Guy’s and St . Thomas NHS Foundation Trust. Installing Medicine Smart Store Cabinets By Bill Pulman Deputy Pharmacy System Administrator (Ward Automation). Topics. What is a cabinet The Vision From tender to go-live Interfacing Preparation Cabinet installation Restock process
Installing Medicine Smart Store Cabinets
By Bill Pulman
Deputy Pharmacy System Administrator
JAC wasn’t dm+d compliant
No Mechanism for HL7 Interface into Pharmacy System
Product Development path already defined until 2011 (as of 2008)
Only solution was to replicate PDA Ward Top Up system - BWPROF
The Interface eventually drove the Omnicell Catalogue Design
Major Change on JAC is to create a section called Cabinet, and relocate all medicines into that section
Any unmatched data fields can result in a processing error - Most noticeable errors occurred during contract changes
A large number of data mismatches arising from changes on JAC’s ward profile not reflected on the Omnicell cabinet.
Booked out on JAC
Action: Control / Remove general
access to JAC to manage changes
Picking and putting away automated orders.
Cycle counting and expiry checking cabinet inventory.
Training all end users.
Report writing and reviewing
Stock list analysing
Buying in stock
Integrating within long standing MDT’s
Trust used Datix reported incidents to propose list of medicines to be validated using GS1 13 barcodes
(Now trialled for 6 months)
No “validated” catalogue to use (such as dm+d) so used a number of Pharmacy Safety Team to triple check configuration of barcodes on Omnicell system
We currently hold stock £127,000 worth of stock across 30 wards.
Our target from the outset would be to reduce this figure by 20% or £25,400
We have achieved the figure of £16,027 from 12 areas so far. So anticipate achieving that figure in the coming few weeks of Quality Review.
Email Trigger Events
Users spend less time preparing and dispensing medicines enabling more time at the patients bedside.
Efficient timely and safe system that protects and aids users. Safety features like bar code readers for high risk items like Potassium
Better control of inventory stock Reports available to identify key information.
A cleaner environment to hold stock and prepare medications
Availability of financial reporting
Improve preparing discharge medicine on ward.
Reduce cost of unused, waste and overstocked medicine.
Ability to Quality Review areas and assess performance.
A flexible, robust system that will deliver.
Decrease the need for Ad Hoc deliveries.