CHAPTER 1

DEPARTMENT OF HEALTH HOSPITAL PHARMACY SERVICE GENERAL STATEMENT/PRINCIPLE The hospital shall maintain a Pharmaceutical Service that conforms with ethical and professional standards and legal requirements. The organization of a hospital pharmacy must satisfy the need for pharmacists performing their role as the vital link in the chain of health professionals dedicated to patient care. The pharmacists role is to provide at all times, an adequate supply of safe, effective and good quality drugs in appropriate dosage forms consistent with the needs of the patients and to rationalize drug utilization in collaboration with the medical staff. INSTITUTIONAL GOALS FOR THE HOSPITAL PHARMACY SERVICE 1. 2. To provide the benefits of a qualified hospital pharmacist to patients and to the allied health professionals and institutions; To assure a high quality of professional practice through the establishment and maintenance of standards of professional ethics, education and attainment and promotion of economic welfare; To promote research in hospital pharmacy practices; and To disseminate pharmaceutical knowledge by providing exchange of information among hospital pharmacists and members of allied specialties and professions.

3. 4.

In order to transform these goals into realities, all hospital pharmacists should broaden and strengthen their abilities in the following areas: 1. Effective Administration and Management of a Pharmaceutical Service in a Hospital The chief of the Pharmacy Service or personnel specializing in its administration, must be familiar with the health care system and the specific functions of the hospital so that objectives can be achieved in cooperation with other hospital services and with other programs that ensure continuity of patient care. Broad areas of administrative and management responsibilities include planning and integrating professional services, budgeting, inventory control, cost review, cost effectiveness, audit, maintenance of records and preparation of reports. As a basis for this responsibility, pharmacy personnel must be thoroughly familiar with the organization of a hospital, staff and line relationships and the appropriate lines of communication.

Pharmacy activities must be coordinated with medical, nursing and other services and with the administrative elements of the hospital. The chief of pharmacy or his/her designate is responsible and accountable for all pharmaceutical services related to patient care and expenditure of funds. He/she must be able to analyze and interpret prescribing trends and the economic impact of new drug developments, which, for budgeting purposes, are translated into forecast for future drug expenditures. The chief of pharmacy or his/her designate must maintain an adequate system of stock and inventory control and must have the ability to control operational cost without compromising services. The chief of pharmacy is responsible for recording all other pharmacy operations which may be legally or administratively required. 2. Development and Provision of Patient-Oriented Services Pharmacy, as practiced in the hospital setting, is developing a wide spectrum of clinical services which have become part of the overall pharmaceutical services although it may not be directly associated with drug dispensing. Fundamental to these clinical services is the pharmacists knowledge of drugs, diseases, patient and drug variables, and his ability to interact closely on a personal basis with other health professionals and patients. Academic training in areas such as toxicology, pathophysiology and therapeutics, as well as clinical experience, provide the background for a pharmacist to function in this clinical role. The service includes: a. Drug information, which encompasses the collection, organization, retrieval, interpretation and evaluation of the applicable literature in appropriate fashion; b. Collection of the pharmacy patient data base; c. Patient education; d. Monitoring and auditing of therapeutic regimens; e. Drug-use review; f. Monitoring/reporting of specific adverse drug reactions to decrease their incidence; and g. Performing other similar functions designed to improve patient care by maximizing drug use. Clinical functions may also extend to the pharmacists role in primary care as well as in the management of chronic care patients. A. Development and Conduct of Compounding Extemporaneous and other Pharmaceutical Preparations and Packaging Program The hospital pharmacist must frequently respond to the need for special dosage forms and formulations not available in the market. This would require an adequate understanding of the principles involved in the preparation of pharmaceutical dosage forms. This would involve the concepts

of biopharmaceutics, bioavailability/bioequivalence, stability, microbiology and techniques of medication administration. In some instances, as in the case of intravenous admixtures and total parenteral nutrition, the pharmacist must be familiar with patient variables such as electrolyte and fluid balance, and other factors such as personal hygiene, environmental control, and equipment performance.

