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PHARMACY AND THERAPEUTIC COMMITTEE

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PHARMACY AND THERAPEUTIC COMMITTEE Powered By Docstoc
					      PHARMACY AND
  THERAPEUTIC COMMITTEE


Guidence By-               Presented By-
 Mr. G.K. Jana             Pushpendra Ku. Tiwari
   Asst. prof.              M.Pharma 1st sem.
(Dept. of pharmacognosy)    (Pharmacognosy)
      INTRODUCTION
The Pharmacy and Therapeutics (P & T)
Committee is an important medical staff
advisory group. As the primary, formal
communication link between the pharmacy
and medical staff, the P & T Committee is of
particular importance to the department of
pharmacy services.
Definition: A multi-disciplinary committee
 that advises medical staff and hospital
 administration on matters relating to the
 therapeutic use of drugs.


Purpose: to ensure that medications are used
 safely and appropriately within an institution.
              OBJECTIVES
Primary Objectives
     Organizational line of communication between
      medical staff and pharmacy
     Policy development
     Education
                MEMBERS
   Physicians
   Pharmacists
   Nurses
   Administrators
   Quality-assurance coordinators
            ORGANIZATION

   Chairperson
        Respected member of medical staff
        Familiar with and advocate for progressive pharmacy
        Effectiveally for pharmacy with medical staff and
         hospital administration
   Secretary
        Director of Pharmacy
        Sets agenda with chairperson
Agenda
     Distributed 1 week prior to meeting
     Reminder and time to review
     Focus on multidisciplinary issues
     Contains drug monographs, adverse drug reaction
      reports, and policy changes
RELATIONSHIP
     PTC IN DRUG SAFETY
    The following checklist developed by the PTC is a great help
    to ensure the adequate safety factors:
   Well qualified staff , at least B.Pharm degree holder as “chief
    pharmacist” & rest are diploma holders.
   In hospital, has it storage facilities, properly equipped & space
    enough?
   Is there regulation of dengerous drugs?
   How are the poision & non-poision drugs separeted?
   Is there manufacturing? If yes, does it follow cGMP.
   Is there physical varification of drugs for expired or detoriated
    products?
     ROLE OF PTC IN ADR
     Since drug therapy becoming complex, these
     is increasing incidence of ADR case. The
     problem is to be handle at two levels:
1.   How to prevent the ADR.
2.   Once they occurred how to treat them.
The PTC develops a reporting system for this
  purpose:
 Name of drugs

 Routs of administration

 Date of starting & ending treatment.

 Indication-for which drug were used

 Adverse reaction noted for them.

 Steps taken to treat these.
        ROLE OF PTC IN
      EMERGENCY DRUGS
The certain emergency drugs must be handle at the
  bed-side.
The PTC makes the list of such drugs & supplies to
  prepare an emergency box or kit, and placed in
  ward side.
Emergency box contains-
• Different type syringes.
• Needle

• Ampoules

• Cutture
Drugs like-
• Aminophylline

• Atropine

• Digoxin

• Amphetamine

• Procainamide

• Saline for injection

• Water for injection etc….

The list are constantly reviewed by the PTC.
                FUNCTIONS
   Advisory capasity to medical staff and hospital administration.
   Develops a formulary of drugs accepted for use in the
    hospitals.
   Established a plan suitable education programs for the hospital
    professions staff on matter related to drug use.
   Study problems related to drugs distribution & administration
    of medication.
   Makes the hospitals own formulary & periodically updates it.
   Prepare a list of emergency drugs to be kept in a kit in each
    ward.
         CONCLUSION
PTC is back bone of hospital pharmacy and
renders a great services to make the hospital
productivity.
            REFERENCES
   Paradkar Dr.A.R.,Chunawala, hospital and clinical
    pharmacy, nirali prakashan, new delhi, page 108-
    110.
   Kohli kanchan, jain s.k., hospital and clinical
    pharmacy, piyush publication, delhi, page 47-50.
   Sampath k. , hospital & clinical pharmacy, vikash
    publication pvt. Ltd., page 60-65.
   Khar, nanda, hospital & clinical pharmacy, birla
    publication, delhi
   www.google.com/pubmed/11260199
   www.pharmacyissue.com/formulary.
   www.google.com/hosp.uky.edu/pharmacy/pandt.ht
    ml.
   www.google.com/uic.edu/stud..../tanzi%20AMCP