CENTRAL UNIVERSITY OF APPLIED SCIENCES,

DEPARTMENT OF PHARMACY.

DOCUMENTED BY:
Gemadi Kwasi Shine
Shinekwasi0@gmail.com
Index number:201500956

INSTITUTION:
Narh-bita Hospital.(Department of Pharmacy).
Opposite Chemu Secondary School
Near Assemblies Of God Church,
Tema-Accra

LENGTH OF ATTACHMENT:
4thJuly-25th August 2017

HOURS OF ATTACHMENT PER DAY:

8hours (8am-3pm)

CHIEF PHARMACIST/PRECEPTOR:/

Chief Pharm.Theophilus Ankara

REPORT ON THE SEVEN WEEKS TRAINING ATTAINED AT THE NARH-BITA
HOSPITAL SUBMITTED TO THE DEPARTMENT OF PHARMACY-NARH-BITA
HOSPITAL AND THE DEPARTMENT OF PHARMACY-CENTRAL UNIVERSITY IN
PARTIAL FULFILLMENT OF THE REQUIREMENT OF THE BACHELOR OF
PHARMACY PROGRAM.

ACKNOWLEDGEMENT.

Thanks to God for making the attachment a success. Also thanks to the Narh-bita
Hospital Management for accepting me to do my attachment with them and giving me the
opportunity to use their reputable facility for this exercise. Thanks also to Chief
Pharm.Theophilus Ankara and all the staff of the hospital for training and educating me to
become a better pharmacy student and giving me the opportunity to know what hospital
pharmacy entails.
 CONTENT(S).

REPORT ON THE SEVEN WEEKS TRAINING ATTAINED AT THE NARH-BITA

HOSPITAL SUBMITTED TO THE DEPARTMENT OF PHARMACY-NARH-BITA
HOSPITAL AND THE DEPARTMENT OF PHARMACY-CENTRAL UNIVERSITY IN
PARTIAL FULFILLMENT OF THE REQUIREMENT OF THE BACHELOR OF
PHARMACY PROGRAM.

Brief History of the institution (Narh-Bita Hospital).

Objectives and goals of the institution.

Main Report containing the:

Objectives of the vacation training.

Experience(s) attained.

Challenge(s).

Solutions to some of the challenge(s) to be mentioned.

Conclusion.

Recommendation(s).
 HISTORY OF THE NARH-BITA HOSPITAL
AND ITS OBJECTIVES.
Narh-bita Hospital was founded by Dr.Edward Narh and Mrs.Beatrice Afua-Narh(A
Nurse by profession) in the year1979. It started as a hospital with the aim of contributing to
proper health care of the surrounding community and beyond.Few years later,Dr.Narh with
academic vision for the young people introduced Narh-bita college of nursing at the same
location as the hospital. The Narh-bita institution is located at Tema community 4 opposute
Chemu Senior High School.

The hosoital in its current state can blow its own horns of the following deoartments and
units :T he Intensive Care Unit,The Out Patient department ,The X-ray and Medical Laboratory,
The Anaesthesia department , General Surgery, Obstetrics, Gyeanacolgy,Urology,Voluntary
counselling and Testing Center(VCT) and Pharmacy department which includes Medical Stores,
The Clinical Pharmacy and Administration

The ultimate aim or goal of the institution is to serve with integrity as the motto states
and all sundry who works here is urged to work well to serve the motto right. Some of the goals
of the hospital are

To see improvement in patient(s) condition.

 To treat patient(s)/client(s) fairly and with respect.

To attend to patient(s) and client(s) quickly and to show care.

To understand the patient(s)/client(s) situation and needs.

