PICTURE PHARMACY SERVICES BEFORE THE ERA OF ACCREDATION

Along with the implementation of the National Social Security system which has been in effect as of January 1, 2014. The role of pharmacy services is increasing in the effort to achieve the Millennium Development Goals (MDGs) through the rational use of medicines (POR). However, based on survey results DG of Pharmaceutical and Medical Devices Ministry of Health show that the health center care has implemented new standards-compliant pharmacy services reached 25%. This condition illustrates that most health centers still apply care pharmacy service was good. This becomes an obstacle to achieve optimal pharmaceutical services which will be reflected by the low level of satisfaction and public confidence in the pharmaceutical services. Thus the need concerted efforts to realize the quality of service expected.
            Based on the facts on the ground as a base percentages care health center primary care pharmacists who own and run a comprehensive pharmacy services only about 25% if the remaining 75% are ready to follow the pace of the demands of time or wait and see? One important effort in realizing the role of pharmacists is to drugs information service provider / health workers and patients in order to improve the Quality of life pasein so expect an increase in patient satisfaction with pharmaceutical services and the positive impact can be felt by society in general. Therefore, it needs to be grown responsiveness and aspects of discipline and certainty of the time required to serve a comprehensively be made a permanent procedure that is qualified, tested and trustworthy.
           It also runs the functional role of pharmacists in a comprehensive manner. The role is the primary duty of clinical pharmacy. This activity consists of prescription services, provision of drug information, counseling, visite either independently or with a team, the manufacture of means of information, counseling in health promotion efforts and home care pharmacy. Other duties as are inherent role of recording and reporting, monitoring, rational drug use and generic drugs, administration of drug misuse (medication errors), monitoring of drug side effects, pharmacy records, monitoring, evaluation and follow-up (MoH, 2009).
           Pharmacy services is not separated from the responsibilities of the profession of pharmacy (Pharmaceutical care). The role of pharmacists in the pharmacy services at the health center includes administrative pharmaceuticals and medical devices and clinical pharmacy services. This clinical pharmacy services includes prescription drug services, drug information, counseling visite independently or with the medical team, the manufacture of means of information such as brochures, leaflets, posters, newsletters, health promotion, home care. Types of pharmacy services is also a professional services that can be measured by looking at and considering the level of patient satisfaction.
           Implementation of the role and functions of pharmacists in the pharmacy services in Pusksemas be supported and sought as much as possible in an effort to achieve optimal health center accreditation. This is reflected from the aspect of development policy, manjerial and technical synergies from upstream to downstream. But most important is the strong commitment of human profession to work hard and work selflessly to achieve professional responsibility as an effort and a real role in the development of general health through excellent performance in the pharmacy services at the health center.

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BACKGROUND PHARMACY PROFESSION

Pharmaceutical derived from the word "PHARMACON" meaning drug or poison. While understanding the pharmacy is a profession in the field of health, which includes activities in the field of discovery, development, production, processing, compounding, drug information and drug distribution.
A. Manufacture of Pharmaceutical ProductsPharmaceutical phenomena known to man over 1000 years ago. In Ancient Egypt, the people have known pharmaceutical dosage in tablet form and in the days of ancient China has been accustomed to use dosage formulations of drugs derived from medicinal herbs.As science and technology have me-modern-ISIR drug manufacturing process. The process of making the original as individual skills (the art of compounding), transformed into the manufacturing process as well as mechanistic and systematic nature masinal and mass. As a result, the public perception of drug products change of medication as the end result of individual drug experts (pharmacists), become drug products as factory output product through the manufacturing process.B. Changing Concept Pharmaceutical ServicesShifting very basic concept about dispensing medicine is an event that occurs naturally and can not be rejected by a professional individual drugs known as pharmacists or pharmacist. This development was triggered by the increasing number of drug requirements, development of innovative mass production, the pressure of trade competition, innovation in new drug discovery, the birth of new diseases and various related matters. The drug has shifted from the production house pharmacist practices into large-scale industry that has a very different format because it involves new production facilities with sophisticated technology and production management, known as GMP (Good Medicine Production).Above developments show that the role of the pharmacist dispensing the drug has been taken over by the factory. Such circumstances promote changes in the pharmacist (pharmacist), because if it does not change it will be abandoned. Then on the evaluation of the use of drugs can be concluded that there has been much concern with respect to drug use. This has been triggered and deflect the orientation of the original drug pharmacists oriented to patient oriented, even this change go naturally.The role of pharmacists is expected to not only sell the drug as long as this occurs, but rather to ensure the availability of quality drugs, have efficacy, an amount sufficient, safe, comfortable for the wearer, and a reasonable price and at the time of administration with information reasonably sufficient, followed monitoring during drug use and eventual evaluation.

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CLINICAL PHARMACY

1. What do you know about clinical pharmacy?
The term is used to describe the clinical pharmacy practice-oriented pharmacy services to patients over the orientation of the product. Is a discipline related to the application of knowledge and expertise to help maximize the effects of pharmaceutical drugs and minimize toxicity for the individual patient.
Clinical pharmacy is a discipline in which pharmacists provide health care ( "care"; not only clinical services) to patients with the aim to optimize drug therapy and promotes health, wellness and disease prevention.


