IPP REVENUE HITS

Wednesday, September 26, 2012

Pharmacy Crossword

Across
1. Abbr. of pharmacist
6. Area Under the Curve
10. Sugar____
17. Solution of raw material
and organic products of metabolism
which circulate in a plant
20. Discovered Egyptian medical papyrus
34. Sublingual
36. To grind into a fine powder while in a
a moist state.
44. Molybdenum
50. Symbol for the acid dissociation constant
53. Abbr. of Paracetamol
57. Refers to the phalanges of the feet

Down
1. Oxygen carrying cell in the blood
4. Antimony
5. Analytical procedure for the determination of
reactive capacity, usually of a solution
6. Simply to test                                                                 
8. Dosage form made from gelatin
21. Thymol blue in acid
26. Symbol for Lithium
34. Unit of kinematic viscosity
36. ____ Diuretics
50. By mouth
52. Abbr. of Arsenic


Tuesday, September 25, 2012

Making a Standard Operating Procedure (SOP) for Pharmacy

Hi guys! Today I will impart to you how to write your own SOP. I know why are you here. I wonder if a FDA inspector have lately inspected your office and looking for your SOP; however, you have nothing to provide, and he commanded you to create your pharmacy's own Standard Operating Procedure or else it will turn out as a deficiency and violation.


What is SOP?

Standard Operating Procedure (SOP) according to FDA Philippines is a document that describes “ how to perform” various routine operations that contains step by step instructions. It is written by the individuals who perform the operation and who share some aspects of the operation. SOP is needed to guide personnel when and why to perform a task, and what is the scope of the task. The SOP must undergo series of reviews and approvals before it can be imposed. Individuals who can be knowledgeable to review the procedure and who can be higher up in the hierarchy of the department are the possible reviewers and can approve the tentative manual.

In the previous blog, I showed you the format and the contents of SOP according to FDA Phil. By following it so, you can easily make your own SOP of your Pharmacy. Usually the Pharmacist is tasked to make it and reserved the right to create according to the operations that he seems to be applicable to his workplace. So that you can begin doing so, I will give you some tips and hints to make your own SOP.


Creating Your SOP

First you need to think of the important functions and tasks in your pharmacy other than the basic contents that required by FDA Phil. For example, if your company is engaging in distribution you should create a SOP for Good Distribution Practice; moreover, in an instance of compounding drugs there must be a SOP for Good Compounding Practice, so that each of the staff will sternly follow one procedure and operation, and procurement of raw materials, pull-outs and returns and others need a SOP to harmonize the work and avoid mislead or errors. The language of your SOP should be clear, in an active verb forms for procedural directives and should be direct to the point. Use language that can be easily understood. You may use Filipino or other native dialects to reach those who cannot understand English much. Be considerate, remember that almost all the tasks and operations are performed by employees that may not be eloquent enough to understand the manual in English. To start with, the following are the main content of the SOP objective, scope, responsibility, procedure, quality records, forms and end of document.

  1. OBJECTIVE – describes purpose of the goal and aim.
  2. SCOPE – up to what extend can be the task performed
  3. RESPONSIBILITY – who can be involved in performing the task.
  4. PROCEDURE – the step by step action of doing a task
  1. QUALITY RECORDS – how to do records and uphold them
  2. FORMS – to where the records are written (Optional)
  3. END OF DOCUMENT – can be used to place additional information and rationale


Sample of Standard Operating Procedure


I. OBJECTIVE: To provide proper guidelines in procuring of stocks.

II. SCOPE: Applied to all products

III. RESPONSIBILITY

  • Pharmacist
  • Owner/Manager

IV. PROCEDURE

  1. The procurer will make an order through phone, SMS, facsimile, sales representative and other media.
  2. There should be a copy or list of the products to facilitate checking of them when delivered.
  3. Upon delivery of the product, check the product's count, amount, batch no. and make sure that the expiry date is very far to make sure the product is safe and effective.
  4. The procurer will pay the delivery man and ask for official receipt and copy of the sales invoice and filed them.
  5. The procurer will price the product through an acceptable price mark-up.
  6. The product will then display and ready to be sold.

