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Specific Objectives:
1. Become familiar with the organizational structure of the hospital and the hospital
pharmacy department
2. Describe how the hospital pharmacy services interface with hospital
administration and other service departments
3. Become familiar and acquire skills in all phases of hospital pharmacy
management including aspects of staffing, business operations, quality assurance,
and interdepartmental relations
4. Become familiar with the functions and organization of the pharmacy and
therapeutics committee
5. Explain the rationale for the use of the hospital formulary system
6. Describe the drug distribution systems employed in the hospital pharmacy
7. Assist the pharmacists in filling and dispensing controlled substances
8. Select the best available resources for drug-related queries
9. Provide counselling to patients
10. Perform inventory and control of pharmaceuticals
1. Institutional Orientation
a. Vision, Mission, Objectives/Philosophy
b. Ownership and Management
c. Organization (Including Inter-department relations)
d. Certification and accreditation within the institution
e. Other service departments
2. Pharmacy Orientation
a. VMG/Philosophy of Pharmaceutical Service
b. Organizational Set-up of pharmacy
c. Manpower Requirements (qualifications, duties and responsibilities, etc.)
d. Pharmaceutical Services Offered
e. Physical Arrangement of Pharmaceuticals
f. BFAD Laws and regulations on:
i. Ethical/Prescription and OTC Drugs
ii. Prohibited and Regulated Drugs
iii. Exempt Prohibited and Regulated Drugs
o Prescription Writing, Violations and Requirements
Drug distribution System
Pharmacy and Therapeutics Committee
Hospital Formulary Systems
B. Tour of the Hospital and Pharmacy Department
C. Practicum
a. Actual participation in filling, labeling and dispensing of prescriptions
under the supervisions of the Pharmacist-in-charge
b. May provide counseling to out-patients and or provide drug information
c. Assist in the development of patient medication profiles (in-patients and
selected out-patients)
d. Participate in the inventory of pharmaceuticals and non-pharmaceuticals
products
e. Participate in checking and coding controlled pharmaceutical products
for proper storage
f. Participate in recording, reporting and safekeeping of reports
g. Participate in preparing IV admixtures
h. Participate in research for pharmacy and therapeutics committee
i. Review the patient chart for possible medication error, dosing error, drug
interactions, and other drug related problems.
ACTIVITY NO. 1
ORGANIZATIONAL SET-UP OF A HOSPITAL PHARMACY
Objectives:
1. To described the organizational structure of a hospital and how hospital pharmacy
department interfaces with hospital administration and other service departments
2. To examine the components of managing a hospital pharmacy including
interdepartmental relations.
Activities:
Supervising
Pharmacist
Senior Pharmacist
Pharmacists
Pharmacy Aide
Clerk
Storekeeper
Utility Workers
ACTIVITY NO. 2
PLANT, FACILITIES, EQUIPMENT, REFERENCE SOURCES AND OTHER MATERIALS
Objectives:
Activities:
3. Provide a list of the most important reference materials used in the hospital
pharmacy.
ACTIVITY NO 3.
DRUG PROCUREMENT AND INVENTORY CONTROL
Objectives:
1. Drug Procurement
a. Purchasing
b. Control on purchase
c. Procedures on product specifications, contracts and bidding
d. Ordering procedure
e. Receiving, checking and coding
2. Inventory Control
a. Functions of Inventory Management
b. Arrangement of Inventory
i. Routine Stocks
ii. Special Storage Areas
3. Merchandising Return Policies and Procedures
4. Product recall Procedures
Activities:
Objectives:
1. To describe the proper methods by which drug and medicines are stored and
preserved to maintain potency for expected therapeutic value
2. To describe how unused pharmaceutical products and pharmaceutical wastes
are disposed.
