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PST Level 4 Semester 2

Pharmaceutical Sciences Notes, PST Level 4 Semester 2, PST NTA Level 4, PST04212 Medical Stores Keeping

Zoning of Premises/Store for Storage of Medicines – PST04212 Medical Stores Keeping

NTA Level 4 • Semester 2 • PST04212 Zoning of Premises/Store for Storage of Medicines Medical Stores Keeping • Source Session/Topic 6 Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability. Session 6: Zoning of Premises/Store for Storage of Medicines and Medical Supplies Total Session Time: 120minutes Prerequisites • None Learning Tasks By the end of this session students are expected to be able to: • Define Zoning • Explain Zoning of Stock Within the Store • Describe Criteria for Establishing Zones Within a Store • Identify Types of Stock Location Within a Zone • Describe Stock Classification • Describe the arrangement of Stocks in Zones Resources Needed • Flip charts, marker pens, and masking tape • Black/white board, chalk and whiteboard markers • LCD projector and computer SESSION OVERVIEW Activity/ Step Time Content Method 1 5 minutes Presentation Introduction, Learning Task Presentation Definition of Zoning 2 5 minutes Brainstorming 3 20 minutes Presentation Zoning of Stock within the Store Criteria for Establishing Zones within a Store 4 10 minutes Presentation Presentation 5 30 minutes Group discussion Types of Stock Location Within a Zone Presentation 6 30 minutes Stock Classification Presentation 7 Stock Within a Zone 10 minutes Buzzing 8 5 minutes Presentation Key Points 9 5 minutes Presentation Evaluation 40 SESSION CONTENTS STEP1: Presentation of Session Title and Learning Tasks (5minutes) READ or ASK students to read the learning tasks and clarify ASK students if they have any questions before continuing STEP 2: Definition of zoning (5 minutes) Activity: Brainstorming (3 minutes) ASK students to brainstorm on the following question • What is zoning? ALLOW few students to respond WRITE their answers on flip chart/ board CLARIFY and SUMMERIZE by using the content bellow • Definition of zoning o Is the process of separating an area (building or room, a locked cupboard, a refrigerator, a freezer, or a cold room), which should provide distinct environmental conditions, a certain level of safety or the required level of security. STEP 3: Zoning of Stock within the Store (20 minutes) • Medicines and medical supplies must be stored in a zone/part of the store with the correct combination of temperature and security as well as the required level of safety and security. This initial zoning process is the most basic way in which supplies can be arranged. • Follow to the extent possible, the product manufacturer‘s storage conditions • If no specific storage conditions are given, normal storage conditions apply. Normal storage conditions for medicines have been defined as storage in dry, well-ventilated premises at temperatures of 15ᴼC-25ᴼC , or depending up climatic conditions, up to 30ᴼC (WHO 2003). • The 15ᴼC to 25ᴼC-30ᴼC temperature zone is assumed to be air-conditioned and humidity controlled. In temperate climates this temperature range can be achieved without air- conditioning, but humidity control may still be necessary • Each storage zone should have at least one thermometer, and temperature should be recorded daily at the hottest time of the day. • Storage at uncontrolled room temperature: o Many stocks can be safely stored at uncontrolled room temperature. • Cold storage: o example of drug products which usually require refrigeration:  insulin  Ergometrine for injection  vaccines,  antitoxins  sera and blood products  test kits/diagnostic tests 41 o These must be stored in refrigerator or cold chains because their potency depends on cold storage. • Secure storage: o This is necessary to protect drug products, which have higher risk of theft, or to comply with national laws o Narcotics and other controlled drugs should be kept in a secure room, a safe or steel cupboard/ cabinet to prevent access to unauthorized persons o The keys to the secure store should be kept in a safe by a store in-charge o Entry to the store must be controlled or restricted • Flammables e.g. alcohol/spirit, halothane, ether, must be stored in special buildings or rooms. A separate building is the best because it greatly reduces the risk of a fire spreading to the main store. The flammables store must be well ventilated and fire proof; use water paints on the walls. STEP 4: Criteria for Establishing Zones within a Store (10minutes) • The selection of the storage zones (as well as suitable storage equipment) is determined by various criteria: o Required storage temperature and humidity o Size of the product o Volume of batch o Weight of batch o Requirement for special storage equipment o Dangers posed by products o Required level of security o Requirements of national legislation • The required level of security for internationally controlled drug products is determined by national legislation and regulations. • The level of security will also depend on the risk of theft which may be high for internationally controlled drug products as well as antibiotics, for example. • The number of items requiring specific storage conditions as well as their average stock levels will determine the required size each zone should have. For example a medical storage facility may require only a small steel safe or a reinforced vault for storage of internationally controlled drug products. Cold chain loads may require only a single refrigerator or require a walk-in cold room. • Every product must be put away in the zone with the storage conditions recommended by the manufacturer and indicated on the packaging as well as according to the requirements by national drug legislation. • While the storage in refrigerators or locked rooms leaves no choice, many health care stock items can be stored on floor pallets or on shelves. This choice is determined by the volume of batch of each product. • Possible changes in the need for different zones as well as the capacity of individual zones should be taken into account from the very beginning. The zoning plan should be as flexible as possible to allow future changes such as extension of the cold room

Pharmaceutical Sciences Notes, PST Level 4 Semester 2, PST NTA Level 4, PST04212 Medical Stores Keeping

Premise Suitable for Storage of Medicines and Medical Supplies – PST04212 Medical Stores Keeping

