introduction to pharmacy practice ppt

Introduction •Definitions •Pharmacy education •Clinical pharmacist degree •Departments of pharmacy college •Pharmacy education fields •New trends in pharmacy education. Introduction to Pharmacy Practice . Create stunning presentation online in just 3 steps. • Appropriate recommendations/actions might include • education & training to health care providers • pharmacist authority for automatic changes, Regulatory Agencies • Standards from best practices • Regulatory and accrediting agencies • make site visits • meet with hospital administrators, health care providers, hospital staff • review hospital’s guidelines , policies & procedures, The Joint Commission (TJC) • Formerly known as the Joint Commission on the Accreditation of Healthcare Organizations, or JCAHO). the applicable study guide, Pharmacy 483: QI and DUE in Pharmacy Practice - . Learning Outcomes. Drug formulary development &. a hospital pharmacy is concerned. steve riddle, bs pharm, bcps qi and medication utilization lead hmc, Introduction to Practice Scholars - . the relation between the patient and the pharmacist is covenant or promise ,and this, Introduction to Pharmacy Practice - . Pharmacy & formulary. • Independent, not-for-profit organization • Accredits more than 15,000 health care organizations • Publishes guides to prepare for onsite inspections • Pharmacy staff including technicians need to know requirements /standards, Benefits of Accreditation • Strengthens community confidence • quality • safety • Competitive edge in marketplace • Improves risk management & risk reduction • Provides education on good practices • Provides professional advice & counsel • Helps staff education, recruitment, development, Technology • Wireless telecommunications • Cellular phones • Pagers • Fax machines • Computer networks • Built-in alarms to alert health care providers • Accurate record keeping (e.g., inventory control) • Decreased prep of medications due to unit dose forms • Reduced errors, waste, costs, Automation • Automated compounders • Automated medication dispensing system • Robotics • Inventory Control • Reduced diversion • Data mining opportunities • Surveillance of health care information • Technicians play key & innovative roles, Computer Systems • CPOE=Computerized Physician Order Entry • Prevents extra step of transcription (error prone) • Pharmacist can more quickly review & verify order • label will automatically print in pharmacy to be filled • or nurse removes drug from automated medication cabinet, © 2020 SlideServe | Powered By DigitalOfficePro, - - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -. radiopharmacy = nuclear pharmacy nuclear pharmacy is a specialty area of. Chapter 4: Hospital Pharmacy Practice . Women were reported to be earliest gatherers of medicinal plants but the practice was taken up by men in the society. Ricketiest Insidiously. Identify reasons for establishing home care services & growth of home care industry Cite 7 goals of home care therapy Identify members & roles of home care team Slideshow 211410 by Ava what we as pharmacist believe our profession to be determines what it is wendell t.hill,jr.. Introduction to Pharmacy Practice - . chapter 7 state regulation of pharmacy practice. presentation overview. brief introduction to fip, the international, Disclosure - The pharmacy practice model: where are we going and how will we get there? About apha's pharmacylibrary | american pharmacists association. educational solutions, hospital pharmacy - . Family Practice Core Didactic Pharmacy Announcements November 16, 2011 - . Why’s it important ? perry, Evidence based Pharmacy Practice - . learning outcomes. yvonne thomas december 2011. community of practice. Clinical pharmacy is a branch of pharmacy that involves the provision of patient care with the use of medications to optimize the health outcomes of patients. vitamins- folic acid spring 2006. folic acid study guide. Polliwogs. c. michael white, pharmd, fccp, fcp professor of, A Global Strategic Plan for Hospital Pharmacy Practice - . Patient counseling 6. Review of hospital forbid art 7. Pharmacy Practice is the discipline of pharmacy which involves developing the professional roles of pharmacists. Lecture 1: Introduction to Epidemiology Outline Time I calendar time I time since an event I physiologic cycles I age (time since birth) I seasonality I temporal trends 12/19. charlotte rossing section manager research pharmakon danish college of pharmacy. Development of hospital formulary for a tertiary care teaching. medical trivia. AMA Citation Introduction to CNS Pharmacology. Introduction to Pharmacy Practice. I nutritional practices I medical practices 11/19. terms closely associated with standards of practice: quality quality, Pharmacy Tech Introduction - . tablets, capsules, inhalers, creams etc.) Find PowerPoint Presentations and Slides using the power of XPowerPoint.com, find free presentations research about Introduction To Pharmacy Practice PPT Hospital formulary. personal, Pharmacy 483: QI and DUE in Pharmacy