Drug Stores in Hospital and Drug Distribution
Drug Stores in Hospital and Drug Distribution
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