The Royal Hospital

Pharmacy & Medical Stores

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rh_dep_pharmacyThe Department of Pharmacy is committed to providing the highest standards of care utilizing state-of-the art technology, high calibre staff, and by promoting education and training. The department operates a comprehensive computerized pharmacy system in the inpatient and outpatient setting.

The major service components of the department are: clinical, inpatient, outpatient, pharmaceutical preparations, medicine information and medical supplies.

The pharmacists and assistant pharmacists work in different sections under the leadership of Senior Pharmacist Mrs. Amal El Said, Superintendent, Department of Pharmacy & Medical Stores.

rh_dep_outpatient_dispensingTHE OUTPATIENT PHARMACY
Ph. Adnan Al Qassaby , Section Head
Ph. Adel Shukri
Ph. Mohammed Al Lamki
Ph. Maqbool Al Balushi ,
Pharmacy Assistants: 15

During the morning shift the Outpatient Section serves patients attending the OPD as well as the Adult and Pediatric Emergency Departments. During the afternoon and night shifts, it serves only the latter. Three pharmacists during the morning shift and one pharmacist during the afternoon shift manage this service. In addition to the pharmacists, there 15 pharmacy technicians, 2 of whom cover the afternoon shift and one the night shift. Outpatient prescribing has been fully computerized. Clinicians now prescribe on-line on the computer and the drugs are kept ready for dispensing when the patient reports at the Pharmacy for collection of medication. Computerization has contributed in a major way towards rational prescribing practices, and facilitates audit.

THE INPATIENT PHARMACY

Ph. Laila A. El Tayeb, Section Head
Ph. Basma Al Balushi
Pharmacy Assistants: 8 Staff

Two full-time pharmacists, coordinating with clinical pharmacists and 8 pharmacy technicians, are responsible for reviewing medication charts, dispensing drugs to inpatients and replenishing ward stocks of medicines. This service is provided mainly during the morning shift, while 1 pharmacy technician, assisted by the outpatient pharmacy team, caters to the requirements during the other shifts. All inpatient medication orders and discharge medications are dispensed electronically. The topping up system is used as a means of replenishing the commonly used medications to the wards, while specialized medications are dispensed separately for each patient based on the respective prescriptions. The Hospital is currently working towards introducing the unit-dose dispensing system for inpatients.

rh_dep_tpn_systemTPN UNIT
Ph. Ali Al Rawahi, Unit In-Charge
Pharmacy Assistants: 1 Staff

The Pharmacy provides inpatients with individualized (patient and disease-specific) TPN and IV admixture on daily basis. The service is regulated by the Nutrition Support Committee, which has prepared the related policies and procedures. Regimens are normally written by doctors and reviewed by the TPN pharmacist, who may suggest changes if regimen anomalies are evident. The TPN technicians the compound the regimen using a fully automated TPN compounder and relevant software to prescribe and generate worksheet and labels. The service is available 7 days a week through 1 full time TPN pharmacist and 1 TPN technician. On holidays the service is provided through a rota of TPN-trained staff. This unit is a TPN training centre for pharmacy staff from other hospitals of the Ministry of Health. It also provides the service to a few patients of other hospitals on a take-away basis.

rh_dep_extemporEXTEMPORANEOUS PREPARATION UNIT
Ph. Ibrahim Fulayeh, Unit In-Charge
Pharmacy Assistants: 1 Staff

Oral liquid medicines for pediatric use, that are not commercially available, are compounded in this unit. It also serves as the extemporaneous preparation training centre for pharmacy staff from other hospitals of the Ministry of Health and provides a limited take-away service to patients of other hospitals.

CLINICAL PHARMACY
Paediatrics & Neonatology:
Ph. Jehan M. Al-Fannah
Ph. Zahra Hassan
Ph. Wijdan Al Hashmani
Adult Specialties:
Ph. Ahmed Al-Harby
Ph. Zaher Al-Salmy
Ph. Fatma Al-Raisi
Ph. Ghalib Al-Mawali
Ph. UmKulthum Al-Barwani
Ph. Faisal Al Harthy
Ph. Sami Al Zidjali

Rapid advances in the development of pharmaceuticals and high patient expectations are redefining the range of services provided by pharmacists. Development of specialized care, the high cost of therapeutics, difficulties linked to the management of some new drugs, and concern about patients safety are some of the challenges that today's pharmacists face. These challenges have led to greater involvement of pharmacists at the bedside as clinical pharmacists and specialist pharmacists. Clinical pharmacy has thus changed the role of pharmacists from product oriented practitioners to patient oriented practitioners.

Currently, the following specialties are covered by clinical pharmacists at the Royal Hospital:
Paediatric Wards & SCBU
Surgical Wards                                           
Internal Medicine
Cardiology
Oncology
Intensive Care
Hematology
Nephrology
Obstetrics & Gynecology

 THE ONCOLOGY PHARMACY & CYTOTOXIC RECONISTITUTION UNIT
Ph. Ajla Nasser, Section Head, Pharmaceutical Preparations
Ph. Baher Ghanim, Cytotoxic Reconstitution Unit
Pharmacy Assistants: 3 Staff

The cytotoxic reconstitution unit provides comprehensive service to both inpatients and outpatients. It is run by two experienced pharmacists with the help of 3 pharmacy assistants, and offers tailored chemotherapy to outpatients and also those admitted in the wards. Cytotoxic reconstitution is done under strict aseptic technology, which also safeguards the personnel and environment.

The outpatient oncology pharmacy deals with patients from the oncology clinics and wards. The focus on clinical pharmacy ensures that the pharmacists review patient files to ensure proper and accurate medication use and offers counseling and consulting information for both patients and health care professionals.

MEDICINE & POISON INFORMATION SERVICE

Ph. Amir El Baroudi, Section Head Medicine/Poison Information

A pharmacist, during morning working hours, provides medicine information service to the health care providers utilizing library support (references and textbook) as well as the internationally reputable Micromedex® computerized clinical information system. During the afternoon and night shifts, this service is carried out by on-call Pharmacist.

MEDICAL STORES

Ph. Haider Awad, Section Head of Medical Stores
Pharmacy Assistants: 5 Staff
Lab. Technicians in Medical Stores: 3 Staff
Staff Nurses in Medical Stores: 4 Staff

The Medical Stores is composed the main store and the hospital store. It is responsible of providing the Hospital with high quality medicines, laboratory reagents, kits and consumables, and surgical devices and disposables. This section is headed by a pharmacist and includes 3 sub-stores: the drug store (staffed with 6 pharmacy technicians), the surgical store (staffed with 4 staff nurses) and the laboratory store (staffed with 3 laboratory technicians).  The Medical Stores plans the annual medical materials’ indent of the hospital, monitors consumption and furnish periodical reports to various departments. All processes of medical stores are fully computerized and directly linked with purchase department.

IN-SERVICE EDUCATION, TRAINING & STAFF DEVELOPMENT

This activity is the responsibility of a team of 3 pharmacists. The unit follows a well-planned continuing education program for the staff and includes various lectures and presentations. The team also supervises the continuing education program for the pharmacy technicians. Pharmacy personnel also actively participate in orientation/education activities of other departments. The Royal Hospital has been training pharmacists and assistant pharmacists from different hospitals in the Sultanate in different aspects of Pharmacy. The department actively participates in training the Omani pharmacy students as well as the students of Oman Institute of Assistant Pharmacists. The pharmacists also actively participate in seminars and symposia organized by the Ministry of Health.

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