Hospital pharmacy department: the third-level general hospital has pharmacy department, and the second-level general hospital has pharmacy department.
Attachment: Basic Standards for Pharmacy Department of General Hospital
(Draft for Comment)
In order to standardize the basic standards for the construction of pharmacy department in general hospitals, promote the development of hospital pharmacy, improve the quality of pharmaceutical services and drug treatment, ensure the quality of drugs and ensure medical safety, this basic standard is formulated according to the Measures for the Administration of Drugs in People's Republic of China (PRC), the Provisions on the Administration of Pharmaceutical Affairs in Medical Institutions and the Measures for the Administration of Prescriptions.
Hospital pharmacy department is the professional technical department of the hospital, which is responsible for the relevant pharmaceutical affairs management and pharmaceutical professional services, and specifically undertakes: the supply and management of drugs in our hospital; Prescription suitability review, drug deployment and safe drug use guidance; Implement the clinical pharmacist system and directly participate in clinical drug treatment; Pharmaceutical education and applied pharmaceutical research. And is responsible for supervising and promoting the implementation of relevant drug laws and regulations.
Hospital pharmacy department: the third-level general hospital has pharmacy department, and the second-level general hospital has pharmacy department.
Basic standards of pharmacy department in tertiary general hospitals
I. Partition layout
(a) the hospital pharmacy department should be patient-centered, adhere to the principle of integrity, and ensure the implementation of its functions and tasks;
(2) The area, layout and flow of the pharmaceutical department are reasonable and can meet the needs of its normal work; Reasonable regional division, working area and non-working area should be set separately;
(3) The pharmacy department should set up corresponding departments (rooms) according to the scale and tasks of the hospital and the actual needs of the pharmacy department to carry out pharmaceutical professional and technical work, such as drug dispensing department, clinical medicine department, drug supply department and quality control department.
(4) The pharmaceutical department, which undertakes teaching and scientific research tasks, should set up appropriate teaching and scientific research areas.
Second, personnel.
(a) the post setting and pharmacy staffing of the pharmacy department should be able to ensure the full play of pharmaceutical technical functions and the completion of Yamatonokusushi's duties and tasks;
(2) Pharmaceutical professionals shall not be less than 8% of the total number of medical and health professionals in our hospital according to national regulations. The pharmacy department has an intravenous drug dispensing center to centrally dispense intravenous drugs, and the personnel, drug accountants and dispensing workers required by the pharmacy department are equipped separately according to actual needs;
(3) The number of clinical pharmacy graduates or full-time undergraduate pharmacy graduates from medical colleges shall not be less than 30% of pharmaceutical professionals;
(4) No less than13% of pharmaceutical professional and technical personnel with the qualifications of pharmaceutical professional and technical positions at or above the deputy senior level;
(five) the hospital shall, in accordance with the relevant provisions of the administrative department of health, train and equip not less than the prescribed number of full-time clinical pharmacists;
(6) Tertiary hospitals undertaking teaching and scientific research tasks should appropriately increase pharmaceutical professional and technical personnel according to the tasks and workload.
Third, the house
(1) outpatient pharmacy room
Outpatient volume 1 501~ 2,500 person-times/day, and the area of the dispensing room is 200 ~ 280m2, with more than 2,500 person-times per day, and the area of the dispensing room is increased by 60m2; The daily outpatient volume is more than 4,500 person-times, and the area of the dispensing room is increased by 40㎡ per 1000 person-times.
(2) Inpatient Exchange Room
50 1 ~ 1000 beds: adjustment room area180 ~ 280m2; There are 1000 beds. For every additional 100 beds, the area of dispensing room will increase by 20㎡.
The pharmacy department has a centralized dispensing center for intravenous drugs. If centralized dispensing of intravenous drugs is implemented, the area of inpatient dispensing room will be reduced by about 30%. If only dangerous drugs and parenteral nutrient solution are concentrated, it should be reduced by 5% ~ 10% according to its deployment scale and workload.