B.

Provision of Comprehensive Information of Drugs and their Action Fundamental to the pharmacists contribution to health care is the knowledge of drugs and their actions. Being the primary source of information concerning drugs, the Pharmacy Service must maintain the appropriate information sources as well as develop mechanisms for evaluating information and transmitting it to the institutions professional staff and patients. The pharmacist must know the effects of drugs on biological systems in assessing determinants of every action such as absorption, distribution, metabolism and excretion of a drug; drug interactions with other drugs, food or diagnostic agents; effects of a disease state on the drugs action; and miscellaneous patient and drug variables. This would require knowledge in chemistry, pharmacology, toxicology, pathophysiology, pharmaceutics, therapeutics, and patient care techniques as well as some background in the social sciences.

C.

Conduct and Participation in Pharmaceutical Research The hospital pharmacist must be prepared to participate in clinical research designated by the medical staff and to conduct pharmaceutical research or initiate it. The pharmacist may act as the principal or coinvestigator or may use the resources of the pharmacy to support a particular research study. Equally important, is the pharmacists ability to collect appropriate data, interpret them, apply the conclusions drawn from the data, and transmit the results effectively. An educational background with an appropriate orientation and training in research methodology including criteria for the structure of a research report, is therefore recommended.

D.

Conduct and Participation in Educational Programs/Activities A wide range of educational programs/activities involving all health practitioners and students of various health professions is performed routinely in the hospital. The chief of the Pharmacy Service or his/her designate, is responsible for coordinating the pharmacys contribution to these educational programs. He/she is also responsible for training new

personnel and carrying on continuous educational programs for pharmacists, pharmacy support personnel, pharmacy students, etc. E. Development and Conduct of a Quality Assurance Program for Pharmaceutical Services. A major responsibility of the Pharmaceutical Service is the assurance of the quality of its services and products dispensed, strictly following the hospitals control program for drug dispensing. The pharmacist must conduct audits to assure that patients are provided with appropriate benefits of all pharmaceutical services and that quality patient care services are rendered to them. GENERAL OBJECTIVE: To properly utilize the Pharmacy Service to the maximum geared toward the actual dynamics of better patient care. SPECIFIC OBJECTIVES: 1. To provide at all times, medications of the highest standard in appropriate dosage forms consistent with the needs of the patients in collaboration with the medical staff; 2. To rationalize drug utilization and procurement in collaboration with the Pharmacy and Therapeutics Committee; 3. To render effective and efficient professional service to in and out- patients of all economic levels; 4. To utilize resources of the hospital pharmacy in the development and improvement of the profession as a whole; 5. To conduct and support medical and pharmaceutical researches appropriate to the goals, objectives and resources of the pharmacy and hospital; 6. To maintain the appropriate information sources and develop mechanisms of evaluating and transmitting information to the institutions professional staff and patients; and 7. To maintain the Pharmaceutical Quality Assurance Program.

ORGANIZATION AND PERSONNEL A. ORGANIZATION The hospital pharmacy should be properly organized meeting the minimum requirements prescribed by the Bureau of Food and Drugs (BFAD), the Licensure Act of the Bureau of Licensing and Regulations (BLR), and the enhancement standards of the HOMS based on the capabilities of hospitals. The organization of a hospital pharmacy must satisfy the needs of the pharmacists performing their role as the vital link in the chain of health providers dedicated to patient care. The hospital Pharmacy Service shall be under the general supervision of the administrative officer or Chief of Hospital (COH); it will directly be administered and supervised by a licensed pharmacist. The organization serves to establish the authority relationships between positions and to assign special tasks that achieve the pharmacys objectives. The pharmacy head management, namely, planning, controlling. practices the five essentials of good organizing, directing coordinating and

CHAPTER 2

An organizational chart showing the flow of administrative authority is essential to the selection and categorization of employees. The chart should be

designed to meet the specific requirements of the Pharmacy Service. (See Figure 1). In addition to the chart, an outline showing the subdivisions of the service and the responsibilities assigned to each subdivision may also be prepared for larger pharmaceutical services. (See Figure IV) It is imperative to list all functions of the Pharmacy Service in the planning of personnel requirements of various work systems (e.g., a unit dose system will require more personnel for dispensing in-patient drugs than a floor stock system); the estimate of work load units per function (e.g., a number of outpatient prescriptions, number of drug information requests, etc.); the time required to complete each workload unit, etc.

