HOSPITAL PHARMACY TRAINING

Pharmacy At : Ashokaa Hospital Pharmacy

Practice
(BP705PP)

Presented by –

Guided by –
Name – Aayush Shaileshkumar
Ms. Kinjal GamitGanjawala
(Faculty Incharge And
Enrollment no – 202160290032
Asssistant Professor)
B. Pharm 7th semester
Training Certificate
 Introduction
 Hospital Pharmacy –
 Hospital pharmacy is the health care service, which comprises the art, practice, and
profession of choosing, preparing, storing, compounding, and dispensing medicines and
medical devices, advising patients, doctors, nurses and other healthcare professionals on
their safe, effective and efficient use.
 Objectives of hospital pharmacy –
1) To ensure safe and effective medication use for all patients. 2) To optimize drug therapy
through evidence-based clinical decision-making. 3) To minimize medication errors with robust
dispensing and monitoring systems. 4) To develop proficiency in educating patients on health
and medication related matters. 5) To learn the value,importance and application of patient
profile. 6) To process prescriptions and acquire knowledge in the specialty of hospital pharmacy
management..
Storage of products
In this image, the meticulous organization of non-
refrigerated pharmaceutical products, including
tablets and capsules, is on display.

These products are thoughtfully arranged category

wise, ensuring that they are not only stored efficiently
but also easily located by pharmacists, further
enhancing the pharmacy's commitment to
convenience and accessibility in healthcare services.

In this image, the well-organized storage of syrups and

liquid medications is highlighted.

These products are meticulously arranged

alphabetically, streamlining the pharmacist's workflow
and making it effortless to locate and dispense the
required syrups, emphasizing the pharmacy's
commitment to efficiency and accuracy in
pharmaceutical services.
Storage of products that requires cold chain

Products requiring a cold chain are stored in a

specialized refrigerator, maintaining temperatures
between 2-8°C, to ensure their integrity and quality
remain uncompromised.

These sensitive pharmaceuticals include vaccines,

immunoglobulins, serums, insulin, ergometrine,
oxytocin, dinoprostone, and additional examples like
Human Actrapid and calsam spray.
Workflow in pharmacy
Collecting Prescription

Picking of medicines

Dispensing of medicines

Generate computerized bills

Checking of medicines as per the
bill
 Learning Process
DAILY ROUTINE:-

 The store opens at around 8:30a.m.in the morning.

 I used to work at store for 3 hrs from 6:30p.m. to 9:30 p.m. including Sundays
 This hospital comprises of mainly 2 doctors whose main working hours are from
6:00pm to 11:00pm. The peak hours are from 7:00 pm to 10:30 pm
 After reaching the store I used to take part in the activities in pharmacy and
observe the ongoing activities thoroughly and gather information through the staff
operating.
 Dispensing of drugs
1) Dispensing of Drugs for OPD (Outpatient Department) Patients:
 Drugs are dispensed to patients according to the prescription. In case of high price, patients
are allowed to get the medicines period and for the left out dose,they come to the
pharmacy next time.
 As patients do not accept brand substitution, only drugs prescribed by the physican are kept
in the pharmacy.
 The dispensing of drugs is handled with utmost care and precision.
Pharmacists ensure that each prescription is accurately filled, verifying dosages and
instructions to avoid any errors. Patients are counseled on the proper use of medications,
potential side effects, and the importance of adherence to their treatment.
A well-organized inventory is maintained to ensure the availability of essential drugs,
providing timely service to all patients.
 Dispensing of drugs
 From 2:00 PM to 6:00 PM, the hospital primarily focuses on serving in-patient
department (IPD) patients. During these hours, outpatient department (OPD) services are not
available. OPD services resume outside this time window, ensuring dedicated attention to IPD
care in the afternoon. This schedule allows for more efficient patient management within the
hospital.

 Many Patient Argue for the another brand of the same medicine but only the precibed by
the physician is provided to them and no drug is procure without prescription unless not order
by the physician
In this scene, I am carefully examining This image captures the moment when I
the prescription document in hand. I am dispensing the prescribed
ensure that the medication matches the tablets/drugs from their container with
doctor's instructions, confirming the the medications healthcare providers
utmost accuracy and patient safety. have prescribed.
Refund of Bills

Purchase bills

Manage inventory

Patient bills
Prescription

1) Tab. Metopil 25
Use – Treat Hypertension

2) Cap. Nexom RD
Use – Treat Acid Reflux

3)Tab. Lonazar 0.25

Use – Treat Anxiety and Seizures

4) Tab. Et - MR 4 mg
Use – Treat Inflammation and pain
TOP 10 PRODUCTS-
1.Tenespec - M

Manufacturer Spectra Therapeutics pvt Ltd

Composition Teneligliptin and Metformin Hydrochloride

Side Effects Side effects : hypoglycemia flatulence, diarrhea, constipation, stomach

pain, loss of appetite

Use Anti-Diabetic Medicine

MOA TENESPEC M TABLET contains Metformin and Teneligliptin.

Metformin works by lowering glucose production in the liver,
delaying glucose absorption from intestines and increasing the
body’s sensitivity to insulinTeneligliptin is a dipeptidyl peptidase-4
inhibitor which works by increasing the release of insulin from
pancreas and decreasing the hormones that raise blood sugar.
2.Nexlife-DSR

Manufacturer -Tripada Therapeutics

Composition Esomeprazole and Domperidone

Side Effects Headache , Nausea, Abdominal Pain

Use To treat gastroesophageal reflux disease (Acid reflux),

MOA The combination of Esomeprazole and

Domperidone treats GERD and related
conditions. Esomeprazole reduces stomach
acid by inhibiting the proton pump in gastric
parietal cells. Domperidone improves gastric
motility by blocking dopamine D2 receptors,
enhancing stomach emptying, and
strengthening
3.TENIHOP

Manufacturer Anax Pharmaceuticals.

