Pharmacy directorate structure and main services
Pharmacy service at Amanuel Mental Specialized Hospital is an essential component of health care delivery. It contributes to improve treatment outcomes through ensuring availability and rational use of quality, safe and effective medicines. Provision of effective pharmacy service is also crucial for early recognition & prevention of medication errors, adverse drug events and for the prevention and containment of treatment resistance diseases and illnesses. It also promotes optimal use of meager resources thereby improving quality of care resulting in better health outcomes. Accordingly, our pharmacy services provide assurance that quality and safety is maintained at all stages of service provision and clients’ satisfaction is given of utmost importance. Based on EHSTG Pharmacy Service Organization of Amanuel Mental Specialized Hospital is as follows
- Outpatient pharmacy service unit
- Model Community pharmacy service unit
- Inpatient pharmacy service unit
- Emergency pharmacy service unit
- Clinical pharmacy service unit
- ART pharmacy service unit
- Drug supply management unit
- Drug information service unit
- Compounding pharmacy service unit
- Outpatient pharmacy service unit:
It’s organized in location that is accessible to all categories of patients and, it also be organized in multiple locations (OPD pharmacy and ART pharmacy.) depending on the arrangement of the OPD clinics, proximity and complexity of the hospital so as to improve accessibility and convenience to patients. Patient waiting areas at the OPD pharmacy units is fit with adequate seats to ensure patient safety and convenience. When a patient presents to the pharmacy for a refill or follow up, the pharmacist assess the patient for signs of compliance/ adherence, effectiveness and safety of the therapy. Whenever the need arises, the pharmacists communicate with the prescriber for any therapeutic modification.
- Inpatient Pharmacy Service Unit:
Depending on patient load, number of beds, and accessibility, there is a single inpatient pharmacy though the hospital needs at least two satellite dispensaries and specialty pharmacies located near the major wards which divided into male and female wards but with this loads the pharmacy provides efficient services by clinical pharmacists. Inpatient pharmacy services should function under unit dose dispensing system and work for 24 hours and 7 days a week.
- Emergency Pharmacy Service Unit:
It is organized within the emergency department so that medicines reach to the patient as fast as possible. Emergency pharmacy functions for 24 hours and 7 days a week. The unit avails emergency pharmaceuticals as per emergency medicine list. The unit also prepares ambulance kits for the hospital. The pharmacist in charge of the unit exerts the necessary efforts to ensure continuous availability of pharmaceuticals at all times in adequate quantities for the emergency unit and hospital ambulances. The quantity prescribed should be limited to emergency period only. The emergency pharmacy, in addition to supply of pharmaceuticals, ensures safe and correct use of medications, as medication error is significantly high in this service area, by integrating because the pharmacy is led by the clinical pharmacist
- Extemporaneous Compounding Unit:
In order to respond to specific patient needs, the hospital pharmacy has compounding services with separate premises, equipped with the necessary facilities/materials and meeting all other minimum requirements which is currently led by a pharmacist specialized by pharmaceutics.
- Pharmaceutical Supply Management Unit:
This unit ensures uninterrupted supply of pharmaceuticals, the hospital pharmacy has pharmaceutical supply management unit. The unit has separate pharmaceutical stores for medicines and supplies including consumable medical equipment and lab reagents. The overall operations of the unit (selection, quantification, procurement, inventory management, warehousing and distribution) have coordinated by a dedicated pharmacist and stores are managed by a separate store manager. The unit also has separate personnel to receive products from EPSA and other stalk holders as well as organizing the overall supply and quantification process. The DSM unit has been using dague 2 currently to improve the distribution process to different units in the hospital.
- Drug Information Service (DIS) Unit:
Drug information service unit in the hospital effectively provides evidence based and up-to-date drug information for health care providers and patients/ clients. The information provided includes newsletters, drug alerts, bulletins, weekly medication availability lists, and responding to different queries. There are also assigned focal persons for pharmacy M&E and ADR.
- Clinical Pharmacy Services:
The hospital pharmacy provides clinical pharmacy services fully in wards, outpatient and emergency units. The service is well integrated in all clinical wards. All services provided in this unit have recorded, documented and reported for the directorate. Each ward has assigned a clinical pharmacist who can provide all activities based on the job description.
- Model Community pharmacy service unit:
St.Amanuel hospital Community pharmacy is one of the oldest and well known selling pharmacy units among hospital community pharmacies in federal hospitals. The pharmacy serves more than 10,000 clients monthly from the hospital and from other health facilities that come with prescriptions. The pharmacy is working on expansion of different branches within the city to facilitate access to the public.
The pharmacy provides all items of drugs with different brands with affordable cost. It serves the community 7 days a week and 24 hours a day with the aim of fulfilling the demand of the population who comes from the city and other towns of the country.