Objectives:
Activities:
3. Secure a Dangerous Drug Prescription and identify its contents and its parts.
4. Discuss how controlled substance are ordered, individual and stored.
Objectives:
1. Reports
a. Administrative Reports
b. Regulatory Reports
2. Attributes of Reports
a. Organizational Methods
b. Timely
c. Reporting Period
d. Summary and Details
3. Reports and Records Maintenance
4. Recording:
a. Recording Professional Activities and Pertinent Data
b. Recording of Dispensed Prescription Drugs and Controlled Substances in
i. Prescription Book
ii. Additional Opium Book
iii. Dangerous Drug Book
iv. Poison Book
v. Exempt Preparation Book
vi. BFAD Special Record Book
5. Reporting/Safekeeping
a. Adverse Drug Reactions Reporting
b. DDB report and safe keeping of yellow prescription forms (DD)
c. Ordinary Prescriptions Safe Keeping
Activities:
4. What measures are undertaken by the hospital pharmacy when medication errors
and counterfeit pharmaceuticals are detected?
Objectives:
1. Definition
2. Purpose of the Pharmacy and Therapeutics Committee
3. Organization and Operation
4. Functions and Scope
5. Role of Pharmacist in the P&T Committee
6. The Committee Agenda
7. Policies of the Committee
Activities:
1. What are the major functions performed by the Pharmacy and Therapeutics
Committee?
3. What role does the pharmacist have in the Pharmacy and Therapeutics
Committee?
ACTIVITY NO. 8
HOSPITAL FORMULARY AND THE FORMULARY SYSTEM
Objectives:
1. Definition
a. Formulary
b. Formulary System
c. Formulary Drug
d. Non-Formulary Drugs
2. Purpose of the Hospital Formulary System
3. Application of the Hospital Formulary System
4. Role of the Pharmacy and Therapeutics Committee
5. The Hospital Formulary
a. Content and Organization
b. Formulary Drug Designation
c. Adding and Deleting Drugs to/from the Formulary
d. Restricted Formulary Drugs
6. Procedures for Obtaining Non-Formulary
7. Monitoring of Non-Formulary Drug Prescribing
8. Requirements and Costs for Hospital Formulary Implementation
9. Updating of the Contents of the Hospital Formulary
Activities:
4. Described the process of drug inclusion and exclusion in the hospital formulary.
Make an algorithm for the process.
5. Discuss how often the contents of the Hospital Formulary are revised and updated.
6. Determine if it is possible to use drugs not included in the hospital formulary. Explain
briefly.
Objectives:
Activities:
1. Describe the scope of services catered by the hospital drug information services
to their clients.
ACTIVITY NO. 10
QUALITY ASSURANCE PROGRAM FOR THE PHARMACY SERVICE
Objectives:
1. Definition
2. Benefits Derived from the Quality Assurance for Pharmacy Services
3. Quality assurance activities
4. Steps in Developing a Quality Assurance for Pharmacy Service
5. Pharmacy Service Effectiveness Standard
6. Pharmacy Service Efficiency Standard
Activities:
1. As a pharmacist, how will you meet challenge of the growing demand for assuring
the quality of the pharmacy services that you provide?
2. What are the practical tools that you need to use to collect and analyze
information regarding quality-related events, such as errors and omissions in
prescription dispensing that may occur at the pharmacy?
3. What are the pharmacy functions that should be monitored using quality
indicators?
APPENDICES
APPENDIX A
ATTENDANCE LOG SHEET
This attendance log sheet should be filled out during the internship program and must be
validated by the preceptor.
INTERN’S SIGNATURE:_______________________
APPENDIX B
INTERN’S DAILY TIME RECORD
PHARMACY DEPARTMENT
DAILY TIME RECORD
TOTAL:_________________________
Certified:
_________________________________ _________________________________
Director/Manager of Firm Intern’s Signature
This checklist will serve as a guide during the internship program to monitor the attainment
of objectives of the internship program.
In the remarks, record the dates when the activities were undertaken, or reasons why
activities were not completed.
