Clinical Pharmacy Facilities and Infrastructure

We can clissify the clinical pharmacy facilities into three major areas:

  1. Ward clinical pharmacy area
  2. Pharmacokinetics lab
  3. Patient education area


Ward Clinical Pharmacy Area

There shall be adequate space, equipment, and supplies that facilitate discussion and analyzing of patient data after finishing the daily clinical round (if possible it will be a working area in the ward inpatient pharmacy if not providing a valid working area in other place (in the library for example).


Conditioned that fulfills the following basic requirements:

  • Shall be located in an area (or areas) that facilitate (s) the provision of services to patients and be integrated with the Facility’s communication and transportation systems.
  • Space and equipment, in an amount and type valid for clinical pharmacy activities.
  • With Furniture – desks, chairs, Telephone, at least one Computer with internet access and Software – for word processing, spreadsheets, databases and presentations , printer.
  • Current Medication information resources must be available. These should include appropriate pharmacy and medical journals and texts and Medication literature search and retrieval resources.


Pharmacokinetics Lab

Each hospital establish PK lab according to their need and number of patients supplied by this service and availability of Medications need monitoring. If service needed in hospital isn’t exceeded devices capacity, central PK lab that serves certain geographical area will be more sufficient or Lab affiliated to ministry for all governmental hospitals.


Facilities

  • A separate room isn’t required
  • Separate area in the chemical lab


Types of equipments available

  • HPLC system (PDA), (DAD), (UV, Fl)
  • GC system
  • GS-MS system
  • Apparatus for SPE
  • Solvent evaporator
  • UV/VIS scanning spectrometer
  • Centrifuge
  • Ultra-centrifuge
  • -800C freezer
  • LC-MS system (to be purchased)


Medications to be monitored (not limitted to)

  • Methotrexate
  • Vancomycin
  • Aminoglycosides
  • Digoxin
  • Phenytoin
  • Valproic acid
  • Cyclosporine
  • Mycophenolic acid.
  • Theophylline


Patient Education Area

Technical criteria for Patient education area:

  • Education and counseling are most effective when conducted in a room or space that ensures privacy and opportunity to engage in confidential communication.
  • If such an isolated space is not available, a common area can be restructured to maximize visual and auditory privacy from other patients or staff or conducting at patient bed in case of discharged patient.
  • The design and placement of desks and counters should minimize barriers to communication. Distractions and interruptions.


The environment should be equipped with appropriate:

  • Learning aids, e.g., graphics, anatomical models,
  • Medication administration devices,
  • Memory aids,
  • Written material, and audiovisual resources.

Related: Pharmacokinetic Services in Hospital

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