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CareFusion Pyxis MedStation 4000 User Manual

CareFusion Pyxis MedStation 4000 User Manual

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Pyxis MedStation
™
4000 System
Console User Guide
May 2011
DME: 10000152350 Ver. 00
Matl Number: 133591-01

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Summary of Contents for CareFusion Pyxis MedStation 4000

  • Page 1 Pyxis MedStation ™ 4000 System Console User Guide May 2011 DME: 10000152350 Ver. 00 Matl Number: 133591-01...
  • Page 2 CareFusion Corporation or one of its The information in this document is subject to change and does not represent a subsidiaries. commitment on the part of CareFusion to provide additional services or ® autoPharm is a registered enhancements.

  • Page 3: Table Of Contents

    Navigating the standby screen..............12 Logging in ....................12 Logging off....................12 Changing your password ................13 Using the console ....................14 Menu bar....................... 14 Features and functions.................. 14 Quick key ................... 14 Pyxis MedStation 4000 System Console User Guide...
  • Page 4 Beginning the process and assigning areas to a user ......69 Assigning privileges from a template ..........70 Assigning console privileges to a user..........71 Assigning station privileges to a user ..........72 Pyxis MedStation 4000 System Console User Guide...
  • Page 5 Pharmacy configuration ..................118 Customizing a security group name ............118 Adding or changing a medication-classification name ......120 Renaming a medication classification..........120 Adding a medication classification ..........121 Deleting a medication classification ..........122 Pyxis MedStation 4000 System Console User Guide...
  • Page 6 Scheduling archive maintenance ..............157 Chapter 5—Inventory Assigning a medication to a pocket..............160 Select block loading on individual stations ..........165 Replacing or editing a loaded medication ............167 Clearing a pending medication................168 Pyxis MedStation 4000 System Console User Guide...
  • Page 7 Appendix C—Pyxis Nurse Link on the console Pyxis Nurse Link overview ................202 Waste process ..................... 202 Removed Meds ................202 All Meds................... 202 Undocumented Waste ..............202 Waste information ..................202 Role-Based queuing..................203 Pyxis MedStation 4000 System Console User Guide...
  • Page 8 System configuration recommendations ............214 Drawer configuration and medication location .......... 214 Control the station formulary list ............... 214 Order entry and verification ............... 215 Medication distribution ................215 Glossary ................217 Index ................... 227 viii Pyxis MedStation 4000 System Console User Guide...

  • Page 9: About This Guide

    Caution indicates a potentially hazardous situation which, if not avoided, could result in minor or moderate injury. Caution is also used to alert against unsafe practices that could result in unpredictable results or data loss. Pyxis MedStation 4000 System Console User Guide...
  • Page 10 • Appendix E, Management and Monitoring Recommendations—Provides security recommendations, system configuration recommendations, and examples of controlled substance procedures for operating rooms (ORs) and anesthesiology in hospitals where Pyxis MedStation 4000 system is used. • Glossary—Defines system terminology. • Index...

  • Page 11: System Overview

    This section includes the following topics: The total medication solution..............2 Unit-dose workflow ................... 3 Pyxis MedStation system components ............4 Network information ................. 6 System communication ................8 Pyxis MedStation 4000 System Console User Guide...

  • Page 12: Chapter 1-System Overview

    Up to 95% of all medications (profile mode only) The actual amount of medication storage depends on your station configurations and other factors. The Pyxis MedStation system is flexible and has many configuration options to accommodate your needs and requirements. Pyxis MedStation 4000 System Console User Guide...

  • Page 13: Unit-Dose Workflow

    Order is automatically Technician transferred to prepares order. automated system. Pharmacist checks order. Order is delivered to floor. Order is put in appropriate storage. Nurse acquires and Nurse acquires and administers medication. administers medication. Pyxis MedStation 4000 System Console User Guide...

  • Page 14: Pyxis Medstation System Components

    (ADT) and billing information and, if you use profile mode, the pharmacy software system link (patient orders and other pharmacy profile information). CareFusion representatives configure and install the Pyxis MedStation system for you. NOTE The Pyxis MedStation system communications hardware and software interfaces are proprietary.
  • Page 15 Pyxis MedStation system components • Scanner—A scanner capable of reading linear and 2D barcode symbols is standard equipment on both the station and the console. Pyxis MedStation 4000 System Console User Guide...

  • Page 16: Network Information

    NOTE Some hospital or pharmacy vendors require additional hardware and software to accomplish this interface. Your CareFusion representative works with you to determine the requirements for your facility. The communications link between the console and the stations is interactive. The console receives patient information from the hospital’s information system...
  • Page 17 To store information electronically, or to generate custom reports, you can archive the console data and import the data into various database and spreadsheet programs. For specific information on archiving, see Utilities on page 137. Pyxis MedStation 4000 System Console User Guide...

  • Page 18: System Communication

    • Billing interface—A billing interface eliminates the need to enter individual billing transactions manually into the billing system. CareFusion can create an interface that allows you to format and send these transactions directly to your billing system.
  • Page 19 Configure the information to meet your nurse-charting vendor specifications. • Wholesaler interface—CareFusion has the ability to pass medication usage information directly to your wholesaler. A separate computer connected to the console interfaces with the wholesaler’s computer. More information regarding the wholesaler interface is available from your CareFusion representative and your wholesaler.
  • Page 20 — Chapter 1 System overview Pyxis MedStation 4000 System Console User Guide...

  • Page 21: Chapter 2-Console Basics

    Chapter 2 Console Basics This section includes the following topics: Getting started..................12 Using the console ..................14 Pyxis MedStation 4000 System Console User Guide...

  • Page 22: Getting Started

    2. In the Console User Login dialog box, enter your ID and password and click The menu bar appears. NOTE The console should not allow ID scans. Logging off Log off before stepping away from the console. Pyxis MedStation 4000 System Console User Guide...

  • Page 23: Changing Your Password

    2. In the Change Password dialog box, enter your current password and your new password. 3. In the box, enter your new password again. Re-enter new password 4. To save the new password, click Pyxis MedStation 4000 System Console User Guide...

  • Page 24: Using The Console

    (or whichever letter in the name that is underlined). To display quick keys ➤ To toggle the display of quick keys (that is, to hide or show the underlined letters), press A Pyxis MedStation 4000 System Console User Guide...
  • Page 25 You can also activate on-screen buttons using quick keys in the same way. Hold down A and enter the on-screen button’s underlined character. For example, to activate a Save button, you would hold down A and press S. Pyxis MedStation 4000 System Console User Guide...
  • Page 26 — Chapter 2 Console Basics Pyxis MedStation 4000 System Console User Guide...
  • Page 27 Variable dose................... 54 Combination dose ................... 58 Kits ......................63 Users ....................... 67 Patients....................80 Areas......................93 Clinical data.................... 97 Site-specific options ................107 Pharmacy configuration.................118 Maintaining scan codes................. 126 Communication status................131 Pyxis MedStation 4000 System Console User Guide...

  • Page 28: Chapter 3-Setting Up The System

    Do not change the station name unless absolutely necessary. Changing the name deletes unresolved discrepancies if you do not resolve them first. • Close—Dismisses the dialog box. 2. To return to the starting page, click Close Pyxis MedStation 4000 System Console User Guide...

  • Page 29: Adding A Station Or Other Device

    ADT, medication inventory usage, and patient clinical orders (when in profile mode). • SUPPCONS—A supply console. Customers with Duostation will need to configure this device type to facilitate synchronization of users. Pyxis MedStation 4000 System Console User Guide...

