Registration No.

18/030
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Nepal Pharmaceutical Association (NPA)
Babar Mahal, Kathmandu, Nepal
Executive Council
Aug. 2010 – Jul. 2013

President
Uttam Budhathoki, BPharm, MPharm (KU) GPP IMPLEMENTATION MODEL IN HOSPITAL PHARMACY
9841301827 (Mobile)
01-4333376 (Residence)
011-661399, Ext. 126 (Office)
Email: [email protected]
Pharmaceutical services in Hospital Pharmacy:
i. Outpatient dispensing
Vice President
Mahesh Bhatta, BPharm, MPharm (KU) ii. Inpatient drug distribution
9841269625 (Mobile)
- (Residence)
iii. Compounding services
- (Office) iv. Control and Audit.
Email: [email protected]

General Secretary
Bibek Singh Mahat, BPharm (KU) OUTPATIENT DISPENSING
9841242359 (Mobile) i. Prescription review, billing, filling and counseling of medicines at
(Residence)
(Office) separate spots.
Email: [email protected]
ii. Double checking of prescription and medicines
Treasurer
Ganesh Maharjan, BPharm (KU)
iii. Verbal and written counseling
9851048878 (Mobile)
01-4415374 (Office)
Email: [email protected] Layout:
Co-Treasurer 1) Separate windows for receiving prescription, payment and counseling
Biswas Kafle, BPharm, MPharm (KU) to avoid dispensing errors and keep patients moving to avoid a crowd
Publicity Secretary at a window. There should be separate counseling room. There should
Sumit Chandra Shrestha, BPharm, MPharm (KU)
9841293999 (Mobile) be sufficient distance between windows to avoid mixing of patients of
(Residence)
(Office)
two windows.
Email:[email protected] 2) There should be comfortable sitting chairs/bench outside pharmacy for
Members patients to wait until the medicines are ready for dispensing. There
Dr. Rajendra Gyawali, M. Sc. (TU), PhD
9841714158 (Mobile) should be no television as it disrupts pharmacy staff and patients don't
Email: [email protected] concentrate during counseling.
Durga Bista, BPharm (KU), M. Sc. Med. Pharm. 3) The windows should be at minimal height so that short stature patients
9841619321 (Mobile)
Email: [email protected] can communicate properly. The windows should not have bars. The
Prawan Dahal, BPharm (KU)
pharmacy staff should sit on such height that eye-to-eye contact to
9841484721 (Mobile)
Email: [email protected]
patients is possible.
4) There should be no medicine in pharmacy at hand distance from any
Suman Jaiswal, D. Pharm
9751000014 (Mobile) window to avoid dispensing error.
- (Residence)
Email: [email protected]
Furniture and equipments:
Yuba Raj Bhusal, D. Pharm
9847022490 (Mobile) 1) Prescription window should contain a computer system connected to a
Email: -
label printer at filling area and billing printer as payment window.
Immediate Past President 2) Two doors refrigerator (separate freezer and refrigerator sections) to
Ajudey Prasad Shrestha, MPharm (Dhaka)
9841460484 (Mobile) avoid temperature gradient. Ice packs should be available all the time.
01-4781562 (Residence)
01-6630832 (Office) Used vials should be kept in racks of refrigerator door only.
Email: [email protected]

GPO Box 5061; Tel: +977 01 4464616; Email: [email protected]; Website: www.nepalpharmassoc.org

[Type text]
 Registration No. 18/030
g]kfn kmfdf{:o'l6sn P;f]l;o;g
Nepal Pharmaceutical Association (NPA)
Babar Mahal, Kathmandu, Nepal
Executive Council
Aug. 2010 – Jul. 2013

