150 likes | 647 Views
Safety and Efficiency: Omnicell. Kelli Donovan, CPhT Adventist Medical Center Portland, OR. OMNICELL. Diversion Lost Charges Choosing machines Choosing medications Load machines Going live Reordering supplies Decreasing stock levels. Why automation? Time-line for set-up
E N D
Safety and Efficiency:Omnicell Kelli Donovan, CPhT Adventist Medical Center Portland, OR
OMNICELL • Diversion • Lost Charges • Choosing machines • Choosing medications • Load machines • Going live • Reordering supplies • Decreasing stock levels • Why automation? • Time-line for set-up • Using reports from a Buyer’s standpoint
Diversion • 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
How Omnicell Prevents Diversion • 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
How Omnicell Prevents Diversion(cont) • Theft: There is an electronic record in addition to a charge in billing system of each transaction
Omnicell Equipment • 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.
Omnicell Equipment (cont) • Sensing drawers: Used for non-controlled medications. Any drawer can be opened, but the machine records an illegal drawer was opened.
Lost Charges • 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.
Lost Charges (cont) • Not limited to high expense items: Tylenol, Lidocaine, Sterile Water, Normal Saline are most common low cost items most often lost charges
Time-line for Omnicell (cont) 9 to 12 hours for each machine
Buyer’s PerspectiveUsing reports 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
Using Reports • 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