When it comes about the expertise of medicine, the term ‘Hospital Pharmacists’ comes automatically. Hospital pharmacists are experts in the field of medicines. In this article, I will discuss how to start and develop a hospital pharmacists in Bangladesh? In a hospital, Pharmacists work in a team of physicians and nurses to ensure proper treatment of patients.
A hospital pharmacist has the following set of works to perform:
- Patients assessments
- Review and evaluate drug therapy
- Selecting, initiating, monitoring, continuing and adjusting drug regimens
- Assess patient’s response to therapy
- Ensure safe, accurate, rational and cost-effective use of medications
- Counsel and educate patients on medications
The beginning of Hospital Pharmacy
Hospital pharmacy began its journey in 1752. Yes, you read it right. America started practicing hospital pharmacy during the colonial period. The journey of hospital pharmacy began at a hospital at Pennsylvania. Jonathan Roberts was the first paid pharmacist to work in a hospital set up. In those days hospital pharmacists were called as “apothecaries.” This term was used to describe people who formulate and dispense medications to doctor, nurses, surgeons, and patients. To upgrade profession, an apothecary was hired in 1768 who had a degree in chemistry. At that time drugs and medications were brought from England. At the beginning of the 19th century, the profession got a boost where they were allowed to write prescriptions under the supervision of doctors.
Scope in Bangladesh
In Bangladesh, very few hospitals have hospital pharmacists. Since the health care system of the country is not much aware of the necessity and role of the pharmacists, so the patients are deprived of getting quality treatments. The responsibility of hospital pharmacist in Bangladesh is to assure safe and effective use of medication in-patient areas, to reduce medication error and to provide assistance to consultants along with nurses to ensure rational use of the drug.
Pharmacists also need to do medicines reconciliation and compare the data with current medication to minimize therapeutic duplication and drug-drug interaction.
Besides, prescription review, indenting drug order, providing discharge patient medications, ensuring availability of medicines in floor stock, crash cart and blue bag, monitoring ADR and checking whether the right drug is given to right patient at the right time are all the key responsibilities of pharmacists.
How it can be improved
Special attention needs to be given to the quality and involvement of pharmacists in clinical sectors. In the professional course of pharmacy, students should get frequent exposure to different hospitals and get the experience of how the entire medical system works. This will create enthusiasm and courage to learn and commit one at the service of humanity. Moreover, this will also give knowledge about how the diagnosis is made, and medicine is prescribed.
In hospitals, physicians should accept the fact that pharmacists keep much knowledge about medicines than physicians do. So next time, when pharmacists come with the identification of therapeutic duplication or drug-drug interaction or improper dosing, physicians and pharmacists should consult together to give the most appropriate treatment to patients. Thereby, a deep understanding and respect are needed in between physicians and pharmacist and nurses for ensuring proper and adequate medical treatment.