(To be submitted at the time of application to the state pharmacy council for registration of name in the register of pharmacists)

1.

I solemnly pledge myself to consecrate my life to service of humanity.

2.

Even under threat, I will not use my pharmacy knowledge contrary to the laws of Humanity.

3.

I will maintain the utmost respect for human life from the time of conception.

4.

I will not permit considerations of religion, nationality, race, party politics or social standing to intervene between my duty and my patient.

5.

I will practice my profession with conscience and dignity.

6.

The health of my patient will be my first consideration.

7.

I will respect the secrets which are confined in me.

8.

I will give to my teachers the respect and gratitude which is their due.

9.

I will maintain by all means in my power, the honour and noble traditions of pharmacy profession.

10.

I will treat my colleagues with all respect and dignity.

11.

I shall abide by the code of ethics as laid down by the Pharmacy Council of India.

I certify that I have read and agree to abide by the declarations made above.

I make these promises solemnly, freely and upon my honour.

Signature

………………………………………………………

Name

………………………………………………………

Place

………………………………………………………

Address:

………………………………………………

Date………………………

Name of the patient:

Age:

Sex:

Address:

Occupation:

Date of 1st visit:

Diagnosis:

Prescription:

Follow up

Date:

Observations:

Signature in full ………………………….

Name of registered pharmacist and Registration No.

Details of Position Title and job responsibilities of Pharmacist at Hospital Pharmacy practice site:

1.

JOB IDENTIFICATION:

1.1

Position Title: Pharmacist

1.2

Job Location (As appropriate):

Ministry: Health;

Department: Medical Services;

Division: Health Care and Diagnostic Services;

Section: Pharmaceutical Services;

Unit: Hospital Pharmacy/dispensary/Warehouse

1.3

Title of First Level Supervisor (Official title of the Supervisor): Dy. Chief/Sr. Pharmacist

2.

PURPOSE, DUTIES AND RESPONSIBILITIES:

Purpose: Provide technical services and logistics support for effective delivery of pharmaceutical care and services.

Duties and responsibilities

Percentage of time

In Hospital:

▪

Dispense medicines to patients on the prescription of the Registered Medical practitioner

35

▪

Provide counselling and health education to the patient

10

▪

Assist in the management of pharmacy department

10

▪

Maintain records of ADR

5

▪

Provide pharmaceutical services to the inpatients

5

▪

Formulate extemporaneous preparation and specialized products

5

▪

Discuss with clinician/health professional to provide better patient care

5

▪

Conduct prescription surveys and propose changes on the Essential Drug List

5

▪

Attend emergency duty as and when required

5

▪

Indent and check the drugs and non-drugs

5

▪

Maintain records of the equipments and other supplies of the unit

5

▪

Documentation of records and literature

5

Essential Drugs and vaccines

▪

Review of quantification of annual drug requirements of the country/state

20

▪

Verification of the annual indents received from storekeepers of different hospitals

20

▪

To visit the hospitals for inventory monitoring, physical verification and analysis

15

▪

To correspond with suppliers on the supply of drugs and non-drugs

15

▪

To discuss issues related to the Pharmaceutical supplies with the other health staff of the department to improve quality of service

10

▪

To correspond with the different hospitals and mobilize the shortly expiring drugs

10

▪

Miscellaneous work

10

3.

KNOWLEDGE AND SKILLS REQUIREMENTS (Minimum requirements for performance of work described (Level of Education, Knowledge, Skill and Ability)

3.1

Education: Diploma in Pharmacy/Bachelor in Pharmacy.

3.2

Training: None.

3.3

Length and type of practical experience required: New recruit.

3.4

Knowledge of language(s) and other specialized requirement: Should be fluent in English and regional language

4.

COMPLEXITY OF WORK (details of the intricacy of tasks, steps, processes or methods involved in work, difficulty and originality involved in work)

The responsibilities involve monitoring the patient and providing health education which will have direct impact on the overall health of the population and disease management. Its jurisdiction encompasses a wide range of pharmaceutical services be it in a dispensary or a hospital. The laid out procedures and techniques needs to be carried out in precise technical efficacy and accuracy. The working process involves scrutinizing every step to prevent any mistakes in the work as it deals with human life. The management of life saving drugs is very important and involves many steps so as to ensure timely supply of drugs to the needy patients.

