rx3500

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

Latest Activity

1. I really want to do the right thing and I need help!

   rx3500 replied to HRCRN's topic in Recovery

   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 really want to do the right thing and I need help!

   rx3500 replied to HRCRN's topic in Recovery

   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. I really want to do the right thing and I need help!

   rx3500 replied to HRCRN's topic in Recovery

   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

   rx3500 replied to Michnurse1's topic in Medications

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

5. Forgotten Morphine

   rx3500 replied to p007's topic in Medications

   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. Pyxis questions

   rx3500 replied to rx3500's topic in Medications

   Thank you?

7. Pyxis questions

   rx3500 replied to rx3500's topic in Medications

   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...

8. Pyxis questions

   rx3500 posted a topic in Medications

   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...

9. Pyxis undocumented waste

   rx3500 replied to nicunursecourt's topic in Medications

   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...

10. Pyxis undocumented waste

    rx3500 replied to nicunursecourt's topic in Medications

    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...

11. Pyxis undocumented waste

    rx3500 replied to nicunursecourt's topic in Medications

    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...