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FOREWORD

Bismillahirahmanirahim
All praise to Allah who has give the best grace in the form of faith and
islam. Salawat and salvation prayer always over to Prophet Muhammad
sallallaahu ' alaihi wa sallam along family and friends Prophet everyone.
Thank you, the writer always presents Allah Subhanna Wa Ta'ala who
has provided abundance of strength and ability so that the writer can complete the
Block 24 Plenary Discussion Paper in the final year of Bachelor level education.
Never tasted also been studying for four years together with friends Pyramidians.
Starting from the first plenary to the last plenary, so much memories are formed in
the circle of the lecture process. Jokes, laughter, tears all that had passed in the
sequence of our learning process. Together with the last plenary paper that the
author made, all the feelings of fatigue, joy, sorrow, and cheerfulness have been
stored for four years. Collected into a series of writings whose words contain one
memory. Do not forget the lips authors say "Thank you" to all lecturer, pentutor,
and the staff taught us and "sorry" for all the wrong and make mistakes author
Pyramidians especially during the learning process in the lecture bench.
The author realizes that the preparation of the paper has not been
separated from assistance by various parties, for which the authors express their
gratitude to:
1. Allah Subhanna Wa Ta'ala for His abundance of strength and ability.
2. All lecturers, teaching staff and tutors in the Pharmacy study program at the
Faculty of Medicine and Health Sciences University of Muhammadiyah
Yogyakarta.
3. Friend one tutorial starting from tutorial 1 block 1 to tutorial 1 block 24.
4. The friends of the arms of "PYRAMIDIAN" who have sweaty sweat together
walk the road in the spirit of knitting dreams.

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The author realized in the writing of this paper there are many
shortcomings and is still far from perfection. Akhirululkalam. Hopefully what the
author wrote this can benefit us all. Aamiin ya Rabbal ' alamiin.

Jazaakumullah Khairan.

Yogyakarta, May 9, 2019

Author

Tutorial 5 Pharmacy 2015

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TABLE OF CONTENT

FOREWORD .............................................................................................................. 1

TABLE OF CONTENT .............................................................................................. 3

CHAPTER I ............................................................................................................... 4

A. Scenario …………………. .............................................................................. 4

B. Problem Formulations ...................................... ............................................... 4

CHAPTER II ............................................................................................................... 5

A. Hospital Pharmacy Installation ....................................................................... 5


B. Management Support ....................................................................................... 7
C. Type of Hospitals ............................................................................................. 8
D. Strurture of Hospital ........................................................................................ 9
E. Human Resources in Hospital ........................................................................ 10
F. One Door Pharmaceutical Service ................................................................. 12

CHAPTER III ........................................................................................................... 15

A. Conclusion .................................................................................................... 15

SOURCE ................................................................................................................... 16

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CHAPTER I
A. Scenario
Gk, a pharmacist of the Umy Pharmacy has been 1 year working in an
outpatient pharmacy installation R. polyclinics in RS R are common
polyclinics and basic specialty polyclinics (surgery, obstetrics and
gynaecology, children and diseases ). The amount of the prescription from an
outpatient is about 90 prescription/day. Human resources in pharmaceutical
installations consist of 2 farmasis, 2 assistants and 1 person in prescribing.
During peak hour, many patients complain because of waiting time to obtain
the drug long enough, especially the drug blend which average reaches 45
minutes. Consequently the income from the prescription becomes limited
because many outpatient who do not redeem prescriptions in hospital R. In
addition GK feel the working environment in the pharmaceutical installation
is not conducive to optimal work. Incidentally the head of the installation has
been transferred to another hospital, Sehiingga GK asked to design the
management of pharmaceutical installations with support management.
B. Problem Formulations
1. How is the management system in the hospital pharmacy installation?
2. What is support management?
3. What are the types of hospitals?
4. What is the structure of the hospital pharmacy and its duties and
authorities?
5. Do you specify the type of human resources in the pharmacy?
6. How to calculate human resources requirements on pharmaceutical
installations?
7. What do you know about one-door pharmacy?

