ST.

JOHN’S UNIVERSITY OF TANZANIA

SCHOOL OF PHARMACY AND PHARMACEUTICAL SCIENCES (SOPH)

FIELD WORK REPORT FOR THE FULFILMENT OF THE AWARD OF

BASICT ECHNICIAN CERTIFICATE IN PHARMACEUTICAL SCIENCES

(NTALEVEL04)

PST04213: PHARMACY PRACTICE

NAMEOFFIELDSTATION:KONGWA DISTRICT HOSPITAL

NAMEOFTHESTUDENT: JUNIOR ZUBERI KIONDO

NACTVETREGISTRATIONNUMBER:NS0345/0310/2021.

NAMEOFUNIVERSITYASSESSOR: KELVIN

DURATIONOFFIELDWORKPRACTICE: 6WEEKS

DATESFORFIELDPRACTICE: FROM 17 JUNE 2024 TO 26 JULY 2024

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 PREFACE
Thefieldworkpracticeisapartofprogrammedcoursewhichfocusesonexposingngthepharmacystudentstorealpract

[Link]

asslessonsintopractices.

Fieldworkpracticehastheaimofprovidingexperiencestostudentsontheprovisionofmedicalservicestopatients(co

mmunity),[Link]

expectedtoincreasetheirskillsatprogressivelyhigherlevelsofperformanceandresponsibility.

Thegoalofthefieldworkpracticeistodevelopexperiencesandcompetenceamongstudentstobecomecompetenthea

lthworkersforthedevelopmentofourcountry.

[Link],t

hroughobservation,questionsaskedtopharmaceuticalpersonnel,nurses,doctorsandotherstaffmembersfrom17JU

NE2024TO26JULY2024 Kongwa District Hospital.

ACKNOWLEDGEMENT
FirstlyIwouldliketoprovidespecialthankstomyALMIGHTYGODforhisblessings,

andhisgraceforhelpingmefrommybeginningofmyeducationlifeuptonowI‘havereachedtotheleve

lofuniversitystudies.

SecondlyspecialthanksgoestomyDearparentswhosupportedmefinanciallyandotherneeds,alsoSp
ecialthankstoMRmyCollegeSuppervisorfromStjohnsuniversityofTanzaniaforsuppervisingme
wellandinsistingmetoperformmyfieldworkatmybestlevel

ii
AswellasallstaffofpharmacydepartmentatStjohnuniversityofTanzaniawhohaveequippedmewithknowledgean
dskills.

ThirdlyIwouldliketoextendmygratitudetotheAdministrationdeprtmentofTAZAMANATUNZADISPENSAR
[Link]
Yandallotherhealthstaffmembersofallotherdepertmentssuchasmedicaldoctors,nurses,laboratorytechnicians,re
ceptionists,securityofficersandenvironmentalofficersforacceptingandteachingmedifferentthingsconcerningph
armaceuticalpracticeduringmyfieldworktime.

FinallyIextendmyappreciationtomyfellowstudentswhoweweretogetheratTazamanaTunaDispensaryfortheirco
operation,[Link].

TABLEOFCONTENTS
PREFACE....................................................................................................................................i

ACKNOWLEDGEMENT..........................................................................................................ii

ABREVIATIONS......................................................................................................................iv

DEFINITIONOFKEYTERMS...................................................................................................v

CHAPTER1................................................................................................................................1

1.0INTRODUCTION.................................................................................................................1

1.1INSTITUTION/FIELDCENTRE.......................................................................................1

1.2AIMANDDURATIONOFATTACHEMENT...................................................................1

1.3DESCRIPTIONOFTHEPHARMACYDEPERTMENT....................................................2

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 1.4ACTIVITIESCARRIEDOUTINTHEPHARMACYDEPERTMENT...............................2

CHAPTERTWO.........................................................................................................................4

2.0MAINBODY..........................................................................................................................4

