Transcript GOOD PHARMACY PRACTICE

GOOD PHARMACY
PRACTICE
VALENTINE U ODILI B.Pharm,MPharm.
Dept. Of Clinical Pharmacy & Pharmacy Practice.
University of Benin.
INTRODUCTION
• All practicing pharmacists are
obliged to ensure that the service
they provide to every patient is of
appropriate quality.
• Good pharmacy practice is a means of
clarifying and meeting that
obligation.
UNDERLYING
PHILOSOPHY
• Traditionally, the mission of pharmacy
practice is to provide medications and
other health care products and services.
• However in recent years the term
“pharmaceutical care” has established
itself as a philosophy of practice, with the
patient and the community as the primary
beneficiaries of the pharmacist’s actions.
UNDERLYING PHILOSOPHY
Pharmaceutical care is a patientcentered practice in which the
pharmacist assumes
responsibility for a patient’s
drug-related needs and is held
accountable for this
commitment.
UNDERLYING PHILOSOPHY
Good Pharmacy Practice (GPP) guidelines
are based on the pharmaceutical care
given by pharmacists.
The guidelines promote standards for:
• the promotion of health
• the supply of medicines, medical devices
• patient self care
• improving prescribing and medicine use
by pharmacists' activities.
GPP standards for premises
Aim: that there should be adequate
premises from which to provide services
Requirements:
• Clean, tidy and hygienic conditions
• Adequate space
• Appropriate conditions for storage, repacking, dispensing and distribution of
medicines, including security
• Adequate light
GPP standards for premises contd.
• Protection from exposure to excessive
light and heat
• Availability of equipment appropriate to
the tasks carried out
• Access to basic reference texts
• Direct access to patients for
instruction, counseling, etc.
• (NO PIGEON HOLES)
GPP STANDARDS FOR DISPENSING.
Aim: to ensure that the right patient receives the
appropriate medicine in the correct dose and form
Requirements:
Read the prescription (Assessment)
• Is it legal
• Who is it for? Adult, child, Elderly
• What is the name of the preparation?
• What are the instruction for the patient?
• What quantity is to be dispensed?
GPP STANDARDS FOR DISPENSING
contd
Find out useful information about the
prescription.
-ASK
• How does the prescribed drug work and
how is it used?
• Are the prescriber’s instructions correct?
• How is the medicine to be prepared?
• What advice does the patient require?
GPP STANDARDS FOR DISPENSING
contd
Make or assemble the preparation.
• Pack the drug into appropriate container
• Label the container
• Endorse the prescription
• Make appropriate records
• Handover the drug with appropriate
advice
• Correctly dispose of the prescription
GPP STANDARDS FOR CONTAINERS.
Aim: to preserve the integrity of the product
Requirements:
Tablets/capsules are dispensed in:
• STEP 1 An air-tight plastic wallet (this is
considered to be the minimum requirement)
• STEP 2 An airtight, rigid container
• STEP 3 An airtight, rigid container with a child
resistant closure
• STEP 4 The manufacturer's original pack
GPP STANDARDS FOR LABELLING.
Aim: to uniquely identify the contents of the container, to
instruct the patient on the proper use of the medication and
to protect the medication.
The minimum requirements for a label are:
• Generic name & strength of medicine
• Dose, frequency & duration of course, if
applicable
• Date of dispensing
• Name of patient
• Name/address of supplier
• Child safety warning
• auxiliary label
• Keep out of reach of children
GPP STANDARDS FOR INSTRUCTIONS TO
PATIENTS.
• Aim: to ensure that the patient knows
how and when to take/use the product
• Counseling is a professional responsibility
and not an option for the pharmacist.
Every pharmacist must develop this skill
in order to ensure GPP and rational drug
use.
• Counseling is imperative for the following
reasons.
GPP STANDARDS FOR INSTRUCTIONS TO
PATIENTS
• Patients need to be motivated to take
their drugs
• Many patients do not read instructions
on labels
• Advice on drugs is better appreciated
if the drugs are before the patient,
and this puts the pharmacist in a
unique position to counsel since he has
both the drug and the knowledge.
GPP STANDARDS FOR INSTRUCTIONS TO
PATIENTS CONTD.
Pharmacists’ active involvement in patient
counseling will improve patient’s adherence and
the following areas should be covered:
• Name of medication
• Indication in lay language e.g. this medicine is
for blood pressure
• Removal of medicines from the pack, this
should be demonstrated e.g. removal of
suppository wrappings; opening of safety
container, using cap to screw tubes and
pressing of contents from the base of
collapsible tubes.
GPP STANDARDS FOR INSTRUCTIONS TO
PATIENTS CONTD.
• Dose, dosage interval and duration of
therapy.
• Side effects to expect, what to do
when the side effects occur
• Contraindications- state food, drinks
or drugs to be avoided.
• Storage/disposal of left over drugspatients should be advised not to use
leftover drugs. The ideal is to return
to the pharmacy for proper disposal.
GPP STANDARDS FOR RECORDS
Aim: to facilitate patient care and provide an
audit trail
Requirements:
• STEP 1 A record of all medicines supplied
should be kept detailing name of patient,
name & strength of medicine, dosage, quantity
supplied, date of dispensing
• STEP 2 Individual patient medicine records
should be maintained in a system, manual or
computerized, which allows for easy retrieval
of patient information
STANDARDS FOR HEALTH INFORMATION AND
PHARMACEUTICAL CARE.
Aim: to promote good health and
prevent ill health
Requirements:
All personnel should be trained and
equipped in terms of literature and
support material to give advice on
general health matters as well as more
specific information and services
relating to medicines supplied by them.
In terms of the provision of this
service the steps would be as follows:
STANDARDS FOR HEALTH INFORMATION
AND PHARMACEUTICAL CARE CONTD.
• STEP 1. Provide health promotion
literature and support materials on
general health
• STEP 2. Provide an area suitable for
the delivery of basic information,
counselling and pharmaceutical care
• STEP 3. Provide a separate, confidential
room or facility for the above activities
STANDARDS FOR SELF MEDICATION.
• Where pharmacists are involved in
giving advice on self medication and
response to symptoms, protocols should
be devised to ensure that the advice is
accurate and appropriate.
• If the aforementioned standards are
followed strictly the pharmacist can be
sure that on the average he/she is
providing services that comply with
GPP.
tHANkS 4 LISTENing