Hospital And Clinical Pharmacy (ER20-25T) Free Notes Download – D. Pharm

 Chapter 1

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

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Chapter 2

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

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Chapter 3

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

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Chapter 4

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

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Chapter 5

Compounding in Hospitals. Bulk compounding, IV admixture
services and incompatibilities, Total parenteral nutrition

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Chapter 6

Radio Pharmaceuticals – Storage, dispensing and disposal of

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Chapter 7

Application of computers in Hospital Pharmacy Practice,
Electronic health records, Softwares used in hospital pharmacy

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Chapter 8

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

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Chapter 9

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

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Chapter 10

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

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Chapter 11

• Definition, aim and scope
• Overview of Pharmacovigilance

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Chapter 12

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

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