The term ‘technical services’ usually refers to the elements of hospital pharmacy organisational structure related to pharmaceutical production, manufacturing and associated quality assurance (QA) functions.
Technical services
The term ‘technical
services’ usually refers to the elements of hospital pharmacy organisational
structure related to pharmaceutical production, manufacturing and associated
quality assurance (QA) functions. The defin-ition has been modified to suit
local situations and changes in emphasis within hospital pharmacy production
and preparation. For the purposes of this chapter, ‘technical services’ will
include:
· pharmaceutical
repackaging
· non-sterile
manufacturing
· sterile
manufacturing (terminal sterilisation)
· aseptic preparation,
including:
·
parenteral infusions
·
cytotoxic infusions
·
total parenteral nutrition (TPN) solutions
·
radiopharmaceuticals.
In some centres, the
different aspects of aseptic preparation are grouped under the heading
centralised intravenous additive services (CIVAS). However, this does not
adequately describe aseptic preparations requiring more complex manipulations
than simple addition or the preparation of parenteral products for
non-intravenous administration. For this reason the term ‘compounding’ is
increasingly used to describe aseptic preparation services. Chapter 7 deals
with QA.
This chapter will
outline the development of technical services and then describe current
practice across the range of services listed above. The respon-siveness of
technical services to clinical need and changes in practice is illus-trated
with selected examples of development and progress. These also serve to
emphasise the interdependence of hospital pharmacy clinical, procurement and
technical services. Finally, the new challenges facing technical services will
be explored in the context of future trends in healthcare services.
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