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Safety Practices
➢ Patients trust pharmacy personnel to:
- Provide accurate and competent service
- Safe and effective medications
- Dispense according to prescriber’s
pacing depends on frequency of picking
directions
Slow moving products- long aisle
Fast moving products- short aisle
➢ Pharmacist must ensure:
o Right drug
o Right patient
o Right dose
o Right route
o Right time
o Right attitude
Cleaning of floor
1. Clean the floor at the specified/allotted times
2. Use clean mop
Cleaning of shelves 3. Use clean bucket, clean water, and
1. Use a clean cloth disinfectant/phenol.
2. Transfer contents to an empty tray/table (if 4. Carefully clean all areas and corners. Rub out
any). any marks/smudges that don’t go easily
3. Wipe with cloth to remove dust 5. Refill bucket if necessary.
4. Use water for rigid stains/smudges 6. At end, inspect & ensure that all areas are clean
5. Once complete: Place medicines appropriately 7. Throw out dirty water in the sink, clean mop
back onto the shelves and bucket, and keep it back in allocated place
6. Place cloth in area allocated for cleaning (for easy finding)
materials 8. Maintain registers to keep records of cleaning
7. Repeat cleaning every 2 weeks or before if done
requires as per location and usage. 9. Repeat every day, and when needed.
8. Cleaning register- shall be kept to keep records a. Frequency may have to be increased
of cleaning done (x2/day) in the rainy season (mucky
9. After cleaning: Pharmacist shall check whether floors)
all medications are kept at their labelled
Cleaning of Chemical Spill
locations.
1. Wear gloves and mask & place tissue
Cleaning of refrigerator paper/sponge on the spill and absorb the spill.
1. Turn off before starting cleaning 2. Put the absorbent paper/sponge in a black
2. Quickly transfer all products into an empty waste bag for disposal.
carton (thermocol box, if available) 3. Pour sodium hypochlorite solution on the spill
a. Take care that no medicines come in for 10 minutes and wipe off with wet mop
contact with the floor. 4. Then wet mop the area with disinfectant &
b. With alternate refrigerator- transfer water solution
medicines there until cleaning is
Disposal of Expired Drugs
complete
Responsibility- Pharmacist
3. Once emptied, clean from the inside and Record- Expiry Drug Register
outside with a clean wet cloth to remove any
dirt and stains. 1. Expired goods shall be stored in separate
a. Use mild soap/detergent if needed shelf/cupboard marked “EXPIRED GOODS NOT
4. Close the ref door & switch on FOR SALE” to prevent misuse.
5. After ½ hour, check temperature if attained in 2. Due importance shall be given to the expiry
the ref in different zones, using a thermometer. date of medicines.
6. Quickly place back all products (in specified a. Periodic checking for expiry date shall
locations, in a neat manner) be carried out.
3. Expired drugs shall be segregated and returned
to Central Medical Store (CMS) & the expiry
drug register shall be updated.
Flammable
• ROH, ether
• Separate building
• Well ventilated, fireproof
• Explosion hatch
• Fuels must never be stored near a medical
store
• On the label of thee immediate container
outside of the principal display panel will
appear the following information
o Formulation
Flammable & Corrosives o Indication(s)
Categories of flammable liquids (UN hazard o Mode of administration/directions for
classification):
use
• Flash point of -18˚C (Acetone, Ether)
o Batch and lot number
• Flash point of -18˚C to +23˚C (ROH before dilution)
o Expiry/expiration date and date of
• Flash point of +23˚C to +61˚C (kerosene)
manufacture
o Separate outdoor store o Registration number
o Firefighting equipment should be readily o Storage conditions
available o (For Rx) Foods, Drugs and devices and
o Well ventilated steel cabinet with label “Highly Cosmetic Act Prohibits dispensing
flammable liquid” without prescription
Highlights
ARRANGE AND DISPLAY PHARMACEUTICAL PRODUCTS • Sound-alike, Look-alike
Stock Classification • High Alert Medications
• Therapeutic or pharmacological • Assist in Temperature Mapping
o For smaller stores where keeper is also • Practice FEFO
the dispenser
• Alphabetical order (by INN)
Dispense Pharmaceutical Products
o Attractive for small # of items
Dispensing
• Dosage form
• Delivery of product-related and clinical services
o Used for smaller warehouse
to patients and health care providers.
• Random Bin
• Dispensing is the procedures required in
o Unique storage space ID by a code (eg.
completing the filling of prescriptions (e.g.,
B1, B2)
checking, pouring, counting, packaging, labeling,
Article code vs. Location code review….etc.).
• Location code • The fundamental concept is to give the right
o Independent of article code and is medication to the right patient after proper
similar to Random bin principle identification.
▪ Correct storage temperature • Drugs should be dispensed at the right dose,
▪ Correct security level route of administration, form and duration of
▪ Flammability treatment.
▪ Building where it is located
Prescription
▪ Pack size
• A Physician’s order for the preparation and
▪ Pharmaceutical form
administration of a drug or device for a patient
Arrangement of Stock • RA 6675: Generics Act
• Commonly by Therapeutic category, clinical
Parts of a prescription:
indication, dosage form or alphabetical order
• DEA Number
w/n categories.
• Prescriber Information
• Tx rooms/medicines trolley should be arranged
• Patient information
by therapeutic class
• Date Prescription was written
• Liquids for internal use must be separated from
those for external use • Superscription – Rx meaning recipe
• Inscription – medication prescribed
Principal Display Panel
• Subscription – actions (instructions) to o Keep prescription
pharmacist o Report to nearest DOH office
• Signa/Transcription – directions for patients
• Special instructions The Minimum Dispensing Cycle
1. Receive and validate prescription
2. Understand and interpret prescription
a. Patient
b. Medicine
c. Dose
3. Prepare and label items for issue
4. Make a final check
5. Record action taken
6. Issue medicine to patient with clear instructions
and advice
Prescription Drug
• Requires RPh
• Do not dispense or ask for assistance