Table of Contents
Administrative
| Policy & Procedure Manual Objectives | 1.0 |
| Pharmacy Services Locations and Hours of Operation | 1.1 |
| Staffing Plan | 1.1.1 |
| Personnel and Licensing | 1.2 |
| Technician Training Series | 1.2.1 |
| Orientation, Training and Competency Assessment | 1.2.2 |
| Pharmacy Technician to Technician Specialist Upgrade | 1.2.3 |
| Scope of Services | 1.3 |
| Time and Attendance | 1.4 |
| Behavior of Employees | 1.5 |
| Inclement Weather Plan | 1.6 |
| Pharmacy Faculty Practice Criteria | 1.7 |
| Organizational Plan, University Hospital | 1.8 |
| Organizational Plan, Pharmacy Department | 1.9 |
General
| Acceptable Abbreviations | 2.0 |
| Alcoholic Beverages | 2.2 |
| Confidentiality of Drug Information and Medical Records | 2.3 |
| Prescription Availability | 2.4 |
| Disaster Plans - External | 2.5 |
| Internal | 2.5.1 |
| Biological Terrorism | 2.5.2 |
| Chemical Exposure/Decontamination | 2.5.3 |
| Discarding Medications Policy | 2.6 |
| Distributing Information to Staff | 2.7 |
| Drug Preparation, Dispensing and Distribution | 2.8 |
| Drug Recall | 2.9 |
| Drug Defect | 2.10 |
| Drug Samples | 2.11 |
| Formulary System | 2.12 |
| In-Service and Continuing Education | 2.13 |
| Inspection of Medication Storage Areas | 2.14 |
| Inspection Record | 2.14a |
| Investigational Drugs | 2.15 |
| Medications Brought into the Hospital by Patients | 2.16 |
| Medication Variances | 2.17 |
| Loans and Borrows | 2.18 |
| Outpatient and Employee Prescriptions | 2.19 |
| Pneumatic Tube Policies | 2.22 |
| Pharmacy Computer System | 2.23 |
| Emergency Call Back Procedure | 2.25 |
| Disposition of Medications | 2.26 |
| Patient Rights | 2.27 |
| Pharmacy Security and Access | 2.28 |
| Emergent Pharmacy Entrance by UPD | 2.29 |
| Preceptor Program | 2.30 |
| Physical Inventory | 2.31 |
Unit Dose
| Unit Dose - Purpose | 6.0 |
| Unit Dose - Centralized | 6.1 |
| Patient Medication Delivery Exchange UD - Fill | 6.2 |
| Unit Dose Quality Assurance | 6.3 |
| Unit Dose Cart Keys | 6.4 |
| Quality Improvement - Medication Dispensing | 6.5 |
Pharmacy Satellites
| Viral Disease Clinic | 7.1 |
| Ambulatory Care Clinic Pharmacy | 7.2 |
| Medication Assistance Program | 7.2.1 |
| Plavix and Fragmin Patient Assistance Programs | 7.2.2 |
| Outpatient Order Entry | 7.2.3 |
| Lyrica Drug Samples | 7.2.4 |
| Feist-Weiller Cancer Center Pharmacy | 7.3 |
Clinical
| Pharmacist Assessment of Patients | 8.0 |
| Pharmacist Therapeutic Intervention | 8.1 |
| Aminoglycoside Monitoring Protocol | 8.2 |
| Extended Interval Gentamicin, Tobramycin & Amikacin | 8.3 |
| Vancomycin Monitoring Protocol | 8.4 |
| Cardiopulmonary Resuscitation | 8.5 |
| Medication Use | 8.6 |
| Drug-Nutrient Interaction | 8.7 |
| Patient Education Discharge Prescriptions | 8.8 |
| Medication Use Evaluation (MUE) Program | 8.9 |
| Adverse Drug Reaction Reporting | 8.10 |
| Pharmaceutical Care Plan | 8.11 |
| Education Plan | 8.12 |
| Poison Control | 8.13 |