NTA Level 4 • Semester 2 • PST04212 Premise Suitable for Storage of Medicines and Medical Supplies Medical Stores Keeping • Source Session/Topic 5 Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability. Session 5: Premise Suitable for Storage of Medicines and Medical Supplies Total Session Time: 120 minutes Prerequisites • None Learning Tasks By the end of this session students are expected to be able to: • Define Storage of Medicines and Medical Supplies • Explain the Importance of Proper Storage of Medicines and Medical Supplies • List Requirements of Premises for Storage of Medicines and Medical Supplies Resources Needed: • Flip charts, marker pens, and masking tape • Black/white board, chalk and whiteboard markers • LCD projector and computer SESSION OVERVIEW Activity/ Step Time Content Method 1 05 minutes Presentation Introduction, Learning Tasks Presentation Definition of Storage of Medicines and Medical 2 20 minutes Supply Brainstorming Presentation Importance of Proper Storage of Medicines and 3 40 minutes Small Group Medical Supplies Discussion Presentation Requirements of Premises for Storage of 4 45 minutes Brainstorming Medicines and Medical supplies 5 05 minutes Presentation Key Points 6 05 minutes Presentation Evaluation 35 SESSION CONTENTS STEP1: Presentation of Session Title and Learning Tasks (5minutes) READ or ASK students to read the learning tasks and clarify ASK students if they have any questions before continuing STEP 2: Definition of Storage of Medicines and Medical Supplies (20 minutes) Activity: Brainstorming (5 minutes) Ask students to brainstorm on the following question: • What is storage of Medicines and Medical Supplies? ALLOW few students to respond? WRITE their responses on the flip chart/ board CLARIFY and SUMMARISE by using the content below • Storage of medicines and medical supplies o Is the safekeeping of medicines and Medical Supplies to avoid spoilage and losses STEP 3: Importance of Proper Storage of Medicines and Medical Supplies (40 minutes) Activity: Small Group Discussion ( 40 minutes) DIVIDE students into small manageable groups ASK students to discuss on the following question • What are the importance of proper storage of Medicines and Medical Supplies? ALLOW students to discuss for 20 minutes ALLOW few groups to present and the rest to add points not mentioned CLARIFY and SUMMARIZE by using the contents below • Proper storage of Medicines and Medical Supplies are important in order to: o Avoid contamination or deterioration o Avoid disfiguration of labels o Maintain integrity of packaging and so guarantee quality and potency of Medicines and Medical Supplies during shelf life 36 o Prevent or reduce pilferage, theft or losses o Prevent infestation of pests and vermin STEP 4: Requirements of premises for storage of Medicines and Medical Supplies (45 minutes) Activity: Brainstorming (5 minutes) Ask students to brainstorm on the following question: • What are the requirements of premises for storage of Medicines and Medical Supplies? ALLOW few students to respond? WRITE their responses on the flip chart/ board CLARIFY and SUMMARISE by using the content below • The following are requirements of premises for Medicines and Medical Supplies: o Capacity/space: storage facilities must have the capacity for both storage and handling o Cold storage: in larger facilities it is more efficient to use cold rooms rather than numerous refrigerators or freezers (which generate heat) o Secure storage: all Medical stores should have a secure storage area for product that are likely to be stolen or abused o Ventilation: the location designed should ensure maximum air circulation to avoid concentration of fumes or gases and to prevent condensation of moisture on products or walls o Roof: design a slanting roof to allow water runoff o Ceiling: install a double ceiling to provide insulation and ensure that supplies are kept cool o Walls and floor: the walls and floors should be permanent and smooth for easy cleaning o Doors: plan doors wide enough to allow for the free and easy movement of supplies and handling equipment o Lighting: plan the storeroom with as much natural light (sunlight) in the day as possible to avoid the use of florescent or incandescent bulb lighting o Windows: plan windows that are high and wide to allow adequate ventilation o Cupboards: provide cupboards for the storage of specific products that must be kept free from dust or light o First aid: keep well stocked first aid kits to treat employees or visitors who are injured in your facility o Shelves: arrange shelves and racks in lines with a passage way not less than 90 cm wide 37 STEP 5: Key Points (5 minutes) • Storage of Medicines and Medical Supplies Is the safekeeping of medicines and Medical Supplies to avoid spoilage and losses • Proper storage of Medicines and Medical Supplies are important in order to maintain the their quality during the whole period of their shelf life • Requirements of premises for Medicines and Medical Supplies include: capacity/space, shelves, first aid kit, cupboards, windows, lighting, doors, walls and floor, ceiling, roof, ventilation secure storage and cold storage STEP 6: Evaluation (5 minutes) • What is the storage of Medicines and Medical Supplies • What are the importance of proper storage of Medicines and Medical Supplies? • What are the requirements of the suitable premise of Medicines and Medical Supplies 38 References Management Science for Health and World Health Organization. (1997). Managing Drug Supply, (2nd ed.).West Hartford, Connecticut, USA: Kumarian Press Shirima, L. L (1988): Basic Store-keeping and Warehouse Management. General Publication United Republic of Tanzania, Public Procurement Act, 2004, Dar es Salaam Njau, E. (2002). Pharmacology and Therapeutics (2nd ed.). Nairobi: African Medical and Research Foundation 39 ← Previous TopicNext Topic →View all Medical Stores Keeping topicsOpen Complete Full Notes PDF / OFFLINE NOTES Unataka kutumiwa notes hizi kupitia WhatsApp?Kwa notes zilizopangiliwa vizuri kwa kusoma offline au PDF, bonyeza kitufe hapa chini. Ujumbe wenye Level, Semester, Module na Topic utaandaliwa moja kwa moja.TUMIWA NOTES WHATSAPP WhatsApp: 255620339260

Pharmaceutical Sciences Notes, PST Level 4 Semester 2, PST NTA Level 4, PST04212 Medical Stores Keeping

Issuing Medicines and Medical Supplies from a Store – PST04212 Medical Stores Keeping

NTA Level 4 • Semester 2 • PST04212 Issuing Medicines and Medical Supplies from a Store Medical Stores Keeping • Source Session/Topic 4 Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability. Session 4: Issuing Medicines and Medical Supplies from a Store Total Session Time: 120minutes Prerequisites • None Learning Tasks By the end of this session students are expected to be able to: • Define Issuing of Medicines and Medical Supplies From a Store • Identify the Documents Used for Issuing Medicines and Medical Supplies From a Store. • Explain the Procedure for Issuing of Medicines and Medical Supplies • Filling Documents Used in Issuing Medicines and Medical Supplies Resources Needed: • Flip charts, marker pens, and masking tape • Black/white board, chalk and whiteboard markers • LCD projector and computer • Worksheet 4.1 Issue voucher • Worksheet 4.2 Issue voucher SESSION OVERVIEW Activity/ Step Time Content Method 1 5 minutes Presentation Introduction, Learning Task Presentation Definition of Issuing Medicines and Medical 2 10 minutes Brainstorming Supplies From a Store Documents Used for Issuing Medicines and 3 15 minutes presentation Medical Supplies From a Store. Procedure for Issuing of Medicines and Medical 4 30 minutes presentation Supplies Presentation Filling Documents Used in Issuing Medicines and 5 50 minutes Small group Medical Supplies discussion 6 5 minutes Presentation Key Points 7 5 minutes Presentation Evaluation 28 SESSION CONTENTS STEP1: Introduction, Learning tasks (5minutes) READ or ASK students to read the learning tasks and clarify ASK students if they have any questions before continuing STEP 2: Definition of Issuing Medicines and Medical Supplies From a Store (10minutes) Activity: Brainstorming (5 minutes) ASK students to pair up and buzz on the following question for 5 minutes • What is issuing medicine from a store? ALLOW few pairs to respond and let other pairs to add on points not mentioned WRITE their response on the flip chart/board CLARIFY and SUMMARIZE by using the content below • Issuing of medicines from a store o Issuing of medicine from a store is the process of distributing a specific amount of an item from store to different department of the health facility. • STEP 3: Documents Used for Issuing Medicines From a Store(30 minutes) • Document that is common used in health facility for issuing medicines from a store is issue voucher. • Issue voucher is a document used when you issue items to another health unit or to department in your unit. It records : o The date of issue o The item requested and quantity o The items issued and quantity o The department receiving o Signature of the receiver and issuing officer • STEP 4: Procedure for Issuing of Medicines and Medical Supplies (30 minutes) • Medicines and related supplies should be issued within or moved out of the facility by following agreed procedure o Requisition officer has to identify requirement of needed supplies o Requisition has to be clearly written on the standard requisition form o On reaching the store, the requisition has to be examined by a store keeper and any necessary change made and initialed. o Store keeper should issue the supplies accordingly. o The assembled order has to be checked by the storekeeper. 29 o All records should be documented on bin card and ledger book with all necessary details completed on the same date. o Types, name and quantity of the required items, signature of the receiving and issuing officer and the date should appear on the issue voucher. o Store keeper has to ensure proper handling of the supplies to requisition officer. STEP 5: Filling Documents Used in Issuing Medicines and Medical Supplies (50 minutes) Activity: Small Group Discussion ( 30 minutes) DIVIDE students into small manageable groups ASK students to discuss on the following question • How to fill issue voucher used in issuing medicines and medical supplies? ALLOW students to discuss for 30 minutes ALLOW few groups to present and the rest to add points not mentioned REFER students to work sheet 1 and 2 for further reading. CLARIFY and SUMMARIZE by using the contents below • Filling documents used in issuing medicines and medical supplies require a trained personnel • The following below documents shall be filled as follows o Requisition officer  Write the full name, designation and official signature of the person requesting supplies. o Serial number (S/N)  Write the numbers of items requested in sequence order. o Description of item  Write generic name of the product, strength and dosage form e.g. Paracetamol tablet 500mg o Unit  Write unit of measure of item ( pack size ) o Quantity required  Write the quantity of the items required o Quantity issued  Write the quantity of item to be supplied out of store o Remarks  Write important information about movement of item, batch numbers, expiration dates, borrowed from or returned to other health facility. o Date  Write the date when the supplies were issued. o Issuing voucher  Write designation and signature of the issuing officer. NOTE. The line shall be drawn below the last item to be issued to avoid tempering. 30 STEP 6: Key Points (5minutes) • Issuing of medicine from a store is the process of distributing a specific amount of an item from store to different department of the health facility. • Document which is common used in health facility for issuing medicines from a store is issue voucher. • One of the Procedures for issuing of medicines and medical supplies include identifying the correct quantity required to be supplied. • Documents used in issuing medicines and medical supplies shall be properly filled with generic name, quantity of the required items, signature of the receiving and issuing officer and the date on the issue voucher. STEP 7: Evaluation (5 minutes) • What is issuing of medicines and medical supplies from a store? • What

