Chapter 1: Hospital Pharmacy

• Definition, scope, national and international scenario
  • Organisational structure
  • Professional responsibilities, Qualifications and experience requirements, job specifications, workload requirements and interprofessional 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 2: Different Committees in the Hospital

• Pharmacy and Therapeutics Committee – Objectives, Composition, and functions
  • Hospital Formulary – Definition, the procedure for development and use of hospital formulary
  • Infection Control Committee – Role of Pharmacist in preventing Antimicrobial Resistance

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 the 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 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

Chapter 5:

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

Chapter 6: Radio Pharmaceuticals

• Storage, dispensing and disposal of radiopharmaceuticals

Chapter 7:

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

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.

Chapter 9: Daily activities of clinical pharmacists

• Definition, goal, and procedure of
  • Ward round participation
  • Adverse drug reaction monitoring
  • Medication history
  • Interprofessional collaboration
  • Treatment Chart Review
  • Drug information and poisons information
  • Patient counselling
  • Pharmaceutical care: Definition, classification of drug-related problems. Principles and procedures to provide pharmaceutical care

Chapter 10: Clinical laboratory tests used in the evaluation of disease states – significance and interpretation of test results

• Haematological, Liver function, Renal function, thyroid function tests
  • Fluid and electrolyte balance
  • Tests associated with cardiac disorders
  • Pulmonary Function Tests

Chapter 11: 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 12: Pharmacovigilance

• Definition, aim and scope
  • Overview of Pharmacovigilance

Chapter 13: Medication errors

• Definition, Types, consequences, and strategies to minimize medication errors, LASA drugs and Tallman lettering as per ISMP
  • Drug Interactions: Definition, Types, the clinical significance of drug interactions