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Providing standard medical service and safety awareness as well as drug use accurately and appropriately.

The Pharmaceutical Group, formerly known as “Department of Pharmaceutical Depot” is one of the departments that has been adjacent to King Chulalongkorn Memorial Hospital since its establishment in 1914. At that time, the medicine room was located in the administrative building and the medicine warehouse was in the basement. The 1^st Head of department was Capt. Luang Phesaj Raksa (Poi Raksa Suk).

In 1925, he was the key person who collected the first issue of the pharmacopoeia drug called “Pharmacopoeia of King Chulalongkorn Memorial Hospital” to be used in the hospital. Later, in 1932, the Department of Drug Depot changed its name to “Department of Medical Supply”.

And, in 1948, the Department was divided into 3 sub-departments, namely the Drug mixing unit, the Medicine warehouse and the circulating Capital room under the supervision of the circulating Capital Committee.  Dr. Luang Phromatta was its first president. The first drug commercials began on 26 August 1948 with a list of 110 drugs.

In 1961, the Medical Building was opened to provide drug distribution in the medical warehouse as well as a circulating medicine room for generic drugs. Later, in 1967, the Thai Red Cross Society announced the “Medicine department” to be separate from the pharmaceutical department to manage circulating medicine in particular.

Since then the Medicine Department, King Chulalongkorn Memorial Hospital has been developed continuously through key milestones and various advanced technologies and innovations under the leadership of department heads in each era and became the “Pharmaceutical Group”.

Vision

We aim to provide standard medical service wholeheartedly and safety awareness as well as drug use.

Mission

Providing pharmaceutical services with efficiency, effectiveness, standards, safety, accuracy, for customer satisfaction by receiving high quality, ready to use drugs while educating with knowledge and understanding of drug use.

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The Pharmacy Section consists of the following sub-departments;

1. Pharmaceutical services.

• Drug storage unit.
• Purchasing unit.

2. Pharmaceutical manufacturing.

• General medicine production unit.
• TPN sterile drug production unit.
• Chemotherapy unit, Luan – Perm Pool Vongvanich Building.
• Individual aseptic mixing unit * (IV admixture)

(*In progress).

3. Clinical Pharmacy Services.

• Outpatient pharmaceutical care unit.
• Clinical Pharmacy Services.
• Inpatient pharmaceutical care unit.
• Center for monitoring adverse drug reactions.

4. Pharmaceutical information and quality development work.

• Department of Pharmaceutical Information (DIS).
• Pharmaceutical information and quality improvement work.
• Quality development unit.

5. Pharmaceutical Outpatient Services

• Outpatient drug unit, Bhor Por Ror, 1^st Floor
• Outpatient drug unit, Bhor Por Ror, 2^nd Floor
• Outpatient drug unit, Bhor Por Ror, 3^rd Floor
• Outpatient drug unit, Bhor Por Ror, 5^th Floor
• Ambulatory drug unit, Bhor Por Ror, 7^th Floor
• Outpatient drug unit, Bhor Por Ror, 9^th Floor
• Patient admission unit, Bhor Por Ror, 11^th Floor
• Outpatient drug unit, Bhor Por Ror, 13^th Floor
• Outpatient drug unit, Jumpojboripat Building, 1^st Floor
• Outpatient drug unit, Bhumisirimangalanusorn Building, 1^st Floor
• Emergency medicine unit, Bhumisirimangalanusorn Building, Floor M
• Outpatient drug unit, Sor Thor, 3^rd Floor
• Outpatient drug unit, Jong Kolnee Building, 3^rd Floor

6. Pharmaceutical services, inpatients.

• Inpatient drug unit , Bhumisirimangalanusorn Building, B1 Floor
• Inpatient drug unit, H.M. Queen Sirikit Building, 13^th Floor
• Inpatient drug unit, Special Inpatient, 14 Story Building, 1^st Floor

7. Administration and Accounting.

• Chief of Administrative and Accounting Section and Administration and Accounting, Ratanavidhayabhat building, 5^th Floor, Zone B

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Services

Pharmaceutical Operations Cluster provides 7 various pharmaceutical services which are:

1. Pharmaceutical Services

Pharmaceutical Services plays a role in purchasing, storing, and dispensing drugs to the dispensing unit, under the management concept that emphasizes safety, standard and sufficiency for the needs.

1.1 Purchasing
2,200 items of medical drug are purchased according to the hospital’s pharmacopeia list under the regulations of supplies. At King Chulalongkorn Memorial Hospital, there is a good tracking and logistics systems of the suppliers. Hence, there always is enough reserve in the hospital. In addition, a quality control system is implemented on drug suppliers to guarantee good transportation standards.

