TARIKH KEMASKINI: 6 MAC 2023 |
Head of Department | YBrs. Puan Noraini Mohamad |
Phone | 603-26155555 ext. 5120 |
Fax | 603-26155140 |
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INTRODUCTION: PHARMACY DEPARTMENT HOSPITAL KUALA LUMPUR
The Pharmacy Department of Hospital Kuala Lumpur (HKL) was established to provide optimal pharmaceutical care to cater for the needs of all HKL patients as well as to support the objectives and missions of HKL via the process of procurement, storage and supply for drug and non-drug items throughout the entire hospital. With the strength of 401 permanent staff stationed in seven different branches distributed throughout the hospital, this department aims to deliver quality services by fulfilling the supply of medicines to more than 3,000 prescriptions daily from inpatient and outpatient settings.
The Pharmacy department also regulates pharmacy services in Hospital Tunku Azizah (HTA) and Institut Perubatan Respiratori (IPR) which includes procurement of drugs / non-drugs and pharmacy practice activities. The HTA Pharmacy Department and the IPR Pharmacy Unit are lead by the Head of Pharmacy Department / Unit who are under the directive of HKL Deputy Director of Pharmacy.
CLIENT CHARTER
PHARMACY DEPARTMENT HOSPITAL KUALA LUMPUR
SERVICES IN PHARMACY DEPARTMENT HOSPITAL KUALA LUMPUR
OPERATING HOURS AND CONTACT NUMBER FOR BRANCH / SECTION / UNIT IN PHARMACY DEPARTMENT HOSPITAL KUALA LUMPUR
Supply of medicines by the Pharmacy Department Hospital Kuala Lumpur is done 24 hours daily at the Emergency Pharmacy. While the operating hours at other branches / sections / units in the Pharmacy Department are as follows:
BRANCH / SECTION / UNIT PHARMACY DEPARTMENT |
OPERATING TIME |
CONTACT NUMBER |
|
OFFICE HOUR (MONDAY-FRIDAY) |
AFTER OFFICE HOUR |
||
Specialist Complex & Ambulatory Care Center (SCACC) ● Specialist Clinic Pharmacy I |
7.30am - 5.30pm |
N/A |
03 – 2615 1167
|
● Specialist Clinic Pharmacy II ● Specialist Clinic Pharmacy III ● Ophthalmology Pharmacy |
7.30am - 5.00pm |
N/A |
03 – 2615 1040 03 – 2615 1444 03 – 2615 1465 |
Emergency Pharmacy (Main Block) |
Operating 24 hours |
03 - 2615 6100 |
|
Fever Center Pharmacy (MHKL) |
9pm – 8am of the following day |
03 – 2615 6633 |
|
Drive-Thru (DT) Pharmacy |
10am – 5pm |
Saturday: 10am - 4pm |
03 – 2615 5126 |
Orthopedic Pharmacy (Wisma Rekod) |
8am – 5pm |
N/A |
03 – 2615 5188 |
Methadone Pharmacy |
7.30am – 4.30pm |
N/A |
03 – 2615 5893 |
Main Inpatient Pharmacy (Main Block HKL) |
7.30am – 9pm |
Saturday & Sunday: 8am – 5pm |
03 – 2615 6096 |
Satellite Inpatient Pharmacy (IPHKL) |
7.30am – 5.30pm |
Saturday & Sunday: 11am – 3pm |
03 – 2615 5684 |
Pharmacotherapy Services [Ward / Clinical Pharmacy] |
8am – 5pm |
N/A |
03 – 2615 6097 |
Clinical Pharmacokinetic Services (TDM) |
8am – 7pm |
Saturday & Sunday: 1pm – 5pm |
03 – 2615 5606 |
Logistic Pharmacy |
7.30am – 5pm |
N/A |
03 – 2615 6588 |
Institut Urology & Nephrology (IUN) Pharmacy |
8am – 5pm |
N/A |
03 – 2615 5133 |
Neuroscience Pharmacy |
8am – 5pm |
N/A |
03 – 2615 6488 |
Radioterapi & Oncology Pharmacy |
7.30am – 5pm |
N/A |
03 – 2615 5834 |
Sterile Pharmaceutical Production Section |