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CHAPTER II

A. Hospital Pharmacy Installation (IFRS)


Hospital Pharmacy Installation (IFRS) is a unit in the hospital where all
pharmaceutical work activities are intended for hospital and patient needs.
Pharmaceutical work in question is an activity that involves the manufacture,
quality control of pharmaceutical preparations, management of
pharmaceutical supplies (planning, procurement, receipt, storage, distribution,
recording, reporting, destruction/ elimination), prescription services, drug
information services, counseling, clinical pharmacy in room.
IFRS is a service organization in a hospital that provides product
services, namely pharmaceutical preparations, medical supplies and medical
gas consumables as well as services namely clinical pharmacy (PIO,
Counseling, Meso, Drug Therapy Monitoring, Drug Harm Reaction) for
patients or families of patients.
IFRS is a medical support service facility, under the leadership of a
Pharmacist who meets the applicable regulatory requirements and is
professionally competent, who is responsible for all pharmacy work and
services, which consist of plenary services, including planning; procurement;
production; storage of medical supplies / pharmaceutical preparations; drug
dispensing based on prescriptions for inpatients and outpatients; quality
control and control of the distribution and use of all medical supplies in the
hospital; and clinical pharmacy services (Siregar and Amalia, 2004).
1. The Task of IFRS
Carry out management of pharmaceutical preparations and
management of medical supplies. The pharmaceutical preparations and
medical supplies in question are drugs, medicinal ingredients, medical
gases and medical devices, starting from the selection, planning,
procurement, receipt, storage, distribution, control, deletion,
administration and reporting as well as evaluation needed for outpatient
service activities and inpatient.

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IFRS plays a very central role in hospital services, especially
management and control of pharmaceutical preparations and
management of medical supplies.
2. IFRS Responsibility
Develop extensive and well-coordinated pharmaceutical services to
meet diagnostic and therapeutic service unit needs for the benefit of
better patients.
3. IFRS Function
IFRS functions as a service unit and production unit. Service
unitreferred to is a service that is management (non-clinical) is a service
that does not come into direct contact with patients and other health
workers. IFRS services that provide elements of loastics or medical
supplies and administrative aspects.
IFRS which functions as a non-management (clinical) service that
has direct contact with patients or other health. This function is patient-
oriented so that it requires a broader understanding of aspects relating to
the use of drugs and their diseases and upholds ethics and behavior as a
unit that runs pharmaceutical care that is reliable and professional.

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4. Organizational Structure Of Hospital Installation

B. Management Support
The initial definition of the Decision Support System (DSS) shows the
DSS as a system intended to support managerial decision makers in semi-
structured decision situations. DSS is intended to be a tool help decision
makers to expand their capabilities, but not to replace their judgment. DSS is
intended for decisions that require judgment or on decisions which algorithm
cannot at all be supported by the algorithm (Turban et al., 2005). DSS is
usually built to support solutions to a problem or for evaluate an opportunity.
Such DSS is called a DSS application.
Application DSS is used in decision making. DSS applications use CBIS
(Computer Based Information System) that is flexible, interactive, and can
adapted, which was developed to support solutions to management problems
specific unstructured. DSS applications use data, provide easy user interface,
and can combine thinking decision-making.

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DSS is intended to support decisions management in carrying out
analytical work in a situation that is less structured and with unclear criteria.
DSS is not intended to automate decision making, but provide the device
interactive that allows months of decision makers to do various analysis using
available models (Kusrini, 2007)
1. DSS Components :
a) Data management subsystem : The data management subsystem
includes a database containing data which is relevant to the situation
and managed by software called DBMS.
b) Model management subsystem : Is a software package that includes a
financial model, statistical, management science, or other quantitative
that gives analytical capabilities and proper software management.
c) User interface subsystem : Users communicate with and rule DSS
through subsystems this.
d) Knowledge-based management subsystem. This subsystem can
support all other subsystems or act as an independent component.
Other systems are computer-based Internet, intranet, extranet.
C. Type of Hospitals
Based on the type of services, hospital in Indonesia is categorized as the
General Hospital and Special Hospital.
1. General Hospital classified into class A, B, Class C, and D. Special for
class D, it is classified again into Class D General Hospital; and Pratama
2. Specific Hospital classified into class A, B, and C
That classification are according to service, human esources, equipment,
building and infrastructure. The services provided at least medical services,
pharmaceutical services, nursing and midwifery services, clinical support
services, non-clinical support services, and inpatient services. For
pharmaceutical services consist of the management of pharmaceutical
preparations, medical devices and medical consumables, and clinical
pharmacy services. Pharmacy staff for class A general hospital at least
consists of:

