Department of Pharmacy
DEPARTMENT OF PHARMACY
QUALITY OF CARE POLICY AND OPERATIONAL GUIDELINES
NHA/CD/QOCP/PCY/001
Pharm. Clara Umezulike
HEAD OF DEPARTMENT
1.0 INTRODUCTION
The Pharmacy Department began functioning from inception of the Hospital on 1st September, 1999. The Department is positioned to provide optimal medication therapy to all categories of patients in the Hospital by ensuring that high quality and most effective pharmaceutical care and leadership in the medication use system is achieved.
1.1 Vision Statement
The pharmacy department is poised to provide optimal drug therapy to all categories of patients while ensuring the highest quality of cost effective pharmaceutical service delivery in Nigeria and the West African sub-region.
1.2 Mission Statement
- To provide safe, effective, high quality and most effective pharmaceutical care in an atmosphere of professionalism, respect and concise communication.
2.0 QUALITY ASSURANCE POLICY
The Pharmacy Department Quality Assurance policy serves to ensure that every medicine reaching a patient is safe, effective and meets quality standards, which include both technical and managerial activities from medicines selection to utilization.
The quality of a product is assured by;
- Selection on the basis of safety and efficacy in an appropriate dosage form with the longest possible shelf life
- Prequalified suppliers with acceptable quality standards are selected through a stringent process involving assessment of company profile and past performance record
- Medicines from suppliers and donors are assessed to meet quality standards through visual inspection and a review of product specification. Laboratory testing is carried out when required.
- Medicines packaging meets contract quality specification.
- Repackaging activities and dispensing practices maintain quality e.g. appropriate containers and expiration date
- Adequate storage conditions in all pharmaceutical areas are maintained
- Intra hospital movement of medicines (distribution) are adequate
- Product quality concern reported by inventory managers, prescribers, dispensers or patients are addressed and resolved.
3.0 STRENGTH OF THE DEPARTMENT
The Pharmacy Department is staffed by qualified, registered pharmacists, pharmacy technicians and other support staff responsible for the procurement, storage, compounding and dispensing of medications to patients/clients throughout the Hospital. In addition, we provide medicine information to patients and other healthcare professionals towards the safe and effective use of medicines.
Services rendered
Dispensing:
Dispensing of medications and Counselling are carried out in the following units
- Accident and Emergency Pharmacy
- GOPD Pharmacy
- In-patient Pharmacy
- Oncology Pharmacy
- Outpatient/Main Pharmacy
- Paediatric/Cluster C Pharmacy
- Private/Executive Wing Pharmacy
- Special Treatment Clinic (STC) Pharmacy
- Trauma Centre Pharmacy
Compounding
Compounding activities are carried out in the underlisted units:
- Oncology Pharmacy
- Outpatient/Main Pharmacy
- Paediatric/Cluster C Pharmacy
Pharmacovigillance and Pharmaceutical Care Rounds:-
These activities are carried out in the Pharmaceutical Care Ward Round/Pharmacovigilance Unit
Procurement and Inventory Management
Procurement and inventory management of medicine is undertaken in the following units:-
- Labour Ward Pharmacy Store (LWPS)
- Narcotics/Cold Room Store (NCRS)
- Pharmacy Main Store (PMS)
Drugs/Medicine Information Services (DIS)
- DIS Unit
Training and Research
Training of Pharmacy Residents, Interns, Students as well as Student Pharmacy technicians. Research into drug utilization studies and other areas of interest is undertaken.
The Pharmacy Department is positioned to provide optimal drug therapy to all categories of patients in the hospital. The department ensures that the highest quality and most cost effective pharmaceutical care and leadership in the medication use system is achieved within the limits of human and capital resources.
Pharmaceutical care services include offering counsel to patients and working closely with other healthcare professionals to ensure that the most appropriate therapeutic treatment is being delivered. The department monitors and provides information on potential side effects and checks that prescribed medicines are compatible with existing medications. In addition to this, the department is responsible for procuring, distribution, dispensing, compounding, storage and quality assessment of medication stock.
4.0 OPERATIONAL GUIDELINES
- The Department runs ambulatory outpatient and in-patient pharmacy units located throughout the Hospital, viz. the Multi-Clinics Outpatient, General/Paediatric Outpatient, Private/Executive Wings, Accident & Emergency, Trauma, Special Treatment Clinic and Inpatient Units respectively.
- Patients are received as walk-in or on referrals from other facilities. Presented prescriptions are screened, vetted and subsequently costed following which payment is made at any of the hospital cash points. For medicines covered by NHIS, enrolees pay 10% of the total cost, while for medicines on partial coverage, 50% of the cost is paid. On presenting the verified payment receipt, medicines are dispensed with appropriate counselling.
