JOSE R. REYES MEMORIAL MEDICAL CENTER

Cordova, Myra Faye

Cruz, Lorenz Rael

Lubi, Chrisel Anne

Mallen, Wynzi Marie

Montesa, Jason

Nocon, Peter Michael

Piansay, Joel

Sanchez, Leomarie Duanne

Santos, Paula Lynne

Sarmiento, Geraline

Sumague, Arienne Joyce

o Established on 1945o As City Children's Hospital , with a 100-bed capacityo To cater the needs of the wounded o Established by the US ARMY, as Emergency Hospital (PCAU-5)o Headed by Dr. Fe Del Mundo, the famous Lady Pediatrician

o North General Hospital (NGH) o Was designed to become a charity hospital to serve the needs of

approximately 2/3 of more than a million population of the northern half of the city of Manila.

o When Bureau of Health assumed supervision, it focused in training doctors, nurses and technical workers under the Department of Health. This eventually marked the beginning of a training hospital under the DOH.

On by virtue of R.A. 4264, The North General Hospital was again

renamed as Jose R. Reyes Memorial Medical Center in honor of Dr Jose R. Reyes, Medical Center Chief from 1948-1964

oGeneral oGovernment ownedoTertiary Levelo1,500 – Bed Capacity (As of September 04, 2013)

oShort Term stay

JRRMMC Vision

• The JRRMMC will be the Center of Excellence for Health. . . . where patients are assured of effective, efficient, accessible, state-of-the-art service;. . . . provided by highly competent, compassionate and committed staff; and. . . . the prime teaching/training and research institution for medical and allied professions.

JRRMMC Mission

• To provide quality health care through:• Deliver of general tertiary health services;• Implementation of disease prevention and health promotion programs;• Efficient utilization of resources;• Continuous strengthening of human resource development programs for staff, affiliates, and trainees;• Regular upgrading of facilities;• Effective institutionalization of responsive policies/standards and relevant research endeavors.

MEDICAL CENTER CHIEF II

Hospital Information System

Unit (HISU)

Continuous Quality

Improvement (CQI) and

Patient Safety

Legal Affairs Internal Audit

Professional Education Training and

Research

Medical Nursing Administrative/FinanceBids and Award Committee

Nursing Service Medical Service Finance Service Hospital Operation and

Administrative Support Services

Special Areas Clinical

Training

and

Research

Clinical AncillaryParamedical and

Allied Health

OB/NICU

D.R.

I.C.U.

O.P.D.

E.R.

CSSID

Burn Unit

Surgery

Orthopedic

s

EENT

Medicine

Ob-Gyne

Pediatric

s

Urology

Staff

Devt.

Program

Research

DOH

Training

Nursing

Midwifer

y Student

Affiliation

Surgery

Internal

Medicine

OB-Gyne

Pediatrics

Ophthalmolo

gy

ENT-HNS

Urology

Orthopedics

Anesthesia

Dermatology

Neurology

Psychiatry

Radiology

Radiother

apy

Pathology

&

Laboratory

Out-

patient

Services

Emergency

Operating

Room

Rehab

Med

Nuclear

Med

Dental

Pharmacy

Medical

Social

Service

Nutrition

&

Dietetics

Medical

Research

Statistics &

Epidemiology

Public Health

Services/ Wellness

ClinicOther

Committees

Accounting

Budget

Cashiers

Collecti

ng

Disburseme

nt

Business

Center

Billing PEIC

Personnel and Human

Resource

Procurement Service

Property Mngt & Wardhouse

Engineering & Maintenance

Linen & Laundry

Housekeeping

Security

Public Assistance and Media

Information and Admitting

Other

Committees

Solid Waste

Management

Transport/Water

Waste

Paramedics & Allied Health Department

Pharmacy

Chief Pharmacist/s

Supervising Pharmacist/s

Senior Pharmacist/s

Staff Pharmacist/s

Junior Pharmacist/s

Pharmacy Aide

Medical Center Chief II

Medical Service Finance ServiceHospital

Operation and Administrative

Support ServiceCashiers

Collecting

Disbursement

Housekeeping

Solid Waste Management

The PHARMACY

o Under the Paramedics & Allied Health

Department.

o It consists of:

Non-Pharmacists:

4 Cashiers

3 Helpers

3 Admins

1 Pharmacy Aide

Pharmacists:

1 Chief Pharmacist

5 Supervising Pharmacists

15 Senior Pharmacists

5 Staff Pharmacists

Subdivisions

o Welfare Pharmacyo DOH Botikao OR Pharmacyo National Center for Geriatrics Health

(Temporarily Managed by JRRMMC)

Pharmacies Inside & Out…

Welfare Pharmacy

DOH BOTIKA

DOH BOTIKA

O.R. Pharmacy

N.C.G.H.