Practice - . clinical pharmacy Sohan Patel. Identify reasons for establishing home care services & growth of home care industry Cite 7 goals of home care therapy Identify members & roles of home care team, Introduction to Pharmacy Practice Chapter 5: Home Care Pharmacy Practice, Learning Outcomes • Identify reasons for establishing home care services & growth of home care industry • Cite 7 goals of home care therapy • Identify members & roles of home care team • Identify conditions treated with home care services • Identify top drugs used in home infusion therapy • List 1-2 parameters for these drugs in home care, Learning Outcomes • Compare infusion systems for use in patient’s home • List labeling requirements for sterile products in home care • Outline important factors for determining expiration dates for sterile products used in home care setting, Key Terms • Case manager • Elastomeric balloon system • Extravasation • Intake coordinator • Patient controlled analgesia (PCA) • Patient service representative • Peripherally inserted central catheter (PICC) • Rate restricted IV administration set systems • Smart pumps • Universal precautions, Historical Overview • First home therapy in 1970s • less expensive & less hardship for patient • Currently estimated $9 - $11 billion dollars per year • Serviced by 700 to 1,000 infusion pharmacies • Home infusion • safe & effective • less expensive • pumps are portable, small, easily programmable • avoid nosocomial infections, Home Infusion Services • Provided by • hospitals, community pharmacies, home health nursing companies, integrated health care systems, and independent home infusion companies • Technician roles • preparation of parenteral products • inventory maintenance & control • creating & maintaining patient supply inventory • making deliveries to patients’ homes, The Home Care Process • Entering home care process • physician recommendation • patient, patient’s family advocate home therapy • patient’s insurance company may dictate • case manager will mediate location of therapy • hospital may also initiate process, Intake coordinator • Retrieves patient’s pertinent information • Nurse or technician specially trained for job • Technician involved in preparing drugs • Registered nurse makes initial patient visit, Steps in Home Care Services • Initial referral process usually takes 24 to 48 hours • Members of team must be available to patient 24/7 • Care plan • home care team monitors patient’s therapy • watch for complications of therapy • signs that therapy is effective • visit or contact patients on regular basis • supplies & drugs are prepared &delivered weekly • patient discharged from home care service as appropriate, Home Care Team • Physician • Nurses • Pharmacists • Pharmacy technicians • Registered dietitians • Respiratory therapists • Social workers • Physical & occupational therapists • Certified nursing assistants, Physician • Leader of the team • Major changes in therapy need physician’s approval • Signs “Certificate of Medical Necessity & Plan of Treatment” • Physician drug orders (prescriptions) • via phone as in community pharmacy setting. jeffery d. evans, pharm.d . S. I programme ppt. Introduction to Pharmaceutics PPT. abood - chapter 7 (pgs. As per known history, the first pharmacy was established in Baghdad in 754 AD. • via facsimile machine • Rules & regulations for narcotics specific to state, Nurse & Pharmacist • Coordinate patient supplies • Develop plan of care • Monitor , document patient’s status • Communicate with physician • Coordinate physician orders • Make appropriate interventions • Assess & educate home care patients • Work jointly to perform organization’s clinical quality assurance activities, Nurse • Primary patient educator • Assesses • patient’s physical status • patient’s adherence to treatment plan • condition of catheter • psychosocial issues • Maintenance of intravenous catheters • Placement of peripheral catheter • Insertion of peripheral long-term catheters or PICC • Schedule & perform all blood work, Pharmacist • Responsible for proper acquisition, compounding, dispensing, & storage of drugs • Responsible for instructing patient & nurse on drugs being administered • Clinical pharmacy roles • pharmacokinetic dosing of vancomycin & aminoglycosides • nutritional support services • input in selection of most appropriate drug for patient • Pharmacist is drug information source for all other team members, Pharmacy Technician • Generates medication labels • Prepares & labels medications • Maintains clean room & drug storage areas • Coordinator of IV room • Works with pharmacist on • mixing schedule, ordering & maintaining drug & mixing supplies, performing quality assurance on compounding activities • Manage warehouse/inventory of non-drug supplies • Track of accounts receivable • Pick/pack supplies for shipment to patients, Reimbursement Specialist • Key to economic viability of company • Interface among insurer, home infusion company, & patient • Coordinate all billing for services • Negotiate price of services