منهج مقرر التدريب ميداني
معايير الجودة بالمستشفيات
مقرر صيدلة مستشفيات
من المقررات المهمة في التدريب الميداني
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المهارات المطلوبة بالمقرر |
Orientation:
Pharmaceutical serves area in hospital classified to:
1. In patent area
is the area which give pharmaceutics serves to pt admission in hospital
2. Out patent area
is the area which give pharmaceutics serves to pt out of hospital
3. Other area
which include:
a. ER pharmacy
b. Extemporaneous preparations Lab
c. Sterile area
d. Narcotic and control drug dispensary
e. Central drugs
f. DPIC unit
g. Quality control unit
h. Administration
i. Medication store
Some Pharmacy standards
PH.1. The hospital has a pharmacy service department and headed by a qualified pharmacist with appropriate experiences.
PH.2. The pharmacy has a clear mission, vision, and values.
PH.3. The pharmacy space is adequate. Hours of operation are determined, announced and followed .
PH.4. The pharmacy has qualified and licensed staffing.
PH.5. The pharmacy actively participates in all relevant hospital committees as evidenced by meeting minutes.
PH.6. The pharmacy has updated internal policy and procedures for all available services (IPPs)
PH.8. The pharmacy has administrative rules regarding availability of medications 24-hours a day.
PH.12. The pharmacy has infection control guidelines
PH.19. The pharmacy has a system for handling pharmaceutical sales representatives and free medical samples.
PH.26. The pharmacy has a system for managing floor stock medications
PH.37. There is a process for monitoring, detecting, and reporting adverse drug reactions (ADRs)
PH.38. There is a process for monitoring, identifying and reporting significant medication errors
PH.39. The pharmacy evaluates & monitors for drug indications, correct route of administration, drug interactions, and administration time.
PH.58. Drug Information Service is available
PH.59. If drug information service is not available, pharmacy areas should have adequate drug information resources
PH.60. The pharmacy shows evidence of Quality
PH.61. Security measures are in place
1. In patent area
is the area which give pharmaceutics serves to pt admission in hospital
2. Out patent area
is the area which give pharmaceutics serves to pt out of hospital
3. Other area
which include:
a. ER pharmacy
b. Extemporaneous preparations Lab
c. Sterile area
d. Narcotic and control drug dispensary
e. Central drugs
f. DPIC unit
g. Quality control unit
h. Administration
i. Medication store
Some Pharmacy standards
PH.1. The hospital has a pharmacy service department and headed by a qualified pharmacist with appropriate experiences.
PH.2. The pharmacy has a clear mission, vision, and values.
PH.3. The pharmacy space is adequate. Hours of operation are determined, announced and followed .
PH.4. The pharmacy has qualified and licensed staffing.
PH.5. The pharmacy actively participates in all relevant hospital committees as evidenced by meeting minutes.
PH.6. The pharmacy has updated internal policy and procedures for all available services (IPPs)
PH.8. The pharmacy has administrative rules regarding availability of medications 24-hours a day.
PH.12. The pharmacy has infection control guidelines
PH.19. The pharmacy has a system for handling pharmaceutical sales representatives and free medical samples.
PH.26. The pharmacy has a system for managing floor stock medications
PH.37. There is a process for monitoring, detecting, and reporting adverse drug reactions (ADRs)
PH.38. There is a process for monitoring, identifying and reporting significant medication errors
PH.39. The pharmacy evaluates & monitors for drug indications, correct route of administration, drug interactions, and administration time.
PH.58. Drug Information Service is available
PH.59. If drug information service is not available, pharmacy areas should have adequate drug information resources
PH.60. The pharmacy shows evidence of Quality
PH.61. Security measures are in place
FT2 Part II
Pharmaceutical serves area in hospital
Pharmaceutical serves area in hospital classified to:
Other area
which include:
ER pharmacy
Extemporaneous preparations Lab
Sterile area
Narcotic and control drug dispensary
Central drugs
DPIC unit
Quality control unit
Administration
Medication store
Sterile medication area
Sterile medication classified to :
I.V. drug administration
I.V. nutrition
IV preparation divided to:
intravenous nutrition
antibiotic preparation (reconstitution)
Chemotherapy
IV Sterile medication area divided to:
I.V. Solution admixture unit
Chemotherapy unit
· maintaining sterile conditions in the area
· maintaining sterility of the entire room
· practicing aseptic techniques under supervision
· preparing I.V. additive solutions under close supervision
Cont. Some Pharmacy standards
PH.44. The pharmacy has a safe system for Extemporaneous Preparations and:
PH.44.1 Written IPP for extemporaneous preps.
PH.44.2 Only Oral and Topical preparations are extemporaneously prepared.
PH.44.3 There are adequate equipment and glass wares (e.g., weighing scale, bottles, jars, mortar, filters, electric heater, thermometer, etc).
PH.44.4 There is a sink with water supply and stainless steel surface.
PH.44.5 Working bench is clean with a smooth surface.
PH.44.6 A log is maintained as of preparation name, strength, quantity prepared, batch number, preparation and expiration date, prepared by & checked by, etc.
PH.44.7 Printed or hand written label should reflect preparation name, strength, batch number, and expiration date.
PH.44.8 Preparation manual (formula book) is available and properly referenced (ASHP, BP and or USP Guidelines).
PH.44.9. If compounding is done by an outside vendor, a copy of contract, registration license, and formulation should be available.
