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Department of Clinical Pharmacology.

1. Antibiotic stewardship program1.1 Antibiotics Monitoring 1.2 Restricted Antibiotic Monitoring2. Medication Monitoring (Intra-Venous Infusion Safety Protocol -Quality Control Overview)2.1 HRM (High Risk Medication) Monitoring 2.2 Insulin Infusion Safety Protocol2.3 Potassium Infusion Safety Protocol2.1.3 Amiodarone Infusion Safety Protocol3. Anti-Coagulation Therapy Management4. Surgical Prophylaxis 5. Audits5.1 Medication Error Audit• Administration error• Prescription error• Dispensing error• Indenting error• Documentation error• Transcribing error 5.2 Pharmacy and Sub Store Audit5.2.1 Pharmacy Audit typically review the following: Prescription records  Computerized dispensing records  Patient signature logs  Quality control plans 5.3 Ambulance Audit5.4 Crash Cart Audit5.5 Narcotic Audit6. Rational Use of Drugs6.1 ADR Monitoring, Reporting and Management6.2 Drug Interaction Checking and Management6.3 Optimization of drug dosage regimens6.4 Drug Kinetics, Dose adjustments and Dose Calculations 6.4.1 Individualization of Dosage Regimen6.4.2 Defined Daily Dose (DDD) (FEHI)6.4.3. Drug Resistance Index (DRI)6.5 Management of Patients on Poly-pharmacy7. Hospital Drug Formulary7.1 Hospital Formulary Management8. Medication ReviewIt is reviewed to check whether • drug interactions• side effects• compliance• concordance over the counter and complementary medicines• lifestyle and non-medicinal interventions9. Medication Management• ICU medication management• OT medication management• Surgical recovery management• Emergency medication management• Dialysis medication management• Pediatric medication management10. Sedation Overview 11. Case Study12. Seminars13. SoftwaresSoftware used in FEHI13.1. Medtrak13.2. TrakCare13.3. CareTrak

JOB RESPONSIBILITY:Supervision of medication management process in Pharmacy and patient care areas.Rational use of drugsConsultation regarding selection of drug, dose, route, dosage form, schedule and durationTo provide Information regarding- Drug action, drug kineticsDrug interactions (drug-drug, food-drug)Management of patients on polytherapy (multiple medications)Contraindications and special precautionsTo ensure and monitor drug safetyAdverse drug reaction (ADR), medication error monitoringHospital Drug FormularyTo initiate, co-ordinate and accomplish the task of forming our own drug formularyHospital SurveysSuggestions to improve the quality of patient management (drug prescription, dispensing, administration, outcome) in various units/departments Drug utilization studies, drug audits (mainly antimicrobials) in ICUs to know the pattern of antimicrobial prescription vs. microbial growth and sensitivity

• Monitoring and documenting Adverse drug events and ADRs, Filling CDSCO Adverse Drug Reaction Reporting form • Causality Assessment of Adverse Drug Reaction Reporting form • Screening and reporting of Drug Interactions• Patient counselling for safe and effective drug usage and clinical data collection • Mixing of chemotherapeutic agents