Composition Teneligliptin

Side Effects Headache Dizziness

Constipation

Use Anti- Diabetic.

MOA Teneligliptin inhibits the DPP-4 enzyme, preventing the breakdown
of incretin hormones like GLP-1 and GIP. This leads to increased
insulin secretion and reduced glucagon levels, helping to lower blood
sugar after meals.
4.Vildaspec 100
SR

Manufacturer Spectra Therapeutics Ltd.

Composition Vildagliptin

Headache Dizziness Nausea

Side Effects

Use To treat Diabetes

MOA Vildagliptin is a DPP-4 inhibitor that prevents the breakdown of

incretin hormones such as GLP-1 and GIP. By inhibiting the DPP-4
enzyme, it enhances insulin secretion from the pancreas in response
to meals while decreasing glucagon levels..
5.Glimi- Gem -
M2 Forte

Manufacturer Spectra Therapeutics Ltd

Composition Metformin – Hydrochloride and Glimepiride

Side Effects Hypoglycemia Weight Gain Headache

Use Treatment of Diabetes.

MOA Metformin decreases hepatic glucose production and enhances insulin

sensitivity in peripheral tissues, leading to improved glucose uptake.
Glimepiride stimulates insulin secretion from pancreatic beta cells,
particularly after meals, which helps to control postprandial blood sugar
spikes.
 6.Defzawell

Manufacturer : Tripada Therapeutics

API : Deflazacort

Use : Anti - Inflammatory

M.O.A : Deflazacort is a synthetic corticosteroid that exerts its effects

by binding to glucocorticoid receptors, leading to the modulation of gene
expression. It reduces inflammation and immune response by inhibiting
the production of proinflammatory cytokines and enzymes like
phospholipase A2. This action decreases the recruitment of immune
cells to sites of inflammation. Use : Anti – Inflammatory
 7.DROVERT-M

Manufacturer : Hilbert Pharma

API: Drotaverine Hydrochloride and Mefenamic Acid Tablets
Use : Treats Abdominal Pain and Cramps
M.O.A: Drotaverine hydrochloride is a smooth muscle relaxant that
inhibits phosphodiesterase enzymes, increasing cyclic adenosine
monophosphate (cAMP) levels, leading to decreased smooth muscle spasms.
Mefenamic acid is a non-steroidal anti- inflammatory drug (NSAID) that inhibits
cyclooxygenase (COX) enzymes, reducing prostaglandin synthesis. This action
helps alleviate pain, inflammation, and fever
 8.Telmipil – 20

Manufacturer : SpectraTherapeutics
API : Telmisartan
Use : To treat high blood pressure (hypertension)
Side Effects : Dizziness,fatigue,kidney problems
MOA: Telmisartan works by blocking the action of angiotensin II, a hormone that
causes blood vessels to constrict. It specifically binds to the angiotensin II type 1 (AT1)
receptor, preventing vasoconstriction and promoting vasodilation, which lowers blood
pressure. By inhibiting this pathway, it also reduces aldosterone production, leading to less
sodium and water retention. This overall effect helps in controlling hypertension and
improving cardiovascular health. Telmisartan is commonly used for managing high blood
pressure and reducing the risk of heart-related events.
 9. Zostum 1.5 mg

Manufacturer: Zuventus Healthcare ltd.

API: Sulbactum and Cefoperazone

Use: It is an Antibiotic used for various infections

Side Effects : Abnormal Liver function tests, Anemia, allergies reaction

MOA : Cefoperazone exerts its bactericidal effect by inhibiting the bacterial

cell wall synthesis, and sulbactam acts as a betalactamase inhibitor, to increase the

antibacterial activity of cefoperazone against beta-lactamase-producing organisms.

 10.Clavitas 625

Manufacturer : Intas Pharmaceuticals

API : Amoxycillin and Potassium Clavunate
Use : To Treat Bacterial Infections
Side effects : Common side effects include diarrhea, nausea, vomiting, allergic
reactions (such as rash or itching), and gastrointestinal disturbances
M.O.A : Amoxicillin is a broad-spectrum antibiotic that works by inhibiting bacterial
cell wall synthesis through binding to penicillin-binding proteins, leading to cell lysis and
death. Potassium clavulanate is a beta-lactamase inhibitor that protects amoxicillin from
degradation by bacterial enzymes. Together, they enhance the effectiveness of amoxicillin
against beta-lactamase producing bacteria.
 Learning Outcomes
 Learning outcomes : During my 150 hours of internship at “Ashokaa”, I came to know
that the role of pharmacist is very crucial in a community pharmacy. Still there is a room
for the development of a role of pharmacist in clinical aspects as well. It may take time
to establish our role in community setting but nothing is impossible for a willing heart.
 Throughout My Training Period, I Was Able To Acquire Knowledge On The Following:
 System of drug procurement in hospital pharmacy.
 Pharmacology of various OTC drugs.
 Dispensing of drugs.
 Marketing strategy of different brands.
 Guide the patient about the disease and its medication
THANK YOU