Pharmaceutical Sciences Notes, PST Level 4 Semester 2, PST NTA Level 4, PST04212 Medical Stores Keeping

Introduction to Housekeeping of Medicines and Medical Supplies Store – PST04212 Medical Stores Keeping

NTA Level 4 • Semester 2 • PST04212 Introduction to Housekeeping of Medicines and Medical Supplies Store Medical Stores Keeping • Source Session/Topic 3 Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability. Session 3: Introduction to Housekeeping of Medicines and Medical Supplies Store. Total Session Time: 120 minutes Prerequisites • None Learning Tasks By the end of this session students are expected to be able to: • Define Housekeeping of Medicines and Medical Supplies Store • Describe Housekeeping Tasks for Store • Explain the Importance of Housekeeping in the Store • Explain the consequences of Poor Housing Keeping Resources Needed: • Flip charts, marker pens, and masking tape • Black/white board, chalk and whiteboard markers • LCD projector and computer SESSION OVERVIEW Activity/ Step Time Content Method 1 05 minutes Presentation Introduction, Learning Tasks 10 minutes Definition of Housekeeping of Medicines Presentation 2 and Medical Supplies Store Brainstorming 45 minutes Description of Housekeeping Tasks in Presentation 3 Small group discussion Medicine and Medical Supplies Store 25 minutes Presentation Importance of Housekeeping in Medicines 4 Buzzing and Medical Supplies Store 25 minutes Presentation Consequences of Poor Housing Keeping in 5 Buzzing Medicines and Medical Supplies store 6 05 minutes Presentation Key Points 7 05 minutes Presentation Evaluation 22 SESSION CONTENTS STEP1: Introduction, Learning tasks (5 minutes) READ or ASK students to read the learning tasks and clarify ASK students if they have any questions before continuing STEP 2: Definition of Housekeeping of Medicines and Medical Supplies Store (10 minutes) Activity: Brainstorming (5 minutes) ASK students to brainstorm on the following question: • What is housekeeping of Medicines and Medical Supplies store? ALLOW few pairs to respond and let other pairs to add on points not mentioned WRITE their response on the flip chart/board ` CLARIFY and SUMMARIZE by using the content below • Housekeeping o This is the tasks in a store which include the following activities cleaning, pest control, a regular inspection system, disposal of stock, precaution against fire, and strict security measures. STEP 3: Description of Housekeeping Tasks in Medicines and Medical Supplies Store (45 minutes) Activity: Small Group Discussion ( 20 minutes) DIVIDE students into small manageable groups ASK students to discuss on the following question • What are housekeeping tasks in Medicines and Medical Supplies store? ALLOW students to discuss for 20 minutes ALLOW few groups to present and the rest to add points not mentioned CLARIFY and SUMMARIZE by using the contents below 23 • Cleaning and pest control o The store should be kept tidy and should be cleaned two or three times a week. o Pest control can be difficult task, but to avoid possible contamination and physical damage to stock. o It‘s necessary to keep insect, mice and other pests out of the storage area. If needed, pest control measure such as poison should be implemented with proper precaution. • Inspection o Senior staff should inspect the store regularly. The chief storekeeper must make sure that store room employees check the shelves and pallets daily and for deterioration due to climatic condition. Store keepers should open suspect containers and reports problems to managers. • Disposal of expired or damaged stock o Damaged or expired stock should be placed in a designated salvage area to wait authority for disposal. A written record of all stock consigned to this area should be maintained. It‘s recommended that each item be valued at its acquisition cost. The responsible authority should be informed in writing that stock is to be written off. Disposal may be delayed if a committee decision is required, and substantial storage space and May needed for junk stock. Once destruction is authorized, the inventory control clerk must adjust the stock records. All drugs and other potentially toxic products should be disposed of in accordance with local regulation in a manner that does not pose not pose a risk to public health. • Fire precaution o Flammable trash, such as cartons and boxes, must not be allowed to accumulate in the store. Smoking must be strictly forbidden, with ―No smoking‖ signs posted throughout the store. Senior staff must obey the rule as strictly as junior staff, and penalties should be imposed on these who ignore the rules. A smoking area outside the warehouse should be designated. Management must ensure that fire-detection and fire-fighting equipment is regularly inspected and that staff receive adequate training in fire -fighting technique and emergency action. There should be regular fire drills to reinforce the training. • Security o Ideally, the chief storekeeper‘s office should have windows that overlook the loading bay, the compound entrance, and the store itself. A storekeeper who sits behind a closed door with curtains drawn cannot observe what is happening on the site. No vehicles should be allowed into the store compound unless they are authorized by the chief storekeeper or senior staff member. A list of authorized vehicles should be prepared for the compound gate-keeper. 24 STEP 4: Importance of Housekeeping in the Store (25 minutes) Activity: Buzzing (5 minutes) ASK students to pair up and buzz on the following question for 5 minutes • What are the importances of housekeeping in Medicines and Medical Supplies store? ALLOW few pairs to respond and let other pairs to add on points not mentioned WRITE their response on the flip chart/board CLARIFY and SUMMARIZE by using the content below • The following are the importance of housekeeping in the store o Promotes quality safety productivity o Decreases fire hazards o Makes the store looks neat and orderly and eases flow of drug and supplies o Improves morale among workers o Better control of drugs and supplies, including inventory maintenance o Better hygienic conditions leading to improved health o More effective use of space o Reduces drug and supplies damage o Reduces tripping and slipping accidents in clutter-free and spill-free work areas o Minimize workers exposures to hazardous

