INTRODUCTION

Lesson 1
(Slide No. 1-15)

Jesmin Akter
Lecturer
Department of Pharmacy
BangladeshUniversity
 FLOW CHARTS FOR
MATERIALS AND MEN
 GENERAL FLOW CHART FOR
OUTPATIENTS
Rx written by doctor

Rx received by pharmacist
selection

Filling of prescription labelling

pricing
Dispensed to patient

Receipt of payment Prescription filed

Free Cash Charge Regular prescription Narcotic prescription

file file
Statistics and reports
 GENERAL FLOW CHART FOR IN-PATIENTS
Prescription
Copied by
Rx written Pharmacy nurse
By doctor

Inpatient discharge
medications
Inpatient
Medication
Returns to credit
Rx received by orders
pharmacist
selection
Filling of Rx received by
prescription labeling pharmacist
selecting
pricing
Dispensing labeling
Credit issue Filling of order
prescription
pricing
Dispensing order
free cash credit

charge
Statistics and
control
 Flow charts for materials

Medical stores

receipt issues Inpatient

Parenteral department
manufacturing Pharmacy

receipt Quality Outpatient

Manufacturing control issues
department
of other dosage
forms
 FACILITIES REQUIRED IN HOSPITAL
PHARMACY
In smaller hospitals, with one pharmacist only, one
room is required for pharmacy, having a combination
of dispensing, manufacturing, administrative and all
other sections of complete pharmaceutical service.
For sterile products there should be a separate room or
area.
In large hospitals, with 200 or more beds,
departmentalization of pharmacy activities is
required.
A separate area is required for :-
 Inpatient services and unit dose dispensing
 Outpatient service
 An office for the chief pharmacist
 A compounding room
 Prepacking and labelling room
 A store room
 Sterile products room

A separate area for drug information services and

space assigned on various nursing units for unit
dose drug administration.
FLOOR SPACE REQUIREMENTS
250 sq. feet is the minimum required area for any sized
hospital.
10 sq. feet per bed in 100 beded hospital.
6 sq. feet per bed in 200 beded hospital.
Floors of pharmacy should be smooth, easily washable
and acid resistant.
In manufacturing sections, drains should be provided,
walls should be smooth, painted in light colour.
Wooden cabinets are laminated.
Fluorescent lamps are placed above priscription counter.
Counter for Bunsen burner are also required.
 Requirements On The Basis Of Bed Strength
(Area in sq. feet)
1 2 3 4

Store room dispensary office Manufacturing of

100 B – 450 100 B – 350 100 B – 110 compressed tablets
300 B – 1000 300 B – 500 300 B – 150 And capsules
700 B - 2400 700 B - 800 700 B - 200 •For tablets
5 6 700 B - 900
Manufacturing under aseptic Parenterals •For capsules
condition for eye drops, eye 300 B – 600 700 B - 200
lotions & other preparations 700 B - 600
for external use
300 B – 250
700 B - 250
 EQUIPMENTS REQUIRED IN HOSPITAL
PHARMACY
Prescription case
Drug stock cabinets with proper shelves and drawers.
Sectional drawer cabinets with cupboards bases.
Work tables and counters for routine dispensing.
Sink with drain board.
Cabinet to store mortar and pestles.
Cabinet for glass utensils, flasks, funnels and beakers.
Refrigerator of suitable capacity.
Narcotics safe with individually locked drawers.
Office desk with telephone connection and file cabinet.
Dispensing window for nurses and outpatients.
 Administrator

Head of pharmacy services

(M.Pharm)

Dispensing Clinial Quality Medical Manufacturing

Chemist Pharmacist Control Stores Chemist
(D.Pharm) (B.Pharm) Pharmacist Pharmacist (M.Pharm)
(M.Pharm) (B.Pharm
Or
D.Pharm)
inpatient outpateint

Other
Manufacturing
Manufacturing
of I.V. fluids
Services
(B.Pharm/M.Pharm
(B.Pharm)
 PERSONNEL REQUIREMENT IN HOSPITAL
PHARMACY
No standard rules regarding the requirement of personnel
for inpatient pharmacy.
Number of pharmacists required for a hospital are
calculated on the basis of workload, and the number of bed
available.
For a small hospital minimum 3 pharmacist are required.
As the number of bed increases, the number of pharmacist
also increases.
Pharmacist should possess adequate pharmacy
qualification and experience.
If manufacturing drugs is involved in pharmacy, adequate
number of technicians, assistants, peons etc. required.
 Pharmacist requirement on the basis of
bed strength

Bed strength No of pharmacist required

Upto 50 beds 3
Upto 100 beds 5
Upto 200 beds 8
Upto 300 beds 10
Upto 500 beds 15
REQUIREMENTS AND ABILITIES
REQUIRED FOR HOSPITAL
PHARMACIST
 REQUIREMENTS
Head of hospital pharmacy department should be a
post graduate in pharmacy preferably in
pharmaceutics, pharmacology or hospital pharmacy.
Acts as a co-ordinator for the pharmacy and non-
pharmacy staff.
Reports to the administrator and interacts with other
medical departments.
 Flow chart for requirements of a hospital pharmacist
Director

Superintendent of Pharmaceutical services

Or
Chief pharmacist (M.Pharm)

Pharmacist Pharmacist Two pharmacist Post graduate

(drug distribution deptt.) (medical store) B.Pharm/D.Pharm Pharmacist
B.Pharm (Dispensing) For
Quality control
 ABILITIES REQUIRED
Technical ability
Ability to develop a manufacturing section
Administrative ability
Ability to control inventory
Ability to conduct and participate in research
Ability to conduct teaching programmes
Abilities required to be hospital
pharmacist
By the recognition of ASHP/ASHSP and AACP, the professional staff of the pharmacy
department must have the ability to carry out collectively the following
functions.
(a) effective administration and management of a pharmacy department in
institution
(b) Assimilation and provision of comprehensive information on drugs and their
actions,
(c) development and conduct of a product formulation and packaging program,
(d) conduct of and participation in research
(e) development and conduct of patient-oriented services
(f) conduct of and participation in educational activities
(g) development and conduct of a quality assurance program for pharmaceutical
services.
THANK YOU