with insurers • Well-versed in public aid & government reimbursement programs (Medicaid & Medicare), Patient Service Representative • Controls patient’s inventory of supplies • Contacts patient or caregiver on routine basis • Coordinate pickup of supplies at end of therapy • Pharmacy technician may be responsible for this job, Patient and Caregiver • Involved in development of care plan • Patient has right to be involved • Clearly stated in rights & responsibilities document • Established on initial visit, Antibiotics • Account for 40% - 70 % of current home infusions • Cephalosporins • ceftriaxone (Rocephin) • cefazolin (Ancef) • cefepime (Maxipime) • low incidence of adverse reactions • require minimal monitoring • stable for 10 days -ideal for weekly deliveries • ceftriaxone is often prescribed-given once daily, • many cephalosporins can be administered as IV push, Penicillins • Common IV antibiotics • Difficult to use in home • frequency of dose • stability of medication • allergies • Phlebitis • Ambulatory pumps-often used with penicillins • Other systems used • ADD-Vantage® • Add-Ease®, Vancomycin • Red Man Syndrome • Individualized dosing • Irritating to veins, Other Antibiotics • Azithromycin (Zithromax) • Doxycycline • Fluoroquinolones • Carbapenems • Daptomycin (Cubicin) • Linezolid (Zyvox) • Quinupristin/dalfopristin (Synercid), Antifungals • Uses • transplant patient • immunocompromised patient • Common medications • Intravenous amphotericin B • premedication for reactions • oral acetaminophen and diphenydramine. what is ppmi? To some pharmacists, the practice of business is symbolized by high-pressure salespeople, innocuous advertisements, and sale of products of poor quality. objectives. 77mb. Drug information final Sitaram Khadka. Pharmacists in the health care team: a policy perspective 1 1 New paradigm for pharmacy practice 3 1.1 Introduction 3 1.2 Main learning objectives 5 1.3 What is health? Quality Management Hasmik Abrahamyan Ph.D. in Pharmacy - Yerevan, 04.11.2012. good. We pride ourselves on providing our customers with the best experience possible. Pharmacy Mcqs. Free flash photo gallery templates download. Physical and Chemical Incompatibilities. Early studies show that man used clay, mud, leaves and supernatural means for alleviating symptoms of various diseases. Laboratory formularies: improving care, reducing costs. Pharmacy Practice Model Initiative - . learning outcomes. chapter, Pharmacy Practice Model Initiative (PPMI) - . by jamie al-nasir, school of pharmacy, kingston, Academy of Pharmacy Practice and Management- Nuclear Pharmacy Practice Section APPM-NPPS - Sponsor. Community pharmacy also decides the proper regimen of drug to the patient. by: giacomo rambaldi. Community Pharmacy Practice in Pakistan . unit: m01u01. Introduction to Pharmacy - . chapter 3: community and ambulatory care pharmacy practice . compare & contrast. Introduction to pharmacy ppt. janet silvester operations committee june 13, 2006. pharmacist education. 280-300) pharmacy is “self-regulated” profession, Consultation skills for pharmacy practice Where did it start ? Learning Outcomes. This includes both pharmacists and pharmacy technicians. Introduction to pharmacy |authorstream. Types of Receptor-Channel Coupling + + In the case of ligand-gated ion channels, activation (or inactivation) is initiated by the interaction between chemical neurotransmitters and their receptors (Figure 21–1). Community pharmacy helps to develop charging policies for pharmaceutical services. for event updates: Introduction to Practice Session - 2011 gsi community tutorial june 29-july 1, 2011, boulder, co. introduction to, Pharmacy 151 Introduction to Pharmacy Law - . Get powerful tools for managing your contents. Evidence based pharmacy practice ppt School of pharmacy. Get powerful tools for managing your contents. Date added: 05-20-2020. This most likely developed from the observation of very poor business practices used by some firms. Disease continues to trail man since the “Fall of Man” and he has continued to seek ways of curing them. Opoid poisoning lamrin33. Covid-19 Impact on Global Infusion Pharmacy Management Market Size, Status and Forecast 2020-2026 - Infusion therapy is prescribed to patient only when patient condition is severe or oral medication are less effective. overview. Presentation Title: Introduction To Pharmacy. 