8am – 5pm |
Saturday & Sunday: 8am – 2pm |
03 – 2615 6504 |
Non-Sterile Pharmaceutical Production Pharmacy |
7.30am – 4.30pm |
N/A |
03 – 2615 6503 |
Nuclear Pharmacy |
7.30am – 4.30pm |
N/A |
03 – 2615 5876 |
Coordination & Resource Pharmacy (KSF) |
8am – 5pm |
N/A |
03 – 2615 5136 |
AMBULATORY PHARMACY BRANCH
1. Specialist Ambulatory Pharmacy Section
This section consists of night (9) pharmacy units as follows:
PHARMACY |
LOCATION |
SUPPLY OF MEDICINES |
Specialist Clinic Pharmacy I
|
Level 1 Specialist Complex and Ambulatory Care Centre (SCACC) |
● Oral and Maxillofacial Specialist Clinic ● General Medicine Specialist Clinic ● General Surgery Specialist Clinic ● Nephrology Specialist Clinic ● Urology Specialist Clinic ● Orthopedic Specialist Clinic (SCACC) ● Rehabilitation Specialist Clinic ● Endoscopy Unit ● Daycare Unit |
Specialist Clinic Pharmacy II
|
Level 4 Specialist Complex and Ambulatory Care Centre (SCACC) |
● ENT Specialist Clinic ● Neurology Specialist Clinic ● Neurosurgery Specialist Clinic ● Psychiatry Specialist Clinic |
Specialist Clinic Pharmacy III |
Level 6 Specialist Complex and Ambulatory Care Centre (SCACC) |
● Dermatology Specialist Clinic ● Plastic & Reconstructive Surgery Specialist Clinic ● Aesthetic & Pain Specialist Clinic |
Ophthalmology Pharmacy |
Level 6 Ophthalmology Specialist Clinic, Specialist Complex and Ambulatory Care Centre (SCACC) |
● Ophthalmology Specialist Clinic |
Emergency Pharmacy |
Level 1 Main Block HKL |
● Outpatient for Emergency & traumatology patients ● Supply of medications after office hours for wards & units |
Fever Center Pharmacy |
Level 1 Fever Center, MHKL |
● Patients from HKL Fever Center |
Drive-Thru (DT) Pharmacy |
Jalan Dr. Latif, HKL (near Orthopedic Specialist Clinic, Wisma Rekod) |
● For HKL patients who have registered for follow up drug supply at DT Pharmacy |
Orthopedic Pharmacy (Wisma Rekod) |
Level 1 Wisma Rekod (near Orthopedic Specialist Clinic, Wisma Rekod) |
● Orthopedic Specialist Clinic (Wisma Rekod) |
Methadone Pharmacy |
Level 1 Wisma Rekod, Methadone Clinic, Psychiatry Department, HKL |
● Methadone Clinic |
Main functions of the pharmacy in the Specialist Ambulatory Pharmacy Section are:
• supply medicines to patients by preparing, checking and dispensing medicines
• provide medication counseling
• identify drug interactions as well as drug-related issues that require intervention
• ensure the use of drugs which are safe, effective and achieve optimal therapeutic effects
• ensure that medications are received by the correct patient with the correct medication, dose, frequency and duration.
• provide follow-up medications via Value Added Services (VAS) as follows:
◊ Drive-Thru (DT) Pharmacy
◊ Ubat Melalui Pos (UMP)
This UMP service can also be registered through MyUbat apps as follows:
◊ Locker4u
◊ Ubat Melalui Pihak Ketiga (UM3)
Besides Value Added Services (VAS) as above, follow-up medication can also be supplied through:
◊ Appointment-based Dispensing System (SMART)
• SMART is a system whereby follow-up medications are supplied by appointment at the pharmacy counter. Patient’s medications will be pre-prepared before the scheduled appointment date.