2.1LABELLING/PREPARATIONOFLABEL..........................................................................4

2.2HANDLINGOFMEDICINESANDGIVINGINSTRUCTIONSTOPATIENT......................4

2.3RECORDINGOFDISPENSEDMADICINE/MEDICALSUPPLIES....................................7

2.4ORDERING,RECEIVING,ISSUINGANDRECORDINGOFMEDICINESANDMEDICAL
SUPPLIES...................................................................................................................................7

2.5ARRANGEMENTOFMEDICINEANDMEDICALSUPPLIES...........................................8

2.6STOCKCONTROLOFMEDICINESANDMEDICALSUPPLIES(PHYSICALSTOCKAN
DMEDICINERECONCILIATION)...........................................................................................9

2.7CHALLENGESDURINGDISPENSING............................................................................10

2.8LESSONSLEARNEDBEYONDLEARNINGOUTCOMES..............................................11

CONCLUSION.........................................................................................................................12

RECOMMENDATIONS..........................................................................................................13

REFERENCE............................................................................................................................14

ABREVIATIONS
N.H.I.F. National Health Insurance Fund

NNRTIs Non Nucleo side Reverse Transcriptase Inhibitors

A.R.V Antiretroviral

TB Tuberculosis

NRTIs Nucleoside Reverse Transcriptase Inhibitors

O.P.D. Out Patient Department

[Link]. Proton Pump Inhibitors

PEP PostExposureProphylaxis

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RHZERifampicin,Isoniazid,pyrazinamide,

INJInjection

FEFOFirstexpiredfirstout

FIFOFirstInfirstOut

[Link]
[Link]

RCHReproductive&Childhealth

STGStandardTreatmentguideline

ACEAngiotensinConvertingEnzymes

ARBsAngiotensinReceptorBlockers

IRDPInstituteofRuralandDevelopmentPlanning

DEFINITIONOFKEYTERMS
Prescription:itisalegalwrittenorderfromaqualifiedprescribertoaqualifieddispense
rwhichcontainsinstructiontodispenseorcompoundandadministerspecifiedmedicin
etoaclearlymentionedpatient.

Dispensing:Isconcernedwithpreparationandsupplyofmedicineormedicaldevicest
othepatient.

Bincard:Filecardsarephysicalkeptwiththestockwhichmakesvisualcheckeasyandr
emindstokeeprecords.

Ledgerbook:Isaboundorloose-
leafbookwhichisusedtokeeprecordsofalldrugsandmedicaldevicesfoundintheoffice
(store)

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Pharmacy:isabuildingwherepharmaceuticalitemsarestoredandsuppliedtocustom
erstogetherwithpharmaceuticalservices.

Drug:Anysubstancethataffectsthestructureorfunctionofalivingorganism.

Dosageform:Arethemeansorformbywhichdrugmoleculesaredeliveredtositeofacti
onwithinthebody.

Pharmacist:Apersonregisteredbythepharmacycouncil&shallnotbeentitledtoprov
ideservicesasapharmacist,unlessheisdulyregisteredunderthepharmacyact.

PharmaceuticalTechnician:Apersonenrolledbythepharmacycouncilandshallnot
beentitledtoprovideservicesasapharmaceuticaltechnician,unlessheisdulyregistere
dunderthepharmacyact.

Pharmaceuticalassistance:Apersonenlistedbythepharmacycouncilandshallnotb
eentitledtoprovideservicesasapharmaceuticalassistance,unlessheisdulyregistered
underthepharmacyact.

Medicine:Anysubstanceormixtureofsubstancesmanufacturedfortreatmentofdisea
sesorforuseinthediagnosis,preventionofdiseases,disordersorabnormalphysicalor
mentalstateorthesymptomsthereofinamanoranimal.

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 CHAPTER1

1.0 INTRODUCTION

1.1INSTITUTION/FIELDCENTRE
Kongwa district hospital is a public hospital located in Kongwa District in DODOMA region, it
is found about 2 km from Kongwa Distict councel.