  • Page 30: Entering The General Settings

    InService, OutofService, BrainTxPlant, Pending InService, Pending OutofService, or NonLive. • Build #—Displays the version number of the MedStation console software. A CareFusion representative might ask for the build number when assisting you with your system. • Type—Displays the type of device.
  • Page 31 Open Drw Timeout—In minutes (0–99) and seconds (0–59), enter the time after which the station beeps and you are logged off because a drawer is left open and there is no keyboard or monitor activity. Pyxis MedStation 4000 System Console User Guide...
  • Page 32 During a Refill and Load, the medications being added to the station Pyxis MedStation 4000 System Console User Guide...
  • Page 33 The Stock Critical Low Bulletins option is selected by default when enabled in site options and displays the default destination defined in Site Options. The dropdown box allows a different printer destination to be chosen. Pyxis MedStation 4000 System Console User Guide...

  • Page 34: Entering The Communication Settings

    If this station has no transactions, the console passes information to the station and continues querying the next station. This cycle of polling is continuous until you turn it off. Generally, you would not turn off polling unless so advised by a CareFusion representative. Pyxis MedStation 4000 System Console User Guide...

  • Page 35: Entering The Settings For Profile Mode

    Downtime or delay time feature, select this option as part of your backup procedure in the event that the profile system is down or behind for an extended period.This option automatically enables critical override Pyxis MedStation 4000 System Console User Guide...
  • Page 36 6. Select the applicable options: • Interface Status Banners—Select to display interface status banners if the profile interface is down or delayed. • Due Time On Remove—Select to display the message. Pyxis MedStation 4000 System Console User Guide...

  • Page 37: Entering The Hardware Settings

    This section describes how to complete the Hardware tab. 1. Click the tab. Hardware 2. Click 3. In the Add new Drawer for device dialog box, enter the applicable information. • Drawer #—Enter the drawer number. Pyxis MedStation 4000 System Console User Guide...
  • Page 38 Num of Pkts—Set the number of pockets for the drawer. • MedCart#—This box is reserved for future use. 4. When you are finished, click Save 5. Complete the steps outlined in the next section, Activating a CDC. Pyxis MedStation 4000 System Console User Guide...
  • Page 39 CDC. If deactivated, no information appears in the Selected column for the chosen CDC. 3. When you are finished, click Save 4. Complete the steps outlined in the next section, Entering the advanced communication settings. Pyxis MedStation 4000 System Console User Guide...
  • Page 40 Changing the options on the Adv Communications tab affects station communication and message processing. CAUTION Contact your CareFusion representative before making changes to these settings. If your site requires more than one computer in your console configuration, a representative might direct you to change the value of the Comm Box field.
  • Page 41 Each station privilege has unique properties. All are mutually exclusive, with the exception of the Station Login/Witness Ability privilege. If you are given any privilege other than this one, you automatically gets the Station Login/Witness Ability privilege. Otherwise, assign each privilege individually. Pyxis MedStation 4000 System Console User Guide...
  • Page 42 Permanent users are allowed to assign any station or medication privilege that they themselves have to users they create. With this privilege, you automatically have both the Pyxis MedStation 4000 System Console User Guide...
  • Page 43 Standard Stock setting in Inventory. 3. When you are finished, click Save 4. Complete the steps outlined in the next section, Entering medication privileges for temporary users. Pyxis MedStation 4000 System Console User Guide...

  • Page 44: Completing The Process

    The following procedure explains how to finish adding a station or other device. 1. After you are finished entering the information on the various tabs, click Save 2. In the confirmation message that appears, click Pyxis MedStation 4000 System Console User Guide...

  • Page 45: Editing A Station Or Other Device

    3. In the Devices dialog box, select the device name and click Delete 4. In the confirmation dialog box that appears, type in the box and click to continue. 5. After the confirmation message appears, click 6. In the Devices dialog box, click Close Pyxis MedStation 4000 System Console User Guide...

  • Page 46: Changing The Device Type

    Therefore, enter a new name with 10 or less characters. 6. When the confirmation message appears, click to continue. 7. In the Device New Name dialog box, enter the new name and click Save 8. When the confirmation message appears, click Pyxis MedStation 4000 System Console User Guide...

  • Page 47: Taking A Device In Or Out Of Service

    2. In the Devices dialog box, select the device whose status you want to change and click Edit NOTE Take a station in or out of service only under the direction of a CareFusion representative. 3. In the lower-right corner of the Editing Device dialog box, click In Service/Out of Service 4.

  • Page 48: Formulary Management

    Too Close warning when the medication currently being removed has been previously removed within the parameter set at the console. Likewise, if Remove Warning is turned on and the device is in non-profile mode, you also get the Too Close warning. Pyxis MedStation 4000 System Console User Guide...
  • Page 49 As you type, the system attempts to match the item character by character to your entry. • Refresh—Click to refresh the contents of the list. 3. To return to the standby dialog box, click Close Pyxis MedStation 4000 System Console User Guide...
  • Page 50 Volume—Enter the fluid volume of the medication. This field is required only when the medication is a fluid. • Volume Units—Select a unit of volume. • Dosage Form—Select the dosage form of the medication. Pyxis MedStation 4000 System Console User Guide...
  • Page 51 • Units of Issue—Enter the number of units of medication per refilling package. • Units of Order—Enter the supplier’s package size used for ordering. • Package Quantity—Enter the number in the supplier’s package. Pyxis MedStation 4000 System Console User Guide...
  • Page 52 All Except Load Discrepancies—Indicates that users are not required to resolve discrepancies that are created for this medication during all station activities, except when they are being loaded. The discrepancy appears on the Discrepancy report as closed (documented). Pyxis MedStation 4000 System Console User Guide...
  • Page 53 • Remove Clinical Data—Select up to four categories for Remove transactions. • Waste Clinical Data—Select up to four categories for Waste transactions. • Return Clinical Data—Select up to four categories for Return transactions. Pyxis MedStation 4000 System Console User Guide...

  • Page 54: Editing A Formulary Item

    Save 4. In the confirmation dialog box that appears, click to continue. NOTE For Pyxis Anesthesia System, all pended items must be loaded prior to performing any edits/global edits on those pended items. Pyxis MedStation 4000 System Console User Guide...

  • Page 55: Editing Accessed Inventory

    4. Select Formulary Data tab and ensure that the Med Class is the same classification chosen in the pharmacy configuration. See Adding a medication classification on page 121. 5. Select as appropriate. Save Close Pyxis MedStation 4000 System Console User Guide...
  • Page 56 • With Scan Once enabled, NDC values cannot be captured since each dose is not scanned. Pyxis MedStation 4000 System Console User Guide...

  • Page 57: Enabling Scan On Load/Refill

    Scan on Load/Refill 6. Click Save 7. Click Enabling undocumented waste This feature allows a facility to track any and all remove transactions in which a user removes a quantity greater than the ordered dose. Pyxis MedStation 4000 System Console User Guide...

  • Page 58: Configuring The Multi-Scan Medication Feature

    Pick or Check or both the Pick and Check process. NOTE The following configuration is performed by a CareFusion specialist: set the PAR scan config flag to for the PAR options to enable in the Formulary Options tab.
  • Page 59 PARx Scanning Configuration During Pick During Check, both check boxes to enable the multi-scan feature for each particular formulary item. 6. Click Save The Scanning Configuration is set for the selected drug. Pyxis MedStation 4000 System Console User Guide...

  • Page 60: Formulary Equivalencies

    To define a combination of generically different formulary items, define a combination dose instead of an equivalency. • Equivalencies might not contain variable-dose or combination-dose members. Pyxis MedStation 4000 System Console User Guide...
  • Page 61 3. In the Select med for equivalency creation dialog box, select a medication on which to base your equivalency. CareFusion suggests creating equivalencies for the medication with the greatest strength to take advantage of the Expand feature. An equivalency group is created for the item you selected. Candidates for the...

  • Page 62: Editing An Equivalency

    2. In the Equivalency Setup dialog box, do one of the following: • To delete an individual equivalency, select the equivalency and click Delete Equivalency • To delete an equivalency group, select the group and click Delete Equivalency Group Pyxis MedStation 4000 System Console User Guide...