◊ Integrated Medicine Dispensing System (SPUB)
• Integrated Medicine Dispensing System is one of the innovations that provides ease to patients to get their follow-up medicines at any nearby health facilities listed in the MOH SPUB directory through a uniform referral system throughout Malaysia.
• Patients can choose the MOH health facility close to their residence to get a supply of follow-up medicine.
B. Ambulatory Pharmacotherapy Section
The services offered in this section are as follows:
1. Medication Therapy Adherence Clinic (MTAC):
Role of pharmacists in MTAC services are:
• monitoring of patients medication
• provide accurate information about medicine to patients and other healthcare workers
• improve patient’s understanding on their pharmaceutical treatment
• motivate patients to have a positive perception about their diseases and treatments
• improve patient’s compliance towards medications
• provide medicine consultation for medical officers in order to optimize patient’s pharmaceutical care
Among the MTAC services being offered by the Pharmacy Department are:
BIL |
JENIS PERKHIDMATAN MTAC |
LOKASI PERKHIDMATAN DI KOMPLEKS PAKAR DAN RAWATAN HARIAN (SCACC) |
1. |
MTAC Cardiac Rehabilitation |
Level 2 (General Medicine Specialist Clinic) |
2. |
MTAC Diabetes Mellitus |
Level 2 (General Medicine Specialist Clinic) |
3. |
MTAC Geriatric |
Level 8 (Geriatric Specialist Clinic ) |
4. |
MTAC Heart Failure |
Level 2 (General Medicine Specialist Clinic) |
5. |
MTAC Peritoneal Dialysis |
Level 3 (Nephrology Specialist Clinic) |
6. |
MTAC Psychiatry |
Level 4 (Specialist Clinic Pharmacy II) |
7. |
MTAC Renal Transplant |
Level 3 (Nephrology Specialist Clinic) |
8. |
MTAC Rheumatology |
Level 2 (General Medicine Specialist Clinic) |
9 |
MTAC Anticoagulation |
Level 2 (General Medicine Specialist Clinic) |
2. Home Medication Review (HMR)
HMR is implemented to ensure the continuity of treatment of patients at home after receiving treatment in health facilities in order to promote optimal and quality use of medicines. There are two disciplines involved in HMR services at Kuala Lumpur Hospital which are Psychiatry and Geriatrics.
HMR is conducted at patient’s home and involves a multidisciplinary team that includes medical officers, nurses, occupational therapists and even physiotherapists. The activities involved are as follows:
• Medicines reconciliation
• Comprehensive and systematic monitoring of prescription & non-prescription medicines
• Identify pharmaceutical issues such as side effects, adverse drug effects, emphasizing adherence to medications and storage of medications in patients' homes
• Refer the patient to further care when necessary
MAIN INPATIENT PHARMACY BRANCH
The most important role of the Main Pharmacy Branch is to supply medicines to patients in the ward and ensure it is accurate and safe medicine. Medicines are supplied in the wards through:
i. Unit Dose System (UDS): supply of patient’s medicine individually on daily basis
ii. Unit of Use (UoU): supply of patient’s medicine for several days
iii. Supply of medicines in bulk via imprest stock.
iv. Supply of discharge medications via bedside counseling or collection at the Discharge Pharmacy’s counter
Cawangan Farmasi Pesakit Dalam comprise of two sections as follow:
BIL |
SECTION |
LOCATION |
SUPPLY OF MEDICINE |
1. |
Main Inpatient Pharmacy Section |
Main Block HKL |
All wards in Main Block HKL |
2. |
Satellite Inpatient Pharmacy Section |
IPHKL & MHKL |
All wards in IPHKL & MHKL |
PHARMACOTHERAPY SERVICES BRANCH
There are three main section under this branch namely:
i. Medical Pharmacotherapy Section
ii. Surgery & Orthopedic Pharmacotherapy Section
iii. Acute & Intensive Care Pharmacotherapy Section
A. Ward / Clinical Pharmacy Services
The main function of pharmacotherapy service is to carry out pharmacotherapy monitoring of patients in the ward which includes screening of medicines prescribed, drug regimens, drug interactions, drugs that require pharmacokinetic monitoring, side effects and management of drug side effects. Ward / Clinical pharmacist will also involve and contribute actively in ward rounds with consultants / specialists / medical officers, nurses and other health care professionals where discussions to achieve optimal medicinal pharmacotherapy and interventions will be carried out.
