HOSPITAL AND CLINICAL PHARMACY – PRACTICAL

Course Code: ER20-25P

25 Hours (1 Hour / Week)

Scope: This course is designed to train the students to assist other healthcare providers in the basic services of hospital and clinical pharmacy.

Course Objectives: This course will train the students with hands-on experiences, simulated clinical case studies in the following:

1. Methods to systematically approach and respond to drug information queries

2. How to interpret common laboratory reports to understand the need for optimizing dosage regimens

3. How to report suspected adverse drug reactions to the concerned authorities

4. Uses and methods of handling various medical/surgical aids and devices

5. How to interpret drug-drug interactions in the treatment of common diseases.

Course Outcomes: Upon completion of the course, the students will be able to

1. Professionally handle and answer the drug information queries

2. Interpret the common laboratory reports

3. Report suspected adverse drug reactions using standard procedures

4. Understand the uses and methods of handling various medical/surgical aids and devices

5. Interpret and report the drug-drug interactions in common diseases for optimizing the drug therapy

Note: Few of the experiments of Hospital and Clinical Pharmacy practical course listed here require adequate numbers of desktop computers with internet connectivity, adequate drug information resources including reference books, different types of surgical dressings and other medical devices and accessories. Various charts, models, exhibits pertaining to the experiments shall also be displayed in the laboratory.

Practicals

1. Systematic approach to drug information queries using primary / secondary / tertiary resources of information (2 cases)

2. Interpretation of laboratory reports to optimize the drug therapy in a given clinical case (2 cases)

3. Filling up IPC’s ADR Reporting Form and perform causality assessments using various scales (2 cases)

4. Demonstration / simulated / hands-on experience on the identification, types, use / application /administration of

· Orthopaedic and Surgical Aids such as knee cap, LS belts, abdominal belt, walker, walking sticks, etc.

· Different types of bandages such as sterile gauze, cotton, crepe bandages, etc.

· Needles, syringes, catheters, IV set, urine bag, RYLE’s tube, urine pots, colostomy bags, oxygen masks, etc.

5. Case studies on drug-drug interactions (any 2 cases)

6. Wound dressing (simulated cases and role play –minimum 2 cases)

7. Vaccination and injection techniques (IV, IM, SC) using mannequins (5 activities)

Use of Hospital Pharmacy Software and various digital health tools

Assignments

The students shall be asked to submit written assignments on the following topics (One assignment per student per sessional period. i.e., a minimum of THREE assignments per student)

1. Typical profile of a drug to be included in the hospital formulary

2. Brief layout and various services of the Central Sterile Supplies Department (CSSD)

3. Various types of sterilizers and sterilization techniques used in hospitals

4. Fumigation and pesticide control in hospitals

5. Role of Pharmacists in Transition of Care: Discharge cards, post hospitalization care, medicine reconciliation activities in developed countries

6. Total parenteral nutrition and IV admixtures and their compatibility issues

7. Concept of electronic health records

8. Invasive and Non-invasive diagnostic tests - HRCT, MRI, Sonography, 2D ECHO, X-rays, Mammography, ECG, EMG, EEG

9. Home Diagnostic Kits - Pregnancy Test, COVID testing etc

10. Measures to be taken in hospitals to minimize Antimicrobial Resistance

11. Role and responsibilities of a pharmacist in public hospital in rural parts of the country

12. Safe waste disposal of hospital waste

Field Visit

The students shall be taken in groups to visit a Government / private healthcare facility to understand and witness the various hospital and clinical pharmacy services provided. Individual reports from each student on their learning experience from the field visit shall be submitted.