The District Hospital is under the local goverment authority.

I started my field work practice on 17 JUNE 2024 TO 26 JULY 2024 for six weeks. We were
divided into different groups, these groups were rotated according to their assigned pharmacy
department at Kongwa District Hospital. This was done under supervision of the head of
pharmacy department and supported by other pharmacists in ensuring that all students gain
knowledge on different medicines dispensing store management and caring of patients.
This field work practice was done at Kongwa District Hospital found in DODOMA REGION.
It was conducted for six week from 24th June 2024 to 26th July,[Link] field work was
conducted in rotation format different department according to the roster.
The working environment at Kongwa District Hospital is good for learning and working. Also
workers are very cooperative and helpful in teaching.
Pharmacy department at Kongwa District Hospital is divided into the following units
including;
 Mainstore
 CTC unit.
 Out Patient Department (OPD)
 RCH unit
 IPD unit

MAIN STORE
The store is responsible for the, storage, procurement and distribution of medicines and
medical supplies throughout the health facility departments.
The store is divided into two parts which are main store and sub store.
ACTIVITIES
The following are the activities performed on the unit;

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  Arrange medicines and medical supplies in the medical store.
 Issue of medicines and medical supplies from the medical store to the other
departments. Example; OPD, IPD, and CTC
 Receiving of medicines and medical supplies from MSD or other health facility
 Arrange medicines according to the dosage form.
 Keep records of medicines and medical supplies issued and received on bin cards and
store ledger
 Management of controlled drugs.

Image of medicines at main store.

CARE AND TREATMENT CLINIC (CTC)

The department deals with provision of ARV drugs and Tuberculosis(TB) drugs to the
patients
ACTIVITIES
The following are the activities that have been conducted on the unit:
 Ordering ARV and TBdrugs/medicines from the mainstore.
 Receiveing and interpretation of prescription
 Dispensing ARV and TB drugs
 Arranging and storing ARV and TB drugs from the main store.
 Arranging HIV and TB drugs according to pharmacological, FEFO and FIFO.
 Counseling
Examples of medicines foundb in CTC unit include;

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  Zidovudine.(AZT)
 Nevirapine.(NVP)
 Lamivudine.(3TC)
 Efavirenz.(EFV)
 Abacavir.(ABC)
 Atazanavir.(ATV)
 Raltegravir.(RAL)
 Isoniazid
 Rifampicin
 Pyrazinamide
 Ethambutol
 Streptomycin

Image of medines at clinic of treatment and care.

OUT PATIENT DIPERTMENT(OPD)

Out patient's department of health centre designed for the treatment of out patients. For each
health center must have an OPD section purposely in providing services to the out patients. In
Mpwapwa District Hospital patients do attain their medicine and medical supplies from the
OPD pharmacy department.

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ACTIVITIES
The following are the activities carried out in OPD pharmacy department.
 Dispensing medicines and medical supplies to the patients.
 Ordering medicines and medical supplies in the sub store department.
 Aarranging medicines and medical supplies in their specific shelves and cupboards
 Counselling and providing correctly information to patient on how to use medicine
dispensing to them.
REPRODUCTIVE AND CHILD HEALTH
This is a department that is considered for administration of medicines and other services for
pregnancy women, labor, maternity, children under five years and family planning methods.
This department provides various medicines, supplement, vaccines, and dry items like
catheter, mark touch, urine bags, giving set and gloves.
The following are essential medicines found on RCH:
 Oxytocin injection
 Ketamine injection
 Mebendazole tablet
 Metformin tablet
 Follic acid
 Ferrous sulfate
The following are essential vaccines found on RCH:
 BCG vaccine
 DPT vaccine
 OPT vaccine
ACTIVITIES
The following are the ativities performed on the unit;
 Dispensing of different medicines according to prescription instructions
 Dispensing of medicines for children and providing them accurate doses
 Inventory control of the stock in the unit
 Arranging medicines in the shelves pharmacologically and using FEFO and FIFO
 Dispensing of medical equipments required for delivery example delivery kits.
AIMS
 The aim of study at this unit was to know common medicines used by pregnant
women attending RCH and also medicines for children and their doses and dispense
them according to prescriber's instructions.