5 1.4 The pharmacy profession 5 1.5 New dimensions of pharmacy practice 7 1.5.1 Pharmaceutical care 7 1.5.2 Evidence-based pharmacy 8 john b. hertig, pharmd, ms, State Regulation of Pharmacy Practice - . describe differences, Introduction to Pharmacy Practice - . Introduction to pharmacy practice. Infusion Pharmacy includes infusion of antibiotic, antifungal, antiviral, pain management and nutritional drug through needle or catheter. It also gives the knowledge to how to administer the drug to the patient. shhhhhhh …. Create stunning presentation online in just 3 steps. Chapter 5: Home Care Pharmacy Practice . Drug must be in inventory 2. Opoids poisoning Saroj Yadav. National HR strategies in a global context - . Introduction to Pharmaceutical Quality Management 2 Lecture By: Ms Anam Sajjad Khan Lecturer Department of Pharmacy, Abasyn University Current good manufacturing practices (cGMP) Current Good Manufacturing Practices (CGMPs) refers to the regulations provided by the US Food and Drug Administration (FDA) that guide the design, monitoring, and maintenance of manufacturing facilities … Learning Outcomes. Pharmacy: An Introduction to the Profession is an ideal resource for orientation or introduction to pharmacy courses on both the professional and the preprofessional level. Pharmacy Practice. An introduction to the concept of clinical pharmacy and its application. practice of pharmacy is ethically inconsistent with good business. Macpeds pediatric formulary. course teacher: asim kumar bepari. COMPOUNDING AND DISPENSING 519 LAB MANUAL FINAL (1).docx. individuals working in a pharmacy who, under the supervision of a, Phar 722 Pharmacy Practice III - . Soapbox's Introduction to pharmacy practice ppt video online download. This free online pharmacy course will teach you about the different roles and responsibilities of a pharmacy technician, and guide you through the basic skills required to become engage in the profession. Topic: Introduction to Pharmacy Practice: Final Assessment | en - 1334 - 69075 Below were ancient methods used in the treatment of diseases; Presentation subjects includes - Pharma Analysis , Pharma Chemistry , Pharmaceutics , Pharmacology , Regulatory Affairs , Pharma Practice , Pharmacognosy , Bio Technology Adulteration and Evaluation of Crude drugs.ppt Introduction to Pharmacy Practice - . @csfpp. Pharmaceutics: Basic Principles and Application to Pharmacy Practice is an engaging textbook that covers all aspects of pharmaceutics with emphasis on the basic science and its application to pharmacy practice. • Two primary methods • automation • manual • Automated Medication Dispensing Cabinets • Technicians play a key role • Maintain appropriate inventory-frequent adjustments, Manual Cart-Fill Process • Requires use of medication carts or cassettes • medication drawers labeled with patient names • fill-list report is generated • for specific time period–medications scheduled to be given will print • technician will fill each patient’s drawer from fill-list • pharmacist will check the carts for accuracy • tech-check-tech process in some states • technician exchanges cassettes in patient care areas, Emergency Crash Carts • Carts or trays with medications used in emergencies • defined list of medications • Carts/trays are filled by techs & checked by pharmacist • locked and sealed • delivered to designated patient care area, Clinical Services • Pharmacists provide patient-focused services • pharmacokinetic dosing • infectious disease consultations • drug information • nutritional support services • Pharmaceutical care • Pharmacist is advocate for patient • Patient is involved in decision-making process for care, Role of the Technician • Pharmaceutical care model allows for new roles for technician • use of technicians to record laboratory results • screening orders for non-formulary status • identifying orders on the hospital’s restricted list • review & collect missing information for patient • allergies • height • weight, Investigational Drug Services • Clinical trials evaluate efficacy/safety of medications • Study protocol is developed, reviewed, approved by Institutional Review Board (IRB) • Protocol is operating manual for clinical trial • Specific requirements /procedures must be followed, Clinical Trials • Following protocol accurately important • Patient randomized to receive study drug or placebo • Results & recordkeeping may be audited by FDA • Investigational medications must be • stored in a separate section of the pharmacy • limited access, Medication Management • Entire medication process involved • Selection & procurement of drugs • Storage • Prescribing • Preparation & dispensing • Administration • Monitoring effects • Evaluation of entire system, Selection & Procurement • Pharmacy & Therapeutics (P&T) Committee establishes hospital formulary basedon: • indications for use • effectiveness • drug interactions • potential for errors and abuse • adverse effects • cost, Formularies • Closed formulary means choice of drugs limited • Drugs are admitted to formulary by process • physician requests to add a drug to formulary • pharmacists anticipates need • drug monograph is written (by pharmacy) • P&T Committee uses information in monograph to decide whether to add drug to formulary • drugs removed from formulary • when better drugs become available • when purchasing trends show drug longer being used, Formulary & Non-Formulary • Pharmacy technicians key role in procurement • Specific procurement process • Pharmacist may suggest formulary medication to replace non-formulary medication • Pharmacy has procedures to allow for temporary use of non-formulary drug, Storage • Proper storage of medications is critical • temperature • light sensitivity • All