Pyxis in Never wrong?

Most of the time these things can be traced to a human error. Hopefully you'll be cleared of any wrong doing. They're just doing their job, so don't take it personally. If they really suspect you or can't resolve it they might ask for a urine sample, which isn't unheard of.

Best wishes.

yes pixus can be wrong .. it is filled by humans and of course it can be wrong.. we've had techs fill the pixus and not add to the totals what they've added.. don't worry about it..

The Pyxis man can be so wrong. Try to remain calm, this will work out. I do suggest you write down exactly what happened and how you rectified the event. Be sure to include the fact the pills were in the return drawer. Good luck and I am sure it will be fine.Oh, make sure you keep this note for yourself and give a copy to the HN if needed.

yes it can be wrong...If the person who filled it made a mistake it can definitely be off count. At the hospital where I was manager we only counted once a week and we often found mistakes that we traced back to the pharmacy

I was a Pyxis Coordinator for the longest time. At my last facility, a handful of individuals and myself were responsible for implementing roughly around 40 pyxis stations and getting them all up and running for the facility. I will say this, even though it is a great system for inventory control, it too has it's short comings.

What I would recommend is contacting the pharmacy and having an activity report ran from the last verified inventory/refill from pharmacy and then comparing the activity per user and meds to see if they coincide. Sometimes another RN will pull the medication and be interrupted in the middle of the transaction. This would appear as a canceled transaction. The pyxis will believe that the medication was NOT pulled from the inventory and hence you'll have a discrepancy. This would cover BOTH error by pharmacy refilling AND Nursing transactions.

I hope your able to be cleared of this since I know that it is pretty nerve wreaking. Let me know if you have any questions.

Mig

that's a good idea cause I know that in ours that if the drawer failed it cancelled the transaction and if the nurse took it out already it would create a discrepancy

I used to have to track down all sorts of Discrepancies when I worked in pharmacy. That was a good portion of problems with pyxis. I've found that you can track down most things with this type of report.

I know how hairy it can get during AM and PM med passes. Trust me that I have seen some pretty interesting discrepancies that have baffled me and have had no other idea on how to solve. Just take your time when doing the med pull and don't get rushed. Even if there is a "C" word and you need meds STAT, thats what the crash cart is for.

I hope this helps all and like i said before, if anyone has any pyxis questions, feel free to ask.

Mig

ps- I guess you can call me a double agent now!! LOL Go figure, 12 years in pharmacy and then deciding to go into Nursing!

In my experience, the counts in the pixis is wrong a lot, not just with narcs, but all meds, and especially with the confusion of things such as: taking out one when you meant to take two, then trying to go back and get the second one without charging the pt. And, returning meds not wanted by the pt. There are so many reasons for counts to be off that can usually always be traced back to human error somewhere down the line. So, no worrys.. They should be able to figure it out eventually. Good luck!

The Pyxis is filled by humans.

Last week the pharmacy person (I don't know who) filled the injectable Toradol pocket with PO Toradol.

Try not to worry too much about it.

Absolutely Pyxis can be wrong!

Pharmacy staff filled our prefilled saline flushes with prefilled hep flushes!!

Also, there have been times when the pharmacy-filled pill packet is missing a narc or a benzo pill because the machine glitched.

There are many reasons for Pyxis errors, do your best to keep calm and document the situation for yourself while it's still fresh in your mind. Good luck!

Sounds like Mr. Pyxis Man was just trying to freak you out. The silly thing is a computer, and computers mess up all the time. Plus, they're stocked and programmed by humans....and well, nobody's perfect. No worries.

~T:Crash:

Unfortuately, they did not find the discrepensy . My supervisor told me not to worry. She had been involved with discrepensies before and she was not worried about it with me. She said to just take my time at the pyxis. One time is not a trend and not to worry. I am going to try not to use that pyxis to get narcs out again. I think it may have a glitch in it.