Kelli Donovan, CPhT Adventist Medical Center Portland, OR.
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Transcript of Kelli Donovan, CPhT Adventist Medical Center Portland, OR.
![Page 1: Kelli Donovan, CPhT Adventist Medical Center Portland, OR.](https://reader035.fdocuments.net/reader035/viewer/2022062308/56649ccf5503460f9499b01f/html5/thumbnails/1.jpg)
Kelli Donovan, CPhTAdventist Medical Center
Portland, OR
![Page 2: Kelli Donovan, CPhT Adventist Medical Center Portland, OR.](https://reader035.fdocuments.net/reader035/viewer/2022062308/56649ccf5503460f9499b01f/html5/thumbnails/2.jpg)
Why automation?
Time-line for set-up
Using reports from a Buyer’s standpoint
Diversion Lost Charges Choosing machines Choosing
medications Load machines Going live Reordering
supplies Decreasing stock
levels
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30% of a prescription drug abusers work in the medical field, and of those 70% ARE NURSES.
Types of diversion: falsification substitution omission breakage/wastage theft
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Falsification: nurse cannot remove medication without medication order in Omnicell
Substitution: nurse has no access to any narcotic except one asked for
Omission: medication is automatically charged for with electronic record
Breakage/wastage: nurses must have witness sign at time of breakage/wastage
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Theft: There is an electronic record in addition to a charge in billing system of each transaction
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Dispenser Drawer: Only accessed by Pharmacy personnel. Drops only the narcotic and quantity asked for into a separate drawer. Used for CIIs and most commonly abused narcotics (Hydrocodone combinations)
Medium Security Locking Drawer: Holds multiple doses of CIII-CV drugs. Every drawer is locked any only medication asked for opens.
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Sensing drawers: Used for non-controlled medications. Any drawer can be opened, but the machine records an illegal drawer was opened.
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ED Department had over $90,000 in lost charges in 2004.
Most of the charges came from cardiac drugs (Integrelin, Reopro, etc.)
With Omnicell, each transaction has to have a name attached to access the drugs.
Reports can be generated to track down “temporary patient” entries.
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Not limited to high expense items: Tylenol, Lidocaine, Sterile Water, Normal Saline are most common low cost items most often lost charges
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9 to 12 hours for each machine
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Stock level report: Shows up-to-minute quantity in each machine -Order exactly how much to fill each
machine -Can choose to move medication from
one machine to another, instead of ordering more stock
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Loaded meds without active orders: Can remove medication from one machine that is not being used and move it to one that has orders for it.
-Prevents overstock and possibly outdating
-Helps with stock rotation -Decreases stock in main pharmacy