Transcript Chapter 15. Hospital Pharmacy

Chapter 15. Hospital Pharmacy
Jeffery D. Evans, Pharm.D.
Associate Professor of Pharmacy
Practice
ULM COP
Chapter 15
• Purpose
– To regulate the practice of hospital pharmacies
• Impact
– Significantly clarifies rules for hospitals
Introductions (1501 – 1503)
• Hospital pharmacies follow chapter 11 if not
changed in chapter 15
• Hospital pharmacies must be in a licensed
hospital
Permit and PIC (1505 – 1507)
• Permit follows all of the permit requirements
from Chapter 11
• PIC
– Must have two years of being a licensed
pharmacist
Maintaining control of the drugs
(1509)
• PIC in charge of all drug dispersing
• Hospital Pharmacies must maintain perpetual
inventories of C-I and C-II CDSs
• CDSs records must also identify who
administered the CDS
It is not a prescription (1511 – 1515)
• Prescription Drug orders are reviewed before the
patient uses the medication unless…
• Labels must include
– Name and location of patient
– Drug name and strength
– Dose
• Ambulance Service Drugs
– Hospitals must keep track if they supply drugs to
ambulances
Drug Cabinets (not ADSs) and returns
(1517 - 1519)
• These should only be used when a pharmacist
is not available. There are several rules for
these, and the PIC is responsible for all of
them
• The hospital pharmacy may return drugs if
they have not left the hospital
Offsite and outpatient (1521 – 1523)
• Not all hospitals have pharmacies
– Thus offsite pharmacies may provide services
– As long as there is always a pharmacist on call
• Hospital Pharmacies may dispense to out
patients under certain circumstances
– I would know these
Offsite processing of medical orders
(1525)
• Allows orders to be sent offsite but requires
the pharmacist to have access to everything as
if they were on site.