B. PERSONNEL To carry out the broad scope of Pharmaceutical Service in a hospital, there should be an adequate number of competent and qualified personnel that conforms with the established staffing pattern of the DOH (See Table 1). Sufficient supportive personnel (technical, clerical and other non-technical) are needed to prevent pharmacists from performing non-judgmental tasks. Appropriate supervisory controls for supportive personnel must also be maintained. All personnel must possess the required education and training needed. Their competence must be maintained through relevant continuing education programs and activities. A set of hospital policies, wherein the component service objectives of the hospital are reflected, should be formulated. Written policies to govern the procedural conduct of the pharmacy should exist and these should be kept current. Implementing policies should be clearly understood and complied with, when applicable. The Pharmacy Service should be under the supervision of a professionallycompetent and legally-qualified pharmacist whose training conforms with the standard qualifications established by the DOH. The head of the Service shall perform both technical and administrative functions associated with the operation of the pharmacy. In the performance of these duties, the pharmacist is expected to coordinate the activities of the pharmacy with other hospital services and to work within the overall policies of the hospital and the DOH. The management of a pharmacy in a hospital utilizes the same concepts common to all organizations whether it be in industries, offices, etc. As a manager or supervisor, the pharmacist must plan, organize, direct, coordinate and control people, supplies and equipment in a manner that would produce a drug service that is efficient and economical. One resource available to a manager or supervisor which he/she is least conscious of, is the resource of TIME. But time, along with money and people, limits the output of any manager because of all the resources available to him/her, time is the most scarce, for it cannot he rented, hired nor bought. The higher the manager is in an organization and the larger the organization, the more demands are made on his time. But, whatever is his/her level or the size of his organization, it is crucial to his/her productivity that he/she develop effective techniques in dealing with time and getting things done. Top time management specialists agree on two basic concepts to maximize time: (1)the direct and controlled use of time, and (2) setting of priorities and the allocation of time based on these priorities.

RELATIONSHIP The Pharmacy Service shall expect the following services from: 1. The Office of the Chief of Hospital Supports and approves all official requirements relevant to the pharmacy activities/programs. 2. Administrative Services Attends to the following financial matters: a. Budget - budget requirements b. Supply - actual drug procurement and turn-over of delivered drugs properly documented to the pharmacy. c. Accounting - availability of funds and replenishment of revolving fund. d. Billing - report on all drugs paid by the patient based on forwarded charge slips. Plus other personnel, housekeeping, engineering and maintenance requirements.

3. Medical Social Work Service Responsible for patient classification, and assistance for drug availability to patients. 4. Nursing Service Responsible for the patients drug needs and all other drug-related matters. 5. Medical Service Coordinates with the PTC on drug and drug-related matters. Provides the drug requirements of patients in coordinating efforts: a. Assistance in the preparation of the hospital formulary based on the Philippine National Drug Formulary (PNDF) and the Generics Act of 1988. b. Assistance in the preparation of the Annual Drug Procurement Program (ADPP) and the semi-annual drug requirement for the DOH bidding. c. Active participation and inputs on drug and drug-related matters such as Adverse Drug Reaction (ADR), Drug Utilization Review (DUR), Infection Control, etc. 6. Dietary Service Provides referrals on request for hyper-alimentation diet and/or total parenteral nutrition. 7. Resident Commission on Audit (COA) Auditor Responsible for auditing matters Pharmaceutical Services expected by other hospital service components: 1. Chief of Hospital (COH) Provides an adequate supply of safe, effective and good quality drugs in appropriate dosage forms consistent with the needs of the patients and rationalizes drug utilization in collaboration with the medical staff. 2. Administrative Service Submits budgetary requirements Submits monthly report to the accountant for the reimbursement of the Maintenance and Other Operating Expenses (MOOE) Fund of the hospital issued to charity/service patients. Forwards charge slip to the billing section for drug payment of patients prior to their discharge. Supply Office - prepares Requisition Issue Vouchers (RIVs) with the specifications, quantity arid cost of drugs based on the Official Price Schedule with attached individual stock position sheet of each item for the actual procurement of drugs. 3. Medical Service Coordinates closely with the medical staff on drug and drug-related matters: Provides the drug requirements through the PTC. Prepares the final ADPP and the semestral drug requirements for bidding. Establishes the Hospital Drug Formulary. Disseminates information on other drug-related matters. Participates actively in committee activities as ADR, DUR, Infection Control, etc.