JRRMMC Pharmacy Dept. Vision

• To be recognized in the field of hospital pharmacy in providing global standard on pharmaceutical care that is competitive enough to gauge with the newest development and challenges in the industry.

JRRMMC Pharmacy Dept. Mission

• To provide quality and professional pharmaceutical services in fulfilling the overall objectives of the hospital.

• To cope with the changing of times by creating world class pharmacy environment.

DUTIES

Professional supervision of the pharmacy.

Management of facilities, equipment, supplies and drug information.

Drug Procurement and Inventory Management

Training and Orientation.

Coordinate with Other Hospitals for drugs needed not available in the hospital.

Coordinate with the suppliers concerning the drug products (ex. near expiry products).

A Chief Pharmacist…

Ma’am Emelia P. Pausal, RPh

Chief Pharmacist JRRMMC

A Pharmacist… Checks the prescription

(dosage, frequency of dosing, etc.).

Dispenses prescription.

Communicates with the prescriber

Counsels patients.

Compounds medicines not commercially available. Ms. Sharon Trinidad, RPh

Senior Pharmacist JRRMMC

DUTIES

DRUG DISTRIBUTION

Drug Distribution Systemo Combination of Floor Stock and Individual

Prescription Ordero Unit Dose Drug Distribution System

(specifically in the paediatric ward and intensive care units)

STANDARD OPERATING PROCEDURES FOR DISPENSING OF DRUGS/MEDICINES, ETC.

WELFARE PHARMACY (In-patient Service Wards)

STEP ACTION PERSON RESPONSIBLE MAXIMUMTIME

1 Checks prescription as to its completenessand signature of prescribing physician

Counter Duty Pharmacist 1 MIN

2 Determines availability of stock and patient Counter Duty Pharmacistclassification; fills prescription and issues to Nursing Attendant (NA)Nursing Attendant checks items andsigns at the back of the prescription toattest receipt of items

Counter Duty Pharmacist 1 MIN

3 Prepares corresponding charge slips andforwards to Billing & Claims on or beforethe cut-off time

Counter Duty Pharmacist 3 MINS

4 Prepares daily shifting report of issued/filled prescriptions

Counter Duty Pharmacist 3 MINS

OUT-PATIENT

STEP ACTION PERSON RESPONSIBLE MAXIMUMTIME

1 Checks prescription as to its completenessand signature of prescribing physician

Counter Duty Pharmacist 1 MIN

2 Indicates costs of drugs/medicine in theprescription and informs patient/companionInstructs to pay to the Cashier

Counter Duty Pharmacist 2 MINS

3 Checks official receipt of payment; issuescorresponding drugs/medicine

Counter Duty Pharmacist 2 MINS

4 Records sale in the logbook Counter Duty Pharmacist 3 MINS

INDIGENT PATIENT

STEP ACTION PERSON RESPONSIBLE MAXIMUMTIME

1 Checks prescription as to its completenessand signature of prescribing physician

Counter Duty Pharmacist 1 MIN

2 Receives empty vials of used medicines

Counter Duty Pharmacist 2MINS

3 Checks abstract of medicines of corresponding patient

Counter Duty Pharmacist 1 MIN

4 Issues drug (good for 24 hrs dosage) to NA who signs at the back of the prescription as evidenceof receipt.

Counter Duty Pharmacist 3 MINS

5 Prepares daily shifting report of filled prescriptions

Counter Duty Pharmacist 3 MINS

PAY/PHIC IN-PATIENTS

STEP ACTION PERSON RESPONSIBLE MAXIMUMTIME

1 Checks prescription as to its completenessand signature of prescribing physician

Counter Duty Pharmacist II, I or Laboratory Aide

1 MIN

2 Issues drug/medicine to NA WHO SIGNS AT THE BACK OF THE RX TO EVIDENCE RECEIPT

Counter Duty Pharmacist II, I or Laboratory Aide

1 MIN

3 Prepares charge slips for the drug/medicine dispensedand have it forwarded to the Billing & Claims, Records in the Pay logbook

Counter Duty Pharmacist II, I or Laboratory Aide

3 MINS

4 Prepares daily shifting report Laboratory Aide 3 MINS

Dispensing of drugs/medicines for sale at DOH BOTICA

STEP ACTION PERSON RESPONSIBLE MAXIMUMTIME

1 At window 1 - Receives/Checksprescription as to itscompleteness and signature of prescribing physician

Duty Pharmacist II, I or Laboratory Aide II

1 MIN

2 Instructs patient/buyer to proceed to Window 2 (Cashier)for payment and then to Window 3

Duty Pharmacist II, I or Laboratory Aide II

1 MIN

3 Dispenses drug/medicine upon presentation of OR andprescription.

Duty Pharmacist II, I or Laboratory Aide II

3 MINS

4 Prepares daily shifting report Assigned PharmacyStaff/Lab. Aide II

2 MINS

UNIT DOSE DRUG DISTRIBUTION SYSTEM (UDDS)

