Organization of work of pharmacy with commodity  supplies.

A pharmacy must have an obligatory assortment of medications. It is today registered in Ukraine over 19000 names of medications and over 100 wares of the medical setting. A commodity supply is mass of medications and wares of the medical setting, which is in the field of appeal and subject realization. To the commodity supplies belong:

commodities which are present in a presence in a pharmacy and it the separated

structural subdivisions -         commodity, purchased and prepaid

a pharmacy and leave on responsible storage for a supplier or those, that are in transit

 -         commodity supplies which are handed over on processing

   Commodity supplies in a sum and in days set for every pharmacy

individually. It depends on many factors – commodity turnover, top-

level quantity of medicinal preparations. Surpluses of

commodity supplies conduce to binding of facilities, absence of

medications in a pharmacy – to the loss of the visitors.

If there are drugs that require special storage conditions (Strong, poisonous, narcotic, Psychotropic, immunologic, termolabilni, flammable, flammable,

explosive products, herbal and other raw materials) must be properly equipped

with separate room (zone) for their storage.

 Basic tasks the department of supplies is: 1. Reception of medicines and second

commodities of pharmacy assortment, which enter pharmacy from a wholesale  pharmaceutical

enterprise (will make, to the factory).   2. Providing of correct storage of commodities.

   3.Vacation of commodities to other departments of pharmacy, hospitals,  organizations and establishments, fastened on a pharmacy on a

supply.   4.Making of concentrates, ready-to-cook foods,

laboratory-packing works.

Room for the reception of goodsRoom for the reception of goods

Each pharmacy stock (base) should be appointed at least one authorized

person with appropriate authority and is responsible for development,

implementation and operation of quality. An authorized person must personally

serve duties, have higher pharmaceutical education and work experience for specialty at least two

years.

Authorized persons with application check amount, price, total worth of commodity, and conduct collation  them with information of

invoice. The special attention is spared verification of amount of acceptanced

commodity. Receiving control which consists  in checking of original appearance is conducted to

that end, to marking, packing, blocked of commodity.

If there are doubts in quality medications, we must sent it for an analysis in state

inspections and for the answer of laboratory they are kept separately and will not realize. With application check

terms of fitness.

On medicines, a remaining  term of fitness must be not less than 60%, but for

bacterial preparations - a not less than 40% term of fitness which is marked on a

label.

The authorized person checks up accordance of the got medications

accompanying  documents in relation to amount, dosage, numbers of series, terms of

fitness, registration status, name, medical form, producer. Every series of medications

must be accompanied by conclusion in relation to quality, which seems a producer,

notarized the seal of supplier.

At a negative result the authorized person makes an act about found out defects which are foundation for returning of party to the

supplier. The copy of act is given in a territorial inspection, which after the additional

verification and selective test takes measures in relation to informing of other pharmacies

about found out off-grade or falsifyed medications and controls the actions of

provider for their elimination, utilization or returning (in the case of off-grade series) a

producer.

In the case of origin of doubt in relation to quality of medications at implementation of visual control the authorized person takes

away the standards of doubtful medications  and sends them in a territorial inspection  for passing of laboratory researches. In a time of

such researches, to the final decision of question about quality, series of doubtful

medications are in a quarantine, isolated from other medications, with denotation “Trade is

prohibited to the separate order”.

Organization of storage of commodities of pharmacy

Requirements include the followings parameters: temperature, relative humidity of air, air exchange, gas composition of air

and luminosity.           Temperature of storage  – one of

the most considerable indexes of the mode of storage. Chemical, physical and

chemical, biochemical and microbiological processes increase with the increase of

temperature. A temperature is measured in degrees to centigrade (0 Ñ ). A few modes

of storage are foreseen.

 In apartments  for  storage  a certain temperature  and  humidity of air must  be

supported,  periodicity of verification of which is carried out not rarer 1 time per days.  For

looking  after these parameters  storage facilities must be provided thermometers and

hygrometers  which are fastened  on  the internal  walls of

depository far from heater, devices on height of (1,5-1,7) m from a floor in the distance not less than 3 mfrom doors.

The map of account of temperature and relative humidity must be  led in every department.

