rx3500

rx3500

Pharmacy, ADC ( automated dispensing cabinet)

Experienced in pharmacy and medication automation systems

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rx3500 has 12 years experience and specializes in Pharmacy, ADC ( automated dispensing cabinet).

Experience in medication automation, operation, requirements, maintenance, SOP, and law. Experienced in Narcotic DEA laws for controlled substances in a hospital and retail setting. Pyxis systems Manager in a major military treatment facility (MTF). 

15 years experience in pharmacy operations and SOP. 

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  1. Pharmacy per say doesn't run audits, it's done by the PSM or persons allocated to do so. It is fact that not every transaction will be audited, and in this case unless they talk to the patient nothing will show proof of anything because the med scan ...
  2. I'd like to add that her not seeming impaired does not equate to her not taking the meds for personal use. There are functional alcoholics as well as drug users, and they show no signs at all, especially with long term use.
  3. Hello, I am a pyxis manager at a major facility, and manage and monitor 80+ stations and over 3,000 users. I work with the hospitals narcotic investigation team and continually run reports to assess signs of diversion. Your story seems classic to wha...
  4. Med error and Pyxis

    See my profile, would love to hear about pyxis concerns.
  5. Forgotten Morphine

    Hello, I am a pyxis manager at a large hospital and see this all the time. It was good that you remembered to go back and waste before the patient was discharged. Documentation like this is hard to update in pyxis once the patient has been discharged...
  6. Install is almost complete.... So many issues have been brought to my attention. I am curious to know how narcotic inventories are done in other facilities whom utilize automated dispensing machines on inpatient wards. 

  7. Pyxis install

    Currently in the middle of a huge rip and replace of old pyxis system, to upgraded pyxis ES. Very tough to facilitate all the movement these days. I am interested in any views or opinions on Pyxis ES by nursing whom may be utilizing the system or have found issues with it in the past. I get several inquiries daily about documenting waste and correcting discrepancies. I would like to hear about cases in which this was an issue and what was advised to fix them. More to see how other facilities handle certain issues. Ie: user entry, discrepancies, waste, documentation, corrections, nursing inventories of controlled substances, audits, and types of transactions that require a witness. 

    Please feel free to share your experiences with any automated medication device. Any information may create better processes in the future. 

    Thank you for reading and responding?

  8. Pyxis questions

    Thank you?
  9. Pyxis questions

    Hello, my first question is, at the facility you work in, was waste not required to have a witness before your upgrade? All waste should be witnessed, to assure there is no diversion of the balance. In your case I can see where it would be annoying t...
  10. Pyxis questions

    Pyxis questions I've read several comments, complaints and questions regarding Pyxis systems and how it's run. As one who's managed 36 stations over multiple years, I may be able to answer questions, concerns or complaints in regards to the ADC. I w...
  11. Pyxis questions

     

    I've read several comments, complaints and questions regarding Pyxis systems and how it's run. As one who's managed 36 stations over multiple years, I may be able to answer questions, concerns or complaints in regards to the ADC. 

    I welcome all questions, concerns, complaints, or suggestions that may streamline the process of medication automation process. 

    Maybe even shed some light on why systems are put in place, as well as real situations in which may clarify the need for medication automation in an inpatient setting. 

    Our facility even uses ADC's in an out patient setting as well. 

    The understanding of ADC's ( automated dispensing cabinets) may make using these devices more tolerable with nursing. 

  12. I've read several comments, complaints and questions regarding Pyxis systems and how it's run. As one who's managed 36 stations over multiple years, I may be able to answer questions, concerns or complaints in regards to the ADC. 

    I welcome all questions, concerns, complaints, or suggestions that may streamline the process of medication automation process. 

    Maybe even shed some light on why systems are put in place, as well as real situations in which may clarify the need for medication automation in an inpatient setting. 

    Our facility even uses ADC's in an out patient setting as well. 

    The understanding of ADC's ( automated dispensing cabinets) may make using these devices more tolerable with nursing. 

  13. Pyxis undocumented waste

    You are correct, there is no fool proof way to prove any transaction, that is until there is an audit. I'm only suggesting that each individual cover themselves, especially in the midst of a huge opioid crisis. The few extra moments could be there di...
  14. Pyxis undocumented waste

    I am unsure if you read the initial issue. She forgot to waste in pyxis. So months later she is concerned that in an audit she may have to explain where the remaining drug not utilized went. My suggestion was for future transactions. Audits are usua...
  15. Pyxis undocumented waste

    Hi, I am a pyxis manager and get this question often. Once a patient has been discharged, you can add the patient back into the system, and use this to return meds to the return bin , but the documenting the waste may not be an option because the ini...