Hospital Pharmacy

Annasaheb Dange college of D. Pharmacy Ashta.
1. Hospital Pharmacy
Presented By: Mr. A.S. Magdum (Asst. Prof. ADCBP Ashta)

• Hospital: The Dictionary Meaning- An institution for the shelter
and care of people who require medical or surgical treatment
“The Hospital is a complex organization utilizing specialized

scientific equipment and functioning through a team of trained staff
educated to the problems of modern medical sciences. All these are
co-ordinated together for the common purpose of restoration and
maintenance of good health”
• Function of Hospital:
The primary function of hospital is to organize and co-ordinate the

resources and service for successful diagnosis and treatment of
their patient
1. Medical Care
2.Training of medical and health professionals and Patient
3. Medical Research
4. Public Health
PersonnelCorporation
Board of Trustee
Director
Personnel Grant and Contract

Executive
Public relation
committee of staff
controller
Associate Director
(Clinical Services)
1.Anaesthesia
2.Blood Bank Associate Director
3.Clinical Laboratory Associate Director (Administrative Services)
4. Central Sterile Supply 1. Admitting 1.Credit Associate Director
5. Dietary services 2. Information 2. House Keeping (Ambulatory Services)
6. Nursing Services 3. Record Room 3.Laundry 1. Emergency services
7. Pharmacy 4. Social Services 4.Purches and Store 2. Out Patient Care
8.Pathology 5. Volunteers 5. Telephone services
9. Physical Medicine
10.Research Laboratory
ORGANIZATIONAL CHART OF HOSPITAL

Teaching Hospital
Governing Body
Medical College Dean
Medical Director Administrator
Director and Professor Medicine Unit Manager
Director and Professor Surgery Unit Manager
Director and Professor Pediatrics Unit Manager
ORGANIZATIONAL STRUCTURE OF A MEDICAL CENTRE TEACHING

HOSPITAL
Hospital Pharmacy
History:
The first north American hospital, Pennsylvania hospital started

functioning in 1752 & Jonathan Robert worked in it as a hospital
Pharmacist.
• The greatest Achievement in the profession were made in early
1940.
• The American Society of hospital Pharmacist was formed in 1942
and they published the American journal of Hospital Pharmacy.
DEFINITION:
• Actual practice of pharmacy in hospital.
• Drugs- received, supplied, stored, dispensed to inpatients and
outpatients.
• Legally qualified registered pharmacist.
Function of Hospital Pharmacy
• Selection of Sources - get products.
• Maintain inventory of all supplies
• Inspection - pharmaceutical supplies.
• Specification - quality of drugs, pharmaceutical supplies –
treatment.
• To develop and maintain- clinical and administrative records
• Estimate requirements- facilities, equipments
• Inhouse production of drugs- manufacturing of LVPs and other
parenterals - under aseptic condition
• Filling and labeling - container.
• Maintain requitioning and dispensing of all drugs
• Dispensing- Drugs, chemicals and p’ceutical preparations
• Dispensing- narcotic drugs and alcohol, maintenance of

inventory of them.
• Participate in educational programmes – health care
professionals
• Initiate and participate- research projects- improvement in
health care
• Participate- Safety programmes of hospital
Objective of Hospital Pharmacy
• Professionalize - functioning of p’ceutical services
• Teaching- Philosophy, ethics of hospital pharmacy
• Availability of required medications
• Guidance - responsibility
• Strengthen- management skills
• Strengthen - scientific and professional ability
• Utilize - resource
Establish- DIC (counseling department)
Organize & Participate in research project
Attract – pharmacist to work as Hospital Pharmacists
Promote -good salaries to pharmacist- to retain services
Acts as- profit center in hospital
Implement decisions of PTC

The International Scenario:
• Hippocrates father of medicine, practiced medicine and pharmacy
• There were no separate professions of medicine and pharmacy those

days as they exist today.
• The alchemists and apothecaries are the forefathers of present day

pharmacists.
• Before about seventeenth century the medicine, pharmacy and

nursing were practiced together but later on these practice areas got
separated from their common ancestral origin.
• The division of work among physician and apothecary led to the

recognition of pharmacy as a discipline separate from medicine.
• The first north American hospital, Pennsylvania hospital started
in 1752 & Jonathan Robert worked in it as a hospital
Pharmacist.
• The American Society of hospital Pharmacist was formed in
1942 and they published the American journal of Hospital
Pharmacy
• Galen Greek physician practiced & taught pharmacy & medicine
in Rome. principles of preparation and compounding were
followed in western world. (Galenicals Preparation)
• The Christian monasteries served the sick people in the
neighborhood requiring special care.
• Monasteries contributed by growing, preserving and preparing
herbal medicines and made it available in printed book forms.
• Among them the most important are, "DeViribus Harbarum (Herbs
used by people) composed in French and "causae et curae" in
German language in 11th and 12th centuries.
• In China Ephedra, Cassia, Rhubarb, Camphor and Ginseng (500 BC).
• More than 2000 drugs are included in Charaka's writings including,