  • Page 63: Expanding An Equivalency

    3. Click Expand Equivalency An Expand Equivalency Confirmation dialog box appears. The Maximum Expand Quantity Limit default is two. 4. If desired, change the maximum expand quantity limit. 5. Click Confirm 6. Click Close Pyxis MedStation 4000 System Console User Guide...

  • Page 64: Variable Dose

    • For best results, load all members of a variable dose in stations where that medication is used. To add a variable dose 1. Select System Setup > Formulary Management > Variable Dose Pyxis MedStation 4000 System Console User Guide...
  • Page 65 7. Complete the following: • Dosage Form—Select the dosage form for the variable dose. • Alternate ID 2—Enter an alphanumeric medication ID (up to 15 characters) that functions as an additional identification for the medication. Pyxis MedStation 4000 System Console User Guide...
  • Page 66 Members tab. 9. Click Select Candidates 10. In the Variable Dose: Candidate Selection dialog box, select a formulary item that is within the desired range from the formulary list and then click Select Pyxis MedStation 4000 System Console User Guide...

  • Page 67: Editing A Variable Dose

    Delete 3. In the confirmation message, click 4. In the second confirmation message that appears, click The Variable Dosage Meds dialog box appears. 5. To return to the standby dialog box, click Close Pyxis MedStation 4000 System Console User Guide...

  • Page 68: Combination Dose

    System Setup > Formulary Management > Combination Dose 2. In the Combination Dosage Meds dialog box, click 3. In the New Combo Med Setup dialog box, enter the Generic Name and ID for the combination dose. Pyxis MedStation 4000 System Console User Guide...
  • Page 69 ID are optional. 4. Click Add Item The Select med for combo med selection dialog box appears. 5. Select or search for the medication to assign to the combination dose and then click Select Pyxis MedStation 4000 System Console User Guide...
  • Page 70 7. If you need to change the quantity of a member, select the member and click Edit Quantity 8. Click Save 9. In the confirmation message, click The Combination Dosage Meds dialog box appears. Pyxis MedStation 4000 System Console User Guide...

  • Page 71: Editing A Combination Dose

    Edit Quantity—Change the quantity of the selected item. • Remove Item—Remove the item from the combination dose. 3. Click Save 4. In the confirmation message, click The Combination Dosage Meds dialog box appears. Pyxis MedStation 4000 System Console User Guide...

  • Page 72: Deleting A Combination Dose

    In the Combination Dosage Meds dialog box, select or search for the combination dose and then click Delete 2. In the confirmation message, click 3. In the second confirmation message, click The Combination Dosage Meds dialog box appears. Pyxis MedStation 4000 System Console User Guide...

  • Page 73: Kits

    Kit IDs are unique. When you enter a duplicate ID, the system prompts you to change the ID. 4. To add items to the kit, complete the following steps: a. Click Add Item Pyxis MedStation 4000 System Console User Guide...
  • Page 74 The names of the areas you selected move to the Kit Locations list. The kit is available only to those areas. 6. Click Save 7. In the confirmation message, click to return to the Add Kit dialog box. 8. Click to return to the Kits dialog box. Close Pyxis MedStation 4000 System Console User Guide...

  • Page 75: Editing A Kit

    6. To change the areas associated with the kit, do any of the following: • To add an area, select the area and click Add Area • To add all areas, click Add All Pyxis MedStation 4000 System Console User Guide...

  • Page 76: Deleting A Kit

    System Setup > Formulary Management > Kits 2. In the Kits dialog box, select the applicable kit and click Delete 3. In the confirmation message, click 4. In the second confirmation message, click Pyxis MedStation 4000 System Console User Guide...

  • Page 77: Users

    Privilege templates do not contain area information. Enter area information individually for each user. To create a template 1. Select System Setup > Users 2. At the top of the Users dialog box, click Privilege Templates Pyxis MedStation 4000 System Console User Guide...
  • Page 78 9. In the confirmation message, click 10. Click to return to the User Template Selection dialog box. Close Your new template appears in the dialog box. 11. To return to the standby dialog box, click Close Pyxis MedStation 4000 System Console User Guide...

  • Page 79: Adding A User

    Although you can enter up to 20 characters in the First Name and Last Name fields, the system limits the combined total to 20 characters. The result stored in the database might include a truncated version of the first name. Pyxis MedStation 4000 System Console User Guide...

  • Page 80: Assigning Privileges From A Template

    The name of the applicable template appears above the Save and Cancel buttons. 3. Click Save The user is added and a blank Add New User dialog box appears. 4. Click to return to the main Users dialog box. Cancel Pyxis MedStation 4000 System Console User Guide...

  • Page 81: Assigning Console Privileges To A User

    • Basic Pharmacy Privileges—Allows you to access the Inventory menu, assign medications to pockets that are not granted through medication privileges, add and modify formulary items, and access reports and the archival feature. Pyxis MedStation 4000 System Console User Guide...

  • Page 82: Assigning Station Privileges To A User

    Login/Witness Ability. If you are given any privilege other than this one, you automatically gets Station Login/Witness Ability. Assign remaining privileges on an individual basis. The following table provides examples of users and some of the privileges they might need Pyxis MedStation 4000 System Console User Guide...
  • Page 83 1. Click the tab. Station Privileges 2. Select the applicable options: • Station Login/Witness Ability—Allows you to act as a witness and provides limited access to the station with no ability to access drawers. Pyxis MedStation 4000 System Console User Guide...
  • Page 84 When a station has the Witness Required To/Empty Return Bin ° option enabled, all returns to the return bin require a witness. A user with the Independent Discrepancy Documentation privilege ° can perform discrepancy documentation without a witness. Pyxis MedStation 4000 System Console User Guide...
  • Page 85 After an item is in the My Items list, it can be issued to a patient, transferred to another user, returned, or wasted. 3. Complete the steps outlined in the next section, Assigning medication privileges to a user. Pyxis MedStation 4000 System Console User Guide...

  • Page 86: Assigning Medication Privileges To A User

    3. In the Users – Display users who meet the following criteria dialog box, do one of the following: • To display users in a specific area, select the area from the list. In area Pyxis MedStation 4000 System Console User Guide...

  • Page 87: Updating Information For An Existing User Or Group Of Users

    The following procedure explains how to update the information for an existing user. 1. Select System Setup > Users 2. In the Users dialog box, select the applicable user and click Edit 3. Update the applicable information on each tab. 4. Click Save Pyxis MedStation 4000 System Console User Guide...

  • Page 88: Updating A User-Privilege Template

    The following procedure explains how to delete a user. 1. Select System Setup > Users 2. In the Users dialog box, select the applicable user and click Delete 3. In the confirmation message, click Pyxis MedStation 4000 System Console User Guide...
  • Page 89 The Show Detail button provides a way to view the Privilege Template. NOTE Privilege Templates cannot be deactivated if assigned to users. 4. In the confirmation message, click to continue. The User Template Selection dialog box appears. Pyxis MedStation 4000 System Console User Guide...

