Southstar Drug Internship Module 6 PDF

INTRODUCTION TO INTERNSHIP PROGRAM ================================== 1. Financial assistance on the review center of choice 2. Board and Lodging allowance during board exam review 3. Processing fee allowance on the board exam application 4. Processing fee allowance on the PRC ID application...

INTRODUCTION TO INTERNSHIP PROGRAM ================================== 1. Financial assistance on the review center of choice 2. Board and Lodging allowance during board exam review 3. Processing fee allowance on the board exam application 4. Processing fee allowance on the PRC ID application **[MODULE 1]** TOPIC 1: COMPANY ORIENTATION ---------------------------- 1. Understand the mission, vision, core values of Southstar Drug 2. Familiarize with the physical arrangement of Southstar branch. 3. Describe the personnel of the community drugstore, and their roles and responsibilities. - 1937 -- Tomas Dy-Makao opens a Chinese herbal pharmacy in the quiet town of Naga. Located in the southern region of Luzon, he named his business Southern Drug. - 1950 -- Southern Drug begins to offer Western medicine and gradually expands to the rest of the Bicol provinces. It soon changes its name to New Southstar Drug. - 1980 -- New Southstar Drug's first store outside of Bicol opens in Metro Manila. - 1990 -- Following its expansion to the other regions, New Southstar Drug is renamed Southstar Drug. - 2000's - The company becomes the first drugstore chain to fully implement a centralized POS system in all its branches. - 2007's -- Southstar Drug is listed in the Top 1000 Corporations in the Philippines. - 1010 -- Expansion to the Visayas begins in Samar. - 2011 -- Southstar Drug acquires 50 stores from Manson Drug which gives the company market leadership in Central Luzon. - 2012 -- The company celebrates its 75^th^ anniversary, making it the longest-established drugstore chain in the country. Southstar Drug enters into a partnership with Robinsons Retail Group -one of the country's leading and strongest retail company. The company's 200^th^ store opens in Nuvali, Laguna. Southstar Drug is listed in the Top 500 corporations in the Philippines. - 2014 -- The company becomes the first drugstore to use the Supplier Portal and Analytic, a webbased solution that allows access to information about their products in South Star Drugstore anytime, anywhere. - 2015 -- The company changed its corporate logo as part of its initiative to communicate for a fresher look as a strong brand of pharmacy and as a drugstore establishing a youthful and vibrant energy. The company improves its store design as it continues to aim increase visibility and promote good health. - 2016 -- The company unprecedently opened numerous stores across the Philippines specifically in NCR, Central Luzon, Calabarzon, Bicol Region, Western and Central Visayas, Northern Mindanao and Davao Region as of date. The company is now with over 600 stores nationwide. - To become a drugstore of choice in - Service, Trust, Accessibility and Responsibility\" VISION ====== CORE VALUES =========== STORE FORMAT ============ - Rx: Pharmacy only - Rx -- SM: Pharmacy situated in a supermarket TOPIC 2: PROCESS IN OPENING A DRUGSTORE --------------------------------------- 1. Explain the general and regulatory requirements needed in opening a pharmacy. 2. Familiarize with some laws that regulate the operation of pharmacy. 3. Describe the laws pertinent to community pharmacy. A. APPLICATION THRU E-SERVICES PORTAL ===================================== - Access the online portal through www.eservices.fda.gov.ph and click "Applications" found on the upper right corner of the system. - Click on the "License to Operate" followed by "Drug" then on the lower left portion click "Drugstore" B. PRE-ASSESSMENT ================= C. PAYMENT ---------- - Payment of the total application fees as indicated in the Order of Payment (OP) may be settled on the available channels of payment through an FDA issuance. - The payment channel will send a transaction report to FDA. - FDA Cashier Section checks the details and posts the payment in the eServices Portal if payment is made in full. - Applicants will receive an acknowledgement receipt through the registered email address. **D. APPROVAL OF APPLICATION** - Approved: DA shall send the LTO to the registered email address of the applicant. - Rejected: FDA shall inform the applicant through its registered e-mail address of the reason for such on the application. E. RELEASE OF LTO ================= - Applicant shall receive the LTO in their registered email address and may also be accessed through the FDA eServices Portal. - Establishment shall print the LTO on a standard A4 size paper, on full-colored page and in portrait orientation. - LTO shall be positioned on the most conspicuous place within the business establishments. - A QR Code verifier shall be included in the LTO as basis of legitimacy of the document. MODULE 2: PHARMACY FRONT-END OPERATIONS ======================================= TOPIC 1: THERAPEUTIC CLASSIFICATION OF DRUGS -------------------------------------------- - Anesthetics - Anticonvulsant/Antiepileptic - Antimigraine - Antiparkinsonism - Antipyretic - Antivertigo - Medicine for ADHD - Medicine for cerebral edema - Medicine for dementia - Antidepressant - Antipsychotic - Anxiolytics - Hypnotics - Mood stabilizers - Antigout - Anti-osteoporosis - Disease modifying antirheumatic drugs - Non-steroidal anti-inflammatory drugs - Skeletal Muscle Relaxants - Antibacterials - Antifungal - Antiparasitic - Antiviral - Diagnostic agents - Sera and