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IN PATIENTS DEPARTMENT
Is the department which receives and gives drugs to patients from the doctor after observed
their diagnosis.
Also they are going to take the medicines or medical equipment in this department is
responsible for their condition do they have.
The dispensers were learned on how to dispense the medicines to the patients
The following are drugs that were available and dispensed by the unit:
 Ringer Lactate
 DNS injection
 Normal Saline Gentamicin injection
 Metronidazole tablet.
ACTIVITIES
The following are ativities performed on the unit:
 Dispensing of medicines to the patients with appropriate instruction.
 Arranging of medicines and medical supplies from the mainstore.
AIMS
 The aim of study at this unit was to know how to dispense medicine to different
groups of patients and understanding the common dispensed medicines at a certain
department.
.

CHAPTER: TWO

LABELING/PREPARATION OF LABEL

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A label means any materia which is printed or affixed to a packaging material which provides
the necessary information about the medicines.
The main function of a label on a dispensed medicines are to uniquely identify the contents of
the container to ensure that the patients have clear and concise information about the use of
medicines. Each dispensed medicine must have appropriate label to comply with the legal
and professional requirements.
All medicines to be dispensed should be clearly labeled and the label should unambiguous,
clear, legible and indelible.
The main label should clearly state the following:
 The name and quantity of the preparation
 The patient’s name
 The date of dispensing (preparation date)
 Dose and instruction for use.
 The expiry date, where applicable and/or manufacturing date
 Storage condition
 The name of the dispenser (initial)
 The name and address of the dispensing institution.
 Required dispensing information, such as Shake well before use.
Preparations intended for application to the skin were labelled “for External Use only” invred;
those to be used in the mouth but not to be swallowed, get anauxiliary label “Not to be
swallowed”. “Not to be taken” is used for liquid preparations which are not administered
orally and which are not applied to skin surfaces such as ear drops, eye-drops, nasal drops,
and enemas and for solid dosage forms which might, by error, be administered orally such as
in halation capsules, and solution tablets. All dispensed medicines were having the
instruction: “Keep out of Reach of Children”

CHAPTER: THREE

6
HANDLING OF MEDICINES AND GIVING INSTRUCTION TO
PATIENTS/CLIENTS.

Handling ofmedicines andmedical supplies is essential to ensure safety and efficacy of

medicines.
At Mpwapwa District Hospital medicines were handled as follows:
o In the store, medicines were kept on shelves however boxes were placed over inorder
to ensure medicine safety.
o The shelves were labeled to mark various types of medicines stored in the store
basically through pharmacological system.
o Handling of cold medicine was throughth erefrigerators which were used to keep the
medicines which need cold temperatures example insulin, ergometrine
o There was bin card to record transaction of each item and store ledger to record the
movement of medicines and medical supplies in the store.
o An electronic system was used for ordering, receiving and issuing of medicines and
medical supplies.

GIVING INSTRUCTIONS TO PATIENTS.

Before dispensing medicine to patients instructions on how to use the medicines are very
important to ensure his or her health through the safe use of medicines. At Mpwapwa District
Hospital, instructions on how to use and to store of the medicines are provided topatients
clearly.

CHAPTER: FOUR.