5.

SCOPE AND EFFECT OF WORK (Details of the breadth of work performance, and the effect the work has on the work of others or the functions of the organization):

Drugs are the lifelines of the health system. The success of the health care system depends on how various factors like patient compliance to the medicines, cost, and supply, rational utilization of resources, minimization of wastages and rational prescribing. Pharmacist is fully involved in carrying out and promoting them, thus contributing to the overall economy of the nation. The pharmacist is directly involved in counselling the patients, advising the prescribers on rational selection of drugs and therefore it has a direct impact on the overall patient care.

6.

INSTRUCTIONS AND GUIDELINES AVAILABLE:

6.1

Instructions (Details of the controls exercised over the work by the Superior; how work is assigned, reviewed and evaluated):

Work is carried out based on the annual work plan and regular supervision from the senior pharmacists.

6.2

Guidelines (written or unwritten guidelines that are available, and the extent to which the employees may interpret, adapt or devise new guidelines):

▪

Annual work plan

▪

Standard Operating Procedures/hospital guidelines on pharmaceutical care and services

▪

Standard Manufacturing Instructions

▪

Pharmacy Act and other laws as specified above in the regulations.

7.

WORK RELATIONSHIPS (The frequency, nature and purpose of contacts with others within and outside the assigned organization (other than contacts with superiors):

A pharmaceutical service requires constant interaction with patients and other professionals to monitor, advise and follow-up on drug efficacy, any side effects and complications. The profession also requires constant interaction with different health professionals at various levels to provide the best patient care.

8.

SUPERVISION OVER OTHERS (the responsibility that this position has for supervision of other employees, including the nature of supervisory responsibilities and categories and number of subordinates, both directly and indirectly supervised are):

Supervises the technicians and other health workers in the Basic Health Unit on the proper storage management, distribution and proper utilization of medicines.

9.

JOB ENVIRONMENT (the physical demands that are required, such as walking, standing, lifting heavy objects, etc., and/or any risks or discomforts like exposure to hazards such as exposure to chemicals infections, radiation, extreme weather and other hostile working conditions):

Compounding involves the use of chemicals and it is risky to have contact or inhale certain substances and may give rise to chronic diseases in the long run. The contact with patients increases the risk of contacting communicable diseases and other profession related work hazards such as risk of needle pricks exposing him/her to diseases like HIV and Hepatitis.

Details of Position Title and job responsibilities of Senior Pharmacist at Hospital Pharmacy practice site:

1.

JOB IDENTIFICATION:

1.1

Position Title: Sr. Pharmacist

1.2

Job Location (Complete as appropriate):

Ministry: Health;

Department: Medical Services;

Division: Health Care and Diagnostic Services;

Section: Pharmaceutical Services;

Unit: Hospital Pharmacy/dispensary/warehouse

1.3

Title of First Level Supervisor (Official title of the Supervisor): Chief/Deputy Chief of the respective fields.

2.

PURPOSE, DUTIES AND RESPONSIBILITIES (the purpose, duties and responsibilities, indicating what is done how it is done. Purpose should be a short statement linking the position to the mission and goals of the organization and specifying outputs of the position. Duties should be presented in decreasing order of percentage of time spent on them, or in order of relative importance):

Purpose: Provide technical services and logistics support for effective delivery of pharmaceutical services, efficient production and supply management; enforce regulation and promote quality assurance of the drugs and other medical supplies; and manages the pharmacy services at a hospital.

Duties and responsibilities

Percentage of time

In Hospital:

▪

Develop plans on pharmaceutical supplies and mobilize necessary funds.

15

▪

Plan and coordinate the departmental activities.

15

▪

Manage pharmaceutical services at a hospital

10

▪

Monitor and provide supervision to the staff including student trainees

10

▪

Supervise and monitor the ADR of inpatients

10

▪

Participate in educational and research programs

10

▪

Conduct the Antibiotic Resistance studies

10

▪

Go ward round and Provide inpatient pharmaceutical services

10

▪

Interact with the specialist and prescribing clinicians to discuss on pharmaco-therapeutics

05

▪

Provide continuing education and assist superiors

05

▪

Supervise and train subordinates (Pharmacists and pharmacy technician and other health workers)

20

In Supplies Management

▪

Monitor quantification, procurement and distribution of medical supplies

20

▪

Monitor indents and suppliers

20

▪

Supervise subordinates and train other staff

20

▪

Prepare plans and budget

20

▪

Provide continuing education to the health workers

20

▪

Assist superiors as and when required

20

3.

