Syllabus Hospital and Clinical Pharmacy • Hospital Pharmacy : Definition, scope, national and international scenario, Organisational structure, Professional responsibilities, Qualification and experience requirements, job specifications, work load requirements and inter professional relationships, Good Pharmacy Practice (GPP) in hospital, Hospital Pharmacy Standards (FIP Basel Statements, AHSP), Introduction to NAQS guidelines and NABH Accreditation and Role of Pharmacists. (Chapter - 1) • Different Committees in the Hospital : Pharmacy and Therapeutics Committee - Objectives, Composition, and functions, Hospital Formulary - Definition, procedure for development and use of hospital formulary. Infection Control Committee - Role of Pharmacist in preventing Antimicrobial Resistance. (Chapter - 2) • Supply Chain and Inventory Control : Preparation of Drug lists - High Risk drugs, Emergency drugs, Schedule H1 drugs, NDPS drugs, reserved antibiotics, Procedures of Drug Purchases - Drug selection, short term, long term, and tender/e-tender process, quotations, etc., Inventory control techniques: Economic Order Quantity, Reorder Quantity Level, Inventory Turnover etc. Inventory Management of Central Drug Store - Storage conditions, Methods of storage, Distribution, Maintaining, Cold Chain, Devices used for cold storage (Refrigerator, ILR, Walk-in-Cold rooms), FEFO, FIFO methods, Expiry drug removal and handling, and disposal. Disposal of Narcotics, cytotoxic drugs, Documentation - purchase and inventory. (Chapter - 3) • Drug distribution : Drug distribution (in- patients and out - patients) - Definition, advantages and disadvantages of individual prescription order method, Floor Stock Method, Unit Dose, Drug Distribution Method, Drug Basket Method, Distribution of drugs to ICCU/ICU/NICU/Emergency wards, Automated drug dispensing systems and devices, Distribution of Narcotic and Psychotropic substances and their storage. (Chapter - 4) • Compounding in Hospitals : Bulk compounding, IV admixture services and incompatibilities, Total parenteral nutrition. (Chapter - 5) • Radio Pharmaceuticals - Storage, dispensing and disposal of radiopharmaceuticals. (Chapter - 6) • Application of computers in Hospital Pharmacy Practice, Electronic health records, Softwares used in hospital pharmacy. (Chapter - 7) • Clinical Pharmacy : Definition, scope, and development - in India and other countries, Technical definitions, common terminologies used in clinical settings and their significance such as Paediatrics, Geriatric, Anti-natal Care, Post-natal Care, etc.. Daily activities of clinical pharmacists: Definition, goal, and procedure of Ward round participation, Treatment Chart Review, Adverse drug reaction monitoring, Drug information and poisons information, Medication history, Patient counselling, Interprofessional collaboration, Pharmaceutical care : Definition, classification of drug related problems. Principles and procedure to provide pharmaceutical care, Medication Therapy Management, Home Medication Review. (Chapter - 8) • Clinical laboratory tests used in the evaluation of disease states - significance and interpretation of test results, Haematological, Liver function, Renal function, thyroid function tests, Tests associated with cardiac disorders, Fluid and electrolyte balance, Pulmonary Function Tests. (Chapter - 9) • Poisoning : Types of poisoning: Clinical manifestations and Antidotes, Drugs and Poison Information Centre and their services - Definition, Requirements, Information resources with examples, and their advantages and disadvantages. (Chapter - 10) • Pharmacovigilance : Definition, aim and scope, Overview of Pharmacovigilance. (Chapter - 11) • Medication errors : Definition, types, consequences, and strategies to minimize medication errors, LASA drugs and Tallman lettering as per ISMP. Drug Interactions : Definition, types, clinical significance of drug interactions. (Chapter - 12)