7
RECORDING OF DISPENSED MEDICINES/MEDICAL SUPPLLIES.

Prescriptions were recorded and documented as a proof of transaction between the patient and
the dispenser, therefore prescriptions can be traced back if any need arises. All dispensing
units should have a standardized Prescription Registration Book(PRB) for recording every
pharmaceutical issued to a patient.
A computerized dispensing and registration system may also be used but should always be
supported by paper backup. The registration book was completed at the time of dispensing or
at the close of the working day. The prescription registration book were used both when
prescriptions are retained in the pharmacy and when they are returned to thepatient.
For a prescription which is returned to a patient because all the items in the original
prescription could not be filled, the medicines that have been dispensed from the pharmacy
were copied on a blank prescription and the prescription were filed appropriately
On the original prescription, which is retained by the patient, the word “dispensed” were
stamped adjacent to those items which have been dispensed.
Records for medicines and medical supplies which are commonly used at Mpwapwa District
Hospital are:
o Store ledger
o Bin cards
o Issue voucher
o Receipt voucher
o Requisition form/ voucher
THE DISPENCED DRUGS:
PARACETAMOL TABLET 500mg
Is the white tablet with bitter taste, each tablet contains 500mg of paracetamol B.P and
therapeutic class is analgesic and antipyretic.
Dose: Adult,500mg every 6-8hours orally maximum not more than 8tablet in 24hours.
Children,10mg/kg every 8-12hours.
Indication: symptomatic relief of mild to moderate
Side effects: Vomiting, headache, diarrhoea
ALBENDAZOLE TABLET SUSP

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Indication: Albendazole tablets USP is a broad-spectrum ant helminthic for the treatment of
single or mixed infection of Enterobius vermicularis, trichuristrichiura, Ascarislumbricoides,
Ancylostomaduodenale, Necatoramericanus and Strongloidesstercoralies.
Dose: A single dose isb400mg, but children under 10kg must take 200mg as a single dose
Side effects: headache, vomiting and dizziness.
METRONIDAZOLE.
Are antimicrobial drugs used to treat bacterial vaginitis, trichomoniasis, ameobiasis, and
anaerobic bacterial infection.
Indication of metronidazole
Susceptible anaerobic infection, including intra-abdominal, skin and skin structures,
gynecologic, bacterialsepticemia, boneandjoint, CNS, lower respiratorytract, endocarditis
Dose of metronidazole
Adult dose is 400-500mg, 8hourly for 10days repeat course after two week if necessary. In
Children1-3year the dose is 100-200mg hourly for 10days. In Children 3-7 years the dose
is100-200mg 6hourly for 10days. In Children7-10year the dose is 200-400mg 8hourly for
10days.
Side effect of metronidazole.
o Nausea
o Abdominalcramps
o Stomachupset
o Vomiting
o Diarrhea
o Constipation
FUROSEMIDE TABLET BP 40MG
Composition:
Each tablet contains Furosemide-40mg (un-coated/sugar–coated/film-coated)
Indication:
Furosemide is used to treat mild to moderate hypertension; cardiac, pulmonary, renal, hepatic
and cerebralodema.

Contraindication:
Furosemide is contraindicated in acute nephritis and acute renal [Link] most common
side effect is fluid and electrolyte imbalance.

9
Sideeffect:
Those side effect are relatively un common, include allergy, nausea, diarrhea, blurredvision,
dizziness, headache, skin rashes, and hypotension.
[Link].
Are antimicrobial drugs used to treat bacterial vaginitis, trichomoniasis, ameobiasis and
anaerobicbacterial infection.
Indication of metronidazole
Susceptible anaerobic infection, including intra-abdominal, skinandskinstructures,
gynecologic, bacterialsepticemia, boneandjoint, CNS, lower respiratorytract, endocarditis.
CIPROFLOXACIN 500mg
Ciprofloxacin is one of the most active fluoroquinolones and acts by inhibiting bacterial
DNA gyrase. Its spectrum includes both grampositive and gram negative organisms including
Enterobacteriaceae, and Pseudomonas, Penicillin as producing and methicillin resistant
Staphylococci.
Indications: it is indicated for the treatment of infection such as Urinary Tract Infections
(UTI), Ear infection, Throat Infection, Skin and soft tissue infection, Bone and joint infection,
Eyeinfection, Prostatis,Gonorrhea and Enteric Fever.
Contraindications: it is contraindicated in patients with hypersensitivity to the active
substance and to the quinolones.
Adverseeffects: Nausea, Vomiting, epigastriadistress, headache, diarrhea, rash, joint pain,
dizziness, tremor, convulsions, jaundice, hepatic and renal failure.
Dosage
ADULT:
Oral: UTI: 250mg 12hourly
Prostates and complicated UTI: 500mg 12hourly
ENT, bone and jointbINF: 500-700mg 12hourly
Enteric Fever: 500-750mg 12hourly
Gonorrhea: 250mg singlebdose.
CHILDREN:
Oral: 20-30mg/kg/day
Specialprecautions: ciprofloxacin should be used with caution in patients with renal and
hepatic impairment, cerebral arterios clerosis or epilepsy. Keep patient well hydrated to
prevent crystalluria. Alcohol increases adverse effect of this drug.
Storage: store in a dry and dark place, between 15ºC-30ºC. Keep out of reach