KNOWLEDGE AND SKILLS REQUIREMENTS (Minimum requirements for performance of work described (Level of Education, Knowledge, Skill and Ability):

3.1

Education: Diploma in Pharmacy/Bachelor in Pharmacy/Doctor of Pharmacy (Pharm.D).

3.2

Training: Short courses in Drug Administration, Pharmaco-economics, and Pharmaco-Epidemiology, Toxicology, Research and Project design.

3.3

Length and type of practical experience required:

D.Pharm.  Minimum of 4 years experience as a Pharmacist.

B.Pharm./Pharm.D  direct recruitment

3.4

Knowledge of language(s) and other specialized requirement:

Should be fluent in regional languages and English and ability to converse in other dialects is a good asset.

4.

COMPLEXITY OF WORK (the intricacy of tasks, steps, processes or methods involved in work, difficulty and originality involved in work):

Pharmaceutical services are a very technical profession and it requires self-motivation and professional ethics; its jurisdiction encompasses a wide range of services. Under general supervision, senior pharmacist performs duties of broad scope, which requires extensive experience, and application of knowledge of the total pharmacy services in a 60 bedded hospital or in relevant pharmaceutical fields. The position also requires management of life saving drugs involving many steps so as to ensure timely supply of drugs to the needy patients.

5.

SCOPE AND EFFECT OF WORK (the breadth of work performance, and the effect the work has on the work of others or the functions of the organization):

The position is a hospital−wide recognized professional authority in such areas such as Pharmacokinetics, infectious disease therapy, adverse reactions, pharmaco-vigilance, provide authoritative professional guidance to the staff of the hospital and related organizations. The work consists of execution of specific rules, regulations or procedures effecting the accuracy, reliability or acceptability of other processes and services having direct bearing on the patients.

6.

INSTRUCTIONS AND GUIDELINES AVAILABLE:

6.1

Instructions (controls exercised over the work by the Superior; how work is assigned, reviewed and evaluated):

Assignment of work is based on the annual work plan. The work requires evaluation by self and the supervisors in order to monitor the work efficiency and maintain progress.

6.2

Guidelines (Indicate which written or unwritten guidelines are available, and the extent to which the employees may interpret, adapt or devise new guidelines):

▪   Financial Manual

▪   Pharmacy Act and other legislations mentioned in these regulations

▪   Policy documents

▪   Five-year plan document

7.

WORK RELATIONSHIPS [the frequency, nature and purpose of contacts with others within and outside the assigned organization (other than contacts with superiors)]:

A pharmaceutical service requires constant interaction with patients and other professionals to monitor, advise and follow-up on drug efficacy, any side effects and complications. Besides above, the position needs to interact with agencies such as state/central government, Pharmacy retailers, international pharmaceutical firms to prevent drug related problems, legalize retailers, monitor drug quality and compliance of retailers to standard practices and for supply of drugs with pharmaceutical firms.

8.

SUPERVISION OVER OTHERS (responsibility of this position has for supervision of other employees, including the nature of supervisory responsibilities and categories and number of subordinates, both directly and indirectly supervised):

Supervises the pharmacists, trainees and other related professionals in the hospitals and the Basic Health Units on the proper utilization of the medicines and proper store management of the medicines.

9.

JOB ENVIRONMENT (physical demands required, such as walking, standing, lifting heavy objects, etc., and/or any risks or discomforts like exposure to hazards such as exposure to chemicals infections, radiation, extreme weather and other hostile working conditions):

The pharmaceutical services in all the area of work need long hour duties with constant standing and frequent exposure to chemicals and other toxins. The contact with patients increases the risk of contacting communicable diseases and other profession related work hazards. The position is also required to travel frequently to the districts to monitor the pharmaceutical activities, to conduct research and assure quality of drugs and supplies.

Details of Position Title and job responsibilities of Chief Pharmacist at Hospital Pharmacy practice site:

1.