President
Uttam Budhathoki, BPharm, MPharm (KU) 3) Dispensing racks should start above knee height to assist comfortable
9841301827 (Mobile)
01-4333376 (Residence) filling. The dispensing racks should have sufficient filling areas for
011-661399, Ext. 126 (Office)
Email: [email protected]
scissors, patient trays, containers, sachets and labels. The racks should
be at least 3 inch above floor to conduct easy cleaning.
Vice President
Mahesh Bhatta, BPharm, MPharm (KU) 4) There should be adequate space near counseling window to put a series
9841269625 (Mobile)
- (Residence)
of filled patient trays.
- (Office) 5) Separate room, furniture, equipments, reference books for counseling
Email: [email protected]
room.
General Secretary
Bibek Singh Mahat, BPharm (KU) 6) Thermometers inside all sections of refrigerators, pharmacy room and
9841242359 (Mobile) outside pharmacy. Temperature recorded at least 3 times a day and log
(Residence)
(Office) book retained for 2 years.
Email: [email protected]

Treasurer
Ganesh Maharjan, BPharm (KU)
Personnel:
9851048878 (Mobile) 1) Only qualified pharmacist should receive prescription from patients.
01-4415374 (Office)
Email: [email protected] Pharmacist or assistant pharmacists can undertake counseling and
Co-Treasurer filling services.
Biswas Kafle, BPharm, MPharm (KU) 2) Only qualified pharmacist should undertake functions of separate
Publicity Secretary counseling room.
Sumit Chandra Shrestha, BPharm, MPharm (KU)
9841293999 (Mobile) 3) The personnel at different positions should be rotated every 2 to 3
(Residence)
(Office)
hours to minimize error.
Email:[email protected] 4) Personnel should be trained for computer use, patient communication
Members and dispensing practices.
Dr. Rajendra Gyawali, M. Sc. (TU), PhD
9841714158 (Mobile) 5) Prescription review, filling and counseling by separate staff.
Email: [email protected]

Durga Bista, BPharm (KU), M. Sc. Med. Pharm. Procedure:

9841619321 (Mobile)
Email: [email protected] a) Pharmacist receives prescription and punches into computer system the
Prawan Dahal, BPharm (KU)
followings:
9841484721 (Mobile)
Email: [email protected]
-patient identification
-route of administration
Suman Jaiswal, D. Pharm
9751000014 (Mobile) -medicine generic and brand name
- (Residence)
Email: [email protected]
-unit dose
-frequency
Yuba Raj Bhusal, D. Pharm
9847022490 (Mobile) -duration
Email: -
-quantity to dispense
Immediate Past President
Ajudey Prasad Shrestha, MPharm (Dhaka)
9841460484 (Mobile)
01-4781562 (Residence)
01-6630832 (Office)
Email: [email protected]

GPO Box 5061; Tel: +977 01 4464616; Email: [email protected]; Website: www.nepalpharmassoc.org

[Type text]
 Registration No. 18/030
g]kfn kmfdf{:o'l6sn P;f]l;o;g
Nepal Pharmaceutical Association (NPA)
Babar Mahal, Kathmandu, Nepal
Executive Council
Aug. 2010 – Jul. 2013