  • Page 90: Patients

    3. In the upper section of the dialog box, enter the following: • First Name—Enter the user’s first name in this field (up to 20 characters). • Last Name—Enter the user’s last name in this field (up to 20 characters). Pyxis MedStation 4000 System Console User Guide...
  • Page 91 (the default is the current date and time). • Auto-Discharge Date—Enter the date and time at which the patient is expected to be discharged from the original room and board (usually defaults to one year). 5. Click the tab. Comments Pyxis MedStation 4000 System Console User Guide...
  • Page 92 (U/INCHES/FEET/CM/M). • Weight—Enter the patient’s weight and select the applicable measurement unit (M/OZ/LBS/G/KG). • Estimate—If the height and weight are unverified, select this box. • Diagnosis—Enter a text-based description of the patient’s condition. Pyxis MedStation 4000 System Console User Guide...
  • Page 93 11. Enter the order information for your patient in these areas: • Order—Determined by your facility. • Order Description—Enter the order description. • Type (select one): Pyxis MedStation 4000 System Console User Guide...
  • Page 94 Review Order on the Remove dialog box at the station. The order is actually accessible on any day at the station. • Every other day—Select this option for orders given on alternate days. This option is for documentation purposes only and the days you choose Pyxis MedStation 4000 System Console User Guide...
  • Page 95 Select 16. In the Add/Edit Med Dose in Order dialog box, enter the following information: • Ordered Qty—enter the prescribed quantity. • Ordered Strength—enter the prescribed strength. • Ordered Volume—enter the prescribed volume. Pyxis MedStation 4000 System Console User Guide...

  • Page 96: Using The Expanded Allergies Feature

    2. In the Patients dialog box, you can access the expanded allergies tab when adding a patient or editing a patient. Click to add a patient. Highlight a patient’s name and click Edit Pyxis MedStation 4000 System Console User Guide...
  • Page 97 Severity—select a blank entry, SV, MO, and MI from the drop-down list. • Reaction—enter a description of the patient’s reaction to the allergen. • Type—must be filled in. Select a blank entry, DA, FA, MA, and MC from the drop-down list. Pyxis MedStation 4000 System Console User Guide...

  • Page 98: Multiple Severities And Reactions For One Allergy

    1. Select System Setup > Devices. 2. Select Device Name. 3. Select Edit 4. Select the tab. Settings 5. Enter the desired hold time in the Pre-Admit Lead Time field. 6. Click Save Pyxis MedStation 4000 System Console User Guide...

  • Page 99: Editing A Patient File

    Filtering the list of patients Filtering provides a way to display only a subset of patients if you have many patients. 1. Select System Setup > Patients 2. In the Patients dialog box, click List by Pyxis MedStation 4000 System Console User Guide...

  • Page 100: Patient Billing Reconciliation

    In addition, the console also provides a means of producing a report that contains records of the financial transactions associated with patients whose records were merged. See Reconciled Patients Charges and Credits on page 172. Pyxis MedStation 4000 System Console User Guide...

  • Page 101: Using The Reconcile Feature

    The Patient Reconciliation dialog box appears. 3. In the Permanent Patient section, click to load patient information. Change 4. [new step?] 5. In the Temporary Patient section, click to load patient information. Change 6. [new step?] Pyxis MedStation 4000 System Console User Guide...
  • Page 102 See Reconciled Patients on page 174. It reconciles permanent patients to temporary patients. This includes: • The name and ID of the user who created the association. • The time the patient records were reconciled. Pyxis MedStation 4000 System Console User Guide...

  • Page 103: Areas

    If nursing units do not exist in the system, you must create them manually before you can define areas. In Pyxis MedStation 4000 system SR3, you can select more than six nursing units to be assigned to one area to a maximum of 15 units.
  • Page 104 6. To change the auto-discharge time (the default is one year), do the following: a. Select the nursing unit and click Auto-Discharge Time b. In the Auto Discharge Time dialog box, enter the auto-discharge time in hours and click Pyxis MedStation 4000 System Console User Guide...

  • Page 105: Adding An Area

    2. In the section of the Area & Nurse Unit Maintenance dialog box, Area List select the applicable area. The nursing units currently associated with the area are shown in the Area’s NUnits list. Pyxis MedStation 4000 System Console User Guide...

  • Page 106: Deleting An Area

    2. In the Nursing Units section of the Area & Nurse Unit Maintenance dialog box, select the applicable unit and click Delete Unit 3. In the confirmation message, click 4. To return to the standby dialog box, click Close Pyxis MedStation 4000 System Console User Guide...

  • Page 107: Clinical Data

    OKAY Chemotherapy Chemotherapy handling • ( ) will handle safely OKAY precautions Do not crush Do not crush • ( ) Pt has feeding CALL tube • ( ) Pt can swallow OKAY Pyxis MedStation 4000 System Console User Guide...
  • Page 108 Override Documentation Remember to document reason for override in Patient Chart Override Reason Reason for override • Not an emergency, will wait • Code 90Acute pain • HR/BP outside limits • Nauseated • Allergic Reaction • Antidote/reversal agent Pyxis MedStation 4000 System Console User Guide...
  • Page 109 Route of Admin Route of Admin • IV • IM Used Anesthesia Kit Is anesthesia record included? • ( ) Anesthesia record inside Vancomycin DUE Reason for vancomycin order • MRSA Penicillin allergic Pyxis MedStation 4000 System Console User Guide...
  • Page 110 If you want to create predefined responses, you must select Single or Multi to ensure that the Add button appears on the Clinical Data Edit dialog box when you are reading to create the responses. 5. To require the user to enter clinical data, select Required Pyxis MedStation 4000 System Console User Guide...
  • Page 111 If you select Several, you must define a name for each list and the responses for each list name. 11. When you are finished, click to save your changes. 12. To return to the standby dialog box, click Close Pyxis MedStation 4000 System Console User Guide...

  • Page 112: Using A Cdc Response

    Adding a response for a CDC on page 103 • Adding a multiple-response list on page 104 • Editing a multiple-response list on page 105 • Deleting a response from a multiple-response list on page 105 Pyxis MedStation 4000 System Console User Guide...
  • Page 113 One List 4. In the Add List Name and Responses dialog box, enter the name. 5. Click Save 6. Click 7. In the Add Response dialog box, enter the response and click Save Pyxis MedStation 4000 System Console User Guide...

  • Page 114: Adding A Multiple-Response List

    8. Continue to add/save responses as needed. When you are finished, click Close The Add List Name and Responses dialog box appears with responses listed. 9. Click Close The Clinical Data Edit dialog box appears with the new Clinical Data List. 10. Click Pyxis MedStation 4000 System Console User Guide...

  • Page 115: Editing A Multiple-Response List

    The following procedure explains how to delete response lists. 1. Select System Setup > Clinical Data 2. In the Clinical Data dialog box, select the CDC name and click Edit 3. In the Clinical Data Edit dialog box, click Edit Responses Pyxis MedStation 4000 System Console User Guide...
  • Page 116 4. In the View/Modify Responses dialog box, select the response to remove and click Delete 5. In the confirmation message, click 6. Click to return to the Clinical Data Edit dialog box. Close 7. To return to the standby dialog box, click Pyxis MedStation 4000 System Console User Guide...

  • Page 117: Site-Specific Options

    4. On the same tab, enter your pharmacy’s phone number and the phone number set up for remote diagnostics. This information is used by CareFusion to access your Pyxis MedStation system should you have any questions or problems. 5. Click Save 6.
  • Page 118 This expiration time affects both the console and all stations. • Minimum Password Length—This affects only new passwords, not existing ones. Typically, the length is at least three characters. • Stock Critical Low At—Percentage of the minimum value to queue a warning. Pyxis MedStation 4000 System Console User Guide...

  • Page 119: Configuring An Attention Notice (Bulletin)

    Critical Low, Rx Check, Discrepancy, Ordered Med Not Loaded, NCR Bulletins, and Temperature Out of Range. You cannot toggle other types of notices. In the ideal state, the notice does not appear by default. Pyxis MedStation 4000 System Console User Guide...
  • Page 120 • Temperature Out of Range—Notifies you that the Pyxis ® SMART Remote Manager’s temperature is out of range. 4. Click Save 5. In the confirmation dialog box that appears, click Pyxis MedStation 4000 System Console User Guide...

