Activity Examples: Hospital/Institutional Pharmacy Practice
1. Analyze patient records for pertinent information before dispensing any medication order, and
identify allergies, potential interactions with other drug therapy or disease states, and duplicate
therapy.
2. Evaluate prescription orders and identify and communicate the appropriateness of specific
pharmacotherapeutic agents, dosing regimens, dosage forms, routes of administration, and
delivery systems to prescribers, nurses, patients, and caregivers as appropriate.
3. Prepare medication orders for the patient by evaluating the medication order and selecting the
proper product.
4. Perform medication reconciliation of individual patients at admission and discharge, identifying
and resolving medication-related problems that arise during transitions in care settings and
ensuring patient awareness and understanding as appropriate.
5. Interpret drug serum concentrations, perform pharmacokinetic calculations, and make
pharmacy care plan adjustments as needed.
6. Evaluate patients for rational and appropriate use of nutritional support.
7. Collaborate with other health care professionals to provide patient care, which may or may not
include formal teams.
8. Develop responses to common pediatric conditions: diaper rash, common cold/fever,
vomiting/diarrhea, dehydration, nutrition.
9. Develop responses to common geriatric conditions: dehydration, falls, compliance,
anticholinergic burden, simplifying drug regimens, nutrition, etc.
10. Perform pharmaceutical calculations related to the medication order, including appropriate
dosages based on weight of pediatric patients.
11. Compounding of medications
a. Calculates the correct amount of ingredients for a compounded product by solving
mathematical problems involving:
i. conversion of weights and measures and direct ratio and proportion.
ii. reducing and enlarging formulas.
iii. specific gravity, percent strength, weight-in-volume, weight-in-weight,
iv. and volume-in-volume
v. involving dilution and concentration.
vi. Milliequivalents
b. Compounds a variety of products using the appropriate technique.
12. Discuss the role of pharmacist relative to the scope of work of pharmacy technicians.
13. Discuss handling, distribution, inventory management and record-keeping, and the regulations
affecting narcotics.
14. Identify systems for storage, preparation, and dispensing of medications, the allocation and use
of key resources, and supervision of pharmacy technical staff.
15. Discuss handling, distribution, and control of narcotics and the regulations affecting narcotics.
16. Conduct a mock pharmacy board inspection or review a board of pharmacy inspection report.
17. Discuss assignments of human resources management, medication resources management, and
pharmacy data management systems, including pharmacy workload and financial performance.
18. Package and dispense multiple dosage forms including IV admixtures.
19. Discuss the impact of USP 797 regulations for sterile pharmaceutical compounding.