Hospital and Community Pharmacy
Core Concepts
This domain covers pharmacy operations in hospital and community settings. Candidates must know hospital formulary systems, drug distribution (unit dose, floor stock), inventory management (ABC analysis, EOQ), and sterile compounding. Community pharmacy topics include OTC counseling, prescription screening, and health screening services. Interprofessional collaboration and emergency preparedness are also relevant.
Question Traps
- Formulary vs. inventory: Formulary is a list of approved drugs; inventory is stock on hand. Formulary decisions are made by the Pharmacy and Therapeutics (P&T) Committee.
- Unit dose vs. floor stock: Unit dose improves accuracy and reduces errors; floor stock is less controlled.
- ABC analysis: Class A items are high-value, low-quantity; Class C are low-value, high-quantity.
Worked Example / Rule of Thumb
Question: Which drug distribution system is preferred for reducing medication errors? Unit dose dispensing. Rule of thumb: “Right drug, right patient, right dose” – unit dose supports this by providing ready-to-administer doses.