V. QUALITY OF RECORDS:

The purchaser will file the invoice for future use and other cases.

VI. FORMS:

Logbook

VII. END OF DOCUMENT



Important Things to know!

Now that you have knowledge and skills in making SOP you can now start doing it. I just want you to remember other things about SOP. The writer, reviewer and editor must affix their sign over their names when completed. Manual should be reviewed regularly and kept up to date. A system of revision should be clear before any reform is made. All documentation should be made available on request of competent authorities, if possible, all personnel encompassed are given a copy which become their personal guide. Records should be made at the time each operation is performed so that in such a way all the significant activities are traceable. All records must be readily retrievable, stored and retained.

Friday, September 21, 2012

Semi-Annual Reporting of Dangerous Drugs

Are you new in submitting semi-annual reports of dangerous drugs in PDEA? Are you afraid that what you have reported and written in your dangerous drug books are enough and non violative? I tell you, you do not have to worry about submitting your reports, because it takes minutes to submit and check them. People there are very kind and approachable. I will tell you about the experiences I had before and until now.

Usually the dangerous drugs are inscribed in an official DOH prescription in which the doctors who hold S2-license or registered are authorized to prescribe them.The official DOH prescription is known to be as "Yellow prescription". The yellow prescription is filed and written in the dangerous drug book that contains the date sold, the information of the patient, the doctor, served quantity and balance, date of purchase of the DD and where it came from, and the initial balance. These must be filled up and the information must be factual. The important thing in here is to check the doctor's S2- license number. Violations are caught in here, for retailers, because of serving a yellow prescription which the S2-license of the doctor is expired or unregistered. So, be careful on that and be vigilant. Also, I remind you to keep all yellow prescription for verification.

When reporting comes, that happens in January 1 - 15( reports covered from July to December of the previous year), and July 1 - 15 ( reports covered from January to June of the current year), there is only one place to go for submission and that is in main office of PDEA in Quezon City. Things to be brought are the dangerous drugs and the reports. I can say that in PDEA it is so organized and systematic. Before going to the concern office, the information desk has to examine your papers first. When lacking, you do not need to pursue it, but to return when all the documents are completed. When everything is sufficient you are to go to the next step.

Reporting and Submission Proper

When your are ready and everything of the requirements is with you ( the dangerous drug books and reports which must be in two copies), you are to wait in the assemble hall located in the main building of PDEA. I was there sitting in line, moving to the next chair everytime one is being checked his/her reports and dangerous drug book/s. Then it was my turn. The officer told me to open the dangerous drug book in the last page (because in here he signs and dates implying the the DDB is checked). The reports are also signed and dated. The officer told me to find the drugstore I employed so that I can sign, the date I submitted, write my contact no and how many DDB reviewed. The officers came from compliance service department. Finally, the first copy is their file copy and the other is returned to me as a proof that the reports are received by them and I have submitted my semi-annual reports. Always, when deadline is near, the submission is many and they need to issue counter number to avoid confusion and chaos. I can say that the best time you submit your reports is in the first few days after the start of submission because few submissions are being checked and  you may take around 15 - 30 minutes to submit your reports.

I hope I help you in your problem regarding this matter and I hope I can see your their submitting too!

Sunday, September 16, 2012

Most Problems that Encountered by Pharmacists


  • Unanticipated visitation of Food and Drug Regulatory Officer ( FDRO)
  • Shifting schedules, especially at graveyard shift.
  • Unjustified salary rates
  • Extended hours of work or overtime.
  • Conflict with co-workers (for some)
  • A lot of Paper works.
  • Violation with regards to non-compliance to the Food and Drug Administration requirements.
  • Talking to the physicians regarding drug-drug interaction and other drug issues.
  • Unidentified prescription order that cannot be read by any pharmacist and other healthcare professionals which the prescribing physician is only known it.

How to Become an efficient Pharmacist?