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OMEPRAZOLE CAPSULES 20mg.
Indications: Duodenal ulcer; omeprazole capsules are indicated for short-term treatment of
active Duodenal ulcer, treatment of gastroesophageal reflux disease (gerd) and pathological
hypersecretory conditions are the indications of Omeprazole.
Dosage: as directed by the physician.
Contraindications: Omeprazole capsules are contraindicated in patients with known
hypersensitivity to any component of the formulation.
Precautions: Omeprazole capsule should be taken before eating. Patients should be cautioned
that the Omeprazole capsule should not be opened chewed or crushed and should be
swallowed whole.
Storage: do not store above30ºC. Protect from light and moisture. Keep the medicine out of
reach of children.

Image of medicines at dispensing area.

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CHAPTER: FIVE

PATIENT/CLIENT CONCERNS
1. Checking the patient understanding to the given information about the medicines, the
pharmaceutical personnels should check if the patient is aware and well understanding
the side effect, precaution and interaction and the patient should agree to take the
medicine if she/he full understand the explanation of the drug according to the
information that provided by pharmaceutical dispenser
2. Checking if everything is understood. Everything is clear to patient or else repeat the
information let the patient ask any more [Link]
 How to take the medicines
 Chewing/swallowed whole
o Taken with plenty of water
 When to take medicine
 The right dose and dosage
 In relation to food and other medicines
 How to store medicine
Warnings in case of possible common side effect but harmless like nausea, milddiarrhea, and
urine changing color
Reporting back in case of an unfavorable or harmful effect of medicine and drug interaction

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CHAPTER: SIX
ORDERING, RECEIVING, ISSUING AND RECORDING OFMEDICINE AND
MEDICALSUPPLIES.

Ordering of medicine and medical supplies is a process of placing a request to a supplier to

get needed stock.
Things considered when new order was placed at the facility.
I. What to order
II. When to order
III. How much to order.
The process of ordering at Mpwapwa District Hospital was done through an electronic system
known as ELMIS–Pharmacy. The process was done as follows:
IV. A hand stock count of all items in the store was done, to obtain which items were
running out of stock.
V. The order then was processed and the required items were sent to the hospital, for
items which went missing at MSD permission was granted to order from near by
prime vendors.
RECEIVING OF MEDICINE AND MEDICAL SUPPLIES.
This is the process of receipt medicine and medical supplies from selected qualified vendor.
 The following is receiving process at Mpwapwa District Hospital.
 There was a room (store) sufficiently accommodated all the items ordered which
contained the shelves and palates for storing medicines andvmedical [Link]
was also a thermometer to monitor temperature. Items were received by the
pharmaceutical personnel and approved by health facility Therapeutic
Committee(HTC).
 Then received items were entered in to bin cards, the store ledger and computer
system.
 For any discrepancy observed verification claim forms was filled out and sent to MSD
or other suppliers.