  • Page 121: Addressing An Unsolicited Attention Notice

    2. In the Site Information dialog box, click the tab to enter the report Reports options for your facility. 3. In the Report Time box, enter the time at which the reporting period should begin. Pyxis MedStation 4000 System Console User Guide...
  • Page 122 Inventory By Station and Hospital Wide Med Summary reports. • Show Charge Info on Console Billing Summary and Charges & Credits Reports—Display charge information on the Billing Summary and Charges & Credit reports. Pyxis MedStation 4000 System Console User Guide...

  • Page 123: Specifying Maintenance Options

    You can also use it to begin running maintenance at any time, even if it is not scheduled. NOTE Do not change the Maintenance options without assistance from a CareFusion representative. Option...
  • Page 124 A maintenance cycle is inactive if you select Cycle Inactive. This means that the maintenance cycle does not run, but allows you to keep the settings for future use. Select Cycle Active to run the cycle at the time and days specified. Pyxis MedStation 4000 System Console User Guide...

  • Page 125: Running A Maintenance Task

    Running a maintenance task Rather than waiting for the scheduled time for a particular maintenance task, you can choose to run it immediately. NOTE Do not change the Maintenance options without assistance from a CareFusion representative. To run a maintenance task 1. Select System Setup >...

  • Page 126: Viewing Or Modifying A Medication Warning

    — Chapter 3 Setting Up the System NOTE Do not change the Maintenance options without assistance from a CareFusion representative. To customize the console name 1. Select System Setup > Site Specific Options 2. In the Site Information dialog box, click the tab.
  • Page 127 5. Click Save 6. When the confirmation message appears, click to return to the standby dialog box. Pyxis MedStation 4000 System Console User Guide...

  • Page 128: Pharmacy Configuration

    If a witness is required for a security group, the words [Witn. req. for Waste While Remove, Waste, Return, Inv] appear to the right of that security group. This means a witness is required when wasting, returning, and inventorying medications. Pyxis MedStation 4000 System Console User Guide...
  • Page 129 2. Select the security group name and click Edit 3. In the Security Group Name Edit dialog box, enter the new security group name in the box and click Group Name Save 4. Click Close Pyxis MedStation 4000 System Console User Guide...

  • Page 130: Adding Or Changing A Medication-Classification Name

    • Adding a medication classification on page 121 • Deleting a medication classification on page 122 Renaming a medication classification The following procedure explains how to change the name of a medication classification. Pyxis MedStation 4000 System Console User Guide...

  • Page 131: Adding A Medication Classification

    3. In the Med Classification Add dialog box, enter a character for the medication classification in the box. Class 4. Enter the new medication-classification name in the box and click Class Name Save 5. Click Close Pyxis MedStation 4000 System Console User Guide...

  • Page 132: Deleting A Medication Classification

    Adding a discrepancy-resolution reason The following procedure explains how to add a reason. 1. Select System Setup > Pharmacy Configuration > Discrepancy Resolution Reasons 2. In the Pharmacy Configuration – Discrepancy Resolution Reasons dialog box, click Pyxis MedStation 4000 System Console User Guide...

  • Page 133: Editing A Discrepancy-Resolution Reason

    2. In the Pharmacy Configuration Discrepancy Resolution Reasons dialog box, select the applicable reason and click Delete 3. In the confirmation dialog box that appears, click 4. To return to the standby dialog box, click Close Pyxis MedStation 4000 System Console User Guide...

  • Page 134: Adding, Updating, Or Deleting A Formulary Or Station List

    4. In the Add List Entry dialog box, enter the new item and click 5. To return to the standby dialog box, click Close Pyxis MedStation 4000 System Console User Guide...

  • Page 135: Editing A List

    4. In the list that appears, select the item that you want to remove and click Delete 5. When the confirmation message appears, click to delete the entry. 6. To return to the standby dialog box, click and then click again. Close Close Pyxis MedStation 4000 System Console User Guide...

  • Page 136: Maintaining Scan Codes

    This scan code must not be previously associated with any formulary items. NOTE Scan code associations are unit dose based. The recommended quantity equals one, as this affects the quantity selected during Scan on Remove. Pyxis MedStation 4000 System Console User Guide...

  • Page 137: Editing A Scan Code

    Using scan code for a quick search Use this feature to determine if a scan code number is already in your system. 1. In the menu bar, click System Setup > Pharmacy Configuration > Scan Code Maintenance Pyxis MedStation 4000 System Console User Guide...
  • Page 138 4. If the number is already in the system, the following dialog box appears. This shows you the medication and its properties. You can continue to check scans by clicking . If you are finished, click Scan Next Cancel Pyxis MedStation 4000 System Console User Guide...

  • Page 139: Confirming Items

    . The Scan codes for confirmation Confirm dialog box appears. 3. Highlight the medication to confirm. Click Accept Multiple medications can be confirmed at the same time. Use C HIFT to select more medications. Select All Pyxis MedStation 4000 System Console User Guide...
  • Page 140 — Chapter 3 Setting Up the System 4. Click to return to the main dialog box. Close Pyxis MedStation 4000 System Console User Guide...

  • Page 141: Communication Status

    The Communication Status (CommStatus) menu allows you to view information about the communication between the console and the attached devices, including stations. This feature is used mainly by CareFusion representatives for troubleshooting. However, a representative might ask you to access this option to review information.
  • Page 142 Methods—Displays the status of the communication methods in use. The fields are: CommBox—Specifies which communications PC this device is ° configured to communicate with. Method—Method type. ° Method—Shows specific information about the method level. ° Pyxis MedStation 4000 System Console User Guide...
  • Page 143 DeviceLinked—Identifies a device. A device is any piece of ° equipment which communicates directly with the console, such as a station. • Protocol—Displays the network communication. The Protocol tab indicates the level of performance for each method. The information Pyxis MedStation 4000 System Console User Guide...
  • Page 144 #XFR—Amount of messages to transmit to devices. ° #Rcv—Amount of messages received from devices. ° Mode—The state in which the sessions for the protocol reside. Will ° be shown as Idle, Listen_W, or Polling. Send ° Recv—Receive ° Pyxis MedStation 4000 System Console User Guide...

  • Page 145: Changing The Refresh Rate

    2. In the Refresh Rate section of the Communication Status dialog box, select the applicable setting: Every second, Every 10 seconds, Every minute, or Manual. This is a view-only dialog box in which you cannot make selections. Pyxis MedStation 4000 System Console User Guide...
  • Page 146 — Chapter 3 Setting Up the System Pyxis MedStation 4000 System Console User Guide...

  • Page 147: Chapter 4-Utilities

    Chapter 4 Utilities This section includes the following topics: Using virtual files edit to define communication ports ......138 Updating information globally.............. 141 Archiving transactions ................152 Pyxis MedStation 4000 System Console User Guide...

  • Page 148: Using Virtual Files Edit To Define Communication Ports

    Use the Virtual Files Edit feature to create the methods.cfg file for defining communication ports. CAUTION Do not use Virtual Files Edit without the assistance of a CareFusion representative. Adding a virtual file The following procedure explains how to add a configuration file.

  • Page 149: Deleting A Virtual File

    3. In the Virtual File – Rename dialog box, complete the following: • Machine Name—Select a machine from the list. • File Name—Enter a new name for the file. 4. Click Save 5. When the confirmation message appears, click Pyxis MedStation 4000 System Console User Guide...

  • Page 150: Copying A Virtual File

    3. In the Virtual File – Copy dialog box, complete the following: • Machine Name—Select a machine from the list. • —Enter the name of the file. File Name 4. Click Save 5. When the confirmation message appears, click Pyxis MedStation 4000 System Console User Guide...

