Topic: Drug Distribution System in Hospital

CONTINUOUS ASSESSMENT 1

Presented by- Farhan Aziz

Name: Farhan Aziz

Section: B
Roll No: 15901921072
Reg No: 211590201910029
Stream: B. Pharm (4th Year, 7th Semester )
Subject: Pharmacy Practice
Subject Code: PT718

Academic Year : 2024 - 2025

COLLEGE: CALCUTTA INSTITUTE OF PHARMACEUTICAL TECHNOLOGY & A.H.S.

 Vision

➤ To be a premier institute and to achieve excellence in pharmacy education and research

Mission

➤ To create state-of-the art infrastructural facilities to enhance teaching-learning and research to achieve excellence

➤ To promote innovation in teaching-learning by organizing faculty development programmes for continuous improvement in
education system to meet the needs of health-care and pharmaceutical industry

➤ To develop closer interface with pharmaceutical industry and research institutes to promote collaborative research to
ultimately become a resource centre

Programme Educational Objectives

PEO 1:- To prepare Pharmacy graduates capable of applying principles and technologies for formulation,
Development and manufacture of drugs and pharmaceuticals

PEO 2:- To produce pharmacists to serve society as the profession responsible for appropriate use of medication
and device to achieve optimal therapeutic outcomes

PEO 3:- To promote leadership and entrepreneurship qualities, human values and professional ethics.

PEO 4:- To organize workshops for hands-on-training and skill development

PEO 5:- To promote awareness on clean and green environment

 ❖ Contents :
Name Slide No
1. Introduction of Distribution of drugs : 4

2. Dispensing of Drug In-patient: 5

3. Individual Prescription Order System : 6

4. Complete Floor Stock System : 7-8

5. Combination & Unit Dose dispensing System : 9

6. Dispensing of Drugs to Out-patients : 10

7. Dispensing of Controlled Drugs : 11

8. Conclusion : 12

9. Reference : 13
 ❖ Introduction :
➢ Definition:

➢ Drug distribution in a hospital means " Physical transfer of drugs from storage area in the
hospital to the patient's bedside"

➢ The procedure of Drug distribution may be categorized into 2 groups:

 ❖ Dispensing of drugs to Inpatient :
➢ In-patient:

➢ Inpatients are those who get hospitalized for the purpose of treatment of Disease, surgery
and rehabitation.
➢ The pharmacist who involved in dispensing of drugs in out patients can also dispense drugs
for in patients.
➢ The pharmacist who involve in drug distribution of in patient should be well skilled & Qualified.

➢ Drug Distribution Inpatients have 4 categories :

1. Individual prescription order system

2. Complete floor Stock System

3. Combination of Above both Systems

4. Unit Dose Dispensing Method

Drugs Distribution in Hospital

 ❖ Individual Prescription Order System :
➢ It is a prescription system where physician writes the prescription for individual patient who
obtains the prescribed drug from any medical store or hospital dispensary by paying
own charges.

➢ This System is mainly used in small & private hospitals.

➢ Advantage : I) all medication are directly reviewed by

Pharmacist.
Ii) Medications error avoid.

➢ Disadvantage : I) Increase the cost of patients.

Ii) Not use in big Hospital

Prescription Order System

 ❖ Complete Floor Stock System :
➢ In this system, both pharmacist & nurse are responsible for drug distribution to patient.
➢ According to this system, Drugs are stored at the nursing station and administered by nurse
according to order of physician.
➢ Drugs are stored on the floor or wards.

➢ Drug dispensed in this system in 2 Categories :

➢ Charge Floor Stock Drug : In this system patient is charged for

Floor Stock Drugs
Every single dose administered to him.

Eg: Antihypertensive drugs, antibiotics, anticoagulant etc.

 ❖ Complete Floor Stock System :
➢ Non-charge Floor Stock Drug :

➢ Drugs are dispensed to all patients on floor on non-charged basis. Not direct
charges required from patients .

➢ In this system drugs distribute in 2 methods :

➢ Drug Basket Method: Drug delivered through buskets

to floors.

➢ Mobile Dispensary Unit: It consist of specially constructed

stainless-steel trolley
( 60 inch high, 48 inch wide )

➢ Advantage : i) Drugs are readily available for administration

ii) Minimum return of Drugs.
Iii) Reduce in-patient prescription order.
Drug basket, Mobile dispensary
➢ Disadvantage : I) Increase chance of medication error.
Ii) Increase workload.
 ❖ Combination & Unit Dose Dispensing System :

➢ Combination of Individual prescription order & floor stock system are followed in the govt and
Private hospitals who run on the basis of no profit and no loss.

➢ Unit Dose Dispensing :

➢ Unit dose medication are those which are ordered, packaged & administered in single or
Multiple unit containing predetermined amount of drug and doses.

Eg: One tablet or capsule.

➢ Advantage : I) Better financial control.

Ii) Prevent loss of partially used medication.

➢ Disadvantage : I) Regular monitoring required.

Unit Dose Dispensing

 ❖ Dispensing of drugs to Outpatient :
➢ Out-patient: ​Out-patient refers to the patients who are not occupying beds in hospital or
In clinics, health centers and other place.

➢ No any medicament should issued without the prescription.

➢ The quantity of drugs supplied should be recorded.

➢ It is also known as Ambulatory Service.

Ambulatory Service
➢ Categories: The categories are -

1. Emergency Outpatients

2 . Referred Outpatients

3. Special Outpatient

4. General Outpatients
Emergency outpatient Special Outpatient
 ❖ Dispensing of Controlled Drugs :

➢ Controlled substance is a drug or chemical which ownership, manufacture or use is

absolutely regulated by a respective government of country such as illegally used drugs
or prescription medication.

➢ ​This laws inforcement leads to prevention in the unauthorized used of drugs such as
central analgesic (Opioids), Anaesthetics, Steroids etc.

➢ List:

➢ Schedule 1: High potential for abuse & have not accepted medical use in treatment
Eg: raw opium

➢ Schedule 2: High potential for abuse but accepted for medical use in treatment
Eg: Cocaine, Morphine

➢ Schedule 3-5: less potential for abuse & accepted for medical use in treatment
Eg: Benzodiazepine & pain killers
 ❖ Conclusion :
➢ From this topic we can conclude that,

➢ The drug distribution system in hospital is Important in providing high-quality care of

patients.

➢ It plays crucial role in ensuring the safe & effective delivery of medicines to the patient.

➢ Errors occur in ward pharmacy system can be reduce if medication is stored in individual
Patient medicine cabinets.
 ❖ Reference :
➢ Sourabh Kosey.' Drug Distribution System in Hospital '. Pharmacy Practice. Nirali Prakashan,
Pune(1);2021;5.1-5.17.

➢ Dr. R. A. Ahirrao, Dr. M. R. Patel, Dr. S. P. Pawar.' Drug Distribution System in Hospital '.
Pee Vee, Panjab(1);2020;52-67.

➢ Dr, Sachin Tyagi, Dr, Vinay Chhanalal Darji, Dr. K. Krishnaveni.'Drug Distribution System
in Hospital'. Thakur Publication Pvt Ltd; Lucknow(1);2020;65-84.

➢ Gaurav Agarwal. ' Drug Distribution System in Hospital '. Pharmacy Practice. CBS
Publishers & Distributors, New Delhi(1);2021;36-54.