STEP ACTION PERSON RESPONSIBLE MAXIMUMTIME

1 Checks completeness of Physician Drug Order (PDO)

Pharmacist II 1 MIN

2 Fills individual Patient Drug Profile (PDP) based on PDO; goes to the ward

same 3 MINS

3 Checks patients census and fills patient's drug cassette

same 3 MINS

4 Endorses to patient/watcher and informs Nurse on Duty (NOD)

same 1 MIN

5 Checks/Accounts used/unused drug/medicines

same 1 MIN

6 Prepares corresponding charge slip and forwards to Billing & Claims Section

same 3 MINS

SUMMARY OF DRUG DISTRIBUTION

Unit Drug Dose Distribution System(Paediatric Wards & ICUs)

PHYSICIAN’S DRUG ORDER

NURSE ON DUTY CHECKS AND FORWARD

PDO TO WELFARE PHARMACY

ASSIGNED PHARMACIST FILLS

PDP, CHECKS PATIENT CENSUS AND FILLS PATIENT CASETTE

ENDORSES DRUG/ MEDICINE TO NURSE

ON DUTY

PATIENT DRUG/ MEDICINE

The Out Patient/the Nurse or the Nursing

Aide Delivers the Prescription or PDOS to

the appropriate Pharmacy Section

The Pharmacists provides counselling

The Pharmacist dispenses the drugs and

counter checks the prescribed drugs together with the

patient or the nurse/aide

The Pharmacist receives and checks the

prescription for any error

The Pharmacist prepares the drugs

The Pharmacist either bills or records the amount to be paid

depending on the patient

Drug Dispensing

SUMMARY OF DRUG DISTRIBUTION

UNIQUE SERVICES OFFERED

o Compounding of Dermatological Productso Patient and Drug Counselling between Allied

Health Professionalso Medicine Informationo Trainingo PDAF (Priority Development Assistance Fund)

STOCKS & SHELVES

o Arranged alphabetically by generic name.o Divided into sections such as orals, IV medications, topical,

and medical supplies.o FIFO (early expiry drugs are dispensed first).

EQUIPMENT

Used for mixing dermatological products.

e.g. Plain Vaseline, ABO (antibiotic/oxytetracycline) ointment

Mixer

FACILITIES

Used for storing drugs that requires a controlled temperature (Like suppositories, Blood products, and Insulin Preparations)

Used for stability of product

Refrigerator

Compounding Area Area where a pharmacist

compound, prepare and supply a single unit of product intended for immediate use of patient for the reason that the available dosage form may not be suitable for the patient.

FACILITIES

OR Pharmacy Area in the hosp. where drugs

and medical supplies are commonly dispensed during surgical procedures are located.

Ex. Atracurium, Propofol, Panavac, ET tubes, etc.

Charity/Welfare Dispensing Pharmacy Area where drugs are

dispensed for in-patients(indigent)

Area where special service includes providing affordable drug prices for in-patients

Classified into 3:

Class 1 – 25% disc.

Class 2 – 50% disc.

Class 3 – 75% disc.

Commercial Pharmacy

Area where drugs are dispensed for in(pay) and out-patients

Area where special service include compounding of dermatological products and selling of cheaper priced medicines (compared from other pharmacies)

INTERN DUTIES IN THE PHARMACY

• Prepare

• Dispense

• Record/encode Prescriptions

• Deduct(Stock cards)

• Etc.

Prepare

Interns are allowed to read the prescription and prepare the meds.

Interns at NCGH interprets the prescription and prepares it.

INTERN DUTIES IN THE PHARMACY

Dispense

the pharmacist checks the medicines that were prepared by the interns before dispensing it to the patient.

INTERN DUTIES IN THE PHARMACY

Record/encode

the interns were allowed to encode the prescriptions on a daily basis.

prescriptions are encoded in a spreadsheet application

dangerous drugs/controlled substances are recorded according to their books

INTERN DUTIES IN THE PHARMACY

Deduct

The remaining balance of every drug and medical supplies are recorded in a stock card.

Basically it is just subtracting the quantity of sold products from the quantity of products that are still in the inventory.

Done on a daily basis every after shift.

INTERN DUTIES IN THE PHARMACY

PHOTOS

PHOTOS

THANK YOUJRRMMC INTERNS (3EPH)

• Cordova, Myra Faye

• Cruz, Lorenz Rael

• Lubi, Chrisel Anne

• Mallen, Wynzi Marie

• Montesa, Jason

• Nocon, Peter Michael

• Piansay, Joel

• Sanchez, Leomarie Duanne

• Santos, Paula Lynne

• Sarmiento, Geraline

• Sumague, Arienne Joyce

“Only those who dare to fail greatly can ever achieve greatly.” -JFK