(3) intravenous drug allocation center
Daily deployment 100 1 ~ 2000 bags (bottles): deployment center area of 300 ~ 500m2; daily deployment of 200 1 ~ 3000 bags (bottles): deployment center area of 500 ~ 650m2; Daily deployment of more than 300 1 bag (bottle), and an increase of 30㎡ for every 500 bags (bottles).
(4) Pharmacy
50 1 ~ 1000 beds, 1000 ~ 2000 outpatient visits/day: the area of drug storehouse is 300 ~ 400 ㎡; Bed 1000, with more than 2,000 daily outpatient visits. Every 150 beds or 1000 outpatient visits per day, the area of drug storehouse will be increased by 30m2 on the basis of 400m2.
(5) other department studios
(a) the pharmaceutical department should set up offices, information reference rooms, clinical pharmacists' offices and drug quality control rooms. , and configure the studio area suitable for its work;
(two) the area of other studios in the pharmaceutical department should be configured according to its nature, task and scale. Pharmaceutical departments undertaking teaching and scientific research tasks should be equipped with corresponding teaching and scientific research rooms;
(3) The area of dispensing room and pharmacy, including the area of proprietary Chinese medicines, but excluding the area of Chinese herbal medicines, shall be subject to the provisions of state administration of traditional chinese medicine.
Four. Equipment and facilities
(1) Basic equipment and facilities
At least: medicine refrigerator, special cabinet for anesthesia and psychotropic drugs of category I, special storage cabinet for medicines, computer, printer, analytical balance, microscope, acidity meter, ultraviolet-visible spectrophotometer, automatic packaging system, temperature and humidity control system, large window or counter dispensing system, dispensing display screen in outpatient dispensing room, etc. , and gradually configure the automatic dispensing formula system and drug management information system.
(two) drug quality monitoring and clinical pharmacy and clinical pharmacology equipment and facilities.
According to the actual situation of hospital scale, tasks and workload, it should be equipped with equipment and facilities suitable for drug quality monitoring and clinical pharmacy, clinical base of new drugs, pharmaceutical education and pharmaceutical research. Establish and configure pharmaceutical information system and clinical medication support system.
(3) Hospital preparation equipment and facilities
According to the workload, dosage forms, varieties and relevant regulations of the drug supervision and administration department, it is equipped with equipment and facilities suitable for the preparation work in the hospital.
(4) Equipment and facilities of intravenous drug dispensing center
According to the scale and daily centralized deployment workload of the hospital intravenous drug deployment center and the relevant provisions of the Quality Management Standard for Centralized Deployment of Intravenous Drugs, equipment and facilities suitable for centralized deployment of intravenous drugs are equipped.
Verb (abbreviation for verb) rules and regulations
Establish a quality management system, formulate post responsibility system and various rules and regulations, including personnel management, facilities and equipment management, drug quality management, drug supply management, prescription dispensing management, intravenous drug centralized deployment management, information management, high-risk drug management, pharmaceutical research management, pharmaceutical education management, file and record management, document management, safety management, emergency and critical incident management, etc.
Basic standards of pharmacy department in secondary general hospitals
I. Partition layout
(a) the hospital pharmacy department should take patients as the center, adhere to the principle of good faith, and ensure the implementation of its functions and tasks;
(2) The area, layout and flow of the pharmacy department are reasonable and can meet the needs of its normal work; Reasonable regional division, working area and non-working area should be set separately;
(3) The pharmacy department should set up corresponding studios, such as drug dispensing room, drug warehouse, clinical pharmacy room and quality control room, according to the scale and tasks of the hospital and the actual needs of the pharmacy department to carry out pharmaceutical professional and technical work.
Second, personnel.
