Hospital Pharmacy Lecture Notes PDF

I. HOSPITAL PHARMACY  Hospital pharmacists His role is to ensure the 5 “rights” are respected: – right patient – right dose -With the right information – right route -Documentation – right time – right drug  HOSPITAL...

I. HOSPITAL PHARMACY  Hospital pharmacists His role is to ensure the 5 “rights” are respected: – right patient – right dose -With the right information – right route -Documentation – right time – right drug  HOSPITAL PHARMACY Staff work in a pharmacy department – Pharmacists – Pharmacy Technician – Nurses – Students – Storekeepers – Porters – Administrative and Clerical Staff – Domestic Staff  HOSPITAL PHARMACY Pharmacy Director Staff Pharmacist  Pharmacy and Therapeutics (P&T) Committee 1. Purpose 1. Advisory 2. Educational 2. Organization and Operation Composed of at least 3 physicians, a pharmacist and a representative of the nursing staff Organizational Structure of a Hospital  Hospital Classifications Ownership – Government – Private Mosque or church Operated/Affiliated, Corporation Not-for Profit or For Profit e.g. 57357 Hospital Types of Care-Primary, Secondary, Tertiary Acute or Chronic General or Specialty Teaching Affiliation 1- Tertiary Hospital - fully departmentalized and equipped with the service capabilities needed to support certified Medical Specialists and other licensed physicians rendering services in the field of Medicine, Pediatrics, Obstetrics and Gynecology, Surgery, their subspecialties and ancillary services. 2- Secondary Hospital - equipped with the service capabilities needed to support licensed physicians rendering services in the field of Medicine, Pediatrics, Obstetrics and Gynecology, General Surgery and other Ancillary Services. 3- Primary Hospital - equipped with the service capabilities needed to support licensed physicians rendering services in Medicine, Pediatrics, Obstetrics and Minor Surgery.  A primary hospital is a hospital which offers primary care services to patients. Primary care is the main point of contact for patients entering the health care system, whether they are making an appointment for routine vaccinations or going to the doctor about a chronic cough. A variety of services are offered at a primary care hospital, including referrals to specialty hospitals and providers who can provide advanced care to patients who cannot be treated in a primary care facility alone.  At a primary care hospital, patients have access to a number of preventative care services including routine health screenings, vaccinations, and health education. They can also receive maintenance care for chronic conditions such as diabetes, depression, and asthma. Organizational Structure of a Hospital Organizational Structure refers to levels of management within a hospital. Levels allow efficient management of hospital departments. The structure helps one understand the hospital’s chain of command.  Organizational structure varies from hospital to hospital. Large hospitals have complex organizational structures. Smaller hospitals tend to have much simpler organizational structures. Grouping of Hospital Departments Within the Structure: Hospital departments are grouped in order to promote efficiency of facility. Grouping is generally done according to similarity of duties. Common Categorical Grouping: Administrative Services Informational Services Therapeutic Services Diagnostic Services Support Services  Administrative Services Hospital Administrators 1. Chief executive officer (CEO), Vice President(s), Executive Assistants, Department Heads 2. Business people who “run the hospital” 3. Supervise budgeting and finance They establish hospital policies and procedures. They often perform public relation duties  Informational Services Document and process information Includes: 1. Admissions 2. Billing & Collection 3. Medical Records 4. Computer Information Systems 5. Health Education 6. Human Resources  Therapeutic Services Provides treatment to patients Includes following departments: 1. Physical Therapy (PT) - treatment to improve large muscle mobility 2. Occupational Therapy (OT) - treatment goal is to help patient regain fine motor skills 3. Speech/Language Pathology - identify, evaluate, treat speech/language disorders 4. Respiratory Therapy - treat patients with heart & lung disease  Therapeutic Services cont… 5. Medical Psychology - concerned with mental well-being of patients 6. Social Services - connect patients with community resources (financial aid, etc.) 7. Pharmacy - dispense medications 8. Dietary - maintain nutritionally sound diets for patients 9. Sports Medicine - provide rehabilitative services to athletes 10. Nursing - provide care for patients  Diagnostic Services Determines the cause(s) of illness or injury Includes: 1. Medical Laboratory - studies body tissues 2. Medical Imaging - radiology, MRI, CT, Ultra Sound 3. Emergency Medicine -provides emergency diagnoses & treatment  Support Services Provides support for entire hospital Includes: 1. Central Supply - orders, receives, stocks & distributes equipment & supplies 2. Biomedical Technology - design, build repair, medical equipment 3. Housekeeping & Maintenance - maintain safe, clean environment Traditional Board Organizational Chart Administration Information Therapeutic Diagnostic Support Services Services Services Services Admissions PT, OT Med. Lab Central Supply Billing, etc. Speech/Lang. Radiology Biomedical Med. Records Resp. Therapy Nuclear Med Housekeeping Computer Info. Pharmacy ER Maintenance Health Ed. Nursing Cardiology Dietary Human Resour. Dietary Neurology Transportation  Pyramid demonstrates a symbolic Board organizational structure of a Admin. Services hospital. Information Services Therapeutic Services Diagnostic Services Support Services