Pharmaceutical Sciences Notes, PST Level 4 Semester 2, PST NTA Level 4, PST04212 Medical Stores Keeping

Record Keeping on Medicines and Medical – PST04212 Medical Stores Keeping

NTA Level 4 • Semester 2 • PST04212 Record Keeping on Medicines and Medical Medical Stores Keeping • Source Session/Topic 2 Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability. Session 2: Record Keeping on Medicines and Medical Supplies in a Store Total Session Time: 120 minutes Prerequisites • None Learning Tasks By the end of this session students are expected to be able to: • Keep records of medicines and medical supplies o Define Medicines and Medical Supplies Records o List Records of Medicines and Medical Supplies o Explain the Importance of Records of Medicines and Medical Supplies o Demonstrate Ability to Record and Keep Medicines and Medical Supplies Resources Needed: • Flip charts, marker pens, and masking tape • Black/white board, chalk and whiteboard markers • LCD projector and computer • Ledger, Bin Card, Issue voucher, Receipt voucher, and Requisition forms • Handout 2.1: Records of medicines and medical supplies • Figure 2.1: Samples of medicines and medical supplies records SESSION OVERVIEW Activity/ Step Time Content Method 1 05 minutes Presentation Introduction, Learning Tasks Presentation Definition of Medicines and Medical Supplies 2 10 minutes Buzzing Records Presentation 3 15 minutes Records of Medicines and Medical Supplies Brainstorming Importance of Medicines and Medical Supplies 4 20 minutes Presentation Records Presentation Recording and Keeping Medicines and Medical 5 60 minutes Small Group Supplies discussion 6 05 minutes Presentation Key Points 7 05 minutes Presentation Evaluation 11 SESSION CONTENTS STEP1: Introduction, Learning Tasks (5 minutes) READ or ASK students to read the learning tasks and clarify ASK students if they have any questions before continuing STEP 2: Definition of Medicines and Medical Supplies Records (10 minutes) Activity: Buzzing (5 minutes) Ask students to pair up and buzz on the following question for 2 minutes: • What is medicines and medical supplies records? ALLOW few students to respond WRITE their responses on the flip chart/ board CLARIFY and SUMMARISE by using the content below Medicine and medical supplies records • Is the records which contain important information concerning: o What items are available o How much is available of each item o How much is used on a regular basis o When and how much of an item should be reordered • They are used to record information about medicines and medical supplies in storage. • They must contain the quantity of medicines and medical supplies on hand; the quantity of losses; and the quantity of adjustments, by individual product. • The medicines and medical supplies records are completed by anyone who receives or issues stock from storage, and by anyone who takes a physical count of medicines and medical supplies in stock, service delivery point (SDP) staff. 12 STEP 3: Records of Medicines and Medical Supplies (15 minutes) Activity: Brainstorming (5 minutes) ASK students to brainstorm on the following question: • What are the records for medicines and medical supplies? ALLOW few pairs to respond and let other pairs to add on points not mentioned WRITE their response on the flip chart/board ` CLARIFY and SUMMARIZE by using the content below • Records for medicines and Medical supplies o Store Ledger o Bin Cards o Issue voucher o Receipt voucher o Requisition form • Stores ledger o Stores ledger is a stock keeping record forms bound like a book that containing the information about the products regarding quantities in the store. o It also records dates and quantities from who received into the store as well as quantities to whom issued from the store. o It is a legal document used by auditors, stock-verifiers to assess validity of stocks. o The Government policy in most countries requires the use of stores ledgers for accountability , because commodities are considered assets of the government or organizations and should be accounted for carefully • Bin Card o It is an individual stock keeping record that holds information about all the lots of a single product. o One Bin Card is for each product • Issue vouchers o Issue vouchers are used where the issuing facility determines the quantity to be sent and issues the supplies to the receiving facility. • Receipt voucher o A Receipt Voucher lists the items and quantity issued from supplier and received by a facility. o It also includes a separate column for the quantities received in case any items are lots or damaged en route o The issuing facility completes the date and quantities issued, signs the voucher • Requisition forms/ vouchers o A requisition voucher is completed by facility staff by listing the items and quantities requested by a facility. o It also includes a column for the quantity actually issued. REFER students to Handout 2.1: Records of Medicines and Medical supplies for further reading. 13 STEP 4: Importance of Medicine and Medical Supplies Records (20 minutes) • Importance of Medicine and medical supplies records are: o They reflect/show quantities of the items at the store ( stock in hand ) o They protect the store keeper from rumours of misuses or fraud of the medicines and medical supplies in the store. o They provide information on the consumption rate, for deciding what to order and the quantity to order. o They are used for accountability of medicines and medical supplies regarding quantities received, issued and to whom they were issued. o They indicate the value of assets of an institution o They are used as legal requirement for accountability during auditing, stock verification. o They are also required by professional bodies like pharmacy council, for accountability of sources and movement of medicines and medical supplies ( legal sources and uses) STEP 5: Recording and Keeping Medicines and Medical supplies (60 minutes) Activity: Small Group Discussion ( 30 minutes) DIVIDE students into small manageable groups ASK students to discuss on the following question • What is the most important reasons for having stock keeping records? ALLOW students to

Pharmaceutical Sciences Notes, PST Level 4 Semester 2, PST NTA Level 4, PST04212 Medical Stores Keeping