JOB IDENTIFICATION:

1.1

Position Title: Chief Pharmacist

1.2

Job Location (Complete as appropriate):

Ministry: Health;

Department: Medical Services;

Division: Pharmaceutical services

Section: Pharmaceutical Services;

Unit: Hospital/dispensary/warehouse

1.3

Title of First Level Supervisor (Official title of the Supervisor): Head of the Department/hospital

2.

PURPOSE, DUTIES AND RESPONSIBILITIES (Describe the purpose, duties and responsibilities, indicating what is done how it is done. Purpose should be a short statement linking the position to the mission and goals of the organization and specifying outputs of the position. Duties should be presented in decreasing order of percentage of time spent on them, or in order of relative importance):

Purpose: Provide advanced technical services and logistics support for effective delivery of clinical services, efficient production and supply management; and ensure regulation and quality assurance of the drugs and other medical supplies; and manages the pharmacy department of the hospital.

Duties and responsibilities (for all categories)

Percentage of time

▪

Coordinate planning and implementation of relevant activities including mobilization of resources.

40

▪

Conduct research activities and facilitates international networking.

20

▪

Conduct supervision and training for subordinates and health workers.

15

▪

Manage the pharmacy department of a hospital

10

▪

Monitor and evaluates relevant activities.

10

▪

Carry out any other duties assigned by superiors.

05

3.

KNOWLEDGE AND SKILLS REQUIREMENTS (Minimum requirements for performance of work described (Level of Education, Knowledge, Skill and Ability):

3.1

Education:

By promotion failing which by Direct Recruitment

:

Diploma in Pharmacy with 10 years of experience.

OR

Bachelor of Pharmacy with 5 years experience.

OR

Master in Pharmacy/Pharm.D.

3.2

Training: Short course in organizational management, human resource development and management, and financial management and policies, research and specialization in pharmaceutical related fields.

3.3

Length and type of practical experience required: Minimum of 4 years experience as a Sr. Pharmacist or equivalent experience.

3.4

Knowledge of language(s) and other specialized requirement:

Fluent in regional languages and English. Should be also conversant in government policies, rules and regulations.

4.

COMPLEXITY OF WORK (Describe the intricacy of tasks, steps, processes or methods involved in work, difficulty and originality involved in work):

The position needs a competent person with in-depth technical knowledge and policy issues and must be capable of executing responsibilities independently. The position is required to fulfil the professional and administrative responsibilities for the department that provides comprehensive pharmaceutical services through large number of professional and technical personnel. It involves advising the technical bodies and commissions (National Drug Committee, Drug Advisory Committee, National HIV/AIDS Commission) on embarking right policy decisions. The position is also required to give constant feedback and assistance to the higher authorities.

5.

SCOPE AND EFFECT OF WORK (Describe the breadth of work performance, and the effect the work has on the work of others or the functions of the organization):

The success and image of the health system is directly influenced by the clinical care provided to the patients. The pharmaceutical service is the backbone of the clinical services and has direct impact on the overall health care. The quality of the pharmaceutical services will entirely depend on how they are planned and implemented and this position category play a vital role in extending the services to the public.

6.

INSTRUCTIONS AND GUIDELINES AVAILABLE:

6.1

Instructions (Describe controls exercised over the work by the Superior; how work is assigned, reviewed and evaluated):

The work output will be reviewed through meetings, reports, publications and successful implementation of the planned activities. However, supervision is received from the head of the department on policy and management issues, and from the specialists on technical areas as and when required.

6.2

Guidelines (Indicate which written or unwritten guidelines are available, and the extent to which the employees may interpret, adapt or devise new guidelines):

▪

Indian Civil Service Rules and Regulations

▪

Financial Manual

▪

Indian legislations relating to health

7.

WORK RELATIONSHIPS (Indicate the frequency, nature and purpose of contacts with others within and outside the assigned organization (other than contacts with superiors):

The position is required to collaborate with various international agencies and intergovernmental organizations for constant upgrading of the policies and programs relating to matters of pharmaceutical services. The position is required to co-ordinate in-puts from relevant professional groups and agencies in order to promote the professional integrity and for better developmental goals and better patient care.

8.

