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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 1945
o As City Children's Hospital , with a 100-bed capacity
o 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 owned
oTertiary Level
o1,500 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/Finance
Bids and Award Committee
Nursing Service Medical Service Finance Service
Hospital Operation and
Administrative Support Services
Special Areas Clinical
Training
and
Research
Clinical Ancillary
Paramedical 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
Clinic
Other
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 Service
Hospital
Operation and
Administrative
Support Service
Cashiers
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 Pharmacy
o DOH Botika
o OR Pharmacy
o 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
Maam 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 System
o Combination of Floor Stock and Individual
Prescription Order
o 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 MAXIMUM
TIME
1 Checks prescription as to its completeness
and signature of prescribing physician
Counter Duty Pharmacist 1 MIN
2 Determines availability of stock and patient
Counter Duty Pharmacist
classification; fills prescription and issues
to Nursing Attendant (NA)
Nursing Attendant checks items and
signs at the back of the prescription to
attest receipt of items
Counter Duty Pharmacist 1 MIN
3 Prepares corresponding charge slips and
forwards to Billing & Claims on or before
the 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 MAXIMUM
TIME
1 Checks prescription as to its
completeness
and signature of prescribing
physician
Counter Duty Pharmacist 1 MIN
2 Indicates costs of drugs/medicine
in the
prescription and informs
patient/companion
Instructs to pay to the Cashier
Counter Duty Pharmacist 2 MINS
3 Checks official receipt of
payment; issues
corresponding drugs/medicine
Counter Duty Pharmacist 2 MINS
4 Records sale in the logbook Counter Duty Pharmacist 3 MINS
INDIGENT PATIENT
STEP ACTION PERSON RESPONSIBLE MAXIMUM
TIME
1 Checks prescription as to its
completeness
and 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 evidence
of 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 MAXIMUM
TIME
1 Checks prescription as to its
completeness
and 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 dispensed
and 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 MAXIMUM
TIME
1 At window 1 - Receives/Checks
prescription as to its
completeness 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 and
prescription.
Duty Pharmacist II, I or
Laboratory Aide II
3 MINS
4 Prepares daily shifting report Assigned Pharmacy
Staff/Lab. Aide II
2 MINS
UNIT DOSE DRUG DISTRIBUTION
SYSTEM (UDDS)
STEP ACTION PERSON RESPONSIBLE MAXIMUM
TIME
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)
PHYSICIANS 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 Products
o Patient and Drug Counselling between Allied
Health Professionals
o Medicine Information
o Training
o 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 YOU
JRRMMC 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