4. Nursing Service Provides drugs needed by patients by doctors orders and other related matters that affect the Nursing Service. 5. Medical Social Service Assures availability of drugs for deserving patients. 6. Dietary Service Disseminates drug information on food-drug interaction. 7. Medical Records Service Prepares monthly report on the number of prescriptions filled; Prepares statement of expenses on drugs/medicines. 8. Resident COA Auditor Establishes a Good Inventory Control System - such as no over and under stocking of drugs, expired and deteriorated drugs, breakages, etc. 9. Services the drug requirements of personnel and the general public including referrals to health facilities and the Murang Gamot Project of selected hospitals.

Relationship with other agencies relevant to the practice of pharmacy: BFAD in compliance with the legal requirements of the BFAD based on the Food, Drugs, Devices and Cosmetics Act as amended; RA 3720 in the issuance of the License to Operate (LTO) and regular inspection/monitoring and in compliance with the Generics Act of 1988 (RA 6675), and the Pharmacy Law (RA 5921) as amended. The Dangerous Drugs Board (DDB) in compliance with the legal requirements of the Dangerous Drugs Act (DDA) as amended (RA 6425) relevant to the practice of pharmacy. Bureau of Licensing and Regulations in compliance with the legal requirements for hospital pharmacy based on the Hospital Licensure Act (RA 4226). Professional Regulation Commission (PRC) in compliance with the ethical and professional practices and the continuing education program requirement. HOMS and other services under the OHFS consultative/advisory services on Hospital Pharmacy enhancement standards, Hospital Operations and Management of hospital pharmacy, etc.

JOB DESCRIPTIONS
CHIEF PHARMACIST Provide the overall supervision of the activities of the Pharmacy Service of comparatively large general or special hospitals and perform other related functions. Specifically, the Chief Pharmacist shall: 1. Establish and implement policies and procedures of the pharmacy in accordance with the policies of the hospital and of the DOH; 2. Instruct, train and supervise all employees of the Pharmacy Service; 3. Review and approve schedule of duties of the pharmacy staff 4. Prepare requisitions for awarded drug items and other supplies for procurement based on the approved price schedule;