Arrangement of Medicines and Medical Supplies – PST04212 Medical Stores Keeping

NTA Level 4 • Semester 2 • PST04212 Arrangement of Medicines and Medical Supplies Medical Stores Keeping • Source Session/Topic 1 Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability. Session 1: Arrangement of Medicines and Medical Supplies in a Store Total Session Time: 120 minutes + 2 hours visit to a pharmacy store Prerequisites • None Learning Tasks By the end of this session students are expected to be able to: • Define Medical Store • Describe Common Systems for Arranging Medicines and Medical Supplies in the Store • Describe Common Equipment Used for Medicines and Medical Supplies Storage • Describe Arrangement of Medicines and Medical Supplies in the Store Resources Needed: • Flip charts, marker pens, and masking tape • Black/white board, chalk and whiteboard markers • LCD projector and computer • Handout 1.1 Arrangement and Organization of a Store • Worksheet 1.1 Pictures of Store Equipments • Field Trip Guide 1.1 A guide for a Visit to Hospital Pharmacy Store SESSION OVERVIEW Activity/ Step Time Content Method 1 05 minutes Presentation Introduction, Learning Tasks Presentation 2 10 minutes Definition of a Medical Store Brainstorming 20 minutes Presentation Common Systems for Arranging Medicines and 3 Buzzing Medical Supplies 30 minutes Presentation 4 Small Group Common Equipment Used in a Store Discussion 30 minutes Presentation Arrangement of Medicines and Medical 5 Small Group Supplies in the Store Discussion 6 05 minutes Presentation Key Points 7 10 minutes Presentation Evaluation 10 minutes Presentation 8 Pharmacy Store Visiting Visit to a store 1 SESSION CONTENTS STEP 1: Presentation of Session Title and Learning Tasks (5 minutes) READ or ASK students to read the learning tasks and clarify ASK students if they have any questions before continuing. STEP 2: Definition of a Medical Store (10 minutes) Activity: Brainstorming (5 minutes) ASK students to pair up and buzz on the following question for 5 minutes • What is a Medical Store? ALLOW few pairs to respond and let other pairs to add on points not mentioned WRITE their response on the flip chart/board CLARIFY and SUMMARIZE by using the content below • A medical store is a room where medicines are kept under lock and key for the security and safety of medicines and medical supplies. • It is an area set aside into which all the items and materials required for production, sale/distribution are received, where they are housed for safekeeping, and from which they will be issued as required. • Also refers to a service department headed by a store-keeper who is responsible for a proper storage, protection and issuing of all kinds of material. • The organization of the store depend up on the size, layout of the factory, nature of the material stored, frequency of purchases and issue of material • The functions of a storekeeper o To organize medicines and medical supplies in a store and maintaining storage condition o To keep and maintain proper records of medicines and medical supplies o To select and determine items and quantities to be ordered as per requirements o To receive items in a store, arranging them properly and issue them as required o Checking expiry and proper disposal of unwanted items. 2 STEP 3: Common System for Arranging Medicines and Medical Supplies (20 minutes) Activity: Buzzing (5 minutes) ASK students to pair up and buzz on the following question for 10 minutes • What are the common systems used in arranging medicines and medical supplies? ALLOW few pairs to respond and let other pairs to add on points not mentioned WRITE their responses on the flip chart/board CLARIFY and SUMMARIZE by using the content below • The Common Systems for Arranging Medicines and Medical Supplies includes: o Alphabetical by generic name: the medicines are arranged in the shelves according to their alphabetical names, e.g. medicines starting with A- Albendazole, Amoxicillin, Aminophylline, Ampicillin, with B- Bisacodyl, Bisoprol. o Pharmacological/therapeutic: this is a classification or grouping of medicines with similar pharmacological effects, for examples all Analgesics are grouped together, or Anti-bacterial grouped together o Dosage form: this is a system of classifying medicines based on dosage forms used in stores, for example Tablets and capsules are stored together, a separated area or location is reserved for say oral liquids, Injections, creams and Ointments etc. o Frequency of use: frequently used products that move quickly or often through the store should be placed in the front of the room or closest to the staging area. This system should be used in combination with another system o Commodity coding: this system is based on a unique article code combined with a unique location code. For example therapeutic class/clinical indication in certain location name; MSD Item is an example; 01300 7544 i.e.01300 item Code, and 7544 location code. STEP 4:Common Equipment Used in Store (30 minutes) Activity: Small Group Discussion ( 15 minutes) DIVIDE students into small manageable groups ASK students to discuss on the following question • What are the common equipment used to store medicines and medical supplies in a store? REFER students to Worksheet 1.1: Pictures of Store Equipments ALLOW students to discuss for 15 minutes ALLOW groups to present their opinions CLARIFY and SUMMARIZE by using the contents below • Medicines/products are stored so that they are easily accessible and protected against damage 3 • The four basic equipment used for storage are Shelves, Floor pallets, Block stacked pallets, and pallet racks. o Shelves  Storage on shelves does not require mechanical handling equipment and is a suitable choice when the volume and weight of individual items are too small to justify pallets, the internal height of a building is not large enough for multitier pallet racking and shelving can be used on its own or in combination with floor pallets or two-tier racking.  Manual goods handling is locally more reliable or economical than mechanical handling.  If shelving is used

Pharmaceutical Sciences Notes, PST Level 4 Semester 2, PST NTA Level 4, PST04209 Compounding of Pharmaceutical Preparations

Identification of Formula Needed in Pharmaceutical Compounding from the References – PST04209 Compounding of Pharmaceutical Preparations

NTA Level 4 • Semester 2 • PST04209 Identification of Formula Needed in Pharmaceutical Compounding from the References Compounding of Pharmaceutical Preparations • Source Session/Topic 6 Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability. Session 6: Identification of Formula Needed in Pharmaceutical Compounding from the References Total Session Time: 120 minutes + 4 hours of Practical Prerequisites • None Learning Tasks By the end of this session students are expected to be able to: • List References /Compendia Used in Compounding of Pharmaceutical Preparations • Identify Formula for Pharmaceutical Preparation Resources Needed: • Flip charts, marker pens, and masking tape • Black/white board ,chalk and whiteboard markers • LCD projector and computer SESSION OVERVIEW Activity/ Step Time Content Method 1 05 minutes Presentation Introduction, Learning Tasks 35 minutes Presentation References /Compendia Used in Compounding 2 of Pharmaceutical Preparations Buzzing 60 minutes Presentation Identification of Formula for Pharmaceutical 3 Preparation Demonstration 4 10 minutes Presentation Key Points 5 10 minutes Presentation Evaluation CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide Session X: ———— -(Title)———————- 30 SESSION CONTENTS STEP1: Presentation of Session Title and Learning Tasks (5 minutes) READ or ASK students to read the learning tasks and clarify ASK students if they have any questions before continuing STEP 2: References/ Compendia Used in Compounding of Pharmaceutical Preparations (35 Minutes) • A reference book is a book containing useful facts or specially organized information, as an encyclopedia, dictionary, or atlas. Or is a book intended to be consulted for information on specific matters rather than to read from beginning to the end. o These books have been written as a student guide to extemporaneous pharmaceutical compounding and dispensing. It has been designed to assist the student compounder in understanding the key dosage forms encountered within extemporaneous dispensing. Activity: Buzzing (5 minutes) ASK students to pair up and buzz on the following question for 2 minutes • What are the references/ Compendia used in compounding? ALLOW few pairs to respond and let other pairs to add on points not mentioned WRITE their response on the flip chart/board CLARIFY and SUMMARIZE by using the content below • The following are the reference books used in compounding: o Tanzania Pharmaceutical Handbook (TPH) o Pharmaceutical Codex (PCx) o British Pharmacopoeia (BP) o United State Pharmacopoeia (USP) o Martindale‟s Extra Pharmacopoeia o Remington: The Science and Practice of Pharmacy 21st Edition o The Tanganyika Formulary STEP 3: Identification of Formula for Pharmaceutical Preparation (60 Minutes) • After comprehended the request in the prescription, a compounder has to identify the correct formula from the reference book • The correct formulas from the reference book can be obtain through the following ways: CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide Session X: ———— -(Title)———————- 31 o Find the name of the pharmaceutical preparation to be compounded through table of contents of the reference book and go to formulation, e.g. solution. o The formulation in the content indicates the page where the respective formula is indicated. o Find the name of the pharmaceutical preparation to be compounded through the index of the reference book o The index indicates the number of page where the respective formula is indicated Below are official formulas obtained from the reference book (TPH) under the indicated table of content of the book • AQUEOUS IODINE SOLUTION PCx (Syn. Lugol‟s Solution) Iodine………………………………………………………….. 5.0 g Potassium iodide………………………………………………. 10.0 g Purified water freshly boiled and cooled ……………………… to 100mL • WEAK IODINE SOLUTION PCx. (Syn. Iodine Tincture) Iodine………………………………………………………. 2.5 g Potassium iodide…………………………………………… 2.5 g Purified water, freshly boiled and cooled………………….. 2.5 g Alcohol (90%)……………………………………………… to 100.0 mL Activity: Demonstration (50 minutes) DIVIDE students in small manageable groups. PREPARE formula from a reference book for demonstration POSITION students so that everyone can see and hear REVIEW steps of that skill with students using a reference book REFER students to the Tanzania Pharmaceutical Handbook (TPH) DEMONSTRATE the procedure of identifying a formula from a reference book ALLOW one student from each group to do a return demonstration and let others comment on it CLARIFY and SUMMARIZE the procedures to identify a Formula for Pharmaceutical Preparation INFORM the students that “every student will practice in the laboratory under supervision until is competent” CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide Session X: ———— -(Title)———————- 32 STEP 4: Key Points (10 minutes) • A reference book is a book containing useful facts or specially organized information, as an encyclopedia, dictionary. • After comprehended the request in the prescription, a compounder has to identify the correct formula from the reference book • The correct formulas from the reference book can be obtain through table of content and index of the respective book. STEP 5: Evaluation (10 minutes) • What is a reference book? • How the correct formula from the reference book can be identified? STEP 6: Practice (4) • INFORM the students that they have to practice in the laboratory in identification of formula needed in pharmaceutical compounding from the references book o BENZOIC ACID SOLUTION (TPH) o SALICYLIC ACID OINTMENT (TPH). o SALICYLIC ACID AND SULPHUR OINTMENT (TPH) o CHLOROFORM WATER, DOUBLE STRENGTH (TPH) CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide Session X: ———— -(Title)———————- 33 References Pharmaceutical Society of Great Britain., & . Department of Pharmaceutical Sciences. (1994). The Pharmaceutical Codex, Principles and Practice of Pharmaceutics (W. Lund Ed. 12th ed.). London,: Pharmaceutical . Senya, S. S., Mwasha, C. Y. S., Muyinga, A. M., Amiri, R. I., & Mauga, E. A. S. K. (2011). Tanzania Pharmaceutical Handbook (2nd ed.). Dar es salaam: School of Pharmaceutical Sciences, Institute of Allied Health Sciences, Muhimbili University of Health and Allied Health Sciences. United States Pharmacopeial Convention. Committee of Revision. (2013). The United States pharmacopeia (pp. v.). Rockville, Md.: United States Pharmacopeial Convention, Inc. CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide Session