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ISSUSING OF MEDICINE AND MEDICAL SUPPLIES
Issuing of medicine and medical supplies is a process of allocating medicines and medical
supplies from the store to other units of the facility.
Process of issuing medicines and medical supplies at the facility was as follows:
The unit was required to fill R&R form electronically including the names and quantity of
medicines and medical supplies they need and then send it to the store room.
After the order has been reviewed by the pharmaceutical personnel incharge, the order was
processed according to the availability of items in the store.
An issue voucher was filled including the issued items with the quantity issued and it was
signed by both who ordered and who issued.

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CHAPTER: SEVEN

ARRANGEMENT OF MEDICINES AND MEDICAL SSUPPLIES.

Medicines andmedical supplies should be properly arranged in the store and in the dispensing
room to ensure no confusion is encountered during use of the medicines and the room looks
well organized.
Systems of arranging medicines include:
I. Therapeutic or pharmacological
II. Dosage form
III. Frequency of use
IV. Commodity coding
V. FEFO and FIFO.
At Mpwapwa District Hospital medicines were arranged commonly using the Therapeutic
effects, frequency of use and dosage form and FEFO and FIFO

CHAPTER: EIGHT.

CHALLENGES DURING DISPENCING.

At Mpwapwa District Hospital the challenges faced during my field work includes:
 Some medicines and medical supplies were out of stock.
 Sometimes prescribers use brand name.
 Language barrier with some patient.
 Problem in prescribing the prescription due to bad hand writing.

CHAPTER: NINE.
15
LESSON LEARNED BEYOUND LEARNING OUT COME.

o Improving my skills in dispensing practice.

o Caring out store tasks pertaining to filling the bin cards, store ledger and issue/receipt
voucher.
o Filling the ledger book, ordering and receiving of new items.
o I have been able to improve skills in providing services to HIV/AIDS,TB clients.
o I have expanded knowledge about various drugs and how they work and how to
manage various communicable and non-communicable diseases seen at the facility.
o Improving good communication to patient when they use bad language.

RECOMMENDATION

The challenges can be avoided by various ways but the following is my suggestion on how to
do inorder to improve the provision of quality services and to make the students to acquire
more skills, the following are the recommendations which are:
 The government should make the budget of build the laboratory which could help in
compounding of medication for paediatric.
 There should be direct contact between pharmacists and prescribers so that they may
advice each other when needvarises.
 Medical store department(MSD) should ensure that there are enough controlled drugs,
ARV and other medicines and medical supplies to the station at thebright time because
this seems to be a problem.
 The college must increase the time for field in order to make us more competent than
we are now.
 The government should employ the pharmaceutical personnel inorder to increase the
quality of services.

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CONCULUSION:
I would like to thank Kongwa District Hospital administration for collaborative
and supportive assistance from the beginning of my field work up to the
completion of this Field. I have learnt a lot during my field practice, the use of
computer systems in health facility and inventory control in the pharmacy unit.

DEFINITION OF TERMS:

17
A prescription:
Is an order from aqualified prescriber to a qualified dispenser to supply medicines to a
specified patient.
Dispensing:
Can be defined as the process of preparing and distribution of medicines and medical
supplies to the patients with appropriate instruction and follow up.
Uncomplicated malaria:
Is defined as symptomatic malaria without signs of severity or evidence (clinical or
laboratory) of vital organ dysfunction medicine for use of thepatient.

Medicine:
Any substance or mixture of substances manufactured for treatment of diseases or for use in
the diagnosis, prevention of diseases, disorders or abnormal physical or mental state or the
symptoms there of in a man or animal.
Patient/Client:
Is a person who needs the health services.
Dose:
Is the amount of drug taken regularly during treatment period.
Side effect:
Is the effect whether is therapeutic or adverse that is secondary to one who intended.
Non-communicable disease:
Is a disease that cannot transmitted from one person to another.
Communicable disease;
Is a disease that can be transmitted from one person tovanother.

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