5. Provide information concerning drugs and drug therapy to physicians, nurses and other health personnel of the hospital; 6. Participate actively as member and secretary of the hospitals Pharmacy and Therapeutics Committee (PTC); 7. Assist in the evaluation of reports on ADR, DUR and Infection Control Programs; 8. Plan and prepare research activities on behavioral and socio-economic, pharmaceutical operational and clinical researches; 9. Supervise the posting and checking of deliveries to bulk storeroom of the pharmacy for safekeeping and proper storage. 10.Prepare reports and memoranda to the COH, Administrator and other departments of the hospital on pharmacy matters; 11.Plan suitable educational and training programs for professional staff and pharmacy interns in accordance with the requirements of the DOH National/Regional Committee on Affiliation and Training of Students (NCATS/RCATS); 12.Prepare/conduct the Quality Assurance Program (QAP) Review of the Pharmacy Service and participate in the QAP of the hospital multidisciplinary committee; 13.Attend meetings/seminar-workshops/consultative meetings related to drugs and hospital pharmacy practices; 14.Recommend pharmacy development or improvements to the COH; 15.Check and evaluate overall performance of the pharmacy staff and approve performance ratings of the pharmacy personnel; 16.Check the maintenance of the drug inventory control program; 17.Control dangerous and regulated drug distribution and drug dispensing activities; and 18.Perform other related functions. SUPERVISING PHARMACIST Supervise activities of the Pharmacy Service of smaller general or special hospitals and/or supervise the activities of employees in the Pharmacy Service of a comparatively large general or special hospital, and perform other related functions. Specifically, the Supervising Pharmacist shall: 1. Assume the duties and functions of the chief pharmacist in his/her absence; 2. Assist in the planning of special projects, training of pharmacy interns and personnel in different areas of the Pharmacy Service; 3. Assist in the preparation of policies and procedures of the Pharmacy Service; 4. Supervise clerical and record-keeping activities; 5. Supervise the preparation of delicate prescriptions not commercially available; 6. Collate ADR, Infection Control and DIJR reports; 7. Supervise the receiving, checking and proper storage of all drugs, biological and medical supplies; 8. Check the prepared schedule of duties of pharmacists and other personnel; 9. Supervise the maintenance of drug inventory control program; 10.Assist in the preparation of requisitions through the RIVs on the awarded drug items for procurement; 11.Assist in the planning and preparation of research activities;

12.Assist in the preparation of suitable educational pharmacy programs for professional staff and pharmacy interns; 13.Supervise dispensing of drugs to in and out-patients; 14.Check completed work of pharmacist before issuance; 15.Assist in the preparation of the Q~AP of the Pharmacy Service; 16.Attend meetings/seminar-workshops and consultative meetings related to drugs and hospital pharmacy practices; 17.Assist in the evaluation of the overall performance of the pharmacy staff and review performance appraisal forms of pharmacy personnel; and 18.Perform other related functions. 19.Listing of all regulated and narcotic drugs on their appropriate books SENIOR PHARMACIST Under general supervision, the Senior Pharmacist shall supervise the activities of a small group of employees of the Pharmacy Service of a general hospital or special hospital and perform other related functions. Specifically, the Senior Pharmacist shall: 1. Assume the functions and responsibilities of the supervising pharmacist in his/her absence; 2. Assist the supervising pharmacist in the supervision of Pharmaceutical Service activities or perform other duties relating to the preparation, care, distribution, disposition and inspection of drugs and supplies; 3. Assist the supervising pharmacist in planning, organizing and implementing pharmacy policies and procedures in accordance with established policies of the hospital and the DOH; 4. Guide subordinates in work prioritization and specific tasks to be performed and reviewed; 5. Record controlled drugs to registered opium and additional opium books; 6. Supervise bulk compounding activities; 7. Supervise the maintenance of the Drug Information Center with updates, journals and literature files, etc.; 8. Prepare prescriptions not commercially available; 9. Supervise the bottling and labelling of stocks from bulk compounded stocks; 10.Inspect and monitor drugs in all treatment areas; 11.Participate in all research activities; 12.Discuss performance report with subordinate employees; 13.Inspect stocks, equipment and requisitions as needed; 14.Supervise the preparation of intravenous admixtures; 15.Assist in the training of pharmacy interns; 16.Participate in the QAP of the Pharmacy Service; and 17.Perform other related functions. PHARMACIST Under general supervision, the pharmacist fills and dispenses drugs and medical supplies to in-patients and Out-out-patients ordered or prescribed by a licensed physician, dentist or veterinarian.

