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We will soon be implementing NUR/EMAR/BMV in our 5 hospitals. We only have
Omnicells with profiling in 3 inpatient units, so far. All of our other
units are supplied with meds via the cartfill process. We have implemented a
few Omnicells without profiling for stock meds and narcs. We are wondering
how other hospitals are using automated dispensing units (ADUs) once they
are using BMV.

Nursing-centric questions:
1. How does nursing view the continuing use of profiling ADUs once they have
BMV and are preparing their patient's meds at the bedside?
2. Do nurses consider ADUs a benefit that helps their medication process, or
a hindrance?
3. Do nurses prefer to first sign each med out of the ADU, and create their
own "bin" for one or more of the meds for each patient?
4. Or do nurses prefer to get their patient's meds from a cart bin kept
supplied by pharmacy?
5. Do nurses appreciate the value of non-profiling ADUs for stock meds and
narcs?

Pharmacy-centric questions: 
6. Do you see the role of your ADUs changing now that your nursing units are
using BMV?
7. If you have already replaced your cart fill process with med profiling
ADUs prior to implementing BMV, are you continuing to use the profiling
ADUs, or are you considering changing back to the cart fill process, now
that you have BMV?
8. If you are still using the cart fill process for inpatient areas with
BMV, are you going to move toward automated dispensing units (ADUs) with med
profiling to replace your cart fill process?
9. Do you, as a pharmacist, feel that pharmacy should continue to own the
cart fill process, or that nursing should now own the cart fill process?
10. If you are continuing to use the cart fill process, are you increasing
your use non-profiling ADUs for inventory control of floor stock meds and
narcs? 

Thank you, in advance,
Dirk V. Lanning RN
IS Systems Analyst (working with both pharmacy and nursing)
Samaritan Health Services
Albany, OR


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