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1. GOOD COMMUNITY PHARMACY PRACTICE Good Pharmacy Practice (GPP) defines pharmacists provide quality pharmacy service to every patient. It is the practice of pharmacy that responds to the needs of the people, who use the pharmacists’ services to provide optimal, evidence based care.
2. Good Pharmacy Practice (GPP) organizes following major roles for pharmacists: 1. Prepare, obtain, store, secure, distribute, administer, dispense and dispose of medical products. 2. Provide effective medication therapy management. 3. Maintain and improve professional performance. 4. Contribute to improve effectiveness of health care system and public health.
3. National Good Pharmacy Practice standards was initiated at Department of Drug Administration (DDA) in 2003 supported by WHO. This responsibility was given to Nepal Pharmacy Council. Nepal Pharmacy Council has prepared the guidelines of Good Pharmacy Practice (GPP). It has stated various requirements for the Good Pharmacy Practice (GPP): • Premises/layout • Furniture • Equipment • Manpower • Material • Documentation • Inventory control • Storage • Services
4. REQUIREMENTS OF PREMISES/LAYOUT • The location of pharmacy should be such that it is easily identified by the public. • The environment in the pharmacy should be neat and clean. • It should have clearly marked word “PHARMACY-फार्मेसी” (औषधी पसल) written in English as well as Nepali. • The pharmacy should also be accessible to disabled people or people using wheel chairs. • It should have display counter, shelves for medicine storage, counselling area, waiting area, billing area, adequate space for movement and waste collection boxes. • Counselling area should have furnitures (table and chairs) for comfortable conversation or communication and cabinets for keeping Patient Medication Records (PMR). • It should have telephone service, electronic supply, refrigerator, drinking water, etc. • A compounding pharmacy for extemporaneous preparations should have additional space and necessary equipments.
5. REQUIREMENTS OF EQUIPMENTS • The pharmacy should be equipped with refrigerator for storage of medicines in cold temperature and validated from time to time. • Counselling area should be equipped with demonstration charts, patient information leaflets (PILs), reference materials and other required materials. • It should contain basic instruments like sphygmomanometer, glucometer, thermometer, stethoscope, weight and height scale. • The pharmacy should be preferably equipped with computer and appropriate softwares that can manage inventory, manage invoicing, generate timely warnings for expiring medicines and archive patient medication records. • Compounding pharmacy should be equipped with appropriate apparatus required for the preparation.
6. REQUIREMENTS OF MANPOWER • The pharmacy should be managed under the supervision of pharmacist and other personnel working in the pharmacy should be well trained. • The pharmacy should have well documented guidelines and procedures for personnel set by management with pharmacist consultation. • The personnel in the pharmacy should wear neat apron/coat and wear a badge displaying name and designation. • All pharmacy personnel should be medically examined and adequately immunized periodically and their health data should be archived.
7. • Pharmacist working in the pharmacy should hold at least a bachelor degree in pharmacy and registered as Pharmacist in Nepal Pharmacy Council. Pharmacist should also have done adequate practical training in community pharmacy and have adequate communication skills for patient counselling. • Pharmacy Assistant working in the pharmacy should hold at least a diploma in pharmacy and registered as Pharmacy Assistant in Nepal Pharmacy Council. Pharmacy Assistant should also have done adequate practical training in community pharmacy and have adequate communication skills. • Professionalist working in the pharmacy should hold the qualification specified by Drug Advisory Committee and recognized by that committee.
8. REQUIREMENTS FOR STORAGE • All medicines coming into the pharmacy should initially be quarantined and then checked for quantity, batch number, expiry, integrity, etc. After checking they should be transferred to their respective storage location. • All medicines should be stored at appropriate temperature protecting from excessive light, dust and humidity. Record of daily temperature should be kept in record sheet and preserved for future record. • The medicines and shelves should be clean and dust free following Standard Operating Procedures (SOPs). • All medicines that are to be stored in cold temperature should be kept in the refrigerator.
9. • Narcotics and Psychotropic drugs that fall into Group “Ka” should be kept in a separate safe with lock and handled only by the Pharmacist. Records of such drugs should be maintained as per legal requirements. • Shelves should be checked periodically for expiry of medicines and expired medicines should be kept separately labelling “Expired Goods-Not For Sale”. • Near expiry medicines which can expire during the prescribed time should not be sold. Expired medicines, unused or unopened medicines are either returned to the supplier or destroyed as per in house protocol.
10. REQUIREMENTS OF INVENTORY CONTROL • The pharmacy should develop and maintain safe, effective, operational and socioeconomically acceptable procurement and inventory management. Pharmacist should ensure medicines and health care products are readily available in the pharmacy in sufficient quantities. • Suppliers and Purchasing The pharmacist should ensure quality supply of medicine by purchasing from supplier that meets the standard laid down by the law. Details of suppliers (name, address, contact number, licenses, etc.) should be kept. A list of trusted suppliers should be maintained and visited from time to time for audit of premises and system. Any errors made by the supplier should be reported and rectified in timely manner.
11. • The pharmacist should inform regulatory authorities if any deliberate dubious activity by the supplier is found. • The pharmacy should have written procedure for the selection of medicines and maintain product list with retail price including essential and life saving medicines. The product list should be reviewed from time to time and updated by the pharmacist. • All the medicines received from the supplier should be checked for quantity, price, batch number and expiry date. • Cost effective purchasing method should be followed and the purchase records/invoice should be maintained.
12. REQUIREMENTS OF SERVICE • The pharmacy should have well documented service strategy based on its goals. • Service strategies includes home delivery of medicine, special care and attention to patients like elderly patients, regular patients, etc. • Service manual should state in detail service offered, service time and pharmacy operation schedule. • Service manual should enlist details of activities, routines, delegations, work procedures and instructions for day to day activities in pharmacy.
13. REQUIREMENTS OF DOCUMENTATION • Documentation is one of the core activities for maintaining and achieving quality. • Pharmacist should maintain all necessary statutory documents like regulatory licenses, registrations, permissions, etc. for operating a pharmacy and displayed if required under the law. • All operational documents like purchase invoices, sales invoices and other statutory documents should be maintained and archived as prescribed by law.
14. • Some of the necessary documents includes: Quality manual and policy documents Protocols Standard Operating Procedures Cleaning and maintenance processes and records Training manual and training records Complaint records Audit records Personnel details and job descriptions Record of narcotics and psychotropics
15. • Additionally, documents for pharmaceutical care should be adequately maintained and stored. These documents includes: Patient’s health profile Patient’s medication record Record of counselling, follow-ups, etc.

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Good Pharmacy Practice requires that the core of the pharmacy activity is the supply of medication and other health care products, of assured quality, appropriate information and advice for the patient, and monitoring the effects of their use.

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