President
Uttam Budhathoki, BPharm, MPharm (KU) Pharmacist analyzes for potential drug related problems (List A). If some
9841301827 (Mobile)
01-4333376 (Residence) problems are identified then prescription is sent back to prescriber for review
011-661399, Ext. 126 (Office)
Email: [email protected]
with “Medication review report”. If no problem is identified then computer
outputs are
Vice President
Mahesh Bhatta, BPharm, MPharm (KU) -medication labels at filling area
9841269625 (Mobile)
- (Residence)
-bill at payment window.
- (Office) The patient should be asked to move to payment window. The prescription is
Email: [email protected]
transferred to payment window.
General Secretary
Bibek Singh Mahat, BPharm (KU)
9841242359 (Mobile) b) The contents of label should include
(Residence)
(Office) i. Patient name, identification number, location
Email: [email protected]
ii. Medicine name, dosage form, batch and expiry date
Treasurer
Ganesh Maharjan, BPharm (KU)
iii. Quantity to dispense
9851048878 (Mobile) iv. Route of administration, dosing method (Unit dose, dosing interval,
01-4415374 (Office)
Email: [email protected] duration of use)
Co-Treasurer v. Precautions, warnings related to medicine
Biswas Kafle, BPharm, MPharm (KU) vi. Hospital name
Publicity Secretary The labels can be printed on paper envelopes or 2 inch X 2 inch paper stickers.
Sumit Chandra Shrestha, BPharm, MPharm (KU)
9841293999 (Mobile) Paper stickers can be sticked directly to envelopes, bottles or containers
(Residence)
(Office)
starting from end of expiry date. The containers or envelopes should be first
Email:[email protected] labeled and then filled according to label.
Members
Dr. Rajendra Gyawali, M. Sc. (TU), PhD
9841714158 (Mobile) c) Filling process:
Email: [email protected] i. One staff should hold all labels of a patient in a patient tray.
Durga Bista, BPharm (KU), M. Sc. Med. Pharm. ii. Stick labels to envelope or containers if necessary.
9841619321 (Mobile)
Email: [email protected] iii. Fill each container or envelope according to quantity mentioned on
Prawan Dahal, BPharm (KU)
label.
9841484721 (Mobile)
Email: [email protected]
iv. Put all filled containers or envelopes in patient tray and transfer the
patient tray to counseling window. Non-labeled medicines should not
Suman Jaiswal, D. Pharm
9751000014 (Mobile) be taken to counseling window.
- (Residence)
Email: [email protected]
d) Patient clears payment and receives the bill. The cashier stamps “Paid” on
Yuba Raj Bhusal, D. Pharm
9847022490 (Mobile) prescription and passes it to counseling window. The patient is asked to wait
Email: -
outside until he is called by his name from counseling window.
Immediate Past President
Ajudey Prasad Shrestha, MPharm (Dhaka)
9841460484 (Mobile)
01-4781562 (Residence)
01-6630832 (Office)
Email: [email protected]

GPO Box 5061; Tel: +977 01 4464616; Email: [email protected]; Website: www.nepalpharmassoc.org

[Type text]
 Registration No. 18/030
g]kfn kmfdf{:o'l6sn P;f]l;o;g
Nepal Pharmaceutical Association (NPA)
Babar Mahal, Kathmandu, Nepal
Executive Council
Aug. 2010 – Jul. 2013
e) The staff at counseling window puts forward a filled patient tray and
President
Uttam Budhathoki, BPharm, MPharm (KU)
confirms the medicines in accordance with labels and prescription. If
9841301827 (Mobile) medicines in the tray are correct then he calls patients outside by patient's full
01-4333376 (Residence)
011-661399, Ext. 126 (Office) name. On arrival of patient on window, counseling staff reconfirms his
Email: [email protected]
identity and dispenses medicines with counseling points mentioned in labels.
Vice President
Mahesh Bhatta, BPharm, MPharm (KU)
If patient needs more counseling he is directed to visit counseling room. After
9841269625 (Mobile) dispensing the prescription should be stamped as “Dispensed”
- (Residence)
- (Office)
Email: [email protected] List A:
General Secretary
Bibek Singh Mahat, BPharm (KU) i. Route and sub-route of administration
9841242359 (Mobile)
(Residence)
(Office) ii. Unit dose above limit
Email: [email protected]

Treasurer iii. Maximum daily dose above maximum limit

Ganesh Maharjan, BPharm (KU)
9851048878 (Mobile) iv. Minimum daily dose below minimum limit
01-4415374 (Office)
Email: [email protected]
v. Frequency above maximum allowable frequency
Co-Treasurer
Biswas Kafle, BPharm, MPharm (KU)
vi. Non-PRN medicines given on PRN basis
Publicity Secretary
Sumit Chandra Shrestha, BPharm, MPharm (KU)
9841293999 (Mobile)
vii. Injection-Injection Incompatibility
(Residence)
(Office) viii. Injection-IV fluid Incompatibility
Email:[email protected]

