Pharmacy and Nursing services may
use the Omnicell System as a delivery and charging
system for the following types of medications:
1.
The Omnicell User
Competency Checklist must be completed and forwarded to the Omnicell
System Manager in the pharmacy.
“User IDs” will be entered and maintained by the Pharmacy
System Manager.
2.
A temporary password is to be issued with the user
ID. The user must immediately
access the Station or console, as appropriate, and follow the prompts to change
the temporary password to a private, permanent password. This new, private password must be kept
confidential.
3.
New users who are not in the database need a
temporary ID. A temporary access ID
is usable for 24 hours will be assigned by the Department Director, Nursing
Supervisor or designated charge nurse for agency nurses or for nurses floating
who are not from the per diem pool.
The temporary user must immediately access the Station and follow the
prompts to change the temporary password to a new private password.
4.
A nursing instructor will be assigned an ID and
password. This ID and password will
be used by the instructor for the nursing students working with that nursing
instructor. The ID and password
must remain confidential and may not be shared with the students.
5.
When creating a temporary ID and password for any
personnel, the following information is required: full last name, first initial, license
classification:
·
RN = registered nurse
·
NS = nursing supervisor
·
LPN = licensed practical nurse
·
DIR = director
·
CN = charge nurse
·
RPh =
pharmacist
·
NI = nursing instructor
·
TECH = pharmacy technician
6.
Individuals may have different access privileges
assigned to them. This will be
determined by the Department Director and the Pharmacy Director. A description
of functionality of the access privileges is available in the OMNICELL
OPERATOR’S MANUAL (located in the Pharmacy)
7.
All requested additions, deletions or changes to
access Ids must be sent to the Pharmacy Omnicell
System Manager for implementation with a completed Omnicell
User ID Verification Statement.
8.
Any user with access to the system may change their
password at any time.
1.
Enter User ID.
2.
Press Enter
3.
Enter Password
4.
Select Patient Name
5.
Select Medication. To Select a particular medication in the
All Meds List, scroll through the list or enter the first few letters of the
medication name and you will be advanced to that alphabetical location.
6.
Enter the quantity to remove
7.
Press Enter
8.
Press Remove Meds. The drawer containing the medication
will light. Open the drawer and the
lighted bin. If prompted, verify
the medication count, and press YES if the quantity shown is correct. You will be required to verify the
count remaining on all controlled substances.
9.
Open the Bin and remove the selected medication and
quantity.
10.
Close the bin(s) and the drawer.
11.
Repeat until all medication has been removed.
12.
Press
EXIT. This removes the user name
from the Omnicell so that unauthorized use cannot
occur.
A medication removed from the
station that is in it’s original package and not
administered to the patient will be returned to the station.
To return a medication:
1.
Select the patient
2.
Select the medication to be returned
3.
Select the quantity to return.
4.
Find the lighted drawer and open it. Return the medication to the appropriate
bin. Verify count remaining if
prompted.
5.
Close the bin and drawer
6.
PRESS EXIT.
If the tamper-evident packaging of
any product is in any way damaged, the product must not be returned to the Omnicell
machine. Instead, the product must
be returned to the Pharmacy.
Controlled medication wastes are
defined as all or part of a medication that is not in it’s
original sealed package and not administered to a patient. If the tamper-evident packaging is
compromised, then the product must be wasted.
If an entire dose of medication
needs to be wasted it should be returned to the Pharmacy for destruction. Partial doses of a controlled substance
may be wasted on the patient care unit.
If a controlled medication
originally taken from the station needs to be wasted, it will be documented at
the station by using the “Waste” option”. Two licensed employees (IE: RN, LPN, RPh.) are required to waste a controlled substance. The second licensed employee enters
his/her User ID and password as a witness to the medication waste procedure.
1.
Access the system.
2.
Select the medication
3.
Select WASTE ITEM
4.
Enter the quantity to be wasted
5.
Press Enter
6.
Enter the reason for wasting the item
7.
Press EXIT.
The wasted controlled medication
must be documented at the time the medication is wasted.
1.
When the actual count of a medication at the station
differs from the displayed count for that medication, a discrepancy
exists. All controlled substances
(meds classified as Class I-V) discrepancies are logged and can be printed out
at the station. All unscheduled
discrepancies are logged, but are then automatically resolved and sent to the
pharmacy console.
2.
Any controlled medication discrepancy discovered must
be reported immediately to the
charge nurse.
3.
A controlled medication discrepancy must be resolved
either at the time of discovery or before the shift
change. A controlled medication
discrepancy is resolved between the user discovering the discrepancy and the
user with the previous access. If
the previous user is not working, every effort must be made to contact that person. The charge nurse must assure that all discrepancies
are resolved. When a discrepancy
exists, the Omnicell will highlight the discrepancy
box at the bottom of the screen. Additionally, a screen-saver indicates that
there are discrepancies present. A
detailed report covering a specific time-frame may be printed by contacting the
pharmacist covering the nursing unit.
4.
Once a resolution has been established, two licensed
users will use the “Resolve Discrepancy” function to provide an electronic
explanation for the discrepancy.
The users must use free-text to record the reason for the discrepancy
indicating as much information as possible.
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