MANUFACTURING/INDUSTRIAL PHARMACY
ACTIVITIES YES NO REMARKS
A. ORIENTATION
1. Hospital Orientation
Philosophy, V,M,G
Organizational Structure
Ownership and Management
Certification/Accreditation
Other Service Department
Manpower
Hospital Rules and Regulations
2. Hospital Pharmacy Department
Philosophy, V,M,G
Organizational Structure of HP
Department
Functional Chart
Pharmacy Personnel
Duties and Responsibilities
Pharmaceutical Services
Offered
Physical Set-up and Facilities
Physical Arrangement of
Phar’cals
BFAD Laws and Regulations
-Ethical/Prescription Drugs
and OTC
-Prohibited and Regulated
Drugs
-Exempt Prohibited and
Regulated Drugs
-Prescription Writing Violations
and Requirements
Drug Distribution System
Pharmacy and Therapeutics
Committee
B. TOUR OF THE FACILITY
C. PRACTICUM
1. Participate in filling and dispensing
prescriptions under the supervision of
a pharmacist.
a. In-patient Dispensing
Knowledge of distribution
system used
Interpreting and evaluating
medication orders
Processing medication orders
Delivering medication orders
Recording and filing of
medication orders
b. Out-patient Dispensing
Interpreting and evaluating
Prescriptions
Processing prescription orders
Dispensing Filed Prescription
Providing Information on
Proper Use and or Storage
Medication discharge
counseling
Recording of prescription
drugs in prescribed record
books and proper filing of
prescriptions
2. Assist in developing patient medication
profiles (In-patient and selected Out-
patient)
3. Assist in preparing IV admixtures
4. Participate in Inventory of
pharmaceutical products for proper
storage
5. Check and code of controlled
pharmaceutical products for proper
storage
6. Participate in ordering process and
replenishment of stocks
7. Conduct patient therapeutic monitoring
8. Participate in research activities for
pharmacy and therapeutics committee
APPENDIX D
INTERN’S PERFORMANCE EVALUATION SHEET
REMARKS:_________________________________________________________________________________
_________________________________________
Name & Signature of Training Supervisor
Direction: This evaluative tool is designed to assess the competency of the pharmacy students in
the delivery of the basic pharmacy services. Using the scale below, check the appropriate
number next to each indicator.
RATING SCALE
Requires no supervision. Performs functions with a high
5 EXCELLENT
degree of competence.
Requires minimal supervision. Performs functions with a
4 VERY GOOD
satisfactory degree of competence.
Requires occasional supervision. Performs functions with
3 GOOD
acceptable degree of competence.
Needs consistent supervision. Performs functions with
2 FAIR
limited ability.
1 POOR Cannot perform function without supervision.
NA NOT APPLICABLE The indicator is not applicable.
INDICATOR 5 4 3 2 1 NA
A. PERSONAL & PROFESSIONAL ATTRIBUTES
1. Reliability. Full attendance requirements;
correctly completed all assignments.
2. Maintain a professional image.
3. Time management. Uses time effectively and
efficiently in the performance of assigned tasks.
4. Self-initiative. Initiate professional activities and
interactions with staff, health professionals, and
colleagues; utilizes time in pursuing knowledge
and experience.
5. Independence/Assertiveness. Self-directed in
undertaking responsibilities; seek appropriate
clarification, but require minimal supervision in
completing assignment; articulate own view
point.
6. Organized/Plans. Use own and other people’s
time effectively and efficiently; are systematic
and methodical in approaching activities; well-
prepared.
7. Decision-making. Use good judgment; seek out
and utilize important facts and information;
recognize and evaluate available alternatives.
B. PERFORMANCE OF BASIC COMPETENCE
1. Communication Skills
1.1 Demonstrate appropriate verbal, non-verbal
and listening skills.
1.2 Display effective writings.
1.3 Use appropriate communication techniques
when communicating with peers, health
care providers, and staff.
1.4 Demonstrate respect, sensitivity and
empathy when communicating with others.
1.5 Demonstrate comprehension and fluency in
written and verbal communication.
1.6 Demonstrate appropriate and effective
patient interviewing techniques.
2. Drug Information
2.1 Assume responsibility for information retrieval,
evaluation and dissemination to ensure safe
and effective provision of pharmaceutical
care.
2.2 Respond appropriately to drug information.
2.3 Identify current and reliable sources of drug
information.