immunoglobulins - Vaccines - Cardioactive agents - Antihypertensive - Medicine for blood lipid disorder - Medicine for shock - Chronotropic agent - Medicines for peripheral artery occlusive disease - Anticoagulant - Antiasthma - Medicines for chronic obstructive pulmonary disease (COPD) - Antitussive - Respiratory Stimulant - Surfactant - Antihistamine - Coricosteroids - Hematinics - Anticoagulant - Antithrombotics - Thrombolytic - Antifibrinolytic - Anticholinergic - Antiemetic - Antimotility - For peptic ulcer - Laxative/Cathartic - Corticosteroid - Hormonal contraceptive - Antithyroid medicines - Insulin - Oral hypoglycemic - Antihypoglycemic - Oxytocics - Tocolytics - ORS - Ophthalmic - Radio contrast media - Antiinfectives - Antiinflammatory and antipruritics - Antiseptics - Keratolytic - Antipsoriasis - Emollient - Antiinfectives - Antiinflammatory - Medicine for glaucoma - Local anesthetics - Mydriatics - Medicine for Dry Eyes - Topical anesthetics - Topical antibiotic - Topical antimicrobial combinations - Topical antibiotic + corticosteroids - Topical nasal corticosteroids - Topical nasal decongestant TOPIC 2: THE PRESCRIPTION ------------------------- 1. 2. PARTS OF PRESCRIPTION ===================== *PRESCRIBER INFORMATION* - Contains information about the doctor *PATIENT INFORMATION* - Contains information about the patient *SUPERSCRIPTION* - Section of the prescription that contains the "Rx" sign, which means "Take thou" - Contains instruction to the pharmacist - Contains information about the drug - Contains instruction to the patient on how to use the medication PRESCRIPTION ERROR A. Erroneous Prescription ============================================ - If the brand name precedes the generic name. - If the generic name is the one in parenthesis. - If the brand name is not in parenthesis. - Erroneous shall be filled. Such prescription shall be kept and reported by the pharmacist of drug outlet to the nearest DOH office. B. Violative Prescription ========================= - If the generic name is not written - If the generic name is not legibly written, only the brand name is legibly written - If the brand name is indicated but there is an instruction that prevent proper generic dispensing, such as "No Substitution" - Violative prescriptions shall not be filled. Such prescription shall be kept and reported by the pharmacist of drug outlet to the nearest DOH office. C. Impossible Prescription -------------------------- - Only generic name is written but it is not legible. - If the generic name does not correspond to the brand name. - If both generic and brand name are not legible. - If the product is not registered with FDA. - Impossible prescription shall not be filled. Such prescription shall be kept and reported by the pharmacist of drug outlet to the nearest DOH office. TOPIC 3: GENERIC DISPENSING --------------------------- 1. Understand and apply the dispensing process in OTC drugs 2. Understand and apply the dispensing process in prescription drugs. 3. Recognize the importance of patient counselling  GENERIC DISPENSING FLOWCHART ============================ 1. 2. 3. 4. 5. 6. +-----------------------+-----------------------+-----------------------+ | | | Greet the customer | | | | with a smile | | | | | | | | Talk to the customer | | | | | | | | Get the order from | | | | the customer | | | | | | | | Repeat the order from | | | | the customer | +=======================+=======================+=======================+ | | | It is important that | | | | the customer confirms | | | | that the order is | | | | correct after | | | | repeating the order | | | | back to them | +-----------------------+-----------------------+-----------------------+ | | | Validate the order by | | | | comparing the order | | | | taken based on the | | | | list, prescription, | | | | or the sample that | | | | they brought with | | | | them. | | | | | | | | If the order does not | | | | match, discuss with | | | | the customer | +-----------------------+-----------------------+-----------------------+ | | | Once the order is | | | | validated, proceed to | | | | pick the items | +-----------------------+-----------------------+-----------------------+ | | | Pick the items based | | | | on the list or | | | | prescription | | | | | | | | Compare the | | | | prescription against | | | | the actual items | | | | picked | | | | | | | | Read and check the | | | | name of the item on | | | | the packaging itself | | | | | | | | Have your SIC or RPh | | | | check the items | | | | picked and sign the | | | | prescription | +-----------------------+-----------------------+-----------------------+ | | | Have the cashier | | | | process the payment | | | | after the SIC or RPh | | | | validates the order | +-----------------------+-----------------------+-----------------------+ | | | Compare the | | | | prescription, actual | | | | items picked, and the | | | | POS receipt Ensure | | | | that all of these | | | | matches the | | | | customer's order | +-----------------------+-----------------------+-----------------------+ | | | If there is a | | | | difference, please | | | | consult your SIC or | | | | RPh for the next | | | | steps | +-----------------------+-----------------------+-----------------------+ | | | Once the order is | | | | complete, validated, | | | | and processed, go | | | | back to the customer | | | | and discuss the order | | | | based on the | | | | prescription. | | | | | | | | 1. *What are the | | | | items ordered?* | | | | | | | | 2. *When is the | | | | expiry date?* | | | | | | | | 3. *When should they | | | | take the | | | | medicine?