1.2 Drug Warehouse
At KCMH, there is a standard and safe storage of drugs in the warehouse. There is a dispensing system to the dispensing unit with an electric powered vehicle monitored closely by a staff throughout the transportation and delivery to the wards. More importantly, a refrigerated temperature-control system of the drug is also deployed to maintain the quality of the drug throughout the storage and transportation period before delivery to the patient. Last but not least, there is also a report mechanism of drug quality problems from the dispensing unit and medical personnel in order to ensure the delivery of effective drugs to patients.

2. Pharmaceutical Production 

Pharmaceutical Production, with a main function in drug formulation development and enhancement, is divided into 4 sub working units as follows:

2.1 General Drug Production Unit

The unit provides development and formulation services for drug formulations most of which are the production and mixture of drugs that are not commercially available in the market. It is the production of drugs according to the requirements of doctors or produced to the specific needs of the patients, especially of some pediatric patients who cannot use commercially available drugs. Moreover, drugs are prepared for use in the research of physicians as well.

In addition, there are drugs for general distribution. Including drugs and cosmeceuticals that are sold in drugstores of Chulalongkorn Hospital and exhibited on special occasions These products For example, Chula Nam Chula, Chula inhaler, Chula balsam, Liquid soap without alkali (Chula soap), urea cream (Apply to relieve heel symptoms and dry, cracked skin), etc. There is also a regular home medicine bag. Which will be produced every year as well

2.2 TPN Sterile Drug Production Unit

It provides services for the production of parenteral nutrition, injectable drug, and intraocular drug which is the production process used. High resolution And not sold online

2.3 Chemotherapy Mixing Unit

Provides inpatient and inpatient chemotherapy preparation services. Outside of Chulalongkorn Hospital  

2.4 Individual sterile drug mixing unit

Provides mixing and repacking services for specific patients.

3. Clinical Pharmacy Services

Provides drug administration care and monitoring services for a specific patient. To enable patients to use their medicines correctly, conveniently, safely, get the most from treatment and have better quality of life It is responsible for finding, monitoring and solving drug related problems that may or may arise in the future.

As well as providing consultation, preparation and passing on necessary drug information to multidisciplinary teams to assist the team in decision-making, treatment planning and treatment of patients, currently operating in accordance with the professional standards of pharmaceutical profession, hospitals focused on promoting Drug treatment was most effective for patients in 7 activities, namely

1. Pharmaceutical care work in the ward (Acute Care)
2. Pharmaceutical care work, clinical disease specific for outpatients (Ambulatory Care)
3. Adverse Drug Reaction Monitoring and Evaluation of Adverse Drug Reactions
4. Teaching and giving advice on drug use in vulnerable patients while in hospital (In-patient Education)
5. Guidance, measurement and monitoring work of blood vancomycin (Therapeutic Drug) (Vancomycin) Monitoring)
6. Coordination and comparison of drug lists of patients (Medication Reconciliation).
7. Promotion, control, and supervision of the proper use of microbes (Antimicrobial Stewardship)

4. Pharmaceutical information and quality development work

4.1 Drug Information Service: DIS

Pharmacists in the unit are responsible for answering questions and giving advice. Advise the use of drugs to healthcare professionals, including doctors, pharmacists, nurses, etc.

It also manages hospital drug accounts (Hospital Formulary) through the Medical Committee. To consider the selection of effective drugs And suitable for treating patients in hospitals In addition, accurate drug knowledge dissemination is carried out. Introduction of new drugs Including collecting common problems in drug use Via journal “Tell telling stories about drugs” to medical personnel in the hospital via email. To promote the correct use of medication.

4.2 Quality Development Unit: QDU
Quality Development Unit (QDU) is responsible for driving quality development processes related to the pharmaceutical group. And drug management system Together with the supervision of work development by analyzing various information to find development opportunities and planning for development work.

Support and promote an atmosphere of quality development in the organization Team work Focus on the exchange of knowledge Knowledge management Promote communication Coordinate information during work or activities within the pharmaceutical group. Including other related agencies With a focus on safety Conforms to the standards High efficiency In accordance with the mission and vision of the pharmaceutical group And the goal or focus on the quality development of the hospital.

5. Pharmaceutical work, outpatient service

Outpatient Medication Service Is a job in the pharmaceutical group Consisting of 13 drug dispensing units, the drug dispensing service is provided to patients who come to be examined on a patient basis other than clinics at the Bhor Por Building Including outpatients who have been examined from various centers of excellence at Bhumisirimangalanusorn Building and the building The MPH averages around 4,200 – 4,500 people. Computerized Physician Order Entry (CPOE)

All drug instructions will be reviewed by the pharmacist. With an information system that links various patient information, such as drug history Diseases or symptoms that come to the doctor A history of drug allergy Laboratory results required for drug use Facilitates the evaluation of prescriptions for the correctness.