medications in hospital are inspected monthly • inspections primarily performed by technicians • referred to as unit inspections, Storage of Controlled Drugs • Specific storage & documentation requirements • Requirements are stringent • based on abuse & diversion potential • Must comply with all legal & regulatory requirements • Technicians need to be trained & knowledgeable about these requirements, Prescribing • Policies & procedures for prescribing medications • Verbal orders are not recommended • Procedures for verbal orders to minimize errors • Helpful if indication is on medication order • Prescribers can enter order electronically or write out • Pharmacists must review medication orders, MAR • Medication order information appears on MAR • MAR=Medication Administration Record • Used by nursing to administer meds • Pharmacist must review all orders before medication administered unless emergency situation • Some hospitals outsource this function to remote sites, Preparation & Dispensing • Unit-ready-to-use form should be provided to nurse • Pharmacy should dispense patient specific unit dose packages to nursing units because: • reduction in incidence of medication errors • decrease in total cost of medication-related activities • more efficient use of pharmacy & nursing personnel • improvement in overall drug control and drug use • more accurate patient billing for drugs, IV Medications • Some IV medications available in unit dose form • Some meds not stable in solution • must be mixed by pharmacy just prior to administration • Technicians: main preparers of IV medications • Prep requires knowledge/skill of aseptic techniques, Extemporaneous Prep • Doses based on patient-specific characteristics • Pediatric patients • require very small doses • unique doses not commercially available • special dilutions made for IV solutions • Extemporaneous oral solutions/suspensions • compounded if patients unable to swallow tablet • crush tablets-follow recipe for solution or suspension, Final Prep Steps • Proper labeling • patient’s name • patient’s location in hospital • medication name • dose • route of administration • expiration date • special directions • bar-codes, Administration • Procedures to ensure timely administration of meds • Procedures to check 5 rights • right medication • right dose • right patient • right time • right route • Some hospitals add 6th right of documentation, Bar Code Systems • Computer systems linked so that • Nurse scans the patient’s wrist band & med bar code • Confirms 6 rights: • Right Patient • Right Drug • Right Dose • Right Time • Right Route • Right Documentation-added on to original 5 rights because without documentation, dose may be given more than once in error, Monitoring • Monitoring effects of medications mandatory • adverse effects • positive outcomes • important component in process • Monitoring uses patient information • laboratory results • patient’s clinical response • medication profile (anti-allergic or antidote orders ) • Technicians may gather info for pharmacists, Evaluating Medication Process • Tracking & identifying trends • adverse drug events • medication errors • performing medication-use evaluation (MUE) • MUE is commonly performed for • high-use drugs • high-cost drugs • high-risk drugs, MUE Process • Data is collected for evaluation of • appropriate use • indications, dose, route, clinical response • Data is tabulated & presented to • appropriate health care providers • hospital committees. Centralized Pharmacy Services • Central location • sterile preparation area (clean room) • aseptic preparation of IV medications • medication cart filling area • outpatient prescription counter; • storage area for medications and supplies • advantage of centralized services: fewer staff members • disadvantages : • lack of face-to-face interactions with patients/providers • Increased time to deliver medications to patient care areas. Pharmacy Practice offers practicing pharmacists in-depth useful reviews and research trials and surveys of new drugs and novel therapeutic approaches. Pharmacy Practice - . Voodooing. identify the, INSTITUTIONAL PHARMACY PRACTICE STANDARDS - . Hospital pharmacy management. Download introduction to pharmacy PPT for free. This pharmacy course, learn about the principles of pharmacy practice, including the responsibilities of the pharmacy technician and medication safety. Learn intro to pharmacy with free interactive flashcards. Introduction to evidence-based medicine. Premonitions Truncating Purported . It should also be able to implement an adequate system for stock and inventory control. lee vermeulen, r.ph., m.s. zTraditionally a major component of pharmacy practice zFrom 1950s onwards a shift towards pre-manufactured products from industry (e.g. introduction to hospital pharmacy. Introduction to pharmacy practice. underwriting & claims reserving. significant, Comparative Effectiveness Reviews and Evidence-based Practice - . chapter 1: introduction to pharmacy. Health Economics in Pharmacy Practice - . Presentation Summary : By passing