B) Clinical Pharmacokinetic Services / Therapeutic Drug Monitoring (TDM)
The main function of the Clinical Pharmacokinetic Services is to provide pharmacokinetic monitoring, calculation, interpretation, medication regimen recommendations and therapeutic monitoring based on the patient's clinical condition. There are more than 18 drugs monitored including antibiotics such as vancomycin and aminoglycosides; antiepileptics such as phenytoin, valproate, carbamazepine and benzodiazepines; immunosuppressants such as tacrolimus, everolimus and cyclosporin; paracetamol and salicylate.
LOGISTIC PHARMACY BRANCH
The Logistics Pharmacy Branch under the Department of Pharmacy is responsible for ensuring that medical supplies are always sufficient to meet the needs of users without compromising quality as well as ensuring regular procurement management by complying with government financial procedures and procurement procedures.
The main functions of Logistic Pharmacy Branch are as follows:
● Plan and manage drug procurement to ensure adequate supply of medicine for all consumers.
● Manage the procurement of medical equipment, non-drug products, medical gas and stationery supplies to ensure adequate supply for the use of all consumers.
● Administrating the Pharmacy Department's e-Perolehan system and ensuring all staff’s necessities are updated (manage id, profile update, reassignment).
● Plan, coordinate and manage the allocation and budget expenditure under Pharmacy & Supply Activities.
● Manage receipts and payments for the Petty Cash account of the Pharmacy Department
SPECIALISED PHARMACY INSTITUTE BRANCH I
Specialised Pharmacy Institute Branch I comprise of two sections as follow:
BIL |
SECTION |
LOCATION |
SUPPLY OF MEDICINE |
1. |
Urology, Nephrology & Dermatology Pharmacy Section |
Urology & Nephrology Institute |
All wards in Urology & Nephrology Institute |
2. |
Neuroscience Pharmacy Section. |
IKTAR Building |
All wards in IKTAR Building |
The main function of these two sections is to supply medicines for patients in the ward via the unit dose system or imprest stock at the locations mentioned above. In addition, pharmaceutical care services are provided to patients in the ward through the involvement of ward / clinical pharmacists in multidisciplinary teams, discharge counseling and bedside counseling, medication reconciliation and identification of issues related to pharmaceutical care in the ward.
SPECIALISED PHARMACY INSTITUTE BRANCH II
Specialised Pharmacy Institute Branch II comprises of four sections as follow:
BIL |
SECTION |
LOCATION |
1. |
Radiotherapy & Oncology Pharmacy Section |
i. Radiotherapy & Oncology Building ii. Specialist Complex & Ambulatory Care Centre (SCACC) (Level 7) |
2. |
Nuclear Pharmacy Section |
Radiotherapy & Oncology Building (Level 1, Nuclear Medicine Department) |
3. |
Section of Sterile Pharmaceutical Production |
Main Block (Level 2) |
4. |
Section of Non-Sterile Pharmaceutical Production |
Main Block (Level G) |
Main functions of the four pharmacy sections are as below:
i. Radiotherapy & Oncology Pharmacy Section
One of the core functions of Radiotherapy and Oncology Pharmacy in HKL is to carry out cytotoxic drug reconstitution (CDR) activities. Currently, there are two clean rooms in use, one situated at SCACC HKL building (operating since 2012) and the other one located at Hospital Tunku Azizah (operating since October 2019). The CDR clean room facilities are well equipped with biosafety cabinets and undergo annual inspection and certification to ensure the quality of product and also the safety of personnel and environment.