Cinnamon, Cardamom, Ginger, Pepper, Aconite and Liquorice (1000
B.C.).
• The monasteries in England, Germany and France preserved the
information of herbs grown in monastery gardens.
• The municipal authority of Nuremberg, Germany in 1546
published an official book describing drug standards for that city,
which is considered as the first pharmacopoeia in the world. In
17th and 18th century,
• Fredrick serturner who prepared salt of morphine in 1804
• Johannes Buchner discovered Salicin in willow bark and

nicotine in tobacco.
• His discoveries led to synthesis of Aspirin
• World Health Organization (WHO) published the first
international pharmacopoeia in Geneva, Switzerland in
1951.
• Even before that, the United States Pharmacopoeia (USP) was
published long back in 1820.

The Indian Scenario
• Hindu medicine begin with Atharvaveda and Ayurveda.
• Rigueda about 1000 herbs are described for treating diseases.
• Sushruta and Charaka practitioners of Hindu medicine and they composed
"Charak Samhita"
• The allopathic was introduced in India by British in 18 when they became
rulers.
• A chemist and druggist diploma course was started in Madras medical
college in1899 A similar, diploma course was started at medical College
Vishakapatnam in 1937.
• 1846 Portuguese opened a medical school in Goa and in the same school
there was a school of Pharmacy conducting three years Diploma course in
pharmacy
• CMC, Christian Medical College, Vellore established in 1900.
• However from 1960s, the hospital pharmacy services were truly

modernized in CMC Vellore.
• The development of hospital pharmacy services especially in
missionary hospitals by pharmacy Professionals like Ms.
Saunders, Mr. Albert Bauman, Mr. John Rothwell and Mr.
Victor Kenneth Oesterling Jr. is worth appreciating Among them
the contribution of Mr. Victor K. Oesterling in developing modern
hospital pharmacy at CMC, Vellore into one of the best hospital
pharmacies in the world and the number one in Asia is worth
noting
• The Indian Hospital Pharmacists Association (IHPA) was formed in
1963 by a team of pharmacists under the leadership of Dr. B.D. Miglani.
• IHPA started publication of Indian Journal of Hospital Pharmacy
(IJHP) in May 1964.
• Right from the beginning the IHPA and IJHP were advocating for the
starting of specialized academic programs like. M. Pharm in Hospital
Pharmacy.
• Nalini Shankar Gayatonde M.Sc. (Tech.) from UDCT, Bombay was
appointed as hospital pharmacist in 1948 at Lady Hardinge Medical
College and Hospital. She also served as superintendent of Pharmacy
services at Nair Hospital at Bombay and Jaslok Hospital Bombay. N.S.
Gayatonde is the first Women Hospital Pharmacist in India.

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Annasaheb Dange college of D. Pharmacy Ashta.

Presented By: Mr. A.S. Magdum (Asst. Prof. ADCBP Ashta)

“The Hospital is a complex organization utilizing specialized

The primary function of hospital is to organize and co-ordinate the

Personnel Grant and Contract

ORGANIZATIONAL CHART OF HOSPITAL

Medical College Dean

Medical Director Administrator

Director and Professor Medicine Unit Manager

Director and Professor Surgery Unit Manager

Director and Professor Pediatrics Unit Manager

ORGANIZATIONAL STRUCTURE OF A MEDICAL CENTRE TEACHING

The first north American hospital, Pennsylvania hospital started

• Dispensing- Drugs, chemicals and p’ceutical preparations

• Dispensing- narcotic drugs and alcohol, maintenance of

• Teaching- Philosophy, ethics of hospital pharmacy

• Availability of required medications

• Strengthen- management skills

• Strengthen - scientific and professional ability

Organize & Participate in research project

Attract – pharmacist to work as Hospital Pharmacists

Promote -good salaries to pharmacist- to retain services

Acts as- profit center in hospital

Implement decisions of PTC

• There were no separate professions of medicine and pharmacy those

• The alchemists and apothecaries are the forefathers of present day

• Before about seventeenth century the medicine, pharmacy and

• The division of work among physician and apothecary led to the

• More than 2000 drugs are included in Charaka's writings including,

• Johannes Buchner discovered Salicin in willow bark and

• Even before that, the United States Pharmacopoeia (USP) was

published long back in 1820.

• However from 1960s, the hospital pharmacy services were truly

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