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I did my internship at Webuye District Hospital now referred to as Webuye County Hospital (after the 8 provinces and their administrators and districts were replaced by County Commissioners at the county read more) as a requirement by the Kenya Medical Training College – KMTC for the award of Diploma in Pharmacy.

Webuye county hospital is located along the Kakamega-Kitale road, Webuye Road Matulo Webuye West Bungoma, Kenya.

This is the report I wrote after completing my internship at the Webuye County hospital as a student.

The report provides some light on how the hospital looked in 2012. Despite its botched writing, it provides some insight into how the Webuye Hospital looked.

Here is my hospital pharmacy internship report sample.

Enjoy.

The main pharmacy Webuye District Hospital

In the main pharmacy, drugs in form of tablets, syrups, injections or topical applications include;

Antibiotics e.g. Septrin, Augmentin, metronidazole (i.v. or tablets), I.V ceftriaxone and ciprofloxacin tablets,

Antimalarials e,g. artemether-lumefantrin and quinine

Analgesics e.g. paracetamol, diclofenac and ibuprofen

Multivitamin e.g. enervit

Skin antifungal e.g. cotrimazole cream, hydrocortisone cream

Cough expectorants e.g. salbutamol

Antihistamin e.g. chlorphemiramine

Antihelminth e.g. albendazole

Ophthalmic medicine e.g. predsol, dexagenta, atropine, betamethasone and tetracycline eye ointment

Antacids e.g. magnesium trisillcate,

Anti-diabetics e.g. glibenclimide and metformin

Hypertensives e.g. atenolol, hctz, enapril and nifedipine

Just to mention a few.

Drugs in the pharmacy from the store are arranged in shelves and cabinets according to pharmacological action i.e antibiotics, analgesics, anti-psychotics.

Dispensed and pre-packed medicines are not arranged in any particular order, those that are fast moving e.g. paracetamol, amoxyl, piriton, and ibuprofen are kept in drawers near the dispensing window easy to pick and issue to the patient.

Others are arranged to the right and left of the dispensing bench. Some tablets are left loose in containers to serve the orders from the wards.

The pharmacy has one fridge where refrigerated drugs are kept e.g. insulin, muscle relaxants (atracurium, suxamethonium).

Morphine is kept in a large bottle in a cool dark place, other controlled drugs e.g. DF 118, misoprosital and morphine injection are kept under lock and key in drawer cabinet.

Drugs are dispensed to patients using patient cards, prescriptions and/or patient discharge form from the wards.

Prescriptions and patient cards come from departments like OPD, Ampath, Eye clinic and Dental clinic.

When the patient arrives at the window, he or she is given a quotation of drugs available in the pharmacy and send to pay at the revenue office first before he or she presents the same receipt to be given the medicines. The patient is counseled accordingly on the use of the drugs before going away, some prescriptions are send through the computer via FUNSOFT application, with this the patient number is entered in the computer then the medicines are viewed, available drugs are highlighted, the patient is given his quotation and his bill sent to the revenue office via the same. If the drug is not available the prescription is printed for the patient to buy from the chemist.

For antibiotics and ALs there is a register in which, for antibiotics e.g. amoxyl, doxycycline, and augmentin the patient’s name, OP/IP number and the quantity of the drugs issued are entered,

For ALs the IP/OP number is entered, the type of AL 6s, 12s, 18s, or 24s is marked and the quantity given recorded. These two registers are balanced page by page.

Orders form the wards and other departments e.g. amenity are served using the patient’s admission file. Drugs to be issued are written on a treatment sheet, one indicates on the file that the drug has been issued with the date of issue and the price of the drugs is written on the charge sheet. If they are fluids i.e. normal saline, ringers lactate or 50% dextrose, these are tallied according to the number of bottles given.

For injectables e.g. I.V  floxapen, I.V metronidazole and I.V ceftriaxone they are tallied according to the daily dosage. For ampoules, charges are per ampoule. Other drugs are recorded on the charge sheet with the cost against.

Bin cards are used when issuing these drugs, oral antibiotics are entered in their respective register.

There is usually clinics for hypertensive patients on Monday and that for diabetic patients on Friday

Therefore, drugs like nifedipine, atenolol, enalapril. HCTZ and glibenclimide, metformin respectively are prepacked earlier to avoid a large queue when dispensing.

There is CME (Continous Medical Education) on Monday in the pharmacy. Every one is given a chance to present. I got a chance to present and also learn from other educative topics presented by others.

Topics on diabeates, malaria, anemia, poisoning, management of burns, asthma, schizophrenia and hypertention which focused on the signs and symptoms of the conditions and management, both pharmacological and non-pharmacological were of great importance to me.

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