bleach, veterinary products, appl
iances and accessories should be in a specific location separate from other prod
ucts and medications. Check the dosage, route of administration and duration o
f treatment, if necessary in case of doubt check with your doctor. Guiding the
patient appropriate use of medication at the time of dispensing, work for ratio
nal use of medication.
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Manual of Practice DRUGS
Record sale of product, for statistical control of inventory and forecast cons
umption. The program of computerization of the pharmacy business, you must pro
vide the administrative sector of the pharmacy, recording the entire history of
movement of the product dispensed. In the act of dispensing it is necessary to
highlight some important aspects: • • • • • • • • • • Name of medicine establis
hed medicinal product Dosing Directions for use Precautions Side effects Interac
tions Storage Instructions Clarify the patient re-suspension lyophilized drugs,
with use of boiled or filtered. Ensure that the patient has been cleared up prop
erly and with respect.
Build a system of information and educational material for research on medicin
es if necessary. Warn the patient about self-medication and its consequences.
Register in the book of injecting all prescriptions dispensed for this purpose
. APPLICATION OF INJECTABLES For the delivery of application services to injecti
on drug store should have: Local separately, and equipped for proper implement
ation of injectables with independent access so as not to serve as a passage to
other areas. Facilities in hygienic and sanitary and in good repair. Profess
ionals legally qualified to perform the procedures.
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Manual of Practice DRUGS Conditions for the disposal of skin-piercing properly
aimed to avoid risks of accidents and contamination, as well as from other wast
e resulting from the application of injectables. The drugs should be administe
red only by prescription from a qualified professional. In the application of
injectable drugs can not be certain of the quality of the product to be administ
ered and if the product have differentiated characteristics as color, odor, turb
idity, or foreign body inside the product, it should not be administered, and th
e professional services notify the Health Surveillance.€GENERIC DRUGS It is the
duty of pharmacists responsible for technical drugstores: Clarify the user abo
ut the existence of generic drugs, replacing, if necessary, the drug prescribed
solely by the corresponding generic drug, unless specifically requested in his o
wn handwriting recorded in the document by the prescribing professional . Indi
cate on the back of the substitution of prescription, citing the generic drug ma
nufacturing industry and, affixing a stamp bearing his name and registration num
ber in the CRF, place and date by signing the declaration. In the act of dispe
nsing explain in detail the patient about the use of the product, providing all
necessary guidance to its rational use. To inform the patient and the prescrib
er to the existence or not of generic drugs, differentiating them from similar.
FOOD The pharmacist can dispense the following food categories: I. Foods for spe
cial purposes, regulated by specific legislation in force, as specified below: a
. Foods for restricted diets with nutrients;
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Manual of Practice DRUGS Foods with carbohydrate restriction (dietary sweetene
rs and without sugar). foods with restricted fat diets. Food for protein-res
tricted diets (phenylketonuria). foods diet with sodium restriction. b. Food f
or controlled nutrient intake: Food for weight control. Feeds for practi
cing physical activities. Food diets for enteral nutrition. Food dietary intake
of sugars controlled.
c. Food for population groups Foods for infants, breast milk substitutes (modi
fied powder milk / whole milk powder) Food supplements for pregnant and lactat
ing women. Food elderly. d. Other specific foods: Vitamin supple
ments and / or minerals. Artificial salt. Foods rich in fiber. Functional foods.
Mel and derivatives. Aromatic teas. RECONSTRUCTIONIST lyophilized intestinal fl
ora.
The pharmacist can not allow the dispensing in pharmacies and drugstores of the
following foods: 1. Conventional foods and beverages in general "in nature" and
/ or industrialized. 2. Diet sodas. 3. Pasteurized milk, sterilized, and other d
airy products in liquid form. 4. Foods for special purposes not included in the
Law of Health Surveillance. 5. Modified conventional foods as low, low level, hi
gh content, power, or low, light, rich or high, souce.
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Manual of Practice DRUGS
Must observe the following procedures regarding the custody and dispensing of fo
od provided by law: 1. Food must be registered with the competent ministry. 2. M
ust be separated from other products and medicines. 3. The products must meet th
e labeling of specific legislation. 4. Must be pre-packaged units being prohibit
ed its fractionation. 5. Consumers should be counseled about the differences, in
dications and risks of using these foods. The correlates RELATED sold in drugsto
res are: Dietetic products: sweeteners in the form of powder and liquid. Hos
pital and Medical Articles: disposable collector of feces and urine, breast prot
ector, suspenders scrotal, shower gynecological products for pregnancy test, the
rmometers, water bags, etc.. Products for personal hygiene: internal and exter
nal sanitary napkins, toothpaste, soap, talcum powder, toothbrush, etc.. Perfu
mery: shampoos, nail polishes, conditioners, hair dyes, etc.. Miscellaneous pr
oducts: disposable diapers for adults and children, baby wipes, rubber gloves, c
omb hair, nail and cuticle pliers, nail clippers, among others. The OTC products
OTC products do not have their prices fixed, ie not set a maximum value for con
sumers. The rate undergoes a change of drugstore to drugstore. These products do
not rely on prescription drugs and their sale is permitted in hotels, bars, res
taurants, etc ...
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Manual of Practice drugs some examples: Swabs Cotton Absorbent Pads Ba
nd-Aids Bandages Gauze Merthiolate Condoms Antipyretics Analgesics A
ntacids
COMMUNICATION IN THE SERVICE There are many types of patients / customers. When
communicating search: Use a clear and objective language. Ask your name and
try to call him by name. Ask questions only clear and objective.€Know listen
carefully and show confidence and interest in avoiding carelessness or inattent
ion. Never interrupt your speech. Maintain a friendly smile and sincere care
for and be honest. It is necessary to maintain a healthy appearance and clean
liness body, if possible use of lab coats or aprons. WELL IS NEEDED TO MEET
Home December 11
Manual of Practice DRUGS Develop your personal ability. Knowing well the com
pany and the work to be developed. Remain calm in any situation, even if the c
lient is uncontrolled. Listening is indispensable for anyone who serves the pu
blic, because look, keep up the weights and needs of partners are important requ
irements to identify the type of customer and serve them the most convenient way
possible.
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