Pharmaceutical Sciences Notes, PST Level 4 Semester 2, PST NTA Level 4, PST04210 Pharmaceutical Inorganic Chemistry

Uses of Inorganic Elements in Pharmacy – PST04210 Pharmaceutical Inorganic Chemistry

NTA Level 4 • Semester 2 • PST04210 Uses of Inorganic Elements in Pharmacy Pharmaceutical Inorganic Chemistry • Source Session/Topic 1 Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability. PST 04210: PHARMACEUTICAL INORGANIC CHEMISTRY REVIEW QUESTIONS VOLUME 01: USES OF INORGANIC ELEMENT IN PHARMACY PST04210: VOL 01.Uses Of Inorganic Elements In Pharmacy @ lucas JM Page 1 1. Shortlist five (5) medicinal uses of sodium element in pharmacy, i. Sodium Hypochlorite Solution USP (Dakin's Solution) is an effective germicide ii. Sodium bicarbonate used as gastric antacids iii. Sodium iodide 131 (131I) used for treatment of thyroid cancer iv. Sodium chloride a component of Normal saline (NS) infusion used as electrolyte replenisher v. As radioactive isotope, sodium-24 has been used as tracer in medicine vi. Sodium nitroprusside USP, used as a vasodilator vii. Sodium borate is an ingredient of cold creams, eye washes, and mouthwashes viii. Sodium Nitrite USP is used as an antidote to cyanide poisoning. 2. Enumerate five (5) medicinal uses of magnesium element in pharmacy. i. Magnesium ions are important for transportation of material in and outside of the cell ii. Magnesium is also very crucial for the normal function of the heart iii. Magnesium hydroxide has been used as an ingredient in cathartic preparation iv. Magnesium sulfate as an anticonvulsant v. Magnesium insoluble compounds are used in the preparation of gastric antacids 3. Outline five (5) medicinal uses of calcium. i. Calcium ions are important for transportation of material in and outside of the cell ii. Calcium are also very crucial for the normal function of the heart iii. Calcium is also important for preparation of antacids iv. Calcium is important for preparation of calcium replenishers. v. A complex basic calcium phosphate (hydroxyapatite) constitutes the main inorganic component of bones and teeth vi. Calcium hypochlorite as bleaching powder is used as disinfectant 4. List five (5) medicinal uses of aluminium element in pharmacy. i. Elemental aluminium is employed in topical preparations as a protective ii. Many insoluble aluminium compounds are used in preparing gastric antacids iii. Aluminium salts such as Kaolin is used as an adsorbent and demulcent iv. Aluminium salts such as Bentonite is useful as a suspending agent v. Magnesium preparations are used as ant-flatulent. vi. Salts such as Aluminium Chloride hydrate are used in preparation of astringents PST04210: VOL 01.Uses Of Inorganic Elements In Pharmacy @ lucas JM Page 2 5. Outline five (5) medicinal uses of oxygen. i. Oxygen USP is employed as a therapeutic gas in the treatment of conditions involving hypoxia ii. Ozone, 03, an allotropic form of oxygen, is a powerful oxidizing agent iii. Ozonized air (air treated to convert some of its oxygen into ozone) is used in various disinfecting and bleaching operations iv. Hydrogen peroxide as oxidizing agent is used in various pharmaceutical preparations such as mouthwashes and disinfectants v. Water compound containing oxygen is vital for any living cell. vi. Nitrogen (I) Oxide (nitrous oxide) USP, is used as an inhalatory general anesthetic. 6. Enumerate five (5) medicinal uses of sulphur element in pharmacy. i. Precipitated Sulphur as ointment is used as the scabicide ii. Sulphur ointments and lotions are used in dermatological applications as keratolytics iii. Elemental Sulphur also has fungicidal action iv. Zinc sulphate is used in management of diarrhoea v. Anhydride of Sulphurous acid and its salts, the sulphites are used in pharmaceutical practice as antioxidants and preservatives vi. Sodium Thiosulfate USP is used as an antidote for cyanide poisoning 7. List uses medicinal uses of carbon element. i. Carbon is used in preparation of activated charcoal ii. Sodium bicarbonate and the slightly soluble carbonates or basic carbonates of calcium, magnesium, and aluminium are used as gastric antacids iii. Potassium bicarbonate is used as source of potassium ion in electrolyte replenishers. iv. Bismuth sub carbonate is an astringent and protective v. Ammonium carbonate is an effective reflex stimulant and expectorant PST04210: VOL 01.Uses Of Inorganic Elements In Pharmacy @ lucas JM Page 3 8. A). List group one elements of the periodic table. i. Lithium (Li) ii. Sodium (Na) iii. Potassium (K) iv. Rubidium (Rb) v. Caesium (Cs) vi. Francium (Fr) B). Describe uses of group one elements in pharmacy. i. Preparation of Antiseptics and disinfectants Potassium compounds are used in preparation of potassium permanganate Some sodium compound are being used to prepare disinfectants example sodium hypochlorite ii. Preparation of Electrolytes replenishers Some sodium compounds are being used in the preparation of sodium chloride, the major component of Normal saline (NS) infusion iii. Compound of Lithium has been used in treatment of Hypomanic and manic states Lithium Carbonate USP and Lithium Citrate USP iv. Diagnosis in medicine As radioactive isotope, sodium-24 has been used as tracer in medicine 9. A). List group two elements of the periodic table. i. Beryllium (Be), ii. Magnesium (Mg) iii. Calcium (Ca) iv. Strontium (Sr) v. Barium (Ba) vi. Radium (Ra) B). Describe uses of group two elements in pharmacy. i. Physiological role -Magnesium ions and calcium ions are important for transportation of material in and outside of the cell -Magnesium and calcium are also very crucial for the normal function of the heart ii. Preparation pharmaceuticals -Magnesium insoluble compounds are used in the preparation of gastric antacids -Calcium is also important for preparation of antacids -Calcium is important for preparation of antacids and calcium replenishers -Magnesium hydroxide has been used as an ingredient in cathartic preparation -Magnesium sulfate as an anticonvulsant iii. Medical analysis and diagnosis iv. -Barium hydroxide is applied in analytical and synthetic operations PST04210: VOL 01.Uses Of Inorganic Elements In Pharmacy @ lucas JM Page 4 10. A). List group three elements of the periodic table. i. Boron (B) ii. Aluminium (Al) iii. Gallium (Ga) iv. Indium (In) v. Thallium (Tl) B). Describe uses of group three elements in pharmacy. As ingredients in various pharmaceutical formulations i. Boric acid is included in topical preparations as

