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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.
UNION HOSPITAL
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
HL7 MESSAGING
Transmit data between hospital systems
Included Systems
Categories of messages: ADT, BAR, ORM, ORU, SIU
PYXIS CONNECT
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 STATION
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
CUBIE
Medication dispensing boxes In every drawer of the PYXIS Station Hold medications Only one opens at a time
Orders Picked and Loaded into Point Specific Cassette
Pharmacist O/E into
Pharmacy IS
OrdersFaxed/Tubed
Medstation
Pharmacist O/E into
Pharmacy IS
Rx ChecksCassette
OrdersFaxed/Tubed
Medstation
Orders Picked and Loaded into Point Specific Cassette
Pharmacist O/E into
Pharmacy IS
Rx ChecksCassette
Medications Delivered to Floor
OrdersFaxed/Tubed
Medstation
Orders Picked and Loaded into Point Specific Cassette
Pharmacist O/E into
Pharmacy IS
Rx ChecksCassette
Medications Delivered to Floor
Rx Technician RestocksPyxis & ExchangesMedication Cart
OrdersFaxed/Tubed
Orders Picked and Loaded into Point Specific Cassette
Pharmacist O/E into
Pharmacy IS
Rx ChecksCassette
Medications Delivered to Floor
Nurse Administers Medication
Nursing RemovesMedications
~35% in Medstation
OrdersFaxed/Tubed
~65% in Medication Cart
Orders Picked and Loaded into Point Specific Cassette
Pharmacist O/E into
Pharmacy IS
Rx ChecksCassette
Medications Delivered to Floor
Nurse Administers Medication
Nursing Returns Unused Medications
OrdersFaxed/Tubed
Orders Picked and Loaded into Point Specific Cassette
Pharmacist O/E into
Pharmacy IS
Rx ChecksCassette
Medications Delivered to Floor
Return/Credit Medications to
Patient
OrdersFaxed/Tubed
Medstation
Orders Picked and Loaded into Point Specific Cassette
Nurse Administers Medication
Pharmacist O/E into
Pharmacy IS
Rx ChecksCassette
Medications Delivered to Floor
Nurse Administers Medication
Return/Credit Medications to
Patient
OrdersFaxed/Tubed
Pharmacy OrdersMedications
Medstation
Orders Picked and Loaded into Point Specific Cassette
Pharmacist O/E into
Pharmacy IS
Rx ChecksCassette
Medications Delivered to Floor
Nurse Administers Medication
Return/Credit Medications to
Patient
OrdersFaxed/Tubed
DistributorEDI
Medstation
Orders Picked and Loaded into Point Specific Cassette
Pharmacist O/E into
Pharmacy IS
Rx ChecksCassette
Medications Delivered to Floor
Nurse Administers Medication
Return/Credit Medications to
Patient
OrdersFaxed/Tubed
DistributorEDI
Medstation
Orders Picked and Loaded into Point Specific Cassette
ManuallyReceive
d
Orders ScannedPharmacist O/E
Nursing Removes Medications90-95% Medications Available
Bio-ID
PyxisConnect
Orders ScannedPharmacist O/E
Nursing Removes Medications90-95% Medications Available
Bio-ID
Lexi-CompOn-line DrugInformation
PyxisConnect
Orders ScannedPharmacist O/E
Nursing Removes Medications90-95% Medications Available
Veri5 Bedside Verificationof Medications
Bio-ID
Lexi-CompOn-line DrugInformation
PyxisConnect
Orders ScannedPharmacist O/E
Veri5 MedicationAdministrationis Documented
Bio-ID
MedstationSafety Net
Lexi-CompOn-line DrugInformation
PyxisConnect
Orders ScannedPharmacist O/E
.com
EDI/XML
Bio-ID
MedstationSafety Net
Lexi-CompOn-line DrugInformation
Bedside Verificationof Medications
PyxisConnect Veri5
Orders ScannedPharmacist O/E
.comDistributor
Bio-ID
MedstationSafety Net
Lexi-CompOn-line DrugInformation
Bedside Verificationof Medications
EDI/XML
PyxisConnect Veri5
Low Unit ofMeasure Delivery
Orders ScannedPharmacist O/E
.comDistributor
CardinalAssist
Bio-ID
MedstationSafety Net
Lexi-CompOn-line DrugInformation
Bedside Verificationof Medications
EDI/XML
PyxisConnect Veri5
Orders ScannedPharmacist O/E
.com
BarcodeReplenishment
Distributor
Bio-ID
MedstationSafety Net
Lexi-CompOn-line DrugInformation
Bedside Verificationof Medications
EDI/XML
CardinalAssist
Low Unit ofMeasure Delivery
PyxisConnect Veri5
Orders ScannedPharmacist O/E
.com
BarcodeReplenishment
eReceiverDistributor
Bio-ID
MedstationSafety Net
Lexi-CompOn-line DrugInformation
Bedside Verificationof Medications
EDI/XML
CardinalAssist
Low Unit ofMeasure Delivery
PyxisConnect Veri5
Orders ScannedPharmacist O/E
.com
BarcodeReplenishment
Distributor Electronic Receipt of Pharmacy Inventory
Bio-ID
MedstationSafety Net
Lexi-CompOn-line DrugInformation
Bedside Verificationof Medications
EDI/XML
CardinalAssist
Low Unit ofMeasure Delivery
eReceiver
PyxisConnect Veri5
VESTARA/ECOREX
Drug Disposal System Scan Barcode Proper unit opens Dispose of drug
http://www.vestara.com/html/vestara_video.html