PH.44. The pharmacy has a safe system for Extemporaneous Preparations and:
PH.44.1 Written IPP for extemporaneous preps.
PH.44.2 Only Oral and Topical preparations are extemporaneously prepared.
PH.44.3 There are adequate equipment and glass wares (e.g., weighing scale, bottles, jars, mortar, filters, electric heater, thermometer, etc).
PH.44.4 There is a sink with water supply and stainless steel surface.
PH.44.5 Working bench is clean with a smooth surface.
PH.44.6 A log is maintained as of preparation name, strength, quantity prepared, batch number, preparation and expiration date, prepared by & checked by, etc.
PH.44.7 Printed or hand written label should reflect preparation name, strength, batch number, and expiration date.
PH.44.8 Preparation manual (formula book) is available and properly referenced (ASHP, BP and or USP Guidelines).
PH.44.9. If compounding is done by an outside vendor, a copy of contract, registration license, and formulation should be available.
PH.48. The pharmacy provides all Intravenous admixture services in the hospital.
PH.49. The Pharmacy Intravenous admixture service is safe :
PH.50. The Pharmacy Intravenous Admixture section is fully equipped and well maintained.
PH.51. If no Pharmacy-based IV admixture program is in place, pharmacy provides:
PH.52. If no Pharmacy-based IV admixture program is in place, the pharmacy is responsible for:
PH.53. Only Pharmacy Department provides Chemotherapy admixture services.
PH.54. Chemotherapy Preparation Service is provided by certified pharmacy staff in a fully equipped and properly designed place according to Occupational Safety and Health Administration (OSHA) Standards.
PH.55. There is a safe system for handling Chemotherapy Preparation
PH.56. Only the pharmacy provides Total Parenteral Nutrition (TPN) services.
PH.57. There is a safe system for Total Parenteral Nutrition (TPN) Services.
Pharmaceutical serves area in hospital classified to:
- In patent area
- Out patent area
- Other area
Other area
which include:
ER pharmacy
Extemporaneous preparations Lab
Sterile area
Narcotic and control drug dispensary
Central drugs
DPIC unit
Quality control unit
Administration
Medication store
Sterile medication area
Sterile medication classified to :
I.V. drug administration
I.V. nutrition
IV preparation divided to:
intravenous nutrition
antibiotic preparation (reconstitution)
Chemotherapy
IV Sterile medication area divided to:
I.V. Solution admixture unit
Chemotherapy unit
· maintaining sterile conditions in the area
· maintaining sterility of the entire room
· practicing aseptic techniques under supervision
· preparing I.V. additive solutions under close supervision
Cont. Some Pharmacy standards
PH.44. The pharmacy has a safe system for Extemporaneous Preparations and:
PH.44.1 Written IPP for extemporaneous preps.
PH.44.2 Only Oral and Topical preparations are extemporaneously prepared.
PH.44.3 There are adequate equipment and glass wares (e.g., weighing scale, bottles, jars, mortar, filters, electric heater, thermometer, etc).
PH.44.4 There is a sink with water supply and stainless steel surface.
PH.44.5 Working bench is clean with a smooth surface.
PH.44.6 A log is maintained as of preparation name, strength, quantity prepared, batch number, preparation and expiration date, prepared by & checked by, etc.
PH.44.7 Printed or hand written label should reflect preparation name, strength, batch number, and expiration date.
PH.44.8 Preparation manual (formula book) is available and properly referenced (ASHP, BP and or USP Guidelines).
PH.44.9. If compounding is done by an outside vendor, a copy of contract, registration license, and formulation should be available.
PH.44. The pharmacy has a safe system for Extemporaneous Preparations and:
PH.44.1 Written IPP for extemporaneous preps.
PH.44.2 Only Oral and Topical preparations are extemporaneously prepared.
PH.44.3 There are adequate equipment and glass wares (e.g., weighing scale, bottles, jars, mortar, filters, electric heater, thermometer, etc).
PH.44.4 There is a sink with water supply and stainless steel surface.
PH.44.5 Working bench is clean with a smooth surface.
PH.44.6 A log is maintained as of preparation name, strength, quantity prepared, batch number, preparation and expiration date, prepared by & checked by, etc.
PH.44.7 Printed or hand written label should reflect preparation name, strength, batch number, and expiration date.
PH.44.8 Preparation manual (formula book) is available and properly referenced (ASHP, BP and or USP Guidelines).
PH.44.9. If compounding is done by an outside vendor, a copy of contract, registration license, and formulation should be available.
PH.48. The pharmacy provides all Intravenous admixture services in the hospital.
PH.49. The Pharmacy Intravenous admixture service is safe :
PH.50. The Pharmacy Intravenous Admixture section is fully equipped and well maintained.
PH.51. If no Pharmacy-based IV admixture program is in place, pharmacy provides:
PH.52. If no Pharmacy-based IV admixture program is in place, the pharmacy is responsible for:
PH.53. Only Pharmacy Department provides Chemotherapy admixture services.
PH.54. Chemotherapy Preparation Service is provided by certified pharmacy staff in a fully equipped and properly designed place according to Occupational Safety and Health Administration (OSHA) Standards.
PH.55. There is a safe system for handling Chemotherapy Preparation
PH.56. Only the pharmacy provides Total Parenteral Nutrition (TPN) services.
PH.57. There is a safe system for Total Parenteral Nutrition (TPN) Services.