Members ix. Resistant Antibiotics

Dr. Rajendra Gyawali, M. Sc. (TU), PhD
9841714158 (Mobile)
Email: [email protected]
x. Drug-drug interactions
Durga Bista, BPharm (KU), M. Sc. Med. Pharm. xi. Drug-disease interactions
9841619321 (Mobile)
Email: [email protected]
xii. Drug-Lab interactions
Prawan Dahal, BPharm (KU)
9841484721 (Mobile)
Email: [email protected] xiii. Age contraindications
Suman Jaiswal, D. Pharm
9751000014 (Mobile)
xiv.Disease contraindications
- (Residence)
Email: [email protected] xv. Pregnancy precautions
Yuba Raj Bhusal, D. Pharm
9847022490 (Mobile) xvi.Breast-feeding precautions
Email: -

Immediate Past President

xvii. Kidney impairment precautions
Ajudey Prasad Shrestha, MPharm (Dhaka)
9841460484 (Mobile) xviii. Liver impairment precautions
01-4781562 (Residence)
01-6630832 (Office)
Email: [email protected]

GPO Box 5061; Tel: +977 01 4464616; Email: [email protected]; Website: www.nepalpharmassoc.org

[Type text]
 Registration No. 18/030
g]kfn kmfdf{:o'l6sn P;f]l;o;g
Nepal Pharmaceutical Association (NPA)
Babar Mahal, Kathmandu, Nepal
Executive Council
Aug. 2010 – Jul. 2013
INPATIENT DRUG DISTRIBUTION
President
Uttam Budhathoki, BPharm, MPharm (KU)
9841301827 (Mobile) Objectives:
01-4333376 (Residence)
011-661399, Ext. 126 (Office) i. Unit dose distribution of medicines
Email: [email protected]
ii. Aseptic preparation of parenterals
Vice President
Mahesh Bhatta, BPharm, MPharm (KU)
iii. Monitoring dose administration
9841269625 (Mobile) iv. Counseling of discharge medications at patient bed.
- (Residence)
- (Office)
Email: [email protected] Personnel:
General Secretary 1) Ward pharmacists trained in medication review, counseling, dose
Bibek Singh Mahat, BPharm (KU)
9841242359 (Mobile) calculation and computer use.
(Residence)
(Office) 2) Inpatient pharmacist for double checking of filled medicines.
Email: [email protected] 3) Round the clock aseptic service run by trained pharmacists and
Treasurer pharmacy assistants. They should be trained for:
Ganesh Maharjan, BPharm (KU)
9851048878 (Mobile) -Reconstitution, dilution and mixing methods.
01-4415374 (Office) -Operate, clean and work in laminar air flow hood.
Email: [email protected]
-Filling of syringes
Co-Treasurer
Biswas Kafle, BPharm, MPharm (KU) -Maintain sterile condition of aseptic room.
Publicity Secretary
Sumit Chandra Shrestha, BPharm, MPharm (KU)
9841293999 (Mobile)
Procedure:
(Residence) a) In a ward, pharmacist reviews medication order and punches it to computer
(Office)
Email:[email protected] system directly from patient file. The information to be punched are:
Members
-patient identification
Dr. Rajendra Gyawali, M. Sc. (TU), PhD -route of administration
9841714158 (Mobile)
Email: [email protected] -medicine generic and brand name
Durga Bista, BPharm (KU), M. Sc. Med. Pharm. -unit dose
9841619321 (Mobile)
Email: [email protected]
-frequency
-duration
Prawan Dahal, BPharm (KU)
9841484721 (Mobile) -quantity to dispense
Email: [email protected]
The outputs of computer are:
Suman Jaiswal, D. Pharm -”Medication review report” for problems in List A. The report is to be
9751000014 (Mobile)
- (Residence) commented appropriately and put to patient file.
Email: [email protected]
-Medication list, labels and list of other items printed in pharmacy.
Yuba Raj Bhusal, D. Pharm
9847022490 (Mobile)
Email: -