To give adequate and accurate information to patients/clients

MAIN REPORT.
REPORT ON THE SEVEN WEEKS TRAINING ATTAINED AT THE NARH- BITA
HOSPITAL SUBMITTED TO THE DEPARTMENT OF PHARMACY-NARH BITA
HOSPITAL AND THE DEPARTMENT OF PHARMACY-CENTRAL UNIVERSITY IN
PARTIAL FULFILLMENT OF THE REQUIREMENT OF THE BACHELOR OF
PHARMACY PROGRAM

As part of the curriculum of the course of study the vacation training was required by the
university as a vital component and he previous semester will be incomplete without it.The training
lasted for about seven weeks during which I spent 4weeks at he main dispensary ( New pharmacy)
and 2 weeks at the old pharmacy and 1 week at the medical stores gaining experience practically
and been exposed to the world of work and it challenges which I believe will make me a better
pharmacist one day. This report is going to emphasize on the seven main objectives which were
the required areas for as to concentrate ;my experiences, challenges and some few
recommendation I will state

Again, my attachment was in the Narh- bita Hospital -Department of pharmacy situated opposite
Chemu Senior High School and it started on 4th July - 25th August 2017. Under supervision, my
experience I attained was broad as well as exposed to numerous challenges. On the first day the
chief pharmacist Theophilus Ankrah introduced me to some pharmacy staff on duty at that
moment. He welcomed me with a quiz to test my basic understanding pertaining
prescription reading .With little coaching from each staff I learnt how things worked around the
pharmacy quite easily.Mr . Philimond Abodjah,the pharmacist in charge was very supportive.

The objective of interest of this attachment which I did not stress on previously on are:
1. Prescription reading and monitoring/assessment
2. Receipt procedure/documentation of prescriptions for in patients and out patients.
3.Good dispensing techniques and patients counselling techniques. 4Procedure
for receiving and serving a prescription of a controlled drug. 5.Understanding
and interpretation of patient medication charts. 6.Procedures for the
supply of medicines to various units within the hospital set-up
7.Understanding the principles of stock supplies and stock management.

To begin, prescription monitoring and reading was not a difficult challenge in any
dimension. Anytime a patient gets into the pharmacy department and he/she drops the
prescription given by the medical doctor into the box placed in front of the counter which was at
the old pharmacy or the main dispensary (new pharmacy),when the prescription gets into our
hands, we now read and monitor to be sure that it valid . When I notice that the prescription was
invalid, I learnt there that it will be very appropriate to address all those present by mentioning
their names written on the prescription instead of the patient because at the hospital the person
buying or receiving the drugs may not be the one who is ill/sick. Even in the case where the
person is ill/sick , each will know the respective names on the prescription or the one taking the
medication .The prescription which was declared invalid will be given to the patient to bring
back his/her hospital folder containing the clinical notes and other vital document from the
hospital for it to assessed before serving the individual. Incase a case where the individual
decides not to come with that, the patient is referred back to the medical doctor assistant by
writing a short note to the prescription brought for a valid one to be brought or any other
important document for specific and right drugs to be served to the patient. Also, if the
prescription is valid but does not contain the patient card containing clinical notes and history,
the same action will be taken as explained earlier above. But if everything seems to be right with
the patient prescription and clinical notes are assessed in terms of dose , frequency , indication,
strength and duration of medication or treatment .If both legal document passes through with
Standard Treatment Guideline (STG),BNF(British National Formulary) without any problem
and at times, other reference books such as Medscape before the drug is assessed to be served. In
this case , the patient's prescription together with other vital document in the hospital and
patient's folder is given to the pharmacist in charge there to go through very well to know if the
patient is a beneficiary of the NHIS(National Health Insurance Scheme) before . If the individual
is found out to be a beneficiary of the NHIS the drugs are given to the individual for free and free
and the billing slips will be filled. This process is mostly done alone at the Old Pharmacy since
that is the appropriate place to receive the beneficiaries drugs. But if the patient is not a
beneficiary of the NHIS,the individual is made to pay for their drugs and this is normally done at
the Main dispensary (New Pharmacy). Supposed it fails the same procedures for dealing with
invalid prescription to medical personnel if carried out. A typical example that took place one
morning at my place as the use of Tab. Cefuroxime 500mg bid 12 hourly x 7 for the treatment of.
gonorrhea instead of Tab.Cefuroxime 500mg bid 12 hourly x 14.