Pharmaceutical Sciences Notes, PST Level 4 Semester 2, PST NTA Level 4, PST04209 Compounding of Pharmaceutical Preparations

Procedures for preparing Specialized food products used in Tanzania …………………………………………………………………………………………………..109 – PST04209 Compounding of Pharmaceutical Preparations

NTA Level 4 • Semester 2 • PST04209 Procedures for preparing Specialized food products used in Tanzania …………………………………………………………………………………………………..109 Compounding of Pharmaceutical Preparations • Source Session/Topic 16 Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability. Session 16: Procedures for preparing Specialized food products used in Tanzania …………………………………………………………………………………………………..109 PST 04101 Dispensing NTA Level 4 Semester 1 Facilitator Guide iii Background There is currently an ever increasing demand for pharmaceutical personnel in Tanzania. This is due to expanding investment in public and private pharmaceutical sector. Shortage of trained pharmaceutical human resource contributes to poor quality of pharmaceutical services and low access to medicines in the country (GIZ, 2012). Through Public-Private-Partnership (PPP) the Pharmacy Council (PC) together with Development Partners (DPs) in Germany and Pharmaceutical Training Institutions (PTIs) worked together to address the shortage of human resource for pharmacy by designing a project named “Supporting Training Institutions for Improved Pharmaceutical Services in Tanzania” in order to improve quality and capacity of PTIs in training, particularly of lower cadre pharmaceutical personnel. The Pharmacy Council formed a Steering committee that conducted a stakeholder‟s workshop from18th to 22ndAugust 2014 in Morogoro to initiate the implementation of the project. Key activities in the implementation of this project included carrying out situational analysis, curriculum review and harmonization, development of training manual/facilitators guide, development of assessment plan, training of trainers and supportive supervision. After the curricula were reviewed and harmonized, the process of developing standardised training materials was started in August 2015 through Writer‟s Workshop (WW) approach. The approach included two workshops (of two weeks each) for developing draft documents and a one-week workshop for reviewing, editing and formatting the sessions of the modules. The goals of Writers Workshops were to build capacity of tutors in the development of training materials and to develop high-quality, standardized teaching materials. The training package for pharmacy cadres includes a Facilitator Guide, Assessment plan and Practicum. There are 12 modules for NTA level 4 making 12 Facilitator guides and one Practicum guide. PST 04101 Dispensing NTA Level 4 Semester 1 Facilitator Guide iv Acknowledgement The development of standardized training materials of a competence-based curriculum for pharmaceutical sciences has been accomplished through involvement of different stakeholders. Special thanks go to the Pharmacy Council for spearheading the harmonization of training materials in the pharmacy after noticing that training institutions in Tanzania were using different curricula and train their students differently. I would also like to extend my gratitude to St. Luke Foundation (SLF)/Kilimanjaro School of Pharmacy –Moshi for their tireless efforts to mobilize funds from development partners. Special thanks to John Snow Inc (JSI), Deutsche Gesellschaft Für Internationale Zusammenarbeit (Giz), Merck Kgaa, Boehringer Ingelheim Gmbh and Bayer Pharma Ag and action medeor.V for the financial and technical support. Particular thanks are due to those who led this important process to its completion, Mrs Stella M. Mpanda Director, Childbirth Survival International, and Members from the secretariat of National Council for Technical Education (NACTE) for facilitating the process. Finally, I very much appreciate the contributions of the tutors and content experts representing PTIs, hospitals, and other health training institutions. Their participation in meetings and workshops, and their input in the development of this training manual/facilitators guide have been invaluable. These participants are listed with our gratitude below: Mr.Wilson A.Mlaki Director Saint Luke Foundation Mr.Samwel M. Zakayo Pharmacy Council Ms. Ester A. Tuarira MUHAS Ms. Tumaini H. Lyombe MUHAS Mr, Wensaa E. Muro KSP Ms. Dilisi J. Makawia KSP Ms. Julieth Koimerek KSP PST 04101 Dispensing NTA Level 4 Semester 1 Facilitator Guide v Rev.Baraka A.M. Kabudi MEMS Mr. Kelvin E. Mtanililwa Royal Pharmaceutilcal Training Institute Ms. Rose Bulilo CEDHA Ms. Diana H. Gamuya CEDHA Dr.Melkiory C. Masatu CEDHA Dr.Benny Mboya CEDHA Mr. Habel A. Habel City College of Health and Allied Sciences Ms. Zaina Msami Meru District Council Director of Human Resources Development Ministry of Health, Community Development, Gender, Elders and Children PST 04101 Dispensing NTA Level 4 Semester 1 Facilitator Guide vi Introduction Module Overview This module content is a guide for tutors of Pharmaceutical schools for training of students. The session contents are based on sub-enabling outcomes and their related tasks of the curriculum for Basic Technician Course in Pharmaceutical Sciences. The module sub- enabling outcomes and their related tasks are as indicated in the Basic Technician Certificate in Pharmaceutical Sciences (NTA Level 4) curriculum. Target Audience This module is intended to be used by tutors of pharmaceutical schools. The module‟s sessions give guidance on the time, activities and provide information on how to teach the session. The sessions include different activities which focus on increasing students‟ knowledge, skills and attitudes. Organization of the Module The module consists of sixteen (16) sessions; each session is divided into several parts as indicated below: • Session Title: The name of the session • Total Session Time: The estimated time for teaching the session, indicated in minutes • Pre-requisites: A module or session which needs to be covered before teaching the session. • Learning Tasks: Statements which indicate what the student is expected to learn by the end of the session • Resources Needed: All resources needed for the session are listed including handouts and worksheets • Session Overview: The session overview box lists the steps, time for each step, the activity or method used in each step and the step title • Session Content: All the session contents are divided into steps. Each step has a heading and an estimated time to teach that step as shown in the overview box. Also, this section includes instructions for the tutor and activities with their instructions to be done during teaching of the contents • Key Points: Key messages for concluding the session contents at the end of a session This step summarizes the main points and ideas from the session, based on the learning tasks of the session • Evaluation: The last section of the session consists of short

