Role of Registered Pharmacist
Registered Pharmacist
“Dispensing” means the interpretation, evaluation, supply and implementation of a prescription, drug order, including the preparation and delivery of a drug or device to a patient or patient’s agent in a suitable container appropriately labeled for subsequent administration to, or use by, a patient.
“Pharmaceutical care” means the provision of drug therapy and other patient care services intended to achieve outcomes related to the care or prevention of a disease, elimination or reduction of a patient’s symptoms, or arresting or slowing of a disease process, as defined by the Pharmacy Council of India.
Pharmaceutical care (in addition to the provisions of Drugs and Cosmetics Rules 1945 and Schedule N of the said Rules) the following provisions shall be included :- No person other than a Registered Pharmacist shall compound, prepare, mix, dispense or supply of any medicine on the prescription of a Registered Medical Practitioner (Schedule H & X drugs).
A registered pharmacist shall undertake a pharmaceutical assessment of every prescription presented for dispensing. Assessment of the prescription should include but not be limited to assessment of whether;
(i) The prescription is legally valid,
(ii) The prescription includes an appropriate dosage form and appropriate route of administration,
(iii) Prescription is appropriate to the patient’s condition,
(iv) Duration of treatment is correct,
(v) Prescription is appropriate according to patient’s Para-meters (age, weight etc.) and previous medication,
(vi) Prescription is compatible with other medications,
(vii) Prescription is consistent with formulary and guidelines,
A Registered Pharmacist shall review the patient record and each prescription presented for supply for the purpose of promoting therapeutic appropriateness by identifying:
(i) Over utilization or under-utilization
(ii) Therapeutic duplication
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iii) Drug-disease interactions
(iv) Drug-drug interactions
(v) Incorrect drug dosage or duration of drug treatment
(vi) Drug-allergy interactions
(vii) Correlation of availability of drugs (to avoid artificial shortage of drugs) (viii) Clinical abuse
To Patients
Patient counseling” means the oral communication by the pharmacist of information to the patient or caregiver, in order to ensure proper use of drugs and devices. Upon receipt of a prescription (prescription drug order) and following a review of the patient’s record, a Registered Pharmacist shall personally initiate discussion of matters that will enhance or optimize drug therapy with each patient or care given of such patient. Such discussion shall be in person, whenever practicable or by telephone and shall include appropriate elements of patient counseling. Such elements may include the
(1) Name and description of the drugs,
(2) The dosage form, dose, route of administration, and duration of drug therapy,
(3) Intended use of the drug and expected action,
(4) Special directions and precautions for the drug,
(5) Common severe side effects or adverse effects or interactions and therapeutic Contraindications that may be encountered, including their avoidance, and the action required if they occur,
(6) Techniques for self-monitoring drug therapy,
(7) Proper storage of drugs,
(8) Prescription refill information,
(9) Action to be taken in the event of a missed dose,
(10) To ensure the rational use of drugs.
The Pharmacist shall maintain the records pertaining to drugs administered to the patients (drug card) that may be utilized for the evaluation of the drug therapy. The Pharmacist is authorized (as a Health care professional) to undertake processand outcome research, health promotion, education and provide health information and also to undertake the Pharmaco-epidemiological studies.
Prognosis:
The registered pharmacist shall neither exaggerate nor minimize the gravity of a patient’s condition. He shall ensure himself that the patient, his relatives or his responsible friends have such knowledge of the patient’s condition as will serve the best interest of the patient and the family. Obligations to Sick; though a registered Pharmacist is not bound to attend each and every person asking his service, he shall not only be ever ready to respond to the calls of the sick and the injured, but shall be mindful of the high character of his mission and the responsibility he discharges in the course of his professional duties. Pharmacists provides such patient care that optimizes the use of medication and promotes health, wellness and disease prevention.
Public and Community Health:
Pharmacist, especially those engaged in public health work, shall enlighten the public concerning quarantine regulations and measures for the prevention of epidemic and communicable diseases. At all times the registered Pharmacist shall notify the constituted public health authorities of every case of communicable disease under his care, in accordance with the laws, rules and regulations of the health authorities. When an epidemic occurs, a registered Pharmacist shall not abandon his duty for fear of contracting the disease himself.
Inventory management:
Pharmacist is the person, responsible for procurement of medicines as per the requirement of hospital / patient from different sources such as sub store/ store/ district drug warehouse. He, apart from huge stick of medicines, holds charge of all medical equipment distributed in different departments of hospitals. He is responsible for proper servicing and repair of delicate and very costly equipments.
Practical training to student pharmacists:
The registered pharmacist shall impart practical training to student pharmacists as prescribed from time to time under Education Regulations framed u/s 10 of the Pharmacy Act 1948 under intimation to the examining authority.
It is worth to be noted that 80% – 90% patients who are visiting Out Patient Department of the hospital do come into the contact of the Pharmacist to obtain the various services mentioned here in above.
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