  • Page 151: Updating Information Globally

    2. For each of the fields shown in the dialog box, select the values that determine the medications to edit. NOTE The values you enter in the Selection Criteria tab determine which medications are updated. Pyxis MedStation 4000 System Console User Guide...
  • Page 152 6. Click the tab. Data 7. Enter the new values for the fields on this tab. NOTE The values you enter become the new values for all medications selected based on the Selection Criteria tab. Pyxis MedStation 4000 System Console User Guide...
  • Page 153 11. To apply the changes, click Confirm Update 12. In the confirmation message that appears, click 13. In the next confirmation message that appears, click Pyxis MedStation 4000 System Console User Guide...

  • Page 154: Updating Device Information Globally

    . The corresponding devices are Select added to the column on the right. 4. When you have finished selecting devices, click Continue Pyxis MedStation 4000 System Console User Guide...
  • Page 155 Stock Out Bulletins Stock Critical Low Bulletins Edit only when they are enabled by site option. 6. If you are updating stations that use profile mode, click the tab and make the applicable changes. Pyxis MedStation 4000 System Console User Guide...
  • Page 156 8. To activate (or deactivate) a clinical data category, select the category name and click Edit List Assignment 9. Select the applicable information and click to add the definition to the Select List Name column. 10. Click the tab and make the applicable changes. Comm Pyxis MedStation 4000 System Console User Guide...
  • Page 157 Updating information globally 11. If a CareFusion employee has instructed you to do so, click the Adv Comm and make the applicable changes. CAUTION Do not change the information in this dialog box unless directed to do so by a CareFusion representative.

  • Page 158: Updating User Information Globally

    Adding a user on page 69. CAUTION When performing a global edit on users that are assigned to a specific user template, those users will no longer be assigned to that user template after the global edit. Pyxis MedStation 4000 System Console User Guide...
  • Page 159 6. In the User Expiration Date section, enter the date on which the logins expire. 7. To review the list of users who match the selected criteria, click Review , review the list of users, and click Selection Done Pyxis MedStation 4000 System Console User Guide...
  • Page 160 8. Click the tab and make the applicable changes. User Data 9. Click the tab and make the applicable changes. Console Privileges 10. Click the tab and make the applicable changes. Stn Privileges Pyxis MedStation 4000 System Console User Guide...
  • Page 161 12. When you are finished, click Continue 13. In the Global User Edit Confirmation dialog box, verify that the changes are correct and then click Confirm Updates 14. In the confirmation message that appears, click Pyxis MedStation 4000 System Console User Guide...

  • Page 162: Archiving Transactions

    The number of records in your transaction file (.UTX). Resolved The number of records in the discrepancy transaction file (.DTX). Archived Date The date that the archive file was written. Archived By Specifies who copied the particular archive file. Pyxis MedStation 4000 System Console User Guide...

  • Page 163: Selecting Archive Data

    Creating or editing archival data for pocket-access transactions The following procedure explains how to archive pocket-access transactions. 1. In the menu bar, click Utilities > Archiving 2. In the Archiving dialog box, click Archive Specification Pyxis MedStation 4000 System Console User Guide...
  • Page 164 7. In the Archiving* dialog box, select one or more files to archive. The Archive button becomes active. 8. Click Archive 9. In the confirmation message, click The file is archived. 10. In the confirmation message, click Close Pyxis MedStation 4000 System Console User Guide...

  • Page 165: Creating Or Editing Archival Data For User Transactions

    The following procedure explains how to archive document-discrepancy transactions. 1. Select Utilities > Archiving 2. In the Archiving dialog box, click Archive Specification 3. In the Archive Specification dialog box, click Documented Discrepancies Pyxis MedStation 4000 System Console User Guide...

  • Page 166: Creating Or Editing Archival Data For Temperature-Log Transactions

    3. In the Archive Specification dialog box, click Temperature Log Transactions 4. In the Archive Specification for Pyxis SMART Remote Manager Temperature Log dialog box, select each field of the log to archive. Pyxis MedStation 4000 System Console User Guide...

  • Page 167: Copying Archive Files To Media

    To prevent the possible introduction of a computer virus into the Pyxis MedStation system, always use new disks. If you must recycle disks, reformat the disk, and run an antiviral program on it prior to use. CareFusion recommends that you use disks available from CareFusion because these disks are high-quality and have been rigorously tested to ensure their suitability and reliability.
  • Page 168 Select Cycle Active to run the cycle at the time and days specified. 6. To save your changes, click and then click Save 7. In the confirmation message that appears, click Pyxis MedStation 4000 System Console User Guide...
  • Page 169 This section includes the following topics: Assigning a medication to a pocket............160 Replacing or editing a loaded medication ..........167 Clearing a pending medication............. 168 Making a pocket unavailable ..............168 Pyxis MedStation 4000 System Console User Guide...

  • Page 170: Chapter 5-Inventory

    You can limit the number of stations displayed by selecting a Station Type first. The Inventory – Meds For [station] dialog box appears showing the medications that are currently loaded or pending in the selected station. 3. Click Assign New Med Pyxis MedStation 4000 System Console User Guide...
  • Page 171 Matrix—The drawer is treated as a regular matrix drawer—each ° pocket is assigned a different medication. Multi-dose—All pockets in the drawer are assigned the same ° medication and each pocket can contain a varied quantity of that medication. Pyxis MedStation 4000 System Console User Guide...
  • Page 172 7. If you selected a different type of drawer (not a MiniDrawer), select the pocket to load the medication into when the Inventory – Select a Pocket dialog box appears and click Select Pyxis MedStation 4000 System Console User Guide...
  • Page 173 (You might determine this information based on past usage.) If you attempt to unload it at the station, the station displays a warning. 9. If applicable, select an Override Group from the list. Pyxis MedStation 4000 System Console User Guide...
  • Page 174 Min—The count or level at which the medication should be refilled. This level is an important threshold in Inventory reports and messages. • Current—The actual number of this medication that you intend to load in this pocket. Pyxis MedStation 4000 System Console User Guide...

  • Page 175: Select Block Loading On Individual Stations

    Block Meds NOTE Integrated mains are not supported on the Pyxis MedStation system. 4. In the Blocked Item List for [station] dialog box, highlight the medications in the Authorized Medications list on the left. Pyxis MedStation 4000 System Console User Guide...
  • Page 176 6. Click Save Blocked items appear greyed out in the console lists. NOTE Blocked inventory all applies at the station. Assign and load will not allow you to load a blocked medication. Pyxis MedStation 4000 System Console User Guide...

  • Page 177: Replacing Or Editing A Loaded Medication

    In the Inventory – Select a Med dialog box, select the new medication and click Select 5. Update the applicable information in the Inventory – Edit Med For [station] dialog box, click Save The Inventory – Meds For dialog box appears. Pyxis MedStation 4000 System Console User Guide...

  • Page 178: Clearing A Pending Medication

    6. In the Inventory – Select a Pocket dialog box, select the pocket that you want to make unavailable and click Select 7. In the Inventory – Meds For dialog box, click to complete the process. Close Pyxis MedStation 4000 System Console User Guide...
  • Page 179 The console provides reports to help you manage and monitor your system. This section includes the following topics: Available reports ................... 170 Report descriptions ................171 Generating a report................175 Batch reports ..................177 Pyxis MedStation 4000 System Console User Guide...

  • Page 180: Chapter 6-Reports

    Clinical Data Categories report, which lists all clinical data categories currently defined and any associated lists. Pyxis MedStation 4000 System Console User Guide...

  • Page 181: Report Descriptions

    Provides a worksheet by area, listing empty pockets, ordered medications not loaded, Management and pockets that have not been accessed since the date you specified. Worksheet Stock Out Identifies medications whose quantities have reached zero. Summary Pyxis MedStation 4000 System Console User Guide...
  • Page 182 Transfer From/To Lists medications removed from one user’s My Items list and transferred (added) to User another user’s My Items list (available only for Pyxis Anesthesia System). Undocumented Details all open Undocumented Wastes. Waste Pyxis MedStation 4000 System Console User Guide...
  • Page 183 Lists all kits defined at the console. Override Groups Lists the override group for each medication at a station. Also lists users and their override groups. Patient Profiles Provides summary or detail of orders. Pyxis MedStation 4000 System Console User Guide...
  • Page 184 Variable Dose Lists all Variable Dose Groups defined in your formulary. Groups XQ Messages Lists all transaction messages currently in the XQ message queue. Pyxis MedStation 4000 System Console User Guide...