Specifically, the Pharmacist shall: 1. Fill prescriptions and dispense drugs; 2. Compound preparations not available commercially; 3. Label all drug containers issued to various services; 4. Check the manufacture and expiration dates and labels of drugs; 5. Post delivery receipts and record issuances of drugs to ledger cards and accomplish issue report forms after every shift; 6. File prescriptions and maintain them for the required number of years as prescribed by law; 7. Participate in medical rounds when deemed necessary for medication history of patients in promoting rational drug therapy; 8. Notify physicians of any therapeutic incompatibilities, potential drug interactions and duplicate prescriptions; 9. Make certain that the right patient takes the right drug and right dosage at the right time; 10.Maintain follow-up inventory weekly; 11.Prepare/check/sign charges to pay/Medicare patients on medications; 12.Participate in research activities; 13.Attend scientific seminar-workshops/consultative meetings and continuing education on drug-related matters and hospital pharmacy practices; 14.Participate in the QAP of the Pharmaceutical Service; 15.Prepare performance appraisal report; and 16.Perform other related functions. PHARMACY AIDE Under supervision, the pharmacy aide shall: 1. Perform work incidental or preparatory to the work of the pharmacist; 2. Clean empty bottles, cylinders, funnels, mortars and other pharmacy equipment/ apparatus; 3. Assist the pharmacist on drug inventory control; 4. Pre-package drugs and pharmaceuticals and arrange them in shelves; 5. Inform the pharmacist of our-of-order equipment; 6. Assist in the preparation of charges for pay/Medicare patients 7. Participate in the QAP of the Pharmacy Service; 8. Attend staff development programs/seminar-workshops relevant to his/her work, 9. Accomplish the performance appraisal report; 10.Perform other related functions. CLERK Under general supervision, the clerk shall: 1. Do all the typing/filing/safekeeping of documents, receiving and releasing papers pertinent to the operation of the Pharmacy Service; 2. Counter-check submitted issue forms of the pharmacy staff on duty for entry to stock/supplies ledger cards; 3. Record issuances of drugs daily in the ledger cards; 4. Prepare adjustment sheets as the basis for the statistical report on the monthly consumption and balances of stocks in the pharmacy; 5. Participate in the QAP of the Pharmacy Service;

6. Attend staff development programs and seminar/workshops relevant to his/her work; 7. Accomplish the performance appraisal report; and 8. Perform other related functions. STOREKEEPER Under general supervision, the storekeeper shall: 1. Receive/check/post drugs on ledger cards for safekeeping and proper storage in the bulk storage area and record releases for pharmacy stocks in the active storage area; 2. Transfer/withdraw drug items from bulk storeroom to active storeroom of pharmacy for distribution assisted by the utility worker; 3. Conduct regular and weekly follow-up of physical inventory of drugs; 4. Inspect drugs stored at the bulk storeroom as to expiry dates, slow and fast moving drugs, etc.; 5. Attend seminar/workshops, and other staff development programs relevant to the work; 6. Participate in the QAP of the Pharmacy Service; 7. Accomplish performance appraisal report; and 8. Perform other related functions. UTILITY WORKER Under general supervision, the utility worker shall: 1. Maintain housekeeping and sanitation of the pharmacy as well as its bulk and active storage areas; 2. Maintain facilities of the pharmacy; 3. Attend to the administrative needs in the operation of the Pharmacy Service; 4. Assist the storekeeper in the transfer or withdrawal of drug items from the bulk storage area to the active storage area of the pharmacy for eventual distribution; 5. Participate in the QAP of the Pharmacy Service; 6. Accomplish the performance appraisal report; and 7. Perform other related functions

GENERAL QUALIFICATIONS OF A HOSPITAL PHARMACIST

The person who takes charge of the Pharmacy Service of a small or big institution must have the same qualifications. A hospital pharmacist should be able to command respect from his/her co-workers, as well as the medical, nursing, administrative staff and other clients. It is important for the hospital pharmacist to be physically and mentally fit to perform his/her duties. He/she should be enthusiastic, resourceful and alert in order to be dependable, available, and progressive. The hospital pharmacist should be dynamic, conscientious, industrious and helpful. He/she must observe good public relations and be generous with his or her time and ability.