SUPERVISION OVER OTHERS (Describe responsibility this position has for supervision of other employees, including the nature of supervisory responsibilities and categories and number of subordinates, both directly and indirectly supervised):

Supervises the Deputy Chief Pharmacists and Pharmacists; and oversees the private pharmaceutical dealers to improve the quality of work and to ensure the quality, efficacy and safety of medicinal products to safeguard the public health.

9.

JOB ENVIRONMENT (Describe physical demands required, such as walking, standing, lifting heavy objects, etc., and/or any risks or discomforts like exposure to hazards such as exposure to chemicals infections, radiation, extreme weather and other hostile working conditions):

The work involves frequent exposure to chemicals and other toxins. The contact with patients through research works also increase the risk of contacting communicable diseases and other profession related work hazards.

The position is also required to travel frequently to the districts to monitor the pharmaceutical activities, to conduct research and assure quality of drugs and supplies.

Details of Position Title and job responsibilities of Community Pharmacist at community Pharmacy practice site (Drug Store/Pharmacy)

1.

JOB IDENTIFICATION:

1.1

Position Title: Community Pharmacist

1.2

Job Location (As appropriate):

Section: Private sector

Unit: Community Pharmacy/Dispensary/Drug Warehouse

2.

PURPOSE, DUTIES AND RESPONSIBILITIES

Purpose: Provide technical services and logistics support for effective delivery of pharmaceutical care and services.

Typical work activities include:

▪

dispensing prescription medicines to the public;

▪

ensuring that different treatments are compatible;

▪

checking dosage and ensuring that medicines are correctly and safely supplied and labelled (pharmacists are legally responsible for any dispensing errors);

▪

supervising the preparation of any medicines (not all are supplied ready made-up by the manufacturer);

▪

keeping a register of controlled drugs for legal and stock control purposes;

▪

liaising with doctors about prescriptions;

▪

selling over the counter medicines;

▪

counselling and advising the public on the treatment of minor ailments;

▪

advising patients of any adverse side-effects of medicines or potential interactions with other medicines/treatments;

▪

preparing dosette and cassette boxes, usually for the elderly but also for those with memory/learning difficulties, where tablets are placed in compartments for specified days of the week;

▪

undertaking Medicine Use Reviews (MUR), an advanced service to help patients understand how their medicines work and why they have to take them;

▪

providing a prescription intervention service;

▪

managing a needle and syringe exchange;

▪

dispensing emergency hormonal contraception;

▪

measuring and fitting compression hosiery;

▪

monitoring blood pressure and cholesterol levels;

▪

offering a diabetes screening service;

▪

providing pregnancy testing;

▪

arranging the delivery of prescription medicines to patients;

▪

overseeing the ordering and safe storage of medical products;

▪

maintaining computerised records;

▪

managing, supervising and training pharmacy support staff;

▪

selling healthcare and other products, such as toiletries, cosmetics and photographic items;

▪

budgeting and financial management;

▪

promoting sales and developing the business;

▪

keeping up to date with current pharmacy practice, new drugs and their uses.

3.

KNOWLEDGE AND SKILLS REQUIREMENTS (Minimum requirements for performance of work described (Level of Education, Knowledge, Skill and Ability):

3.1

Education: Diploma in Pharmacy/Bachelor in Pharmacy.

3.2

Training: None.

3.3

Length and type of practical experience required: New recruit.

3.4

Knowledge of language(s) and other specialized requirement: Should be fluent in English and regional language.

4.

COMPLEXITY OF WORK (details of the intricacy of tasks, steps, processes or methods involved in work, difficulty and originality involved in work):

The responsibilities involve monitoring the patient and providing health education which will have direct impact on the overall health of the population and disease management. Its jurisdiction encompasses a wide range of pharmaceutical services be it in a dispensary or a hospital. The laid out procedures and techniques needs to be carried out in precise technical efficacy and accuracy. The working process involves scrutinizing every step to prevent any mistakes in the work as it deals with human life. The management of life saving drugs is very important and involves many steps so as to ensure timely supply of drugs to the needy patients.

5.

SCOPE AND EFFECT OF WORK (Details of the breadth of work performance, and the effect the work has on the work of others or the functions of the organization):

Drugs are the lifelines of the health system. The success of the health care system depends on how various factors like patient compliance to the medicines, cost, and supply, rational utilization of resources, minimization of wastages and rational prescribing. Pharmacist is fully involved in carrying out and promoting them, thus contributing to the overall economy of the nation. The pharmacist is directly involved in counselling the patients, advising the prescribers on rational selection of drugs and therefore it has a direct impact on the overall patient care.