The CDR production unit manages chemotherapy reconstitution applications from various departments including adult oncology wards, Oncology Daycare Unit, urology and nephrology, neurology, rheumatology, gastrology, dermatology, ophthalmology, pediatric oncology and also gynae-oncology wards.
ii. Nuclear Pharmacy Section
In general, this section is responsible for:
• procurement of radiopharmaceuticals;
• receiving and handling of radioactive materials;
• quality control of radiopharmaceuticals;
• dispensing and supply unit dose of radiopharmaceuticals intended for diagnostic imaging, diagnostic, and treatment purposes; and
• counseling for patients in preparation for stress test
There are three radiopharmaceutical categories supplied by the Nuclear Pharmacy section which are:
• Technetium-99m (Tc-99m) based radiopharmaceuticals,
• radioiodin-131 (I-131), and
• others ready to use
iii. Section of Sterile Pharmaceutical Production
Main service in Section of Sterile Pharmaceutical Production (PFS) is to prepare and supply sterile pharmaceutical products to three main facilities which are Hospital Kuala Lumpur (HKL), Hospital Tunku Azizah (HTA), and Institut Perubatan Respiratori (IPR). Our clean room facilities are well equipped with laminar air flow cabinets and undergo annual inspection and certification to ensure the quality of products, henceforth its safety. The products produced include:
• parenteral nutrition
• eye drops
• ear drops
• nose drops
• intravenous admixture
• enzyme preparation and others.
The pharmacists in this section are also responsible for managing patients on parenteral nutrition, including:
• monitor patients before (pre-initiation), during, and after parenteral nutrition services are provided.
• evaluate patient’s profile and nutritional status, interactions between drugs and parenteral nutrition
• plan patient's parenteral nutrition based on the patient's nutritional requirement, body weight, kidney profile, liver profile, and electrolytes.
• recommend appropriate management of parenteral nutrition and electrolytes, and verify parenteral nutrition plan and ensure product stability.
• monitor patient's nutritional progress.
• involved in multi-disciplinary team patrols in order to optimise parenteral nutrition plan. Pharmacist also involved with Nutrition Support Team (NST) to ensure that all patients are provided with quality products, pharmaceutical care and services.
• ensure the quality and safety of parenteral nutrition products.
• ensure product safety including proper product storage.
• educate patients and caregivers including for Home Parenteral Nutrition (HPN) services.
iv. Section of Non-Sterile Pharmaceutical Production
This section is divided into 2 units, Galenical Unit and Pre-packing Unit. Its main focus is to provide non-sterile pharmaceutical products to 3 facilities including Hospital Kuala Lumpur, Hospital Tunku Azizah (HTA), and Institut Perubatan Respiratori (IPR). Products prepared by this section are items that are not yet commercially available but needed for patient treatment.
Three main services provided by this section are as below:
• to prepare and supply non-sterile pharmaceutical items that are not commercially available.
• to carry out medication repackaging (e.g. tablet, capsule, cream, ointment etc)
• to supply lotions and disinfectants to all clinics, units and wards.
COORDINATION AND RESOURCE PHARMACY BRANCH
The Coordination & Resource Pharmacy Branch is located at Wisma Rekod Hospital Kuala Lumpur which consists of two Sections namely:
i. Pharmacy Management Section
Main functions of this sections are:
• managing matters related to human resources for staff of Pharmacy Department
• coordinate training for staff of Pharmacy Department
• monitor and upgrade the infrastructure in the Pharmacy Department
• monitor achievements in the Pharmacy Department by using Key Performance Indicators (KPI), Quality Assurance Program and Client Charter
• data collection and statistical report analysis related to pharmacy management (Pharmacy Statistics Management Report)
• monitor quality-based initiatives such as innovation, the Innovative and Creative Group (KIK) as well as R&D activities and studies.
ii. Pharmacy Practice & Development Section
Main functions of this sections are:
• maintain the list of Medicines and the List of Controlled Medicines (JKUT) of Hospital Kuala Lumpur (HKL).
