17PCBPP14                              PHARMACY PRACTICE II

Course Objectives:
Upon completion of the course, the student will be able to

• Understand the professional roles of pharmacists in community, hospital and clinical pharmacy areas.
• Understand the professional responsibilities of the pharmacists.
• Provide the intended services.

1. )  Hospital Pharmacy Stores Management                                   04 hrs

• Stores Management, Drug Purchase and Procurement, Inventory Control and GPP. Management of
  Material and Finance.

2) Drug Dispensing and Drug Distribution                                      08 hrs

• Drug distribution – various methods, individual order method, Floor Stock Method, Unit Dose Drug
  Distribution Method, Drug basket method, Distribution to ICCU/ICU/Emergency wards,
  Automated
  drug dispensing systems and devices , Distribution of Narcotic and Psychotropic substances
  , GPP associated with all these.

3) Central Sterile Supply Services                                                        02 hrs
4)Prescription and prescription handling                                        05 hrs

• Definition, Parts of prescriptions, good prescribing practices, legality of prescriptions, identification of drug related problems in prescriptions.
• Prescription handling, labeling of dispensed medications (Main label, Ancillary label, pictograms),
  Medication usage instructions.
• Good dispensing practices
• Drug Interactions (Drug-Drug, Drug-Food, Drug-Lab investigations) – types, interpretation and
  detection, prevention, Practice on market prescriptions, Use of drug interaction software’s.
• PPIs – (Patient Package Insert) – Basic concept, Importance and beneficial use of PPIs.
  Scenario
  in India and other countries.

5) Pharmaceutical Care                                     02 hrs
Definition, principles and procedures of pharmaceutical care

6) Patient Counseling                                         04 hrs
Definition, various stages of patient counseling, barriers in counseling and strategies to overcome
barriers in patient counseling. Patient information leaflets- definition, layout and design of PILs.

7) Health Screening Services                           04 hrs
Definition, scope, and uses of health screening services, procedures involved in screening blood
pressure, capillary blood glucose, body mass index

8) Interpretation of laboratory data              10 hrs

• Haematological, Liver function, Renal function, thyroid function tests
• Tests associated with cardiac disorders
• Fluid and electrolyte balance
• Microbiological culture sensitivity tests
• Pulmonary Function Tests

COURSE OUTCOME:
At the end of the course, the student will be able to
CO1 Able to manage pharmacy stores and perform ABC Analysis to maintain inventory in hospital pharmacy.

CO2 Peform and analyse prescriptiopn auditing and follow good disepensing practices

CO3 Analyze the practice involved in Clinical Pharmacy Services including clinical discussion

CO4 Able to peform health screen services for the patient approaching hospitals

CO5 Interpret the laboratory results to aid the clinical diagnosis of various disorders

REFERENCES:

Practice Standardsand Definitions – The Society of Hospital Pharmacists of Australia.
Basic skills in interpreting laboratory data – Scott LT, American Society of Health System PharmacistsInc.
Biopharmaceutics and Applied Pharmacokinetics – Leon Shargel, Prentice Hall publication.
A text book of Clinical Pharmacy Practice; Essential concepts and skills, Dr.G.Parthasarathi etal, Orient Orient Langram Pvt.Ltd.ISSBN8125026
Hospital pharmacy by William .E. Hassan

A text book of Hospital Pharmacyby S.H.Merchant & Dr. J.S. Qadry. Revised by R.K.Goyal & R.K.Parikh
Pharmaceutical statistics- practical and clinical applications, Sanford Bolton 3rd edition, publisher Marcel Dekker Inc.NewYork.
Drug Information- A Guide for Pharmacists, Patrick M Malone, Karen L Kier, JohnE Stanovich , 3rd edition, McGraw Hill Publications2006