It is safe before the pharmacist can deliver that drug to the patient. It provides advice, precautions, as well as the dosing practices for patients. Understand correct drug administration and cooperate in the use of prescription drugs.

6. Pharmacy, inpatient service 

Provides drug dispensing services for inpatients at various wards, including the Bhumisirimangalanusorn Building Ward, the SOC Building and Special Inpatient, 14 Story Building Wards, with a distribution system to the wards. Critically ill every day And for the general ward every 3 days

7. Administrative and accounting work        

Take care of paperwork And coordination between the heads of the pharmaceutical group Supervisors and Head of the Dispensing Room in Chulalongkorn Hospital

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Service Time and Locations

Division	Location	Tel	Service time
– Head of Pharmaceutical Section – Chief of Administrative and Accounting Section – Administration and Accounting	Ratanavidhayabhat building, 5th Floor, Zone B	02 256 4000 Ext. 60527 02 256 4000 Ext. 60515 02 256 4000 Ext. 60517, 60521-2	08.30 – 16.30
– Chief of Clinical Pharmacy Services – Ambulatory Care – Acute Care – Adverse drug monitoring center	Bhumisirimangalanusorn Building,11th Floor	02 256 4000 Ext. 81127 02 256 4000 Ext. 81129 02 256 4000 Ext. 81130 02 256 4000 Ext. 100, 81128	08.30 – 16.30
– Head of Pharmaceutical Information and Quality Development – DIS – Quality Development Unit	Ratanavidhayabhat building, 5th Floor, Zone B	02 256 4000 Ext. 60544 02 256 4000 Ext. 60599  02 256 4000 Ext. 60531-4	08.30 – 16.30
– Head of Pharmaceutical Manufacturing – Chemotherapy Unit	Luan – Perm Pool Vongvanich Building, 4th Floor	02 256 4000 Ext. 4538 02 256 4000 Ext. 4538	08.00 – 16.00
– General Pharmaceutical Production Unit – TPN	Parking Building, 8th Floor	02 256 4000 Ext. 4527, 4528, 4205 02 256 4000 Ext. 4529	08.00 – 16.00
– Chief of Pharmaceutical Services – Purchasing unit – Drug Depot Unit – Saline room – Examination room	Bhumisirimangalanusorn Building, Floor B1	02 256 4000 Ext. 80191 02 256 4000 Ext. 80175 02 256 4000 Ext. 80177 02 256 4000 Ext. 80178, 80179 02 256 4000 Ext. 80180	08.30 – 16.30
– Chief of Pharmaceutical, Outpatient Service – Outpatient Drug unit – Emergency medicine unit	Bhor Por Ror, 9th Floor Bhor Por Ror, 1st Floor Bhor Por Ror, 2nd Floor Bhor Por Ror, 3rd Floor Bhor Por Ror, 5th Floor Bhor Por Ror, 7th Floor Bhor Por Ror, 9th Floor Bhor Por Ror, 11th Floor Bhor Por Ror, 13th Floor Bhumisirimangalanusorn Building, 1st Floor Jumpojboripat Building, 1st Floor Sor Thor, 3rd Floor Jong Kolnee Building, 3rd Floor Bhumisirimangalanusorn Building, Floor M	02 256 4000 Ext. 5258 02 256 4000 Ext. 5460 02 256 4000 Ext. 5107 02 256 4000 Ext. 5410 02 256 4000 Ext. 5358, 3426 02 256 4000 Ext. 5308 02 256 4000 Ext. 5258 02 256 4000 Ext. 5206 02 256 4000 Ext. 5122 02 256 4000 Ext. 80172 02 256 4000 Ext. 4586 02 256 4000 Ext. 70303-70306 02 256 4000 Ext. 5137 02 256 4000 Ext. 83039, 83040	08.00 – 16.00 08.30 – 16.30 24 Hour
– Head of Inpatient Pharmacy – Inpatient Drug unit	Bhumisirimangalanusorn Building, Floor B1 Bhumisirimangalanusorn Building, Floor B1 H.M. Queen Sirikit Building, 13th Floor Special Inpatient, 14 Story Building, 1st Floor	02 256 4000 Ext. 80187 02 256 4000 Ext. 80185-80186 02 256 4000 Ext. 4953, 5353 02 256 4000 Ext. 4700	08.30 – 16.30 24 Hour 08.00 – 16.00

Contact

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