At my hospital, Pitt County Memorial Hospital in Greenville, North Carolina (on the eastern side of the state), the administrators have just installed the new Pyxis System (all this without even... Read More

  1. by   VickyRN
    Joules, you need to report this situation to Risk Management ASAP. Sounds like an incredibly anal situation, "penny-wise and pound-foolish" to the ultimate... putting pt's lives at risk. And yes, Joules, after what I have seen in health-care, this IS believable... I can sadly say that NOTHING suprises me anymore. What will the Suits come up with next ???????????????
  2. by   talkall
    sorry but being uk nhs based this all sounds like star treck we just have an locked dugs trolly and a store room. wish we had some of this cause at least i'd actually be able to find stuff:roll
  3. by   Joules
    Just want to say things are better now. Noticed on the unit that alcohol swabs are now in the drawers, along with some spare syringes, needles, and a few other odd supplies. Yes, we do have the medication Pyxis's (have had these for awhile) and I LOVE these. No problem (except on the rare occasion that a drawer "failed" and you had to recount the whole thing)--most of the time works great, and NO MORE qshiftly narcotic counts on the med carts. These new thing a majingies look like gaudy vending machines (like ones you would see at a chinsy county fair), with clear glass and little lights that blink when the glass doors aren't completely closed. You have to type in your name and password (which often DOESN'T WORK ), then select your patient, then the doors open so you can retrieve your supplies--punching a button under each category for each one you take. This is an incredibly burdensome system for nurses who are harried or in a code situation and yet ANOTHER source of frustration for the beleagured nurses at PCMH (as if morale couldn't get any lower). And I beg to differ, NSDRN, on THIS unit in the North Tower, until recently, EVERYTHING was locked up. At least now, I have quick, easy access to some BASIC supplies for asepsis and proper patient care and for this I am very grateful.
  4. by   shodobe
    We use "pyxis" and I find it a very good way of making sure patients get charged for meds. To have every little thing in there is totally insane. Why do you keep drugs in there that are used for codes? Don't you have a locked crash cart that can be accessed easily for emergencies? We use a combination door lock for a room that has all of the other things we might need such as syringes, needles, e-tubes, etc...... The door is pretty much open during shift hours and closed when we go home. Once you get use to the pyxis it's a snap to get drugs out, also the anesthesiologist can get their own narcs out for cases and they don't bother us unless it's an emergency. I would have patience with the system but get somebody in management to get the head out of their a*s and look around. Good luck, Mike
  5. by   jode
    I love like the pyxis system, but we are able to withdraw to floor stock entire boxes of syringes, alcohol wipes etc, and the patient charge items are obviously charged out to each individual patient. Central supply refills the pyxis twice a day, so we are never out of stock. Of course, you must remember to charge out the items, or cs doesn't know what needs restocking. The medication pyxis is also user friendly. Perhaps the hospital administration could use some suggestions.
  6. by   nell
    Thought I'd check allnurses for how others have coped with their Pyxis systems as we just got the supply pyxis installed. Incredibly enough, so much as a paper bag or a chux must be accounted for with a "take" button.

    How about this: even the laryngoscopes have their own little drawer as do the ETT tubes. Did I mention this is a level III NICU?

  7. by   Tweety
    We have free access to most supplies as well. We use our Pyxis for medications only. Sheesh....
  8. by   bellehill
    We have a meds only pyxis which I love, can't imagine having to get supplies out of pyxis. If we run out of something we call the supply department and usually have it in 30 minutes. Almost everything is considered floor stock and the patients don't get charged.
  9. by   shodobe
    We have used a Pyxis for about 3 years and there has been no problems. It is for meds only and all othere supplies are at hand. Ant place that has to put other supplies in a Pyxis has a problem with keeping tabs on where supplies are going. Patient safety issues come to mind also when certain things are not readily available when needed. We also have Pyxis in the OR rooms for anesthesia, so you don't have to run to the Med room to get them narcs. It took awhile to get use to but it worked out just fine. Keeps a close eye on waste and patients get charged properly for meds. Why does it take 30 minutes to get anything from your supply dept? Mike
  10. by   orrnlori
    Ah, the bean counters, what was life like before them? Our pixis now also require our fingerprint scan as well as password. We can't get our scrubs for surgery unless we swipe our badge and get them from a machine called an "autovalet" (which patient's families see outside pre-op and continue to try and swipe their parking passes through to get validation ( :chuckle ). Now we clock in and out using our fingerprint on a reader that's two miles down the hall from our unit (I think they just need to implant a chip in our necks or put one of those ankle bracelets on us like they do for home incarceration, sure would be easier to track us that way).

    Then to top it all off, they took all the general supplies from our OR. Need a Kerlex? Write out an order form, attach patient label, call nursing assistant, nursing assistant walks to other end of building, presents order form, CS gets item, prints out a receipt with patient name, item, and charge code, nursing assistant walks back to OR and give us the Kerlex. In the meantime the surgeon has already had a stroke and is bouncing off the OR walls.

    Ah, the bean counters, where were we before they came to haunt our halls.
  11. by   RN-PA
    We're supposed to be getting Pyxis at our hospital in May and I was told it was only for Narcotics. We're all looking forward to not having to do narc counts evry 8 hours, but I really can't imagine what the system will be like or how it'll work.
  12. by   cannoli
    Quote from Joules
    At my hospital, Pitt County Memorial Hospital in Greenville, North Carolina (on the eastern side of the state), the administrators have just installed the new Pyxis System (all this without even consulting the nurses OF COURSE). To say this new system is a disaster, is putting it very mildly. Now, if you even want ONE alcohol swipe or a small tube of doppler jelly, you have to select the patient's name and then punch in for EACH one you take!!!! In one of the machines, there are even individual disposable cups!!! While up on the unit, there was a code. Literally, supplies could not be found. As we all know, seconds count in a code and you don't have time to be scurrying around hunting down scarce supplies and typing in information into a tempermental machine. Suddenly, it seems as bad as a third world country around the hospital. I keep my OWN vacutainer and my OWN tourniquet for drawing labs on my person at all times.... because new ones simply CANNOT be found!!! Infection control has been a BIG issue at this hospital... 43% post-surgery infection rate!!! Been in the news and in the newspaper, and the administration is trying to "educate" staff about proper infection control. Now, if you can't find proper supplies for asepsis (not EVEN an alcohol pad to wipe off your stethoscope after each patient visit) and have to keep reusing supplies that are supposed to be used once... how is this going to help the infection problem??? Our hospital is also having a TERRIBLE time retaining nurses... Units are having to close down beds to sick patients simply because there are not enough nurses. Some units are 50% travelers... Now the moral is SOOO LOW and nurses are SO PI$$$ED OFF
    Forgive me for ranting, just have to vent

    Maybe someone should drop a dime (now it's 35 cents?) anonymously to the state dept. of health or OSHA or whoever may be interested.
  13. by   cannoli
    I just noticed, the original post is a year and a half old.