Hospital and Clinical Pharmacy Notes
Chapter 1
Hospital Pharmacy
Definition, scope, national and international scenario
Organisational structure
Professional responsibilities, Qualification and experience requirements,
job specifications, work load requirements and inter professional relationships
Good Pharmacy Practice (GPP) in hospital
Hospital Pharmacy Standards (FIP Basel Statements, AHSP)
Introduction to NAQS guidelines and NABH Accreditation and Role of Pharmacists
Chapter 2
Different Committees in the Hospital
Pharmacy and Therapeutics Committee – Objectives,Composition, and functions
Hospital Formulary – Definition, procedure fordevelopment and use of hospital formulary
Infection Control Committee – Role of Pharmacist inpreventing Antimicrobial Resistance
Chapter 3
Supply Chain and Inventory Control
Preparation of Drug lists – High Risk drugs, Emergency
drugs, Schedule H1 drugs, NDPS drugs, reserved
antibiotics
Procedures of Drug Purchases – Drug selection, short
term, long term, and tender/e-tender process, quotations,
etc.
Inventory control techniques: Economic Order Quantity,
Reorder Quantity Level, Inventory Turnover etc.
Inventory Management of Central Drug Store – Storage
conditions, Methods of storage, Distribution, Maintaining
Cold Chain, Devices used for cold storage (Refrigerator,
ILR, Walk-in-Cold rooms)
FEFO, FIFO methods
Expiry drug removal and handling, and disposal. Disposal
of Narcotics, cytotoxic drugs
Documentation – purchase and inventory
Chapter 4
Drug distribution
Drug distribution (in- patients and out – patients) –
Definition, advantages and disadvantages of individual
prescription order method, Floor Stock Method, Unit Dose
Drug Distribution Method, Drug Basket Method.
Distribution of drugs to ICCU/ICU/NICU/Emergency
wards.
Automated drug dispensing systems and devices
Distribution of Narcotic and Psychotropic substances and
their storage
Chapter 5
Compounding in Hospitals. Bulk compounding, IV admixture
services and incompatibilities, Total parenteral nutrition
Chapter 6
Radio Pharmaceuticals – Storage, dispensing and disposal of
radiopharmaceuticals
Chapter 7
Application of computers in Hospital Pharmacy Practice,
Electronic health records, Softwares used in hospital pharmacy
Chapter 8
Clinical Pharmacy: Definition, scope, and development – in
India and other countries
Technical definitions, common terminologies used in clinical
settings and their significance such as Paediatrics, Geriatric,
Anti-natal Care, Post-natal Care, etc.
Daily activities of clinical pharmacists: Definition, goal, and procedure of
Ward round participation
Treatment Chart Review
Adverse drug reaction monitoring
Drug information and poisons information
Medication history
Patient counselling
Interprofessional collaboration
Pharmaceutical care: Definition, classification of drug related
problems. Principles and procedure to provide pharmaceutical
care
Medication Therapy Management, Home Medication Review
Chapter 9
Clinical laboratory tests used in the evaluation of diseasestates – significance and interpretation of test results
Haematological, Liver function, Renal function, thyroid function tests
Tests associated with cardiac disorders
Fluid and electrolyte balance
Pulmonary Function Tests
Chapter 10
Poisoning: Types of poisoning: Clinical manifestations and
Antidotes
Drugs and Poison Information Centre and their services –
Definition, Requirements, Information resources with examples,
and their advantages and disadvantages
Chapter 11
Pharmacovigilance
Definition, aim and scope
Overview of Pharmacovigilance
Chapter 12
Medication errors: Definition, types, consequences, and
strategies to minimize medication errors, LASA drugs and
Tallman lettering as per ISMP
Drug Interactions: Definition, types, clinical significance of drug
interactions