  • Page 185: Generating A Report

    6. To view the report information on the dialog box, click Preview The report appears on the dialog box. • To move forward and backwards through a multi-page report, click the scroll bar. Pyxis MedStation 4000 System Console User Guide...
  • Page 186 7. To print the report, click and then click when the confirmation Print message appears that indicates that the report has been added to the queue. 8. Click to return to the previous dialog box. Exit Pyxis MedStation 4000 System Console User Guide...

  • Page 187: Batch Reports

    Note that the system defaults each qualifier to All. 5. Select the applicable options and use the buttons to configure each Select qualifier. 6. When you are finished customizing the report, click Batch Times Pyxis MedStation 4000 System Console User Guide...

  • Page 188: Viewing The List Of Batch Reports

    1. In the menu bar, select Reports > Batch Reports 2. In the Batch Reports dialog box, select the job that you want to update and click Edit The dialog box for the applicable report appears. Pyxis MedStation 4000 System Console User Guide...

  • Page 189: Deleting A Batch Report

    Reports > Batch Reports 2. In the Batch Reports dialog box, select the applicable report and click Print 3. In the confirmation message, click 4. To return to the standby dialog box, click Close Pyxis MedStation 4000 System Console User Guide...
  • Page 190 — Chapter 6 Reports Pyxis MedStation 4000 System Console User Guide...
  • Page 191 Communication problem with Pyxis Procar ......... 187 ADT communication problems.............. 188 Report does not include correct data ............ 190 Facility power outage ................191 Console printer not working ..............192 Remote diagnostics................193 User cannot access a medication............194 Pyxis MedStation 4000 System Console User Guide...

  • Page 192: Appendix A-Troubleshooting

    Successfully recovering all failed drawers clears this notice. Can’t communicate attention notice If your dialog box is displaying attention notices stating that the console has failed to communicate with a station, try the solutions described in this topic. Pyxis MedStation 4000 System Console User Guide...

  • Page 193: Same Station Attention Notice

    If the FC increments by one and does not return to zero, continue with the next step. 4. Check the CommStatus dialog box again. If the FC continues to increment and does not return to zero, contact the TSC. Pyxis MedStation 4000 System Console User Guide...

  • Page 194: Different Station Attention Notice

    4. If you are using the XT network mode of communications, you might want to get your information systems (IS) department involved as soon as possible to have them check the network connection to the station. Pyxis MedStation 4000 System Console User Guide...

  • Page 195: Using Brain Transplant To Restore A Database

    15 minutes to two hours or longer. Any number of error conditions at the station could signal the need for a brain transplant, but you should always consult with a CareFusion representative prior to initiating one, because some error conditions might be the result of something less dramatic and could be corrected with more conventional means.
  • Page 196 (as described earlier in this process) to ensure that the FC is zero. 9. Check that the Last Poll and Last Link are each within a few seconds of the current time to make sure that the times are current. Pyxis MedStation 4000 System Console User Guide...

  • Page 197: Communication Problem With Pyxis Procar

    If the FC number goes to zero, the device has successfully linked and should continue to run successfully. • If the FC number continues incrementing (does not go to zero), contact the TSC. Pyxis MedStation 4000 System Console User Guide...

  • Page 198: Adt Communication Problems

    4. If you have a special box that translates data from the mainframe, such as a Malibu or PQ-6 Black Box, check to see that the power cord is connected and that its power light is illuminated. Pyxis MedStation 4000 System Console User Guide...

  • Page 199: Patient Billing Information Problems

    Do not unplug or power off Pyxis Procar unless directed to do so by the TSC. Patient billing information problems Go through the troubleshooting process, as explained in the Patient or patient order not displayed at the console on page 188. Pyxis MedStation 4000 System Console User Guide...

  • Page 200: Report Does Not Include Correct Data

    If data for a particular station is missing, confirm that communication is current to that station by following the procedure for troubleshooting communications in Can’t communicate attention notice on page 182. If everything appears current and the data is still incomplete, contact the TSC. Pyxis MedStation 4000 System Console User Guide...

  • Page 201: Facility Power Outage

    The console printer should never be plugged into the UPS. If it is, immediately turn the printer off and unplug it. When power is restored, plug the printer into a wall outlet. Pyxis MedStation 4000 System Console User Guide...

  • Page 202: Console Printer Not Working

    7. Check the communication line between the printer and console. Gently wiggle the communication line at the printer and console connections. Try running the report again. 8. If the preceding steps do not fix the printer, contact the TSC. Pyxis MedStation 4000 System Console User Guide...

  • Page 203: Remote Diagnostics

    On rare occasions, a problem occurs that defies explanation and troubleshooting procedures fail to pinpoint what is occurring or how it can be fixed. Sometimes the most direct fix is to use remote diagnostics, a process whereby a CareFusion representative dials in to the console computer. The representative: •...

  • Page 204: User Cannot Access A Medication

    Security groups also affect which medications your users can access. You assign security groups during formulary and user definition. For you to access a medication in a station, your security group assignment must match the medication’s security group. Pyxis MedStation 4000 System Console User Guide...

  • Page 205: Appendix B-Pyxis Advisor Control Panel

    This section includes the following topics: Accessing Pyxis Advisor in the console ..........196 CAUTION Alerts are supplemental information and are not intended to replace patient MAR (medication administration record) or existing hospital policies and procedures. Pyxis MedStation 4000 System Console User Guide...

  • Page 206: Accessing Pyxis Advisor In The Console

    1. After logging on, select System Setup > Pyxis Advisor The Alert Management Service window appears. 1. Click Pyxis Advisor The configuration dialog box appears with the Setup tab active. The Credentials section is for CareFusion only. Pyxis MedStation 4000 System Console User Guide...
  • Page 207 This opens the dashboard dialog box. The Global tab verifies if the alert management service is connected to the console database or not. • A green check mark means it is connected. • A red x means that it is not connected. Pyxis MedStation 4000 System Console User Guide...
  • Page 208 Pyxis Advisor The Console PEA Configuration dialog box appears, providing information about the status of your system. The bottom of the window contains information to help you understand any issues with the system. Pyxis MedStation 4000 System Console User Guide...
  • Page 209 Sync Frequency The Alert Management Service polls the console database to obtain site information at a rate equal to the value of the sync frequency field. Pyxis MedStation 4000 System Console User Guide...
  • Page 210 11. Click , depending on your choice. Save Changes Discard all Changes 12. When done, exit the dashboard by clicking the exit button ( ) at the upper right corner of the window. Pyxis MedStation 4000 System Console User Guide...

  • Page 211: Appendix C-Pyxis Nurse Link On The Console

    Pyxis Nurse Link supports only user ID/password logins when this application is launched. If there are any positive identification requirements in your facility for features used within the Pyxis Nurse Link application, a backup process may be required for documentation. Pyxis MedStation 4000 System Console User Guide...

  • Page 212: Pyxis Nurse Link Overview

    MedMined™ Patient Event Advisor system. The Remote Waste feature allows you to document medication waste remotely. During implementation, CareFusion representatives will add a new device called that will enable Pyxis Nurse Link functionality.

