Automated

Dispensing Cabinet: Delivery

DUMCNorth Central Pharmacy: First Dose

TRAINING MODULE:

1DUMC NCP

Purpose• This training provides information needed to ensure

accurate and consistent practices as it relates delivery of medications to automated dispensing cabinets.

• Medications for cabinet are refilled using two batches processes one in the morning one in the afternoon.

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Generation of Restock Sheets

• Cabinets communicate current inventory on hands and restock needs via scheduled reports.– Morning reports print at 0445 for non-controlled

substances.– Afternoon reports are scheduled to print at 1615

for non-controlled substances

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Restock Sheets

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Restock Sheets

Picklist

Storeroom Picklist

North Central Pick

List

Restock List

Storeroom Restock

North Central Restock

Potentially 4 sheets for each delivery area

Pharmacy Storeroom When pulling supplies from the pharmacy storeroom it is

necessary to document the quantity and 7 digit storeroom item number.

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The exception to this process is that the small rack in the back storeroom where the product is prospectively signed out for use in Omnicells.

Setting up Restock for Check

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Medication to be stocked in the cabinets require review by a pharmacist prior to delivery.

1. Individual line items for each cabinet should be placed in plastic bags.• The bags are labeled with the delivery location and quantity.• Particularly large items such as hetastarch may be placed in boxes or

larger bags.2. Items should be placed in a the delivery location specific bin in an organized fashion, in the order of the restock sheets.3. Items should be denoted as complete by a check mark on the stocked item4. Items that are not filled should be marked “OUT”.5. When an area is completed, the restock sheet should be inserted in to the bin to indicate to the pharmacists that the area is ready to check.

The goal of each restock is to fill 100% of the items 100% of the time!

Alternate locations to find Stock

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If the storeroom or Omnicell stock area is out of stock on a particular item look to these alternate locations:

• First Dose• Robot Offline Room• IV room or SPC Premix Room

The goal of each restock is to fill 100% of the items 100% of the time!

Restocking a Single Medication (ie.Ketorolac 30 mg vial)

1. Touch INVENTORY MENU2. Touch SUPPLEMENTAL RESTOCK on the left3. Find Ketorolac by typing the first few letters or scroll using the touch

screen or the keyboard4. Select Ketorolac 30 mg vial5. Type in the restock quantity of 1.6. Touch OKNOTE: If you had more than one medication to restock you can select the

others at this step for multiple restock. You can see the quantity indicated next on the left side of the item as you choose them. You could also use the DISPLAY MEDS TO RESTOCK MENU to see all items you’ve selected prior to beginning restock.

7. Touch RESTOCK MEDS NOW8. Press flashing button on drawer and then pull it out all the way

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Restocking a Single Medication (ie.Ketorolac 30 mg vial)

9. Identify and open the ketorolac bin by using the flashing light or the bin numbering system

NOTE: Items stocked in locked bins will require you to pull up on it twice for it to open.

10. Use the scanner to scan item for verification11. Scan bin bar code for verification12. Put in the earliest expiration date if it is before the date indicated on the

screen.13. Verify that the count in the bin matches the prior bin level indicated on

the screen. THIS IS CRUCIAL. If count needs to be changed, press the CHANGE BIN LEVEL button on the top right. Enter correct number and press OK.

14. Restock the bin and close the bin and drawerNOTE: If you are working on a locked bin and you accidentally close it, you

can immediately reopen the bin by indicating so on the screen. 9

Performing a Normal (Batch) Restock

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1. Touch INVENTORY MENU

2. Touch NORMAL RESTOCK

3. Select the correct restock number and date

4. The bins with items needing restock will start flashing. Follow the green light and restock all medication.

Destocking a Medication

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1. Touch INVENTORY MENU2. Touch DESTOCK 2. Touch DESTOCK Meds4. Select an item to destock5. Enter quantity to destock5. Press OK

THIS DOES NOT UNASSIGN THE MEDICATION FROM THE CABINET, BUT MAY BE USED TO REDUCE QUANTITY.

Expiring or Recalling a Medication1. Touch INVENTORY MENU2. Touch EXPIRE/RECALL on the right side of screen3. Touch FIND ITEM4. SELECT ONDANSETRON 4 MG / 2 ML5. Follow the guiding light and find location of

Ondansetron6. Open the bin 7. Move the cursor to the ITEMS TO EXPIRE/RECALL

spot and enter 08. Press OK

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Return bin processing1. Touch INVENTORY MENU2. Touch CLEAR RETURN BIN on left side of screen.3. Use Omnicell key #2204 to open the left keyhole on

the return bin.4. Empty bin of all medications. Lock return bin.5. Compare contents of return bin to slip that prints. If

there is any narcotic discrepancies the charge nurse must be notified immediately.

6. Medication can be restocked using SUPPLEMENTAL RESTOCK or medication can be returned to pharmacy.

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Cycle Counting or Taking Period Inventory of Non-controlled Medications

1. Touch INVENTORY MENU2. Touch CYCLE COUNT on the right side of the screen3. Touch FIND ITEM4. Select Acetaminophen 325mg tab 5. Look for the flashing green light6. Remember to press the green button below the flashing

light7. Enter count on the screen8. Press OK. You will get a confirmation question. Press

YES.9. Close the door

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Take the quiz!

Questions1. During the generation of non-controlled restock sheets how many pages will generate per cabinet

1. One2. Two3. Three4. Four

2. When removing stock from the storeroom it is important to:1. Neatly document the item number of the product taken2. Document the quantity removed3. Give the completed Storeroom picksheet to the storeroom for inventory processing4. All of the above

3. If the storeroom is unable to provide an item, it is okay to omit it on the restock without looking in alternate locations.

1. True2. False

4. Setting up a restock should use which of the following items?1. Plastic transparent bags 2. Area specific bins3. Restock sheets denoting items filled or not-filled with technician initials4. All of the above

5. To delete an item from a cabinet, use the destock function1. True2. False

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