6.

INSTRUCTIONS AND GUIDELINES AVAILABLE:

6.1

Instructions (Details of the controls exercised over the work by the Superior; how work is assigned, reviewed and evaluated):

Work is carried out based on the annual work plan and regular supervision from the senior pharmacists.

6.2

Guidelines (written or unwritten guidelines that are available, and the extent to which the employees may interpret, adapt or devise new guidelines):

▪

Annual work plan

▪

Standard Operating Procedures/guidelines on pharmaceutical care and services

▪

Pharmacy Act and other laws as specified above in the regulations.

7.

WORK RELATIONSHIPS (The frequency, nature and purpose of contacts with others within and outside the assigned organization (other than contacts with superiors):

A pharmaceutical service requires constant interaction with patients and other professionals to monitor, advise and follow-up on drug efficacy, any side effects and complications. The profession also requires constant interaction with different health professionals at various levels to provide the best patient care.

8.

SUPERVISION OVER OTHERS (the responsibility that this position has for supervision of other employees, including the nature of supervisory responsibilities and categories and number of subordinates, both directly and indirectly supervised are)

Supervises the technicians and other health workers in the community Pharmacy on the proper storage management, distribution and proper utilization of medicines.

9.

JOB ENVIRONMENT (the physical demands that are required, such as walking, standing, lifting heavy objects, etc., and/or any risks or discomforts like exposure to hazards such as exposure to chemicals infections, radiation, extreme weather and other hostile working conditions):

Compounding involves the use of chemicals and it is risky to have contact or inhale certain substances and may give rise to chronic diseases in the long run. The contact with patients increases the risk of contacting communicable diseases and other profession related work hazards such as risk of needle pricks exposing him/her to diseases like HIV and Hepatitis.

Details of Position Title and job responsibilities of Drug Information Pharmacist at Pharmacy practice site in a health care setting (Drug Store/Pharmacy)

1.

JOB IDENTIFICATION:

1.1

Position Title: Drug Information Pharmacist

1.2

Job Location (As appropriate):

Unit: Hospital Pharmacy/dispensary/teaching hospital/other health care setting

2.

PURPOSE, DUTIES AND RESPONSIBILITIES

Purpose: Provide patient care that optimizes the use of medication and promotes health, wellness and disease prevention.

Core Responsibilities and Activities:

▪

Provide drug information services

▪

Supervise pharmacy/Pharm.D students during the drug information rotation.

▪

Participate in the administrative activities of the drug information centre along with other faculty/health care providers.

▪

Develop and assist in developing drug monographs and reviews for the Pharmacy and Therapeutics Committee.

▪

Write and edit drug information centre publications such as newsletters and other publications.

▪

Contribute to continuous quality improvement efforts related to drug information services.

▪

Contribute to didactic drug information courses.

▪

Complete at least 1 major research project related to drug information or other area of interest that is suitable for publication.

▪

Present research activity at various forum.

Other Responsibilities and Activities:

▪

Participate in Pharmacy and Therapeutics Committee meetings

▪

Contribute to drug use management activities (DUE/DUR)

▪

Work with other faculty on drug information service-related projects as needed

▪

Attend a major/national pharmacy meeting.

▪

Participate in entrepreneurial activities of the drug information centre.

3.

KNOWLEDGE AND SKILLS REQUIREMENTS (Minimum requirements for performance of work described (Level of Education, Knowledge, Skill and Ability):

3.1

Education: Bachelor in Pharmacy/Pharm.D

3.2

Training: Drug information residency

3.3

Length and type of practical experience required: New recruit.

3.4

Knowledge of language(s) and other specialized requirement: Should be fluent in English and regional language

4.

COMPLEXITY OF WORK (details of the intricacy of tasks, steps, processes or methods involved in work, difficulty and originality involved in work):

The responsibilities involve monitoring the patient and providing health education which will have direct impact on the overall health of the population and disease management. Its jurisdiction encompasses a wide range of pharmaceutical services be it in a dispensary or a hospital.

5.