- Pharmacy logistics and store-keeping activities: The department is responsible for the procurement, storage and distribution of medicines. Such activities involve inventory management and distribution to user points.
- Drug/Medicine Information Services [DIS] and Informatics/Software support: These services are accomplished through the use of various tools such as official books, journals, online references and the Pharmacy call centre; which caters to drug related enquiries and is active Mondays to Fridays 8.00 am to 4.00 pm. Pharmacists prepare periodic publications and engage in pharmacovigilance.
- Compounding of extemporaneous preparations: Compounding allows the pharmacist to customise medications to meet the unique needs of patients that cannot be met with commercially available products. This service caters to paediatric patients, adults who have difficulty swallowing or when therapeutically indicated.
Detailed standard operation procedures (SOP) document for each of the pharmacy units are available.
5.0 WEEKLY ACTIVITIES AND SCHEDULES
| Mondays and Fridays 8.00 am – 4.00 pm | Daily prescriptions vetting and dispensing Daily compounding of extemporaneous preparations Pharmacy logistics and store-keeping activities Drug/medicine information services and informatics and software support Pharmaceutical care ward rounds and pharmaco-vigilance activities Reconstitution of cytotoxic medicines in the Oncology department Supervisory rounds by Unit Heads Drug issuing to various wards, clinics and pharmacy outlets Issuing of narcotics to various wards, clinics and pharmacy outlets Emergency drugs purchases |
| Tuesdays | Departmental clinical continuing education presentations |
| Thursdays | Intern/IT Lecture/Interaction |
| Other activities | Pharmacy Managers Meeting fortnightly Bimonthly departmental meeting Pharmacy units quarterly stock take Annual stock take Pharmacovigilance reporting Pharmacy units monthly stock take Pharmacy units monthly report Publication of drug information bulletins Quarterly review of the Hospital drug formulary Quarterly meeting of the drugs and therapeutics committee Quarterly drug procurement exercise Annual departmental report Annual disposal of expired medicines |
6.0 ORGANIZATIONAL CHART
7.0 HEALTH AND SAFETY POLICY
The Pharmacy health and safety policy is geared towards:
- protecting staff, patients and clients
- seeking new ways of improving health and safety
- ensuring staff learn from any adverse incidence and investigation.
- constant monitoring of staff health and safety to ensure that prescriptions and medications are handled and stored correctly.
- ensuring that the right medicines are dispensed at right strength/dose in the right quantity at the right time, administered through the right route to the right patient and at the right cost.
- training staff to understand the risks associated with handling healthcare items (such as reconstitution of chemotherapeutic agents) and the importance of using protective equipment and protective clothing.
8.0 POLICY ON MINIMUM STANDARDS
- In its bid to establish and maintain minimum standards, the Department has an SOP document that reflects services to patients and our operational responsibilities at the various pharmacy units.
- Measures are taken to ensure that patients are given prompt courteous professional service while ensuring that high quality, efficacious, safe and cost effective medicines are dispensed at all times.
- There is a comprehensive pharmacy computerized system integrated into the hospital’s information management system software with back up of patients’ records.
- There is an established quality assurance procedure, and a process for assessing and ensuring the quality of medicines in the Department.
9.0 LIST OF STAFF AND QUALIFICATIONS
| S/N | Names | Qualification | Designation |
| 1. | Ajemigbitse Adetutu A. | B. Pharm, MSc Pharm, MSc Clin.Pharm, FPCPharm, PhD | Deputy Director/HOD |
