We think we have solved our problem with the Pharmacy Refill List, and it has nothing to do with the dispensing machines, per se.
What we found is that when the docs were using order sets, (the order sets had the main inventory instead of being blank) then the med came over with the wrong "main" inventory. Once we went through all the order sets, and deleted the inventory for all the meds, it has been working fine. We are Magic 5.5 SR1, and using Acudose dispensing machines. Hope this helps someone out there!! Michelle Michelle Pivonka, RN Systems Analyst Information Services Sinai Health System (773) 257-6020 [EMAIL PROTECTED] www.sinai.org "A pessimist sees the difficulty in every opportunity; an optimist sees the opportunity in every difficulty." Sir Winston Churchill ________________________________ From: Nielacny, Aimee [mailto:[EMAIL PROTECTED] Sent: Tuesday, January 09, 2007 7:29 AM To: Pivonka, Michelle; Thompson, Jeff; Stephanie Roberts; [email protected]; Herb Bromenshenkel Subject: RE: [MEDITECH-L] Pharmacy Refill List Just wanted to give you all an update that we received from Meditech that Pyxis is going to take care of. Hopefully it works. Here are the changes Pyxis will make 1. Block Empty Return Bin messages 2. Block Pocket Refill Messages 3. Block Expired Item Messages 4. Block Cancel Transaction messages This was based on Meditech's recommendation from the task. Lombardi,Robert (MEDITECH) - Dec 29, 2006 - 1719 EST: Aimee, I was able to find the task where the Empty Bin Return transactions are treated as Pocket Unloads as Pyxis sends us a B code for these type of transactions. It seems that once we found out about these types of codes, that other site contacted Pyxis to ask them to block these "B" messages from crossing the interface...which are interpreted as Pocket Unloads. The following inventory messages are not blocked and would be sent to Meditech - Loads - L Unloads - U Empty Bin - B Pocket Fill - F Expired Items - E Cancel Transaction - X Blocked: Counts/Content - C It looks like we only handle the following in the ZPM messages: PC - Pocket Content PL - Pocket Load PU - Pocket Unload We check for Loads-"L" then Contents "C" and if it is not either we send it as a "PU". In order to process the true unloads (which remove the med from the drug dict), we need the B transactions blocked. For inventory we only need pocket load, pocket unload and pocket content. Having Pyxis block the following transactions won't impact patient charges. Empty Bin - B Pocket Fill - F Expired Items - E Cancel Transaction - X Can you please get in touch with your Pyxis rep and run this by him/her? This solved the problem for the other site that I remember this happening. Hope this helps, thanks! ________________________________ From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Pivonka, Michelle Sent: Thursday, December 28, 2006 9:29 AM To: Thompson, Jeff; Stephanie Roberts; [email protected] Subject: RE: [MEDITECH-L] Pharmacy Refill List We are having similar problems, although we are using Acudose and we are live with POM at the same location as the dispensing machines. This has been happening since we went live with the dispensing machines in profile mode (not in dispensing mode). All the meds are in the drug dictionary dispense from stock=Y as well. We even went back and did a limited edit on all the RX and changed the inventory to the correct dispensing machine. This is what I have from Meditech so far: 1) They did an out of sequence code check. 2) They think that this DTS will solve the problem (even though it says transferred from ER, and most of our patients are direct admits) DTS 7256: Addendum 2922: Inventory on INP order not Updating When Pt Admitted from REG ER This DTS was put in LIVE yesterday. I will let you know if this solved the problem for us. We are Magic 5.5 SR1. Michelle Pivonka, RN Systems Analyst Information Services Sinai Health System (773) 257-6020 [EMAIL PROTECTED] www.sinai.org "A pessimist sees the difficulty in every opportunity; an optimist sees the opportunity in every difficulty." Sir Winston Churchill ________________________________ From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Thompson, Jeff Sent: Wednesday, December 27, 2006 8:42 AM To: Stephanie Roberts; [email protected] Subject: RE: [MEDITECH-L] Pharmacy Refill List Yes, this has been a problem for us and we haven't been able to find the common thread causing it. Let me know if you hear something. Jeff Thompson, R.Ph. Pharmacy Informatics Newman Regional Health Emporia, KS 66801 Direct: 620-340-6150 ________________________________ From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Stephanie Roberts Sent: Tuesday, December 26, 2006 7:42 PM To: [email protected] Subject: [MEDITECH-L] Pharmacy Refill List Hi All, We are a Magic 5.5 SR2 site using Pyxis Med Stations. Occasionally, when we run the refill list, drugs appear that are dispensed from Pyxis. These drugs are set to 'Dispense from Stock = Y' and the Med Stations are defined correctly in the Drug dictionary. The refill list will print correctly for the same patient with the same meds for multiple days and then it will sporadically start showing a med that shouldn't be there. This issue sometimes corresponds to a transfer from one unit to another, but not always. Has anyone else had issues with this? Meditech has not been able to assist with resolving this for us. Thanks for any assistance! Stephanie Roberts Senior Systems Analyst [EMAIL PROTECTED] Phone: 907-714-4702 Fax: 907-714-4902 Privileged/Confidential information may be contained in this message. The information contained in this message is intended only for the use of the recipient(s) named above and their co-workers who are working on the same matter. The recipient of this information is prohibited from disclosing the information to any other party unless this disclosure has been authorized in advance. 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