Drug Stores in Hospital and Drug Distribution

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DRUG STORES IN HOSPITAL

AND DRUG DISTRIBUTION

BY: ARCHANA
ROLL NO 2
HOSPITAL MANAGEMENT
DRUG STORES (PHARMACY)
• LOCATION- Away from crowded area where only key
persons can have an authorized access inside.
• DESIGNING- should have adequate space, equipment and
supplies for safe drug storage.
• Can be divided into following areas:
 Receipt area
 Verification/ inspection area.
 Lock and key area.
 Bulk storage area
 Records room
 Issue counter
 Separate area for emergency stock/ Night Dispensing Area.
 Offices.
• Storage equipments include:
 Refrigerators
 Racks.
 Compactor storage units.
 Cupboards
• OPERATIONS
 Receipt of medicines- should be checked for
quantity at first instance
 delivered goods must be in sealed and locked boxes,
if not it should be immediately reported to supplier.
 Inspection- stock should be opened in presence of
an authorized person.
 Controller must check the order against delivery note
and sign that order is correct.
 Expiry dates are to be checked, any discrepancy to be
notified to supplier , lot should be separated and
recorded on Return of Medicine form.
• Storage- All drugs can be divided into various groups:
medicinal products for internal and external use, reagents,
refrigerated items, flammables, sterile fluids, controlled
drugs, emergency drugs.
• Should be arranged according to expiry date.
• Drugs to be prevented from extreme of temperatures and
humidity.
• Stored under lock and key in intended areas.
• Stocks to be periodically checked.
• Refrigerators and cupboards not to be used for storage of
other items.
• Cytotoxic drugs should be handled carefully specially by
pregnant women.
• Codification of drugs is done.
• Labelling and Packaging.
• Issuing- drugs to be issued only to authorized person.
• Return and disposal
• Record Keeping- one drug one file system can be
followed.
 Records related to issue of drugs
 Return to supplier and disposal related documents.
• Others- list of essential drugs to be maintained.
 Hospital Formulary to be made available to all.
DISTRIBUTION
• Objectives:
 To provide drugs in identified dosage units ready for
administration.
 To protect drugs from contamination.
 Reduces the amount of Floor Stock.
 To have proper documentation and patient medication
profile
 To define emergency drugs for expediency and
efficiency.
• Drugs to be transported only by authorized
person.
• Pneumatic tubes, dumbwaiters and carts are
now used.
• Alternative systems should be present.
• Protection from pilferages on the way.
• Drugs not to be delivered through automatic
system until nurses acknowledge their arrival.
DISTRIBUTION SYSTEMS
• Floor or Ward Stock System- almost all drugs are stored on
Nursing Stations.
• Individual Prescription Order System- virtually all
medications are dispensed by the pharmacist on individual
prescription orders.
• Combination of Above Two
• Unit Dose System- Medications are contained in, and
administered from, single unit or unit dose packages.
 Medications are dispensed in ready-to-administer form to
the extent possible.
 For most medications, not more than a 24-hour supply of
doses is provided to or available at the patient-care area at
any time.
 Operated for one, two, three or four cycles a day.
• Types of UDS:
 Centralized
 Decentralized
 Combination of two.
THANK YOU

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