  • Page 213: Role-Based Queuing

    1. Select System Setup > Users 2. In the Users dialog box, click Edit The Edit User dialog box appears. 3. Click the tab. Remote Privileges Check the and/or boxes, as needed. Queue Waste Pyxis MedStation 4000 System Console User Guide...
  • Page 214 Adding remote privileges to a template Follow the template setup steps in the Users section on page 67 of Chapter 3, Setting Up the System. The new Remote Privileges tab appears during template edits and adds. Pyxis MedStation 4000 System Console User Guide...

  • Page 215: Appendix D-Cerner

    Appendix D Cerner ® This section includes the following topics: Cerner overview ..................206 Clinical and operational alerts ............. 209 Pyxis MedStation 4000 System Console User Guide...

  • Page 216: Cerner Overview

    • access Pyxis MedStation system clinical and operational alert information through Cerner Millennium. During implementation, the Pyxis MedStation system console and the CareFusion Interface are configured to provide data to Cerner Millennium through CareAware, Cerner's integrated device connectivity architecture. Medication location and availability Medication location and stock availability for the Pyxis MedStation system will be accessible within Cerner PowerChart.
  • Page 217 Adding remote privileges to a template Follow the template setup steps in the Users section on page 67 of Chapter 3, Setting Up the System. The new Remote Privileges tab appears during template edits and adds. Pyxis MedStation 4000 System Console User Guide...

  • Page 218: Linking Your Accounts

    Pyxis MedStation system. After completing the user registration process within the Cerner PowerChart, the next time you log into the station, you are asked to confirm the link between your Cerner account and station account. Pyxis MedStation 4000 System Console User Guide...

  • Page 219: Clinical And Operational Alerts

    The alerts appear on the Cerner Alert Dashboard. Alerts • Communications down—when communications are interrupted or failed to initiate between the console and the station or the console and CareFusion Interface. • Critical override—when a station is placed in “Critical Override” mode...
  • Page 220 — ® Appendix D Cerner Pyxis MedStation 4000 System Console User Guide...

  • Page 221: Appendix E-Management And Monitoring Recommendations

    Commission, the DEA, the state board of pharmacy and the state bureau of drug control. This information is purely advisory and final recommendations should be tailored to the institution’s individual needs. This section includes the following topics: Security recommendations ..............212 System configuration recommendations..........214 Pyxis MedStation 4000 System Console User Guide...

  • Page 222: Security Recommendations

    Maintain a system of accountability for access to the keys. • Remain with the CareFusion representative at a station at all times when it is necessary for the technician to access drawers. Reinventory controlled substances in the station upon completion of service.

  • Page 223: Controlled Medications

    Archive Pyxis MedStation system data and maintain a hard copy of console and station reports as required to comply with state and federal requirements. • Implement and enforce facility policies and procedures to handle discrepancies involving all controlled substances. Pyxis MedStation 4000 System Console User Guide...

  • Page 224: System Configuration Recommendations

    • If distributing a limited number of formulary medications via the Pyxis MedStation profile-mode system such as controlled substances and floor stock, consider setting the Display options to Always for routine facility-wide Pyxis MedStation 4000 System Console User Guide...

  • Page 225: Order Entry And Verification

    • Pay extra attention to load, refill, and Rx Check activities of newly trained personnel. Pyxis MedStation 4000 System Console User Guide...
  • Page 226 — Appendix E Management and Monitoring Recommendations Pyxis MedStation 4000 System Console User Guide...

  • Page 227: Glossary

    Blind Count Blind Count is a device and formulary option that requires you to confirm inventory counts. You are not prompted with the current inventory level. Pyxis MedStation 4000 System Console User Guide...
  • Page 228 For example, two 40 mg furosemide tablets might be defined as equivalent to one 80 mg furosemide tablet. Facility A facility code entered at the Station Configuration screen at the console to identify multiple facilities for billing. Pyxis MedStation 4000 System Console User Guide...
  • Page 229 (from 0 to 24) before the start time that an order is active. Load Medications Process of loading medications into the station after the inventory has been set up or modified. Pyxis MedStation 4000 System Console User Guide...
  • Page 230 A medication that has been prescribed by a doctor and approved by the pharmacy for a specific patient. Orders are usually entered into the console, located in the pharmacy or hospital-pharmacy profile system and appear at the appropriate station at or before the start time. Pyxis MedStation 4000 System Console User Guide...
  • Page 231 A PC connected to the console. It is responsible for interface communications, including the pharmacy software system link (patient orders and other pharmacy profile information), admissions, discharges, transfers, and billing information. The interface communications software is developed, Pyxis MedStation 4000 System Console User Guide...
  • Page 232 Glossary configured, and installed by CareFusion technicians to coincide with the installation of the Pyxis MedStation system. Profile Option (Profile Mode) The Profile option is available on the Pyxis MedStation system. The patient medication profile is a source of information for the pharmacist and the nurses that consolidates all information about a patient’s drug therapy.
  • Page 233 (when the order is no longer active). System Administrator A key individual, usually a pharmacy manager or other pharmacy worker, who is responsible for the Pyxis MedStation system. Pyxis MedStation 4000 System Console User Guide...
  • Page 234 Glossary System Manager A nurse or pharmacist who has attended a comprehensive training class offered by CareFusion and is responsible for configuring the Pyxis MedStation system to meet the needs and goals of the facility. Temporary User An individual set up at the station and with access privileges that expire in 12 hours.
  • Page 235 Any user with access to the station can act as a witness. Some access privileges allow the resolution of discrepancies without a witness. See Transaction Queue (XQ). Pyxis MedStation 4000 System Console User Guide...
  • Page 236 Glossary Pyxis MedStation 4000 System Console User Guide...

  • Page 237: Index

    23 All Orders By Med report 171 area 95 All Station Events report 172 batch report 177 allergies clinical data category (CDC) 100 clinical data category (CDC) response 103 enhanced allergies feature 86 Pyxis MedStation 4000 System Console User Guide...
  • Page 238 165 medication class 120 brain transplant 185 override group 120 bulletin 109 security group 118 recommendation for system 214 optional 109 Console & Station Activity Log report 173 troubleshoot 182 Pyxis MedStation 4000 System Console User Guide...
  • Page 239 96 scan code 127 nursing unit from area 95 station 35 scan code 127 user 77 station or other device 35 user-privilege templates 78 user 78 variable dose 57 variable dose 57 Pyxis MedStation 4000 System Console User Guide...
  • Page 240 Loading & Unloading report 172 Formulary report 173 log off 12 log on 12 global edit 141 Login Activities report 173 formulary 141 maintenance Hospital Wide Med Summary report 171 option 113 run tasks 115 manage Pyxis MedStation 4000 System Console User Guide...
  • Page 241 124 barcode entry delete item from list 125 network information 6 medication-classification name 120 non-profile 19 override-group name 120 nursing unit security-group name 118 update add 93 discrepancy-resolution reason 123 Pyxis MedStation 4000 System Console User Guide...
  • Page 242 Reconciled Patients report 174 resolution reconciliation, patient billing 90 add for discrepancy 122 update for discrepancy 123 Refill Pick & Delivery report 171 Return Bin Activity report 172 remote diagnostics 193 return to stock remote privileges Pyxis MedStation 4000 System Console User Guide...
  • Page 243 Formulary Links 173 change Device Type 36 Kits report 173 change name 36 Override Groups 173 communication status 185 Patient Profiles 173 delete 35 Patients 174 delete item from list 125 Pharmacy Configuration 174 Pyxis MedStation 4000 System Console User Guide...
  • Page 244 Pyxis Nurse Link 202 item on list 125 waste while removing kit 65 enable 23 medication warning 116 wholesaler interface 9 name of medication classification 120 Witness Once patient 89 enable 23 scan code 127 Pyxis MedStation 4000 System Console User Guide...
  • Page 245 Index workflow, unit-dose 3 XQ Messages report 174 Pyxis MedStation 4000 System Console User Guide...
  • Page 246 Index Pyxis MedStation 4000 System Console User Guide...

Table of Contents