SCOPE AND EFFECT OF WORK (Details of the breadth of work performance, and the effect the work has on the work of others or the functions of the organization):

Drugs are the lifelines of the health system. The success of the health care system depends on how various factors like patient compliance to the medicines, cost, and supply, rational utilization of resources, minimization of wastages and rational prescribing. Pharmacist is fully involved in carrying out and promoting them, thus contributing to the overall economy of the nation. The pharmacist is directly involved in counselling the patients, advising the prescribers on rational selection of drugs and therefore it has a direct impact on the overall patient care.

6.

INSTRUCTIONS AND GUIDELINES AVAILABLE:

6.1

Instructions (Details of the controls exercised over the work by the Superior; how work is assigned, reviewed and evaluated):

Work is carried out based on the annual work plan and regular supervision from the senior pharmacists.

6.2

Guidelines (written or unwritten guidelines that are available, and the extent to which the employees may interpret, adapt or devise new guidelines):

▪

Annual work plan

▪

Standard Operating Procedures/hospital guidelines on pharmaceutical care and services

▪

Pharmacy Act and other laws as specified above in the regulations.

7.

WORK RELATIONSHIPS (The frequency, nature and purpose of contacts with others within and outside the assigned organization (other than contacts with superiors):

A pharmaceutical service requires constant interaction with patients and other professionals to monitor, advise and follow-up on drug efficacy, any side effects and complications. The profession also requires constant interaction with different health professionals at various levels to provide the best patient care.

[2][7-A.

The duty of the Drug Information Pharmacist in the Drug Information Centre in Hospitals.The Drug Information Pharmacist shall

a)

provide information and advice regarding drug interactions, side effects, dosage and proper medication storage to patients, physicians, dentists and other health care professionals;

(i)

provide drug information to patients, caregivers, and health care professionals;

(ii)

create and maintain currency of a variety of print and online educational resources for patients, namely, tip sheets, pamphlets and health care material such as in-service documents, newsletters on topics namely, optimal medication use, general health, or select clinical questions;

(iii)

educate health care professionals on safe and effective medication-use, policies and processes, including development of resources to communicate these informations;

(iv)

lead or participate in continuing education services for health care professionals;

(v)

precept and educate pharmacy students and residents;

(vi)

participate in quality improvement research projects and drug cost analysis;

(vii)

contribute to the biomedical literature, and

(viii)

provide peer review for other contributors.]

[3][7-B.

Details of Position, Title and job responsibilities of Clinical Pharmacist

1.

Job Identification:

1.1

Position Title                                     : Clinical Pharmacist

1.2

Job Location (As appropriate)          : Hospitals

2.

Purpose, duties and responsibilities.The Clinical Pharmacist shall

(a)

provide patient care which optimises the use of medication and promotes health, wellness and disease prevention in collaboration with physicians and other health care professionals;

(b)

evaluate all medicare coverage requirement requests;

(c)

ensure compliance to all clinical procedures;

(d)

coordinate with pharmacy and medical staff to perform regular interventions according to present drugs;

(e)

perform regular evaluation on all usage and dosage of drugs;

(f)

ensure absence of all reactions;

(g)

assist all patients with assessment of patient orders;

(h)

assist prescription infusion and ensure adherence to all laws and regulations;

(i)

gather, maintain and analyze all laboratory data;

(j)

record all required patient information;

(k)

make recommendations to change dosage if required;

(l)

administer and complete all pharmacy care plans;

(m)

perform reconciliation of all medications and supervise all sterile mixing processes;

(n)

review all medications and equipments and ensure accuracy and effective functioning;

(o)

manage all communications with physicians and patients;

(p)

assist to resolve all patients within required timeframe;

(q)

maintain record of all medications for patients;

(r)

ensure absence of all discrepancies;

(s)

analyse all side effects and drug interactions;

(t)

retrieve clinical information for monitoring;

(u)

revision of the medication use process;

(v)

coordinate with all medical case managers;

(w)

evaluate all high risk members to prevent all risks;

(x)

participate in all patient associated meetings;

(y)

prepare all clinical documents;

(z)

participate in all on call activities for pharmacy;

(za)

evaluate all pharmacy claim data and identify all clinical savings;

(zb)

attend all therapeutic and pharmacy committee meetings;

(zc)

design and maintain all medication protocols for all clinical pharmacists;

(zd)

coordinate with all clinical team members to ensure optimal services;

(ze)

provide support to all clinical programs;

(zf)

ensure compliance to all medication process;

(zg)

evaluate all data to administer all drug utilization patterns;

(zh)

monitor all departmental activities;

(zi)

analyse all quality improvement activities;

(zj)

present all annual studies for management;

(zk)

serve as a drug information resource;

(zl)

contribute to drug use management activities;

(zm)

work with other faculty on drug information service-related projects as needed;

(zn)

attend a major and national pharmacy meeting.

