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Question:

Define and describe various departments of pharmacy in the hospital. Explain


the role of pharmacist in various departments.

Hospitals in Malaysia provide various departments of pharmacy to ensure an
excellent pharmaceutical services. Departments of pharmacy in the hospital
are:-
1. Inpatient Pharmacy Services
2. Outpatient Pharmacy Services
3. Clinical Pharmacy Services

4. Medication Therapy Adherence Clinics (MTAC)
5. Total Parenteral Compounding & Cytotoxic Reconstruction (TPN &
CDR)
6. Drug Information Services (DIS)

One of the departments of pharmacy in the hospital is Inpatient Pharmacy
Services. Inpatient pharmacy will provide services to the wards,clinics, and
other units in the hospital. Their jobs including unit dose supply system, stock
top-up system and imprest stock system. Each dose is packed individually and
kept in patient bins for the unit dose dispensing.For discharged patients,they
will be provided with bedside dispensing and counselling services.

Pharmacist in Outpatient Pharmacy Services have to monitor patients
medication and make sure that each patients receive appropriate drug
therapy.Pharmacist also have to counter-check and dispense the prescription
filled by the pharmacist technicians. During this process, patients are offered
assistance with medication-related problems. Pharmacist will review the
prescription for appropriate dosing and identify potential interactions that might
happen between other medications.Besides that,pharmacist have to counsel the
patients about the proper use of medications either individually or in a group.

Next departments is Clinical Pharmacy Services. Clinical pharmacist will
provide patient-centered pharmaceutical care and participate in a wide range of
clinical services and activities through interactions with patients. These services
including specialist rounds, extensive patient-specific medication therapy
monitoring, consultation with medical staffs regarding medication-related issues
and provision of drug information.

Pharmacist in department of Medication Therapy Adherence Clinics
(MTAC) will provide patients with the best level of pharmaceutical care
possible. Patients are seen at the pharmacist-managed clinics which is known as
Medication Therapy Adherence Clinic to make sure they are conseled on their
medications, their side effects and educated with information about their
diseases.

Total Parenteral Compounding & Cytotoxic Reconstitution (TPN & CDR) is
a centralized area for compounding total parenteral nutrition bags,scheduled
sterile IV medications and cytotoxic reconstitution. In this department, the
pharmacist have to calculate the nutritional requirements for individuals patients
on TPN, calculates the dilution for cytotoxic medications,supervise the
pharmacy technicians and perform the final checks for the compounding and
reconstitution of these items.

Pharmacist in Drug Information Services have to provide information and
advice on all aspects of drug therapy to healthcare professional and the
community.

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