* | | | | | | | | 4. *How much did | | | | they give and how | | | | much is the | | | | change?* | | | | | | | | 5. *Return the cards | | | | that they used. | | | | Don't forget to | | | | check their | | | | GoRewards Card* | +-----------------------+-----------------------+-----------------------+ IMPORTANCE OF PATIENT COUNSELLING ================================= - To help the patient to understand the impact of illness in their life and to their families - To reduce medication errors and the risk of complications - To minimize the incidence of adverse drug reaction - Encourage the patient to modify their lifestyle RECORDING AND FILING OF PRESCRIPTION ==================================== PARTIAL FILLING OF PRESCRIPTION =============================== 1. date of partial filling; 2. quantity served and balance; 3. name and address of the drugstore; and 4. signature or initial of pharmacist. TOPIC 4: DISPENSING AND LABELLING OF LOOSE MEDICINE --------------------------------------------------- 1. Understand the importance of white label in community pharmacy. 2. Develop skills in dispensing and labeling of loose medicines  MODULE 3: WAREHOUSING ===================== TOPIC 1: STORAGE REQUIREMENTS FOR PHARMACEUTICAL PRODUCTS --------------------------------------------------------- 1. Explain the different storage conditions of pharmaceutical products. 2. Understand the importance of cold chain management in temperature-sensitive medicines. 3. Familiarize with the medicines that require cold chain management. 4. Monitor and record the temperature inside the store. The following are the different recommended storage conditions: 1. Store in a cold place -- the product should be placed in a refrigerator having a temperature not exceeding 8⁰C 2. Store in a cool place -- the product should be placed in an environment having a temperature of 8 -- 15⁰C 3. Store in a room temperature -- the product should be placed in an environment having a temperature of 15 -- 30⁰C. The official room temperature is 25⁰C. 4. Protect from light -- the product is light-sensitive and should not be exposed to light to avoid product degradation. It should be packages in a light-resistant container. 5. Avoid from excessive heat - the product should not be placed in an environment having a temperature of more than 40⁰C 6. Warm temperature -- the product should be placed in an environment having a temperature of 30 -- 40⁰C COLD CHAIN MANAGEMENT ===================== Medicines that Require Cold Chain Management ============================================ 1. Suppositories 2. Vaccines 3. Insulin 4. Cytotoxic Drugs  c TOPIC 2: RECEVING OF ITEMS AND QUALITY CHECKING ----------------------------------------------- 1. Understand the importance of inventory control. 2. Familiarize on the process on ordering and receiving of stocks 3. Explain the difference of FEFO from FIFO TOPIC 3: POLICY ON RETURN ITEMS ------------------------------- 1. Explain the different storage conditions of pharmaceutical products. 2. Understand the importance of cold chain management in temperature-sensitive medicines. 3. Familiarize with the medicines that require cold chain management. 4. Monitor and record the temperature inside the store. A. NEAR EXPIRY PRODUCTS ======================= 1. Pull-out of near expiry products is scheduled every 1^st^ week of the month. 2. All near expiry products must be consolidate and check by the stock analyst. 3. Stock analyst will document all expiring items using "Withdrawal Slip". 4. Withdraw slip are filed by the Stock Analyst. 5. All expiring products is delivered to RG department for checking, counting, and sorting. 6. After checking, RG Department issues an invoice to be pick-up by supplier. 7. All invoices are filed at the RG Department. B. DAMAGED PRODUCTS =================== 1. Items returned due to manufacturing defect/damaged should be in original and unopened seal. 2. Contents should be at least 80% of the original packaging. 3. Stock Analyst will return all products using the Withdrawal slip as proof of return. 4. Stock Analyst will return all products using Withdrawal slip as proof of return. 5. Stock analyst will document all expiring items using "Withdrawal Slip". 6. All branches will pull-out the said expiring products every 1st week of the month. 7. All damaged products will be delivered to RG Department for checking, counting and sorting. 8. RG Department will issue an invoice to be pick-up by supplier. 9. All invoices will be filed at the RG Department for documentation purposes C. INITIAL STOCKS ----------------- 1. 2. 3. 4. D. LOOSE STOCKS --------------- 1. Items should not be cut into pieces 2. If loose stocks are more than 10 tablets, please include the box with the same lot no. & expiry date 3. Good stocks should be transferred to "mother branch" ZNG3 for Bicol EPC for Manila and PAC4 for Region 3. 4. Mother branch should consolidate & return the stocks according to schedule specified. MODULE 4: ACCOUNTING AND FINANCE ================================ TOPIC 1: SENIOR CITIZEN DISCOUNT -------------------------------- 1. 2. a. Senior Citizen ID b. Prescription c. Purchase Slip Booklet d. Passport or any government-issued ID indicating an elderly's birthday Senior Citizen's Price 71.43 ============================ 3. The discount is non-transferable. 4. Double discounts are not allowed. 5. The drugstore may limit the dispensing of OTCs for supply of one day but not to exceed to a maximum of 7 days supply. A. PRESCRIPTION DRUGS ===================== prescription requirements & Patient counseling B. OVER-THE-COUNTER ===================