(a) pharmacy post setting and pharmacy staffing should be able to ensure the full play of pharmaceutical technical functions and the completion of Yamamoto's job responsibilities and tasks;
(two) pharmaceutical professional and technical personnel according to the provisions of the state, not less than 8% of the total number of medical and health professional and technical personnel in our hospital. The pharmacy department has an intravenous drug deployment center, where intravenous drugs are centrally deployed. The personnel required by the pharmacy department, drug accountants and drug distributors should be equipped according to actual needs.
(3) The number of pharmaceutical personnel who graduated from clinical pharmacy or full-time undergraduate pharmacy in medical colleges is not less than 20% of the total number of pharmaceutical professional and technical personnel;
(4) No less than 6% of pharmaceutical professional and technical personnel with the qualification of deputy senior or above pharmaceutical professional and technical positions;
(five) the hospital shall, in accordance with the relevant provisions of the administrative department of health, train and equip not less than the prescribed number of full-time clinical pharmacists;
Third, the house
(1) outpatient pharmacy room
The outpatient volume 100 ~ 500 person-times/day, and the area of dispensing room is 80 ~1/0 ㎡; The outpatient volume is 50 1 ~ 1500 person-times per day, and the area of the dispensing room is110/60m2; 1501~ 2,500 person-times/day, and the area of the mixing room 160 ~ 200m2.
(2) Inpatient Exchange Room
Beds 100 ~ 500: the area of the dispensing room is 80m2 ~ 180m2. The pharmacy department has a centralized intravenous drug dispensing center (room). If centralized intravenous drug dispensing is implemented, the area of drug dispensing room for inpatients will be reduced by about 30%. If only dangerous drugs and parenteral nutrition are concentrated, it should be reduced by 5% ~ 10% according to its deployment scale and workload.
(3) intravenous drug dispensing center (room)
Daily deployment of less than 500 bags (bottles): deployment room area100 ㎡ ~150 ㎡; Daily deployment of 50 1 ~ 1000 bags (bottles): deployment center area150m2 ~ 300m2;
(4) Pharmacy
100 ~ 500 beds, 100 ~ 500 outpatient visits/day: the area of drug storehouse is 80 ㎡ ~ 300 ㎡;
(5) Studio areas of other departments
(a) the pharmacy department should set up offices, information reference rooms, clinical pharmacists' offices and drug quality control rooms. , and configure the studio area suitable for its work;
(two) the room area of other studios in pharmacy department should be configured according to its nature, task and scale;
(3) The area of dispensing room and pharmacy, including the area of proprietary Chinese medicines, but excluding the area of Chinese herbal medicines, shall be subject to the provisions of state administration of traditional chinese medicine.
Four. Equipment and facilities
(1) Basic equipment and facilities
At least: medicine refrigerator, special cabinet for narcotic and psychotropic drugs of Class I, special medicine storage cabinet, computer, printer, temperature and humidity control equipment, large window or counter dispensing device in outpatient dispensing room, dispensing display screen, etc.
(two) clinical pharmacy and drug quality monitoring equipment and facilities.
Equipment and facilities suitable for clinical pharmacy and drug quality monitoring should be equipped according to the actual situation of hospital scale, task and workload.
(3) Hospital preparation equipment and facilities
According to the workload, dosage forms, varieties and relevant regulations of the drug supervision and administration department, it is equipped with equipment and facilities suitable for the preparation work in the hospital.
(4) Equipment and facilities of intravenous drug dispensing center (room)
According to the scale and daily centralized deployment workload of the hospital intravenous drug deployment center and the relevant provisions of the Quality Management Standard for Centralized Deployment of Intravenous Drugs, equipment and facilities suitable for centralized deployment of intravenous drugs are equipped.
Verb (abbreviation for verb) rules and regulations
Establish a quality management system, formulate post responsibility system and various rules and regulations, including personnel management, facilities and equipment management, drug quality management, drug supply management, prescription dispensing management, intravenous drug centralized deployment management, information management, high-risk drug management, dangerous drug management, file and record management, file management, safety management, emergency and critical incident management, etc.