2. How does the application in hospital and pharmacies?
Clinical pharmacy services in hospital and pharmacy in outline 'scope' clinical function is as follows:

    Monitoring drug therapy
    Readiness to help after taking office hours 'on call'
    Consultants circumference (visiting patients)
    Participate in the pharmacy and therapeutics committees
    Participate actively in the Composer Formularies in order:

    a. Rationalizing drug users
    b. Advancing prescription cost effective
    c. Set up additional new drugs
    d. Formulating guidelines for doctors

    Give feedback / suggestions to the director of clinical
    Provide information about drug usage in financial terms
    Involved in setting up prescription policy
    Make a study of new drugs
    Actively participating in infection control, through the following activities:

    a. Provision of Drug Information
    b. Monitoring of Drug Use
    c. Preparation of Antibiotic Usage Guidelines

    medical audit
    Clinical audit
    Clinical trials
    Total Parenteral Nutrition Team
    Tim chemotherapy
    Patient-controlled analgesia
    Monitoring of therapeutic drug levels (Therapeutic Drug Monitoring)

    a. Pharmacokinetics advice services
    b. Individualization of drug dosing

    services anticoagulants
    Care and treatment of wounds
    Recording treatment history of patients
    Plot development and service of self-medication
    counseling patients
    Monitoring of drug side effects
    Health promotion and health education, disease prevention and health protection.

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What was the pharmacist in Indonesian

Pharmacist 

Pharmacist is a pharmacy where he did work, the distribution of pharmaceutical and other medical supplies to the community. This understanding is based on Decree of the Minister of Health of the Republic of Indonesia No. 1332 / Menkes / SK / X / 2002 on Amendments to the Regulation of the Minister of Health No. 922 / Menkes / Per / X / 1993 on Provisions and Procedures for Granting pharmacies.Pharmacy jobs according to the Health Law No. 36 of 2009 which include manufacturing, including quality control of pharmaceutical preparations, security, procurement, storage and distribution of drugs.
 drug services on prescription, drugs information service and the development of drugs, drug ingredients and traditional medicine should be done by health workers who have the expertise and authority under with the provisions of the legislation.Pharmacy as a health-care facilities need to be in the public interest and shall make, store and submit good quality pharmaceuticals and validity is guaranteed. Pharmacies can be cultivated by the agency or government agency with the task of health services at the central and local state-owned enterprises are appointed by the government and pharmacists who have to take an oath and obtain a permit from the local health dept.

 Departement of Medical

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ROMAN NOMENCLATURE OF PLANTS

1. The Latin name of the plant consists of two words, the first word indicates the genus and the second word indicates the species, such as the Latin name Oryza sativa, so is its genus Oryza sativa is a species while. 
2. The first letter of the genus is written in capital letters and the first letter of instructions written in small letters species. Tananman roman name can not be more than 2 words, if more than 2 words, two of the three words should be combined with a dash (-). Example: Hibiscus rosa - sinensis Sometimes it happens the use of 1 Latin name against two different plants,  
3. it is called homonyms and this situation occurs so that others mistakenly botanists use a Latin name concerned from other plants that also fit the morphological description.

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SOME TERMS PHARMACOGNOSY

Simplicia: is a natural substance that is used as a drug that has not undergone any processing, unless otherwise stated, the form of the material that has been dried.

Simplicia vegetable: is simplisia form of whole plants, parts of plants or plant exudates.

Exudates of plants: Are the contents of cells that spontaneously out of the plant or the contents of cells in a certain way removed from his cell, or other vegetable substances which in some way separated from the plant and not in the form of pure chemical substance.

Simplicia animal: is simplicia the form of intact animals, animal parts or useful substances produced by animals and not in the form of pure chemical substance.

Simplicia minerals: is simplicia the form of mineral (pelican) unprocessed or dioleh a simple way and not in the form of pure chemical substance.

Alkaloids: is an organic base that contains the element nitrogen (N) are generally derived from plants, which have strong physiological effects / hard on humans.

Glycosides: is a substance that by certain enzymes will break down into a kind of sugar, and one or more instead of sugars. Amigdalin example, by emulsin enzyme will break down into glucose + benzaldehyde + cyanide.

Enzymes: biokatalisator which is a compound or substance that serves accelerate biochemical reactions / metabolism in organisms.

Vitamin: is a substance that in small amounts so required by the human body to form the body's metabolism. The human body itself can not produce vitamin.

Hormones: is a substance secreted by the endocrine glands mampengaruhi physiology, body and influence of the shape of the body.

Pemerian: Is a description of the shape, smell, taste, color bulbs, so the necessary information on the observation of plant bulbs that form part of the plant (bark, leaves, roots, etc.)

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INTRO OF PHARMACYS

Pharmaceuticals is one field of health professionals is a combination of health sciences and chemistry, which has the responsibility to ensure the effectiveness and safety of drug use.
 The scope of practice of pharmacy including traditional compounding pharmacy practice and the provision of pharmaceutical preparations, as well as modern pharmacy services related to patient care  include clinical services, evaluation of the efficacy and safety of drugs, and providing drug information. The word is derived from the word pharma pharmaceutical . Farma is a term used in the 1400 - 1600s.

European pharmaceutical institution was first established in Trier, Germany, in 1241 and remained in existence until now.

Pharmacist (pharmacist) is a professional degree with expertise in the pharmaceutical field. Regular pharmacist on duty at institutions of both government and private sectors such as the drug regulatory authority / food, hospitals, the pharmaceutical industry, traditional medicine industry, pharmacies, and at various health facilities.

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