Chapter 1: Hospital Pharmacy

• Definition and scope of Hospital Pharmacy.
• National and international scenario of Hospital Pharmacy.
• 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