Pharmaceutical Sciences Notes, PST Level 4 Semester 2, PST NTA Level 4, PST04209 Compounding of Pharmaceutical Preparations

Procedures for preparing pharmaceutical – PST04209 Compounding of Pharmaceutical Preparations

NTA Level 4 • Semester 2 • PST04209 Procedures for preparing pharmaceutical Compounding of Pharmaceutical Preparations • Source Session/Topic 15 Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability. Session 15: Procedures for preparing pharmaceutical solutions of liquid in liquid for oral and external use Total Session Time: 120 minutes + 30 hours of Practice Prerequisites • None Learning Tasks By the end of this session students are expected to be able to: • Describe Procedures for Preparing Solutions of Liquid in Liquid • Prepare Pharmaceutical Solutions of Liquid in Liquid for Oral and External Use (e.g. emulsions) Resources Needed: • Flip charts, marker pens, and masking tape • Black/white board , chalk and whiteboard markers • LCD projector and computer SESSION OVERVIEW Activity/ Step Time Content Method 1 05 minutes Presentation Introduction, Learning Objectives 45 minutes Presentation Procedures of preparing of Liquid Solutions 2 Buzzing from liquid in liquid 60 minutes Presentation Preparation of Pharmaceutical Liquid in Liquid 3 Demonstration Solutions for Oral and External Use 4 05 minutes Presentation Key Points 5 05 minutes Presentation Evaluation CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide Session X: ———— -(Title)———————- 104 SESSION CONTENTS STEP 1: Presentation of Session Title and Learning Tasks (5 minutes) READ or ASK students to read the learning objectives and clarify ASK students if they have any questions before continuing. STEP 2: Procedures of preparing of liquid solutions of Liquid in liquid (45 minutes) Activity: Buzzing (5 minutes) ASK students to pair up and buzz on the following question for 2 minutes • What is a Solution? ALLOW few pairs to respond and let other pairs to add on points not mentioned WRITE their response on the flip chart/board CLARIFY and SUMMARIZE by using the content below • A solution is a homogeneous liquid preparation that contains one or more dissolved medicaments. • General procedures for preparation of a liquid solutions: o Write out the formula either from the prescription (unofficial) or from an official text (official). o Calculate the quantities required for each ingredient in the formula to produce the required final volume. o Prepare a suitable label. o For liquid to liquid solution measure the accurate volumes required. o Make up to final volume with remaining vehicle. o Transfer to a suitable container, label and dispense to the patient. CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide Session X: ———— -(Title)———————- 105 STEP 3: Preparation of Pharmaceutical Solutions of liquid in Liquid (60 minutes) Activity: Demonstration (40 minutes) DIVIDE students in small manageable groups. PREPARE equipment and materials needed for demonstration POSITION students so that everyone can see and hear REVIEW steps of preparing solution of liquid in liquid with students REFER students to the official formula of preparing Benzaldehyde Pcx In the Tanzania Pharmaceutical Handbook DEMONSTRATE the procedure of preparing solution of liquid in liquid according to the instruction under the official formula in the Tanzania Pharmaceutical Handbook (Mitte 50 mL) ALLOW one student from each group to do a return demonstration and let others comment on it CLARIFY and SUMMARIZE Using the content below INFORM the students that “every student will practice in the skills laboratory under supervision until is competent” • Official formula given for Benzaldehyde spirit Pcx o Benzaldehyde ………..…………………………….. 1.0mL o Alcohol (90%)…………………………………………80.0mL o Purified water, freshly boiled and cooled ………… to 100.0mL Thus: Total amount of official formula = 100mL Total amount required = 50 mL Amount of each ingredient (x) =? FACTOR = total amount required . Total amount of official formula FACTOR = 50 mL / 100mL FACTOR = 0.5 CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide Session X: ———— -(Title)———————- 106 Then, amount of each ingredient can be obtained as summarized in table below, Total amount of the official FACTOR total amount required Benzaldehyde ….. 1.0mL 0.5 mL Alcohol (90%)……..80.0mL 40.0mL Purified water………………………………to 0.5 to 50mL • Measure 0.5mL of Benzaldehyde liquid and 40 mL by using pipette • The benzaldehyde is dissolved in the alcohol, water is added to produce the required volume and preparation is well mixed STEP 4: Key Points (5 minutes) • A solution is a homogeneous liquid preparation that contains one or more dissolved medicaments • Solutions of liquid in liquid are obtained by mixing two or more miscible liquids, these liquids can be mixed to form a homogenous system (Solution), by simple stirring or shaking. STEP 5: Evaluation (5 minutes) • What is a solution of liquids in liquids • What is a miscible liquids? STEP 6: Practices (30 hours) • DIVIDE students in small manageable groups and conduct practices under facilitator‟s supervision on the following. • CHLOROFORM SPIRIT P.CX • LEMON SPIRIT P.CX • PEPPERMINT SPIRIT P.CX • PEPPERMINT EMULSION, CONCENTRATED P.CX CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide Session X: ———— -(Title)———————- 107 References Senya, S. S., Mwasha, C. Y. S., Muyinga, A. M., Amiri, R. I., & Mauga, E. A. S. K. (2011). Tanzania Pharmaceutical Handbook (2nd ed.). Dar es salaam: School of Pharmaceutical Sciences, Institute of Allied Health Sciences, Muhimbili University of Health and Allied Health Sciences. Pharmaceutical Society of Great Britain., & Pharmaceutical Society of Great Britain. Department of Pharmaceutical Sciences. (1994). The Pharmaceutical Podex, Principles and Practice of Pharmaceutics (W. Lund Ed. 12th ed.). London,: Pharmaceutical P. Langley, C. A., & Belcher, D. (2008). Pharmaceutical Compounding and Dispensing. London: Pharmaceutical Press. Ansel, H. C., Allen, L. V., & Popovich, N. G. (1999). Pharmaceutical dosage forms and drug delivery systems (7th ed.). Philadelphia, Pa.: Lippincott-Williams & Wilkins. Royal Pharmaceutical Society of Great Britain. (2007). Martindale : the complete drug reference (S. C. Sweetman Ed. 35th ed.). London: Pharmaceutical Press. CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide Session X: ———— -(Title)———————- 108 ← Previous TopicNext Topic →View all Compounding of Pharmaceutical Preparations topicsOpen Complete Full Notes PDF / OFFLINE NOTES Unataka kutumiwa notes

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