| 2. | Umezulike Clara | B.Pharm, FPCPharm | Deputy Director |
| 3. | Adesola Clara Yemi | B.Pharm, FPCPharm | Deputy Director |
| 4. | Sidi-Ali Habiba M. | B.Pharm, FPCPharm, PGDLSCM | Deputy Director |
| 5. | Kilani Jelili Adewale | B.Pharm, FPCPharm | Deputy Director |
| 6. | Abah Florence | B.Pharm | Asst Director |
| 7. | Bashir S. Abubakar | B.Pharm | Asst Director |
| 8. | Uzzi Iwaeye Agnes | B. Pharm, Pharm D. | Asst Director |
| 9. | Mukhtar Hassan | B.Pharm | Asst Director |
| 10. | Ogbu Nneka Mabel | B.Pharm | Asst Director |
| 11. | Enemali Shaibu Isaac | B.Pharm, PhD | Asst Director |
| 12. | Aweto Acharu Edogbo | B.Pharm | Asst Director |
| 13. | Omokhoea Bukola A. | B.Pharm, FPC Pharm | Asst Director |
| 14 | Shadrack-Aisuodione T. | B.Pharm, BSc, FPC Pharm | Asst Director |
| 15. | Akano Modupeola R. | B.Pharm, FPC Pharm | Asst Director |
| 16. | Okonkwo Chinelo H. | M.Pharm, FPC Pharm, B.Pharm PGDLSCM | Asst Director |
| 17. | Ikhide Lawrence | B.Pharm, PGDLSCM | Asst Director |
| 18. | Simon Nyakandiyi | B.Pharm, PGDLSCM | Asst Director |
| 19. | Nwosu Chijoke O. | B Pharm, MPC Pharm MSc, Pub Health | Asst Director |
| 20. | Mshelia Richard M. | B.Pharm, MPCPharm | Chief Pharm |
| 21. | Edogbo Ruth | B.Pharm, MPCPharm | Chief Pharm |
| 22. | Akpoti Dorcas | B. Pharm, PGD LSCM | Chief Pharm |
| 23. | Oluleti Olalekan | B.Pharm, FPCPharm | Chief Pharm |
| 24. | Aduku Ojochide Joseph | B.Pharm | Chief Pharm |
| 25. | Boko Bamiche V. | B. Pharm, MPC Pharm | Prin Pharmacist |
| 26. | Ojiako Chinedu A. | B.Pharm, B.Sc, MPC Pharm | Prin Pharmacist |
| 27 | Odubayo Gbenga E. | FPC Pharm, B.Pharm | Prin Pharmacist |
| 28 | Kenaz Isaac | B.Pharm | Prin Pharmacist |
| 29 | Eronmosele Joshua E. | B.Pharm, MSc, FPC Pharm | Prin Pharmacist |
| 30 | Danladi Bawa Dogo | B.Pharm | Prin Pharmacist |
| 31 | Faransa Caleb E. | B.Pharm | Prin Pharmacist |
| 32 | James Peter | B. Pharm | Prin Pharmacist |
| 33 | Muhammed Hassan A. | B. Pharm | Prin Pharmacist |
| 34 | Agbo Patricia H. | B.Pharm, M.Pharm | Prin Pharmacist |
| 35 | Usman Fatima Salisu | B.Pharm, FPC Pharm | Prin Pharmacist |
| 36 | Opara Chukwuka O. | B. Pharm, FPC Pharm | Prin Pharmacist |
| 37 | Gado Ema Eunice | B.Pharm, MPC Pharm | Prin Pharmacist |
| 38 | Odiahi Henrietta E. | B.Pharm, Pharm D. | Snr Pharmacist |
| 39 | Atang Florence Friday | B.Pharm, FPCPharm | Snr Pharmacist |
| 40 | Ugwoke Ukamaka C. | B.Pharm | Snr Pharmacist |
| 41 | Oguntebi Taiye Femi | B. Pharm | Snr Pharmacist |
| 42 | Shuru Muhammad M. | B. Pharm, MPC Pharm | Snr Pharmacist |
| 43 | Dauda Abubakar | B.Pharm | Snr Pharmacist |
| 44 | Ojinere Ogechukwu | B.Pharm | Snr Pharmacist |
| 45 | Adii Sandra Ijeoma | B. Pharm | Snr Pharmacist |
| 46 | Kura Esther F. | B. Pharm, MPC Pharm | Snr Pharmacist |
| 47 | Ugwuanyi Okechukwu | B.Pharm | Snr Pharmacist |
| Ukogu John-Paul | B.Pharm | Snr Pharmacist | |
| 48 | Ekwe Mary | B.Pharm, Pharm D | Pharmacist 1 |
| 49 | Uchenna Gift Odedo | B. Pharm, M.Pharm | Pharmacist 1 |
| 50 | Adamu Amorley Amina | B. Pharm, FPC Pharm | Locum Pharm. I |
| 51 | Ja’afar Halima | B. Pharm | Locum Pharmacist |
| 52 | Ibrahim Ahmed Zurmi | Cert. Pharm Tech | Chief Pharm Tech. |
| 53 | Alhassan Joseph Yebo | ND Pharm Tech, SSCE | Chief Pharm Tech. |
| 54 | Alabi O. Mohammed | ND Pharm Tech, SSCE | Chief Pharm Tech. |
| 55 | Olawoyin O. Mobolaji | Cert in Pharm Tech. | Chief Pharm Tech. |
| 56 | Bello Adnan Bawa | Cert. in Pharm Tech | Chief Pharm. Tech |
| 57 | Lawal Abubakar Yau | School of Health Tech, SSCE | Asst Chief Pharm. Tech |
| 58 | Yakubu Fatima | Pharm Tech Cert, SSCE | Asst Chief Pharm Tech |
| 59 | Shehu Jamila Abbas | Pharm Tech Cert, SSCE | Prin. Pharm Asst. |
| 60 | Hyginus Onwuha Obele | BSc Pol Science, WAEC | Chief Pharm Asst. |
| 61 | Dauda Salamatu | Grade II | Chief Pharm Asst. |
Contact email: hod.pharmacy@nationalhospital.gov.ng