Transcript AWS - OMNICELL - TCH Anesthesia

Quick Tips
 Close out all cases if narcotics administered,
even if you give all the narcotic.
 Make sure you have selected the correct
patient in the Omnicell
 Make sure that you have documented all
controlled meds correctly in Epic
 Make sure that what you enter on the waste
screen in Omnicell = what is entered in Epic
Quick Tips
 Don’t pass of narcotics when you are relieved
for a case except drips or brief break
 Don’t add temporary patients except for
STAT cases, Log out of the system and let the
data refresh
Omnicell Workflow Checklist
 Select the correct patient
 “Complete the case” for all cases involving narcotics
 Review Epic to ensure that all administered meds are
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documented
Ensure that what you enter on the omnicell waste
screen = what is entered in Epic
Draw up waste in labeled syringe to verify correct
volume
Place bag with receipt and syringes in omnicell right
side box
When technical problems occur, return waste to
pharmacy window
PICK YOUR PATIENT
 Pick your patient from either the Global list or the Local List. Use 2
types of identifiers to double check patient: patient’s name and
MRN.
ADD TEMPORARY PATIENT
 If you do not see the patient name in either list, then you may need
to add a new patient (this should be needed VERY rarely mainly for
STAT cases). Before adding a new patient, always verify that the
patient is not in the Global List. Only enter real patients, CSN
number is the patient ID number.
REMOVING MULTIPLE MEDICATIONS
 You can begin the process of removing items from a patient’s record
using the tabs at the bottom of the patient record. Scanning the
barcodes on the vials is recommended. For Controlled Substances,
you HAVE to select the medication from the list and wait for the
drawer to unlock.
RETURNING MEDICATIONS
Please ensure that unopened
vials are returned back to the
bins in the AWS before
performing Post Case
Reconciliation. Please do not
waste unopened vials.
POST CASE RECONCILIATION
FOR CONTROLLED
SUBSTANCES
ONLY.
Enter total amount
administered and
AWS will calculate
the waste. This has
to be done for all
cases.
DO NOT FORGET TO COMPLETE
THE CASE
Do not forget to
complete the case.
Please ensure that you
have all waste ready to
drop in the waste bin
before you answer YES
to this question since
the bin only opens
once for a few
minutes. All Partial
doses and vials must
be returned to
Pharmacy to verify.
Please accompany the
waste with the printed
receipt.
Controlled Substance
Discrepancy
 Pharmacy will reconcile wastage placed in
the return bin against what were documented
in AWS (case complete)
 Unresolved controlled substance discrepancy
will be followed up with the anesthesia
provider, carbon copy (cc) to Dr. Thomas
Shaw
 Anesthesia provider should check TCH email
and provide timely response to CS
discrepancy email
RETURNING/WASTING MEDICATION
 Unopened vials have to be returned back into the cabinets (not in
waste bin). Opened vials and syringes with medications need to be
returned to the waste bin with the printed receipt.
DO NOT DO THIS
CAUSES OF DISCREPANCIES
PHARMACY EXPECTATIONS
 Pharmacy will reconcile wastage
 Pharmacy will contact user if there is an
UNRESOLVED discrepancy
 User’s responsibilities: respond to the email
within 24 hours
 All unresolved discrepancies will be reported
to the CEO, per The Joint Commission
Medication Management standard.
Communication Regarding Discrepancies
 The pharmacy will communicate
discrepancies to you and the service chief via
TCH email. So it is essential that you check
your TCH email daily.
 You can check it quickly using the Microsoft
outlook icon on any computer that you are
logged into:
Personal Responsibility
 Please be meticulous regarding controlled
substances documentation and
accountability.
 The following screens will detailed the
escalation of response when discrepancies
occur.
After 1st discrepancy
 The trainee will be required to re-read the
Pharmacy Omnicell education packet
 The trainee will be required to print a copy of
the Omnicell workflow checklist and review
at the end of all cases
After 2nd discrepancy
 The trainee will be required to re-read the
Pharmacy Omnicell education packet
 The trainee will pass a written test to verify
comprehension process for handling
controlled substances
 The trainee will be required to keep a daily
log of all patients to whom they administer
narcotics and submit to Dr. Shaw’s mailbox
daily before leaving the hospital
After 3rd discrepancy
 The trainee’s program director will be notified
 AWS access will be discontinued until a
reeducation meeting with Dr. Shaw, Dr. Tjia,
and Pharmacy to assess the difficulty with
compliance.