2.4 Evaluate drug literature.
2.5 Use effective and innovative methods for
conveying drug information.
2.6 Access and use clinical and scientific
literature to support decision making.
3. Dispensing
3.1 Evaluate and accurately fill out a
prescription.
3.2 Prepare extemporaneously compounded
products and IV admixtures in a safe manner
by demonstrating good aseptic techniques
and taking appropriate precautions when
working.
3.3 Identify errors, if they exist, and appropriate
consult the prescriber.
3.4 Make sound recommendations regarding
drug selection and dosage consistent with
existing protocols and laws.
3.5 Adhere to quality control procedures for
ingredients when dispensing in
manufacturing plant.
3.6 Apply all aspects of the Pharmacy Laws
relating to dispensing a product.
3.7 Efficiently complies with the laws/regulations
and procedures while dispensing and
maintaining records for controlling drugs.
4. Patient Counseling
4.1 Use effective teaching/learning strategies for
counseling the patient.
4.2 Provide correct and appropriate education
on the proper use of the patient’s
medication including precautions, side
effects, and assess patient understanding of
the instructions.
4.3 Use a systematic approach to assist clients to
select appropriate non-prescription
medication, medical or surgical products.
4.4 Demonstrate effective patient interviewing
techniques and recommend interventions
related to drug therapy, disease prevention
and self-care.
4.5 Provide patient self-care consultations.
5. Inter-professional Relationship
5.1 Collaborate effectively with peers, other
health care professionals and patients to
optimize patient care.
5.2 Share accurate and salient information when
referring to clients.
5.3 Accept responsibility for actions and
decisions made.
5.4 Demonstrate respect for others.
5.5 Maintain appropriate inter-professional
relationships required to provide quality
pharmacy care to individual patients.
5.6 Consistently provide professional pharmacy
care to individual patients that complies with
the ethical guidelines governing the
profession.
5.7 Demonstrate personal and professional
integrity.
5.8 Reject the acceptance of gifts/advantages
that give the appearance of bias or conflict
of interest.
6. Personal and Professional Development
6.1 Continuously strive to improve professional
competence through the use of appropriate
learning to address areas identified for
professional improvement/growth.
6.2 Display effective self-assessment.
6.3 Accept appropriate assessment from others.
6.4 Display an attitude for professional growth
and involvement in professional activities.
7. Pharmacy Management
7.1 Explains the business principles of operating a
pharmacy.
7.2 Explain the legal requirements of establishing
a pharmacy.
7.3 Manage drug distribution by performing
functions of acquisition, preparation, and
distribution of drugs to ensure the safety,
accuracy, and quality of supplied products.
7.4 Have a working knowledge of drug
procurement and drug inventory
management.
8. Manufacturing & Industrial Pharmacy Practice
8.1 Perform activities in the different process
involved in the manufacturing of drugs such
as, but not limited to production, QA/QC
testing, packaging, dispensing of raw
materials, warehousing, inventory,
documentation and research and
development.
8.2 Have a working knowledge in securing and
maintaining liscense to operate for
manufacturing and pharmaceutical firms.
8.3 Acquire knowledge in the marketing and
distribution of pharmaceuticals.
8.4 Learn the process involved in getting product
registered in government regulatory
agencies.
9. Legal & Ethical Practice
9.1 Demonstrate comprehension and
understanding of the pharmacy laws.
9.2. Adhere to the organizational policies and
procedures.
9.3 Adhere to the national and international
code of ethics for pharmacists.
9.4 Describe the ethical and legal responsibilities
of the pharmacists.
9.5 Perform all activities in accordance with the
laws governing the practice of pharmacy.
9.6 Accept responsibility and accountability of
own actions and decisions.
9.7 Maintain client/customer confidentiality at all
times.
10. Judgment & Decision-making Skills
10.1 Take an appropriate course of action based
o knowledge, ethics and pharmacy laws.
10.2 Apply functional knowledge while solving
problems and make appropriate decision
matters pertaining to the area of pharmacy
practice with the goal of optimizing
pharmaceutical care and professional
relations.