3.

Qualification and skill for clinical pharmacist requirements for performance of work.

The Clinical Pharmacist

(i)

should possess Pharm.D from an institution approved by the Pharmacy Council of India;

(ii)

should have undergone training in

(a) involvement in formulary development, drug use evaluation, and quality assurance activities;

(b) ambulatory care experience;

(iii)

should have the ability to research and analyse the medical literature including drug information, disease states, and clinical practice guidelines;

(iv)

should have extensive knowledge of pharmacy and its related subdisciplines (therapeutics, pharmacology, physical pharmacy), formulary development, drug use review, quality assurance, legal, regulatory, and standards of practice;

(v)

should have such length and type of practical experience for new recruits as specified by the Pharmacy Council of India;

(vi)

should be fluent in English and regional language of the place in which the Clinical Pharmacist works.

4.

Complexity of Work.The Clinical pharmacist shall monitor the patient and provide health education which may have direct impact on the overall health of the population and disease management. Its jurisdiction encompasses a wide range of pharmaceutical services.

5.

Scope and effect of work.While discharging his duties, the Clinical pharmacist shall have regard to following matters, namely

(a)

the factors like patient compliance to the medicines, cost, and supply, rational utilization of resources, minimization of wastages and rational prescribing;

(b)

carry out and perform his duty, thus contributing to the overall economy of the nation;

(c)

counseling the patients, advising the prescribers on rational selection of drugs and, therefore, it has a direct impact on the overall patient care.

6.

Instructions and guidelines.The Clinical pharmacist shall

(a)

comply with the instructions issued by the superior officers regarding how the work is to be discharged and the review and evaluation of the same;

(b)

carry out the annual work plan and regular supervision from the senior pharmacists;

(c)

issue guidelines and the extent to which the employees may adapt or devise guidelines on

(i) annual work plan;

(ii) standard operating procedures and hospital guidelines on pharmaceutical care and services;

(iii) provisions of Pharmacy Act, 1948 (8 of 1948) and other statutory provisions as specified in the regulations.

7.

Work relationship.The clinical pharmacist shall, while discharging his duty shall have regard to

(a)

constant interaction with patients and other professionals to monitor, advise and follow-up on drug efficacy, any side effects and complications;

(b)

constant interaction with different health professionals at various levels to provide the best patient care.]

OBJECTIVES FOR MAKING PRACTICE REGULATIONS

Professions exist to serve society. The mission of the pharmacy profession is to render service to humanity with full respect for the dignity of profession and man, besides addressing the needs of society and of individual patients. The public places great trust in the knowledge, skills and professional judgments of pharmacists. This trust requires the pharmacists to ensure and maintain throughout their career high standards of personal and professional conduct, up-to date knowledge and professional competence relevant to their domain of practice. The registered pharmacist should merit the confidence of patients entrusted to their care, rendering to each a full measure of service and devotion. For which the registered pharmacist should try continuously to improve his knowledge and skills and should make available to their patients and colleagues the benefits of their professional attainments.

The registered pharmacist should practice methods of practice founded on scientific basis and should not associate professionally with anyone who violates this principle. The honoured ideals of the pharmacy profession imply that the responsibilities of the registered pharmacist extend not only to individuals but also to society.

This calls for framing of the regulations for practice of pharmacy laying down responsibilities of pharmacist towards patient, another registered pharmacist and the public in general. Primary reasons to regulate pharmacy profession are:

✓

To improve quality of health care

✓

To ensure that Pharmacists maintain high standards in their duty

✓

To reduce cost of health care

✓

To inhibit criminal abuse of medicines

It is also a call for laying down the activities which may be construed as misconduct and provision for taking disciplinary action.