Omnicare Pharmacy-discuss

[ktwlpn]

In my experience we have a big problem getting meds delivered in a timely fashion.You all know that if we don't have a med available (even if it is something as simple as a multivit) the DOH wants us to document and make every reasonable effort to obtain the med. We have to inform the doc if a med is missed,fill out a pharmacy occurrence report yada yada yada....And we are prohibited from "borrowing" a med from another resident. What happens to us frequently is we'll fax labels well before the cut off time for same day delivery but then 2 days later get a written notice that the fax was illegible...HELLO? 2 days later? You are now probably out of some meds.Shouldn't someone be picking up the phone each and every time a fax is received that transmitted poorly and notify the sender? Then there are the times we get a notice stating "our records show this order was d/c'd on this date " and we look in the chart and no order was written on or around the date they cite. ow does that happen? Or-we don't receive a med that we have called them several times for-then we end up with NINE BOXES of the med....Then other times we can not get a refill because "our records show this med was ordered too soon" How does THAT happen? I remeber working in a facilty years ago in which pharmacy staff came in on a monthly basis and switched out the med carts-we were not responsible for routinely ordering refills.That system worked out well-I don't remeber ever having these problems.Omnicare is almost self serve-we have to peel and stick re-order labels on a sheet to fax...On top of our mega med pass....whoopee...

[noc4senuf]

Then instead of "refill on demand" use "cycle fill". This way you are sent all scheduled meds (except narcs and ABX) on a 30 day schedule and then they continue to do that.

[morte, LPN, LVN]

Then instead of "refill on demand" use "cycle fill". This way you are sent all scheduled meds (except narcs and ABX) on a 30 day schedule and then they continue to do that.

at what additional cost? no service is free....also it would have to be more nearly 28 days, to account for waste/dropping...

[noc4senuf]

a dropped pil/wasted pil sheet is sent at the end of the day for anything needed... it is delieverd within 24 hours. The pilss are number on the card and punched for the exact date they are administered. No additional cost.

[lisamc1RN, LPN]

I don't understand how it would cost the facility any more to cycle fill? I have to think it costs an arm and a leg right now to correct all the mistakes that are being made on both ends.

[morte, LPN, LVN]

I don't understand how it would cost the facility any more to cycle fill? I have to think it costs an arm and a leg right now to correct all the mistakes that are being made on both ends.

but where is that cost being paid from? nursing TIME not budget.

[morte, LPN, LVN]

a dropped pil/wasted pil sheet is sent at the end of the day for anything needed... it is delieverd within 24 hours. The pilss are number on the card and punched for the exact date they are administered. No additional cost.

have NEVER seen anything close to what you describe, what pharmacy do you use?

[noc4senuf]

was Omnicare... changing at month's end

[CoffeeRTC, BSN, RN]

a dropped pil/wasted pil sheet is sent at the end of the day for anything needed... it is delieverd within 24 hours. The pilss are number on the card and punched for the exact date they are administered. No additional cost.

When it nears the end of the month, someone should check the cards to make sure that we have enough until cycle change. We pull the sticker and fax it to pharmacy telling them how many we have left until cyle change. They should be sent out that night and they there should be enough.

Now...all of the shoulds and someones....that is an other story. No one wants to do this or even thinks of it. Since I work weekends..alot of times it it too late to get the meds from pharmacy.

[Cawillow]

Two years after these postings, and about one month after going live at my place of work with Omnicare Quickmar system, sounds like nothing has changed. Have found instances of incorrect medication input and shipped; meds not getting shipped in a timely manner; having to wake patients up at 11 PM or later to give important meds, such as coumadin, which were due at HS; waiting up to three days for ordered meds. Frustrated with "Input Technicians" who do not understand the ramifications of their input mistakes and the importance of fixing them. Very hard to get changes made to correct mistakes. Frustrated by being unable to physically go in to the record and fix it myself. Not receiving confirmations of faxes. Not receiving hard copies of scripts received by them unless we discover and specifically ask for one. Having to call in orders, even though faxed as well. Also noticing changes to admin times or changes to information box input on MARs alters previous days/months records. I feel like I'm trying to climb up a greased pole to maintain accuracy and comply with state regulations. But I'm glad I'm in the position to review and try to catch as much as I can, for my patients' sake.

[surfnbeagle]

i can identify with all the posters regarding their incompetency, and from the age of these posts nothing has changed! I would also like to know if anyone else has noted that their E-kits are not correctly stocked. Three nurses where I worked observed that the amount of a particular medication did not correspond with what was indicated on the outside label!! This was a kit that had not been opened at the facility.

[nursetiffany.]

im in Il and have them....boo.

[surfnbeagle]

Have you encountered them shorting their emergency kits?