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a. One pharmacist as head of pharmacy installation;
b. Five pharmacists on duty in outpatient care assisted by at least 10
pharmaceutical technical personnel;
c. Five pharmacists are for hospitalized patient, assisted by at least 10
pharmacy technical personnel;
d. One pharmacist at the emergency department assisted by at least 2
pharmaceutical technical personnel;
e. One pharmacist in the ICU is assisted by at least 2 pharmacy technical
personnel;
f. One pharmacist as reception and distribution coordinator who can also do
clinical pharmacy services at hospitalization or outpatient care and
assisted by technical personnel pharmacy
g. One pharmacist as the production coordinator who can concurrently
doing clinical pharmacy services inpatient care or outpatient and assisted
by pharmacy technical staff.
Then for class B, it is same as class A. But the number of pharmacist in
oupatien and hospitalized are both four. Next for class C at least consist of 8
personal, 1 as head of pharmacy installation, 2 persons are for outpatient care
assisted by at least 4 pharmacy technical personnel, four in hospitalized
assisted by 8 pharmacy technical staffs, and 1 as reception coordinator
distribution and production. Last one is for class D, the number of pharmacist
are at least 3 consisting of 1 as head of pharmacy installation, 1 in outpatien
and hospitalized care assisted by at least 2 technical staff pharmacist, and 1 as
reception coordinator, distribution and production.
D. Structure of Hospital
Hospital organization consists of at least:
a. head of the hospital or director of the hospital;
b. element of medical services;
c. element of nursing
d. medical support elements;
e. elements of general administration and finance;

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f. medical committee; and
g. internal inspection unit.

Elements of a hospital organization other than the head of a hospital or


director of a hospital can be directorates, departments, divisions, installations,
work units, committees and / or units according to the needs and workload of
the hospital. Hospital organization elements can be combined according to
the needs, workload, and or classification of the hospital.
E. Human Resources in Hospital
Hospital Pharmacy Service Personnel is a resource humans who do
pharmacy work in hospitals which is included in the chart of hospital
organizations with requirements:
a) Registered in the Department of Health
b) Registered in the Professional Association
c) Have a work permit.
d) Has SK placement
The implementation of pharmacy services is carried out by professional
pharmacy personnel based on authority the law, fulfills the requirements both
in terms of aspect law, education strata, quality and quantity with guarantee
of certainty of increasing knowledge, continuous professional skills and
attitudes in order maintain professional quality and customer satisfaction.
Quality and the quantity ratio must be adjusted to workload and the breadth of
service coverage and the development and vision of the house sick.
1. Pharmacist Competence:
a) As Leader:
 Have the ability to lead
 Have the ability and will manage and develop services pharmacy
 Have the ability to self development
 Have the ability to work together with other parties
 Have the ability to see problem, analyze and solve problem

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b) As Functional Power
 Able to provide pharmaceutical services
 Able to do practice accountability pharmacy
 Able to manage practical pharmaceutical management
 Able to communicate about pharmacy
 Able to carry out education, research and development
 Can operate a computer
 Able to carry out research and development of clinical pharmacy
fields.
Each position listed in the organization chart must be clearly explained
the function of the scope, authority, responsibility, coordination relationship,
functional, and job descriptions and requirements / qualifications human
resources to be able to occupy position.
2. Power Requirements Analysis
a) Types of Staff
 Pharmacists
 Bachelor of Pharmacy
 Pharmacist Assistant (AMF, SMF)
b) For administrative work needed power:
 Computer Operators / Technicians who are understand pharmacy
 Administrative Staff
c) Implementing Assistant
3. Workloads
In calculating the workload it is necessary note the factors that
influence on activities carried out, namely:
a) Bed capacity and BOR
b) Number of recipes or forms per day
c) Volume of pharmaceutical supplies
d) Ideally 30 beds = 1 Pharmacist (for pharmacy service)