Immediate Past President

Ajudey Prasad Shrestha, MPharm (Dhaka)
9841460484 (Mobile)
01-4781562 (Residence)
01-6630832 (Office)
Email: [email protected]

GPO Box 5061; Tel: +977 01 4464616; Email: [email protected]; Website: www.nepalpharmassoc.org

[Type text]
 Registration No. 18/030
g]kfn kmfdf{:o'l6sn P;f]l;o;g
Nepal Pharmaceutical Association (NPA)
Babar Mahal, Kathmandu, Nepal
Executive Council
Aug. 2010 – Jul. 2013
b) The medications are filled in pharmacy as:
President
Uttam Budhathoki, BPharm, MPharm (KU)
i. Non-injection items are filled in labeled envelopes or containers in
9841301827 (Mobile) quantity necessary up to coming consultant ward round. All the
01-4333376 (Residence)
011-661399, Ext. 126 (Office) quantity mentioned are transferred immediately after receiving order.
Email: [email protected]
ii. Injection items and IV admixtures are prepared aseptically in aseptic
Vice President
Mahesh Bhatta, BPharm, MPharm (KU)
room. They are filled in syringes or appropriate containers and labeled.
9841269625 (Mobile) The ready-to-use injections are transferred to satellite pharmacy in
- (Residence)
- (Office) wards 30 min before dosing time. Only quantities necessary for a
Email: [email protected] dosing time are transferred. The unused injections are returned back to
General Secretary pharmacy 30 min after dosing time.
Bibek Singh Mahat, BPharm (KU)
9841242359 (Mobile) iii. Injections and non-injection medicines should be checked by
(Residence)
(Office) pharmacist before transfer to ward.
Email: [email protected]

Treasurer c) Ward pharmacist monitors the administration of medicines and keeps

Ganesh Maharjan, BPharm (KU)
9851048878 (Mobile) record of his activity. The monitoring includes:
01-4415374 (Office) -Rate, route and site of administration
Email: [email protected]
-Stability of injections
Co-Treasurer
Biswas Kafle, BPharm, MPharm (KU) -Injection-injection incompatibility, injection-fluid incompatibility
Publicity Secretary -Preacautions, drug-food timings
Sumit Chandra Shrestha, BPharm, MPharm (KU)
9841293999 (Mobile)
(Residence) d) On discharge of patient, the discharge medicines are brought to patient bed
(Office)
Email:[email protected] side and pharmacist provides detail counseling.
Members
Dr. Rajendra Gyawali, M. Sc. (TU), PhD
9841714158 (Mobile)
Email: [email protected] Aseptic Service:
Durga Bista, BPharm (KU), M. Sc. Med. Pharm. i. Scope: Antibiotics, injections, IV admixtures, Chemo drugs, Parenteral
9841619321 (Mobile)
Email: [email protected]
nutrition
ii. All injections are filled in syringes and labeled under sterile conditions
Prawan Dahal, BPharm (KU)
9841484721 (Mobile) of laminar air flow hood. Chemo injections are prepared in isolated
Email: [email protected]
chamber of vertical laminar air flow hood with special precautions.
Suman Jaiswal, D. Pharm iii. Positive air pressure is maintained in aseptic room. Regular samples of
9751000014 (Mobile)
- (Residence) air inside the hood are sampled using media plates and culture to
Email: [email protected]
validate sterility.
Yuba Raj Bhusal, D. Pharm
9847022490 (Mobile)
iv. SOP for working in aseptic room.
Email: -

Immediate Past President

Ajudey Prasad Shrestha, MPharm (Dhaka)
9841460484 (Mobile)
01-4781562 (Residence)
01-6630832 (Office)
Email: [email protected]

GPO Box 5061; Tel: +977 01 4464616; Email: [email protected]; Website: www.nepalpharmassoc.org

[Type text]