  • Find a job that fits you and can be easily adapted to it.
  • Salary should be agreeable and compensated all your basic necessities and also your wants.
  • No overlapping of work within the work area.
  • Deserves respect and trust.
  • Be responsible and proficient on your career.
  • Do not instigate ranking among your co-workers. Remember that a good leader must have equality, integrity and credible.
  • Working hours must be affirmative and congruent with the salary rate, also subsequently with that of the number of working days.
  • Be an epitome to others.
  • Be eloquent and credible when giving advice and counseling patient regarding about their drugs.
  • Prepare everything you need before starting an activity. Being meticulous is worthy than being nasty.
  • Important of them all is putting your heart to your work which you giving your 100% in every time you are in it and embracing all the shortcomings, problems and challenges that may develop in the future.

Saturday, September 15, 2012

Today's Role of the Pharmacist in the Philippines

In the late 20th century pharmacist's function in the Philippines is simple and focuses on the needs of the community and hospital. Among them are to compound and prepare prescription drugs which mainly their job. Pharmacist kept and stocked chemical ingredients that will be used to prepare and make medicines. Today pharmacists are dispensing manufactured drugs, which do not need to compound anymore, which are properly packaged, labeled and/or in different kinds of dosage forms. Also a key role that attached to them is drug informant.

But today the revolution on their roles are changed. They have integrated and challenging in terms of work. Some of them are in the community, hospital, distribution and laboratories. Mainly the pharmacist are involving much now within the variance of jobs that may overlap sometimes with the other professions. These mean that the profession is versatile and very alive.

  • Community Pharmacist – Wherein the job of pharmacist is to supervise and manage a drugstore. It is a full time job. He does procurement, ordering, receiving deliveries, inventories of the products, dispensing and a lot more. The common job landed by a pharmacist is this. The pharmacist usually wages from 10k-20k, depending on the drugstore's income. He must adopt to different functions within the drugstore that required by Food and Drug Administration (FDA). Such of these are: 1) eight straight hour duty that may vary depending on the drugstore's operation 2) filing filled and partially filled prescription orders, checking and removing expired drug or recalled drugs. He is the nearest informant about drugs.

  • Ghost Pharmacist – it is simply recognized as the leasing of one's license to a certain drugstore so that it can operate. The pharmacist is not full time rather part time job which is illegal and unlawful. This is basically happened when a drugstore is to start.

  • Hospital Pharmacist – The setting is basically within the hospital premises. Pharmacist are ranked according to the years of service, educational attainment and experience. The role is no difference with that of community pharmacist; however, a very unique in this job is that of involvement in Pharmacy Therapeutics Committee (PTC). This regards that the pharmacist is the secretary of the committee and has the action to choose among the bidders and procure drugs that are appropriately stocked and dispensed in the hospital pharmacy.

  • Clinical Pharmacist – This type of work is not much established yet. But because of the immediate evolving of the function of pharmacists, it is been started to practice in the Philippines. St. Luke's Hospital is the pioneering institution who practices and deploys clinical pharmacist in the country; moreover, other leading hospitals have already adopted and practiced it. But because of the lacking of schools offering Clinical-Base-Pharmacist, the hospitals are giving series of trainings and education, to enhance their knowledge and skills more, before they are placed to the actual setting.

  • Liaison Pharmacist – acts as a link between the company and Food and Drug Administration (FDA). It is an outdoor work and not much on office base.

  • Production Pharmacist – Laboratory base job. Function is to produce finished drug products which must be tested before packaging, warehousing and consumption.

  • Quality Control Pharmacist – Few are employed in this kind of job because they prefer chemists or chemical engineers. But the function is to test if the finished drug product conforms to the standard, USP/NF or other pharmacopoeias. Makes sure that the drug is safe, effective and standardized.

  • Warehouse Pharmacist – Receiving placed orders, invoicing and dispatching drug products to be delivered in the registered drugstore clients only.

  • Administrative Pharmacist/ Working under the Government

The different roles of pharmacist in the Philippines defines that continuing need of them in the society. I take courage to say that in the years to come more jobs will be opened for them and focused more in the healthcare of the people that need to be cured.

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