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4. Education
To produce good service quality ,in determining the energy
requirements must considered:
a) Educational qualifications are adjusted to type of service / task
function
b) Added knowledge is adjusted with responsibility
c) Improved skills are adjusted to task
5. Service Time
a) 3 shift service (24 hours)
b) 2 shift service
c) 1 shift service
Adapted to the distribution system pharmaceutical supplies at the
hospital.
6. Types of Services
a) Emergency Services (Emergency Installation)
b) Intensive inpatient service
c) Inpatient services
d) Outpatient services
e) Storage and distribution
f) Drug production
F. One Door Pharmaceutical Service
One-door pharmaceutical service is a system in which the Ministry of
Pharmacy itself uses one policy, one operational standard (SOP), one
operational supervision and one information system. The pharmaceutical
service system has a door in the sense of pharmaceutical installation as a sole
manager of hospital pharmaceutical supplies because:
 Hospital Pharmacy is responsible for all pharmaceutical goods
circulating in the hospital, either outpatient or hospitalized.
 Hospital Pharmacy is responsible for procurement and presentation of
ready-made drug information for all parties in the hospital, both health
officers and patients.

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 The hospital pharmacy is responsible for all the work of the
pharmaceutical services in the hospital.
Some factors to consider in conducting pharmaceutical services one-door
systems, among others:
 The number of service units in RS. It is useful to plan the number and
location of the pharmacy outlets.
 Estimate the number of recipes. Number of recipes per day during peak
hours
 Working hours and outside working hours (special TJGD/IRD).
 Kinds of drug items are prescribed. To determine the fast and slows
moving drug so that the drug supply is always present. This is very
closely related to the supply of funds.
 The amount of manpower required for each pharmacy outlet. To achieve
precisely the drug and timely. Available power for the dose dispensing
unit.pharmacy is available.

Legal basis of one-door pharmacy service:


 SK Menkes, number 085/Menkes/Per/I/1989 on the writing of generic
drugs in government-owned healthcare institutions, article 6 paragraph 1-
3
 SK Directorate General of Medical Services number 0428/Yanmed/
RSKS/ SK/ 1989 about implementation instruction SK Menkes, number
085/Men-Kes/ Per/ I/ 1989 on the writing of generic drugs in
government-owned healthcare institutions, article 8 paragraph 2-C article
9 paragraph 1-4

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The purpose of the one-door pharmaceutical ministry
 Optimizing coverage of emergency medicine services, general outpatient
recipes, outpatient Askes, general hospitalization/Askes, drug operations
and drug services poor people.
 Minimizing the delivery of drugs that are not timely, and minimizing
medication error.
 Patient Safety
 Improving the Ministry of Pharmacy.
 Optimization of pharmaceutical revenues so that RS revenue is increased
& the welfare of RS employees increase.
 As one means to repair RS image

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CHAPTER II

A. CONCLUSION
1. Hospital management system is an element of health information which
focuses mainly on the administrational needs of hospitals. In many
implementations, an HIS is a comprehensive, integrated information
system designed to manage all the aspects of a hospital's operation, such
as medical, administrative, financial, and legal issues and the
corresponding processing of services.
2. The role of hospital management is very closely related to healthcare
management and healthcare administration, but the education and training
experience for this particular role are geared solely towards building a
career in a large hospital setting.
3. The support management system is used in the hospital in order to
improve the quality of pharmaceutical care by pharmacist. It is consist of
organizing, finance, information management system, human resource
and support.
4. Human resources take an important role during the service based on
Permenkes 56 No 2014. As a pharmacist leader, there should be a
balances between the needs of human resource with number of jobs and
normal working time that we should take in the installation.

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SOURCE

Peraturan Menteri Kesehatan Republik Indonesia tahun 2014 tentang Klasifikasi


dan Perizinan Rumah Sakit

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