 In the apartments of storage medications  take a place separately:

  - in severe accordance with toxicological groups: list And (poisonous and narcotic

matters); list (drastic matters) and general list.   Medications of lists And and must be

saved in obedience to operating orders;      - in accordance with pharmacological

groups;      - depending on the method of the use

(internal, external);

      - medications  of "angro"  are accordingly with the aggregate state (liquid separately from friable, gaseous et cetera);

      - in  accordance with physical and chemical properties of medications and influence of different factors of external

environment;      - taking into account  the set  terms

of fitness for medications;      - taking into account character of

different medical forms. 

All of medications depending on physical and physical and chemical properties,  action  on them 

of various factors of external environment, are distributed on such:

      - which require protecting from light;      - which require protecting from the action of

moisture;      - which require protecting from evaporation;      - which require protecting from the action of

enhanceable temperature;

      - which require protecting from a mionectic temperature;

      - which require protecting from the action of gases which are contained in an environment;

      - fragrant, paint;      - disinfectant facilities.

 

The list of medications which require protecting from light,

belong: antibiotics, halenic preparations (tinctures,

extracts, concentrates), medical plants, organo, vitamins and vitamin preparations, corticosteroids, essential oils, fat butters,

salts of HI, and HBr acids, nitrates, nitrites, amino-and amidoconnections, phenic connections, derivates of fenotiazyna.

 

 It follows  to keep medications  which  need  protecting  from  the action of light in-container from dark slide materials (to the glass container of orange glass, packing, from an polymeric materials,  painted, in a brown or orange black),  in a dark apartment or in closets,  painted in a middle a black paint with the densely driven in doors or in the densely hammered together boxes with the densely driven in lid.

For storage of especially sensible to light medicinal matters (nitrate of

silver, proserini),  a glass container is pasted over a black opaque

paper .

Medicinal matters  which need action of light,  for example, 

preparations of iron of protoxide,  it follows to keep in the glass

container of small capacity of light glass in the bright world. The action

of direct sunbeams is assumed.) 

Storage of medications which require protecting from moisture

  To medications  which require protecting from the action of moisture, belong: hygroscopic matters and preparations (for example, acetate to potassium, dry

extracts, medical plants,  salt nitric,  nitrous,  halogenhydrogen  and phosphoric acids,  salts of alkaloids, sodium metallo-organicss, antibiotics, 

enzymes, medicinal matters which are characterized after the pharmacopeia article as such, that as easy

as anything dissolve in water, and also medicinal matters, maintenance of moisture of which    must

not exceed a level,  set DF and other NTD .

Features of storage of medications which require Features of storage of medications which require protecting from the action       of elevated protecting from the action       of elevated

temperaturetemperature  To medications  which require protecting from the action

of elevated temperature, belong:      - group of medications  which require protecting from

weathering       - fusible matters;

      - bacterial  preparations  (vaccines,  wheys,  toxoids, but other);

      - antibiotics;      - hormonal preparations;

      - vitamins and vitamin preparations;      - preparations which contain glycosides ;

      - medical fats and butters;      - ointments on fatty basis and other matters

 

It follows to keep medications  which require protecting from the action of elevated

temperature at a room (18-20 С), cool (12-15 С)  temperature.  The lower temperature of

storage is required on occasion (for example, for ATP 3-5 С, that must be it is indicated on a

label or in instruction to application of preparation.  It follows  to keep  bacterial 

preparations  in the industrial packing separately after the names,  at a temperature,

indicated for every name on a label or in instruction to application.

 

List of medications  which require protecting from the action of reduced temperature,  such  the physical  and chemical state of which after  freezing  changes  and at the next warming to

the room  temperature    does not recommence belong  (40 % sol. of

formaldehyde, solutions of insulin but other).

Features of storage of medical Features of storage of medical digisterdigister

Optimum terms for storage of medical digister Optimum terms for storage of medical digister temperature (18-20 C ), humidity of air - (30-40 temperature (18-20 C ), humidity of air - (30-40 %).%).

At  storage  of medical    digister   which contains  At  storage  of medical    digister   which contains  nutritives,  for  prevention  of spoilage of it by nutritives,  for  prevention  of spoilage of it by barn wreckers, recommended to dispose in the barn wreckers, recommended to dispose in the places of storage a small bottle with a places of storage a small bottle with a chloroform  in  the cork  of which a tube cutting-chloroform  in  the cork  of which a tube cutting-in for weathering vapor a chloroform. A in for weathering vapor a chloroform. A chloroform is added as far as his weatheringchloroform is added as far as his weathering