In another aspect, good dispensing and patients counselling procedures is one of the main
objectives I will talk much on since it is one of the main aspect to the pharmacy world as a whole
dispensing habit the experienced includes a good to be delivered to the right patient on time that
maintains the efficiency and potency of the medicine. A typical example that I had always kept in
mind is the serving of drugs like mixtard(insulin) which must be given to the patient with ice
cubes to avoid its efficiency and potency being decreased. Before any patient drugs is to be
dispensed to him/her in the morning, one is advised to wash the palms well and properly with soap
and under running water in order to prevent the contamination of the drugs and also contracting or
transmitting infections. Also after the drugs are served, it is then handed over to the pharmacist in
charge or also under supervision to dispense and make patient understand how the drug is supposed
to be taken. This is so because anytime a drug is not taken correctly, it can cause a severe illness
and death. In the aspect of patient counselling technique, I learnt that having a good
communication skill was very important in collaboration with exhibiting privacy, empathy,
exhibiting trust and encouragement. One instance I provided privacy was when I had to counsel a
patient on the use of Diclofenac suppositories

Also, I also witnessed and practiced supervision for the process for receiving and serving a
controlled drug prescription that are being requested for controlled drugs (e.g IV Pethidine, IV
Morphine ) etc must be written down into the dangerous drug book and must akways be in the
custody of the pharmacist in charge, at the hospital. The dangerous drug book includes supplier's
name, time and date of supply, name and address of recipient, name of prescriber and also the
signature of the both supplier and recipient. All these are done before the serving and dispensing
of drug. The reason is to prevent addiction and climate the abuse of controlled drugs.

Again , the principle stock supplies stock management and the procedure for supplying
medicine to the various units within the hospital cannot be left out. This objective was brought
about during my stay at the medicinal stores under the care of C/supt Cynthia Agyare, I acquire
and obtained experience on the way to prepare voices, tender document and also do important
document in the hospital department are properly made and accurately taken. The main reason
behind the proper and good stock management was to ensure safe and effective dispensing service.
To ensure proper and good stock management, the following principle were rolled. Acquisition of
drugs/medicines, stock keeping, stock Rotation and proper arrangement of medicine.

*Acquisition of Medicine.

Before drugs were deposited into the store room, it was signed and filled by an authorized
personnel. Also, before medicines were received, I made sure that there was sufficient storage area
which was disease free, clean, proper ventilation, inspection of packaged for faults/damages and
also for expired products and also checked that all origined boxes, bottles tin, were in good
condition and unopened.

Stock keeping

When stocks are being taken, I learnt that the manufacturer or shippers directions are supposed to
be followed and labels on medicines storage conditions are also followed. Liquids medicines are
placed on the lower shelves or even sometimes placed at the bottom of stacks. Medicines were
also deposited in a way that facilitated FIFO(First In First Out) policy while medicines which
required cold storage like diclofenac suppositories were kept in a refrigerator or appropriate
controlled temperature zones. Again ,expired ,damaged and returned products were kept away
from the unstable stock without delay and disposal using established disposal procedures.

Stock rotation And Arrangement Of Medicines.

For this principle to be achieved, I realized that it was important to follow FIFO(First In First Out
) and FEFO(First Expire First Out) to control waste due to the expiry of product. The expiry dates
of the various products were written on a stock card so that the stocks used before they expire. In
respect to the drug dosage forms and storage conditions, the drugs were arrange in
pharmacotherapeutic categories
 Nevertheless, before I began this session. I expected many challenges and I must admit that
by the help of the pharmacist on duties and staff some of these were solved. Some of the
challenges which werent able to be solved included not meeting out all the objectives due to the
populace of student undertaking this attachment in the hospital.

Patients/clients complaining bitterly about where to put their clinical folder and the delay
when attending to them. Therefore , I recommend that there should be inscription on cards
posted on the walls to direct patients on were to place such important document and some
inscriptions like ''Gently tap on the glass if your card has not been picked or received yet'' to
prevent delay or worsening of emergency cases due to attendance .I also recommend to the
university to inform hospitals ahead of time during vacation in order to make adequate
preparations to accommodate student early and on time during the vacation

In conclusions, the seven weeks experimental training was informative, educative,

memorable and has exposed me to what hospital pharmacy practice entails which will go the
long way to make me a competent pharmacist in the few years to come.

THANK YOU.