a national examination that evaluates the technicians knowledge and skills needed to perform the work of a pharmacy technician. Define pharmacoepidemiology as it relates to pharmacy and public health. Fundamental Operations in Compunding,Ppt. luc soete unu-merit, university of maastricht the netherlands. flow of the presentation. Medication order must be written • Order reviewed & verified by pharmacist • Medication order must be processed • Drug dispensed/delivered to nursing station/cabinet • Drug administered to patient & documented in MAR • Physicians, nurses, pharmacists monitor patient, Unit Dose Drug Distribution • Unit dose is individually packaged medication • ready to be dispensed & administered to patient • labeling requirements (drug name, strength, lot number, expiration date, etc.) panelistscdr david bates, chief pharmacist, zuni comprehensive health center,zuni, new mexico, Academy of Pharmacy Practice and Management- Nuclear Pharmacy Practice Section APPM-NPPS - Sponsor. chapter 4: hospital pharmacy practice . Naloxone admin timmct. Pharmacy Practice Dr.Izzatullah Khan. Good pharmacy practice. Introduction to the Pharmacy Profession is an independent publication and has not been authorized, sponsored, ... Research, clinical practice, and government regulations often change the accepted standard in this field. associate professor of pharmacy practice ulm cop. Hospital Pharmacy: The department of the hospital which deals with procurement, storage, compounding, dispensing, manufacturing, testing, packaging, and distribution of drugs. pharmacy announcements. pharmacy technicians. steve riddle, bs pharm, bcps qi and medication utilization lead hmc, Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success - . what is radiopharmacy?. This … Ethics in Pharmacy Practice. Describe differences between centralized & decentralized pharmacies List at least 2 types of services provided by hospital pharmacy departments, Introduction to Pharmacy Practice Chapter 4: Hospital Pharmacy Practice, Learning Outcomes • Describe differences between centralized & decentralized pharmacies • List at least 2 types of services provided by hospital pharmacy departments • Explain purpose of pharmacy policy and procedure manuals • List at least 3 different methods of drug distribution, Learning Outcomes • List components of medication management process • Describe role accrediting & regulatory agencies play in hospital pharmacy • List 2 types of technology in hospital pharmacy • Describe quality control & improvement programs • List 3 organizations involved with patient safety • Describe financial impact 3rd party payers have on hospitals, Key Terms • Automated medication dispensing device • Centralized pharmacy • Clinical pharmacy services • Closed formulary • Decentralized pharmacy • Drug distribution services • Hospital formulary • Investigational drug services, Key Terms • Medication use evaluation (MUE) • Non-formulary drug • Open formulary • Pharmacy satellite • Quality control • Quality improvement • Unit dose • Unit dose distribution system, Historical Perspective • Pharmacy services were performed from a central pharmacy • often located in the basement of the hospital • services were often limited • Focus • procurement • repackaging & labeling bulk supplies • delivery to patient care areas, Floor Stock Was OK • Bulk medications was stored on nursing stations • Nurse took medication from floor stock • Nurses prepared all intravenous (IV) medications • Potential for medication errors was very high • Mid 1960s-pharmacies assumed more accountability, Organizational Structure • Typically, at the top, board of directors • Chief executive officer (CEO), president, or hospital director • sets direction by creating vision & mission • reports to the hospital’s board of directors • responsible for budget, personnel, & operations, Second Level of Hospital Mgmt • Medical staff/second level of management • report directly to CEO • Chief operating officer (COO) • responsible for daily operations • Chief financial officer (CFO) • responsible for financial management • Vice president of patient care services • responsible for direct patient care departments (pharmacy, nursing, and respiratory therapy), Additional Levels of Mgmt • Depends on • size & scope of services provided • financial status of facility • management philosophy of CEO • Patient-focused care model • managers responsible for all employees & activities provided to specific patient types • health care workers function as a team regardless of discipline or tasks performed, Pharmacy Department Structure • Director or chief of pharmacy services • budget & drug expenditures • medication management • regulatory compliance • medication safety, Pharmacy Department • Manager 1 coordinates: • pharmacy students • residency program • Manager 2 coordinates: • staff development, • clinical pharmacy services • Pharmacy technicians may supervise other technicians • lead technician responsible for management functions. 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