The hospital pharmacist must be knowledgeable in chemistry, pharmacology, pharmacokinetics, toxicology, pathophysiology, pharmaceutics, therapeutics, patient care techniques, and must have a background in social sciences and the theory and practices of pharmacy. The hospital pharmacist should know the laws, rules and regulations pertinent to the practice of pharmacy, and be abreast with the updated list of dangerous drugs. He/she should be familiar with medical terminologies and must be able to interpret doctors medication orders. He/she should be regularly informed on matters relating to medications, uses, doses and other drug-related matters and must be able to communicate these information with other health practitioners. PHARMACY PERSONNEL QUALIFICATION STANDARD REQUIREMENTS CHIEF PHARMACIST 1. 2. 3. 4. B.S. Degree in Pharmacy; Duly licensed by law to practice pharmacy; M.S. in Pharmacy or its equivalent; With 6 years experience - 3 years supervisory work and 3 years as dispensing pharmacist, with on-the-job training/continuing education; and 5. Physically, mentally, emotionally, and morally fit to work. SUPERVISING PHARMACIST 1. B.S. Degree in Pharmacy; 2. Duly licensed by law to practice pharmacy; 3. With 4 years experience - with 2 years of supervisory work in a pharmacy and 2 years as dispensing pharmacist; with at least 12 units of M.A. and on-the-job training/continuing education; and 4. Physically, mentally, emotionally, and morally fit to work. SENIOR PHARMACIST 1. B.S. Degree in Pharmacy; 2. Duly licensed by law to practice pharmacy; 3. With at least three (3) years experience, 1 year on supervisory work and 2 years as dispensing pharmacist with on-the-job training/continuing education; and 4. Physically, mentally, emotionally, and morally fit to work. STAFF PHARMACIST 1. B.S. Degree in Pharmacy; 2. Duly licensed by law to practice pharmacy; 3. New graduate/or at least 1 year pharmacy practice, orientation with further onthe-job training/ continuing education; and 4. Physically, mentally, emotionally, and morally fit to work. PHARMACY AIDE

1. Completion of at least two (2) years of college studies; 2. Two (2) years experience in a pharmacy; and 3. Physically, mentally, emotionally, and morally fit to work. CLERK 1. Completion of two (2) years of college studies; 2. One (1) year experience in the preparation of routine office correspondence, endorsements, reports or other related clerical work; 3. Career Service (Subprofessional) Relevant Eligibility for First Level Position; and 4. Physically, mentally, emotionally, and morally fit to work. STOREKEEPER 1. 2. 3. 4. Completion of two (2) years of college studies; One (1) year experience in recording and storing of supplies; Career Service (Subprofessional) Relevant Eligibility for First Level Position; and Physically, mentally, emotionally, and morally fit to work.

UTILITY WORKER 1. Completion of elementary school course or must be able to read, write, count, and interpret verbal or written instruction of normal complexity 2. Six (6) months of experience in manual work; 3. Civil Service Eligibility not required; and 4. Physically, mentally, emotionally, and morally fit to work.

CHAPTER 3
PLANTS, FACILITIES, EQUIPMENT AND OTHER MATERIALS Plants, facilities, equipment and other materials of the hospital pharmacy must comply with the BFAD minimum standard requirements for the issuance of LTO in the establishment of the hospital pharmacy. However, these are further standardized based on the hospitals capability levels, size, and scope of service.

Adequate spaces, equipment and supplies are provided for the professional and administrative functions of the Pharmacy Service to assure patient safety through the proper storage, preparation (compounding, packaging and labelling) and dispensing of drugs. Drugs are stored under proper condition of sanitation, temperature, light, ventilation, segregation and security. The pharmacy must develop a design which would be accessible to both in and out-patients, business offices and frontline services. Premises must be well-ventilated and should have concrete tiles or wooden flooring. There must be suitable areas for compounding, manipulating parenteral medications, dispensing, adequate storage of drugs with wooden pallets for drug boxes and biological products as specified in the label, for flammables and for administrative functions. It must be provided with suitable cabinets for storing poison and/or dangerous drugs with sectional type of cabinets and must have an adequate supply of water.