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Group 4. Union Hospital. Overview. Union Hospital opens in 1906 - 20 beds - 3 nurses Today is one the largest employers in Tuscarawas County -200 primary care physicians and specialist, -1,000 employees -Serves over 5000 patients a week. . Top 100 Hospitals
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Group 4 Union Hospital
Overview • Union Hospital opens in 1906 • - 20 beds • - 3 nurses • Today is one the largest employers in Tuscarawas County • -200 primary care physicians and specialist, • -1,000 employees • -Serves over 5000 patients a week.
Top 100 Hospitals Union Hospital’s policy is to provide medically-necessary care to all patients regardless of their ability to pay while providing the highest standards of quality, safety and patient care. Union Hospital
Operates on an IS called MediTech • Pharmacy operates on the PYXIS system - has allowed for decentralization - more efficient - more accurate - reduce cost Union Hospital
How it helps What its focus is How Union uses it Supply Chain Management Meditech in the pharmacy
Automated wireless remote temperature tracking system for pharmaceuticals Benefits Temp Trak
Transmit data between hospital systems Included Systems Categories of messages: ADT, BAR, ORM, ORU, SIU HL7 Messaging
Physician Order Management System Designed For a Number of Reasons Many Benefits PYXIS
Physician ordering system • Order written • Order scaned • Order received at pharmacy • Order viewed on a digital screen • Image is 4X clearer than a faxed order • Allows pharmacist to magnify the order to read small details • Approved order sent to PYXIS Station PYXIS Connect
PYXIS Connect cont. PYXISCONNECT Base System PYXISCONNECT ScanStation(s)
Drug Distribution Center • Holds top 80% of drugs used • Uses BioID Technology • Select patient and drug • Gives nurses drug information • One drawer opens filled with CUBIEs PYXIS Station
Medication dispensing boxes In every drawer of the PYXIS Station Hold medications Only one opens at a time CUBIE
Orders Faxed/Tubed Medstation
Orders Faxed/Tubed Pharmacist O/E into Pharmacy IS Medstation
Orders Faxed/Tubed Orders Picked and Loaded into Point Specific Cassette Pharmacist O/E into Pharmacy IS Medstation
Orders Faxed/Tubed Orders Picked and Loaded into Point Specific Cassette Pharmacist O/E into Pharmacy IS Medstation Rx Checks Cassette
Orders Faxed/Tubed Orders Picked and Loaded into Point Specific Cassette Pharmacist O/E into Pharmacy IS Medstation Rx Checks Cassette Medications Delivered to Floor
Orders Faxed/Tubed Orders Picked and Loaded into Point Specific Cassette Pharmacist O/E into Pharmacy IS Rx Technician Restocks Pyxis & Exchanges Medication Cart Rx Checks Cassette Medications Delivered to Floor
Orders Faxed/Tubed Orders Picked and Loaded into Point Specific Cassette Pharmacist O/E into Pharmacy IS Nursing Removes Medications ~35% in Medstation Nurse Administers Medication Rx Checks Cassette ~65% in Medication Cart Medications Delivered to Floor
Orders Faxed/Tubed Orders Picked and Loaded into Point Specific Cassette Pharmacist O/E into Pharmacy IS Nursing Returns Unused Medications Nurse Administers Medication Rx Checks Cassette Medications Delivered to Floor
Orders Faxed/Tubed Orders Picked and Loaded into Point Specific Cassette Pharmacist O/E into Pharmacy IS Medstation Nurse Administers Medication Rx Checks Cassette Medications Delivered to Floor Return/Credit Medications to Patient
Orders Faxed/Tubed Orders Picked and Loaded into Point Specific Cassette Pharmacist O/E into Pharmacy IS Medstation Nurse Administers Medication Rx Checks Cassette Pharmacy Orders Medications Medications Delivered to Floor Return/Credit Medications to Patient
Orders Faxed/Tubed Orders Picked and Loaded into Point Specific Cassette Pharmacist O/E into Pharmacy IS Medstation Nurse Administers Medication Rx Checks Cassette Medications Delivered to Floor Return/Credit Medications to Patient Distributor EDI
Orders Faxed/Tubed Orders Picked and Loaded into Point Specific Cassette Pharmacist O/E into Pharmacy IS Medstation Nurse Administers Medication Manually Received Rx Checks Cassette Medications Delivered to Floor Return/Credit Medications to Patient Distributor EDI
Medstation Safety Net Orders Scanned PyxisConnect
Medstation Safety Net Pharmacist O/E Pharmacy IS Orders Scanned PyxisConnect
Nursing Removes Medications 90-95% Medications Available Orders Scanned Pharmacist O/E Bio-ID PyxisConnect
Nursing Removes Medications 90-95% Medications Available Orders Scanned Pharmacist O/E Bio-ID Lexi-Comp On-line Drug Information PyxisConnect
Nursing Removes Medications 90-95% Medications Available Orders Scanned Pharmacist O/E Bio-ID Lexi-Comp On-line Drug Information Veri5 PyxisConnect Bedside Verification of Medications
Medstation Safety Net Orders Scanned Pharmacist O/E Bio-ID Lexi-Comp On-line Drug Information PyxisConnect Veri5 Medication Administration is Documented
Medstation Safety Net Orders Scanned Pharmacist O/E Bio-ID Lexi-Comp On-line Drug Information PyxisConnect Veri5 Bedside Verification of Medications EDI/XML .com
Medstation Safety Net Orders Scanned Pharmacist O/E Bio-ID Lexi-Comp On-line Drug Information PyxisConnect Veri5 Bedside Verification of Medications EDI/XML Distributor .com
Medstation Safety Net Orders Scanned Pharmacist O/E Bio-ID Lexi-Comp On-line Drug Information PyxisConnect Veri5 Bedside Verification of Medications EDI/XML Distributor .com Low Unit of Measure Delivery Cardinal Assist
Medstation Safety Net Orders Scanned Pharmacist O/E Bio-ID Lexi-Comp On-line Drug Information PyxisConnect Veri5 Bedside Verification of Medications Barcode Replenishment EDI/XML Distributor .com Low Unit of Measure Delivery Cardinal Assist
Medstation Safety Net Orders Scanned Pharmacist O/E Bio-ID Lexi-Comp On-line Drug Information PyxisConnect Veri5 Bedside Verification of Medications Barcode Replenishment EDI/XML eReceiver Distributor .com Low Unit of Measure Delivery Cardinal Assist
Medstation Safety Net Orders Scanned Pharmacist O/E Bio-ID Lexi-Comp On-line Drug Information PyxisConnect Veri5 Bedside Verification of Medications Barcode Replenishment EDI/XML eReceiver Electronic Receipt of Pharmacy Inventory Distributor .com Low Unit of Measure Delivery Cardinal Assist
Drug Disposal System • Scan Barcode • Proper unit opens • Dispose of drug • http://www.vestara.com/html/vestara_video.html Vestara/EcoRex