WHAT YOU NEED TO KNOW ABOUT

HEALTH SCIENCES

NORTH

Orientation to Pharmacy

Overview

Health Sciences North

Pharmacist Rotations

Medication Orders & Pharmacy Communication Forms

HSN Formulary

The Robot ‘Picksy’ & PickRings

Pyxis

Medication Administration MAR: Medication Administration Record

Patient Charts

MEDITECH

Health Sciences North

Main Pharmacy: 3rd Floor Centre Tower

Pharmacist (ext. 5511) 8:00 - 21:00

Pharmacy technician on-site 24 hours daily

Pharmacist on-call 24 hours (ext. 3196)

Pharmacist Rotations

L1: Desk A: Emergency Department B: ICU C: Oncology D: E: Evening G: M: N: R: S: 4th & 5th Floor South Tower X: Cardiology

Medication Orders

Orders can be written by: Physician: MD or Medical Resident with privileges Clinical Clerk : 3rd or 4th year medical student , co-signed by

physician RN Extended Class/Nurse Practitioner Physician Assistant (PA) under a medical directive , which must

be written in the order 2nd year PA students, co-signed by physician

Complete orders include: Patient identification

Name & SH/SI # Date & time Clear legible directives Signature of ordering provider

Medication Orders

Medication Order sheets consist of 3 sections per page 1 white page that remains in the patient chart 1 yellow carbon copy page that is processed

by pharmacy

Orders may be handed to a pharmacist if on the floor or tubed to the pharmacy to be reviewed at the desk

Pharmacy Communication Forms

Pharmacy completes a Pharmacy Communication form when suggesting a change in drug therapy e.g., Initiate, Discontinue, Change

Yellow carbon copy is processed by pharmacy after MD has reviewed suggestion

HSN Formulary

Medications on the HSN Formulary are found using Lexicomp Open Internet Explorer > HSN Intranet > Click ‘LexiComp’

If available the drug will be listed & automatic substitutions as well

The Robot ‘Picksy’ & PickRings

Many Medication Orders that are processed by pharmacy & entered into MEDITECH are assembled by the robot onto plastic PickRings

Picksy, the robot, is located across the hall from the main pharmacy

The Robot ‘Picksy’ & PickRings

PickRings help organize medication administration & prevent omitted or extra dose errors

Medications on the PickRing are organized by administration time & are listed in alphabetical order by generic name

PickRings contain patient medications for a 24 hour period

Pyxis

Pyxis units are used when medications are: missing from PickRings dropped or wasted new orders/first dose

Depending on when the patient arrives to the floor & the bin delivery time, there may not be a PickRing until next delivery time (bins exchanged every 24 hours at specified time for each floor)

STAT orders narcotics benzodiazepines

Pharmacy will send medications not stocked in Pyxis

Medication Administration

Medications are given to patients by the nurse preparing the medication

The nurse administering the medication must confirm patient is wearing a current armband the armband’s patient account number (SI#) & full name

matches the information listed on Medication Administration Record (MAR) prior to administering the medication

Medication Administration

As soon as possible after medication administration, the Medication Administration Record (MAR) should be signed

If medication refused/held/not available, reason for omission recorded in MAR

An asterisk (*) beside an entry in the MAR directs reader to interdisciplinary note for more detailed information

The MAR is a useful toolo e.g., Dosing of sliding scale insulin can be found in the MAR

Patient Charts

Sections:

Emergency Miscellaneous

History / Consults Cardiology

Notes – M.D. Respiratory

Orders Laboratory

Operating Room Blood Bank

Medication ECG

Care Trends Telemetry

IN & OUT Imaging

History / Patient Assessment Legal Issues

Care / Activity

Orders: Physician Order Sheets, Admission Medication Order Record (AMOR)Medication: Medication Administration Record (MAR) (if not in separate binder)Miscellaneous: Long-term care MAR, community pharmacy list

MEDITECH

MEDITECH is the computer program used at HSN for electronic patient records

MEDITECH contains: Patient Demographics Location in Hospital Reason for Visit Allergies Current Medication Orders Laboratory Results Microbiology Results Imaging Reports Notes & Other Reports etc.

MEDITECH

To access information on MEDITECH: Login Pharmacy > Pharmacist Desktop Rounding: allows you to view patients in a specific unit My List: allows you to add patients for quick access

Add > Last name, First name (only partial name needed)

Once a patient is selected, can choose: Patient Profile: demographics, location, allergies, current

orders, etc. EMR: lab results, MD notes, etc. Interventions: to document

MEDITECH

Drug Name

Dose, Route, Frequency

Active, Hold, Discontinued

Start Date

Stop Date

NOTE: This is more of an accounting system, to be sure if patient is receiving medication refer to the MAR

Welcome to Health Sciences North