Why do RNs fail to press TAKE in the PYXIS supply?

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I am just venting here, but really come on folks!

If you don't press "take" each time you pull out a bag of IVF or other supply how does distribution

know to come up and refill it when it's empty?

Thanks. now I have to hang 4 bags of NS 250ml to make a liter bolus.

:rolleyes:

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Specializes in Critical Care.

Why do you keep NS in the pyxis?

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Specializes in MICU/SICU.

Muno, I'm pretty sure OP meant a supply pyxis. Supply pyxis is different than med pyxis. We keep all our fluids in a supply pyxis. Ours has an annoying voice that asks "did you forget to press a button?!" as a reminder.

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Specializes in ED, ICU, MS/MT, PCU, CM, House Sup, Frontline mgr.

op: change the supply level if the supply is low. otherwise, call for more supplies. yes, i know that this is a vent, but it is a waste of brain cells to think that anything will change. nurses do this everywhere. there was only one floor i worked on where this did not happen because there were aids fired for not "clicking" the button when he/she removed supplies. the nurses were warned through the firings that he/she would be next, so it was taken seriously. no other place did i see this happen. in fact, i think this is too harsh of a punishment so i doubt i will see it happen again.

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Specializes in Family NP, OB Nursing.

The system we used required us to scan our supplies out. We had a wand, much like those at Walmart, and you scanned a bar code. If the supply wasn't a charge item it didn't matter if you scanned/entered the pt ID number, but if it was say IV fluid then you needed to enter pt ID number. Well, if my patient was crashing and I needed IV fluid fast or a non-rebreather mask I wasn't standing around to scan anything. Once my patient was stable I'd try to remember what I took and scan it under their ID, but I'll admit, sometimes I would forget.

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Specializes in floor to ICU.

We have the talking supply pyxis too. "Thank you" "Did you forget to press a button"

This is not new, I recall 20 yrs ago, the charge nurse running around because some didn't pull the orange charge stickers off of items and manually put it in the sticker book.

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LMAO!

The point of the pyxis is that when supplies are low you don't have to call central

to get a refill. They know automatically the counts in the machine based on if

the nurses have been hiting the take button.

I don't think NS should be in pxyis at all. dont you just hate that annoying voice?

"Did you remember to hit the ...."

This post was just a recognition of the near universal failure of nurses to

hit the take button and a self indulgent vent too. Sometimes you just

got to let it go and laugh! Thank you allnurses!

I can't believe they fired someone over failing to hit the "take" button.

Guess they didnt like having empty supplies in pyxis either.

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Specializes in Emergency, Critical Care (CEN, CCRN).
Why do you keep NS in the pyxis?

Our .9, along with all the other infusion fluids, is kept in the Pyxis, and it's been that way at every hospital I've worked or studied in. I believe it's for cost accounting purposes - even something as dirt-common as .9 starts getting expensive when you go through hundreds and hundreds of bags of it a day. (For example, we aren't allowed to hang KVO fluids anymore, nor are our physicians allowed to order them, except with vasoactive drips; someone figured out that KVO fluids were costing the hospital almost two hundred grand a year for no clinical benefit, so now all lines that aren't actively infusing go to saline lock.)

That said, our Pyxis doesn't require you to press "Take" or anything else to document a pull. Any door/drawer opening counts as a pull (and triggers the refill notification when appropriate) unless you touch "Cancel This Med" on the screen.

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Specializes in Cardiac Telemetry, Emergency, SAFE.

Im glad all I gotta do is open a door and get my NS.... :p

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Specializes in CEN, CPEN, RN-BC.

Our omni requires us to put in our own individual password to get in and if you don't charge for something it records it as a "null transaction" and at your review they sum up all your null transactions for the review period. If they're over a certain amount... no raise for you, try again next time.

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Specializes in floor to ICU.
Our omni requires us to put in our own individual password to get in and if you don't charge for something it records it as a "null transaction" and at your review they sum up all your null transactions for the review period. If they're over a certain amount... no raise for you, try again next time.

yup, Big Brother is always watching....

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