• act as secretariat to JKUT meetings and are responsible for evaluating dossier applications received from various clinical departments
• play an important role in the process of listing new drugs or, adding or changing drug indications, dosage forms or strengths of existing drugs in the KKM Drug Formulary
• process applications for Special Approval Medicines (UKK)
• collect and report adverse effects of medicines to National Pharmaceutical Regulatory Agency (NPRA) via the PhIS system
• monitor the report of adverse effects and manage allergy card system in HKL
• act as an intermediary to channel product complaints received from health care professional and patient to NPRA
• coordinate the activities of Quality Drug Use - Users (PUB-P) through the Know Your Medicine Program
• coordinate medication safety activities through JK Medication Safety Action Team (MSAT) HKL
NATIONAL PHARMACY CALL CENTRE (NPCC)
National Pharmacy Call Centre has been set up in Pharmacy Department, Hospital Kuala Lumpur with the aim to provide easily accessible and reliable platform for healthcare professionals as well as members of public to obtain accurate, unbiased drug information and advisory services related to medicine and hence complement the “Know Your Medicine” campaign.
This effort, in line with the World Health Organization (WHO) recognition of Drug Information Centre (DIC) as an essential component of national programs to promote effective and rational use of drug, aims to establish a better, convenient and easy access to drug information nationwide. NPCC also aims to facilitate the empowerment of individual, family members and community towards self-help / self-care and taking greater responsibilities on their health.
NPCC operates 24 hours a day inclusive of public holidays which can be reached at hot-line 03- 2615 5136 and later in 2011 a toll-free line 1800-88-6722 was launched. However, later on 11th May 2013, NPCC has changed its operation time from 8am to 5pm (Monday to Friday).
RESEARCH
HKL Pharmacy Department also conducts research activities such as Research and Development (R&D), Quality-Innovation-Creativity (KIK), Quality Assurance (QA) and Quality Improvement (QAQI) and LEAN Healthcare. The data and information collected in these studies and projects are in line with the needs of the organization. With the help of all pharmacy staff, the collection of data is carried out to ensure that the Department of Pharmacy is able to generate quality reports and publications for future reference.
TRAINING
The Pharmacy Department is also dedicated to provide Continous Pharmacy Education (CPE) to ensure the quality and delivery of Pharmacy services to patients remain excellent.
♦ Pharmacy Graduate and Student Training
Among the training provided by the Department of Pharmacy:
• Graduate training for Provisional Registered Pharmacist (PRP)
• Diploma of Pharmacy students from local colleges and universities
• Master of Pharmacy students from local and foreign universities
♦ Continuous Pharmacy Education (CPE)
The Pharmacy Coordination & Resource Branch of the Pharmacy Department is also responsible for coordinating Continuous Pharmacy Education (CPE) activities. The topics presented during the CPE sessions are about the latest information about medications and treatment therapies. CPE is organized with the objective of providing a comprehensive mechanism to empower the knowledge and competence of all Pharmacy members including Pharmacy Officers, Assistant Pharmacy Officers and Provisional Pharmacy Officers (PRP).
♦ Quality Use of Medicine for Consumer (QUMC)
Quality use of medicine (QUMC) is one of the component in Dasar Ubat Nasional (DUNas) which was first established in 2006. This component emphasis on the role of pharmacist and other healthcare professionals in contributing towards quality, safe and effective healthcare services.
Hence, on 29th June 2007, “Know Your Medicine” campaign was officially launched together with National Pharmacy Call Centre (NPCC). “Know Your Medicine” campaign targeting the public as participants is a project jointly initiated by the Pharmaceutical Services Division (PSD), Ministry of Health (MOH) and the Federation of Malaysian Consumers Associations (FOMCA) which aimed to raise awareness amongst the members of the public with regard to usage of medicines and their rights as consumers. This campaign was initiated in view of irrational use of medicine which can pose danger to the public and may impose adverse impact on the country’s economy
Among the activities carried out under the Know Your Medicine Campaign are health talks, exhibitions, appointment of Know Your Medicine Ambassadors among the public, visits to patients' homes via Duta Prihatin Masyarakat (DPM) program, visits to nursing homes for the elderly and many more.