DUMC
North Central Pharmacy: First Dose
TRAINING MODULE:
Automated
Dispensing Cabinet:
Delivery
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Purpose
• This training provides information needed to ensure
accurate and consistent practices as it relates
delivery of medications to automated dispensing
cabinets.
• Medications for cabinet are refilled using two
batches processes one in the morning one in the
afternoon.
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Generation of Restock Sheets
• Cabinets communicate current inventory on
hands and restock needs via scheduled
reports.
– Morning reports print at 0445 for non-controlled
substances.
– Afternoon reports are scheduled to print at 1615
for non-controlled substances
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Restock Sheets
Restock
Sheets
Picklist
Storeroom
Picklist
North Central
Pick List
Restock List
Storeroom
Restock
North Central
Restock
Potentially 4 sheets for each
delivery area
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Pharmacy Storeroom
When pulling supplies from the pharmacy storeroom it is
necessary to document the quantity and 7 digit
storeroom item number.
The exception to this process is that the
small rack in the back storeroom where
the product is prospectively signed out
for use in Omnicells.
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Setting up
Restock for Check
Medication to be stocked in the cabinets require review by a pharmacist prior to delivery.
1. Individual line items for each cabinet should be placed in plastic bags.
•The bags are labeled with the delivery location and quantity.
• Particularly large items such as hetastarch may be placed in boxes or
larger bags.
2. Items should be placed in a the delivery location specific bin in an
organized
fashion, in the order of the restock sheets.
3. Items should be denoted as complete by a check mark on the stocked
item
4. Items that are not filled should be marked “OUT”.
5. When an area is completed, the restock sheet should be inserted in to the
bin to indicate to the pharmacists that the area is ready to check.
The goal of each restock is to fill 100% of the items 100% of the time!
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Alternate locations to find Stock
If the storeroom or Omnicell stock area is out of
stock on a particular item look to these alternate
locations:
•First Dose
•Robot Offline Room
•IV room or SPC Premix Room
The goal of each restock is to fill 100% of the
items 100% of the time!
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Restocking a Single Medication
(ie.Ketorolac 30 mg vial)
1. Touch INVENTORY MENU
2. Touch SUPPLEMENTAL RESTOCK on the left
3. Find Ketorolac by typing the first few letters or scroll using the touch
screen or the keyboard
4. Select Ketorolac 30 mg vial
5. Type in the restock quantity of 1.
6. Touch OK
NOTE: If you had more than one medication to restock you can select the
others at this step for multiple restock. You can see the quantity indicated
next on the left side of the item as you choose them. You could also use
the DISPLAY MEDS TO RESTOCK MENU to see all items you’ve selected
prior to beginning restock.
7. Touch RESTOCK MEDS NOW
8. Press flashing button on drawer and then pull it out all the way
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Restocking a Single Medication
(ie.Ketorolac 30 mg vial)
9. Identify and open the ketorolac bin by using the flashing light or the bin
numbering system
NOTE: Items stocked in locked bins will require you to pull up on it twice for it
to open.
10. Use the scanner to scan item for verification
11. Scan bin bar code for verification
12. Put in the earliest expiration date if it is before the date indicated on the
screen.
13. Verify that the count in the bin matches the prior bin level indicated on
the screen. THIS IS CRUCIAL. If count needs to be changed, press the
CHANGE BIN LEVEL button on the top right. Enter correct number and
press OK.
14. Restock the bin and close the bin and drawer
NOTE: If you are working on a locked bin and you accidentally close it, you
can immediately reopen the bin by indicating so on the screen.
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Performing a Normal (Batch)
Restock
1. Touch INVENTORY MENU
2. Touch NORMAL RESTOCK
3. Select the correct restock number and date
4. The bins with items needing restock will start
flashing. Follow the green light and restock all
medication.
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Destocking a Medication
1.
2.
2.
4.
5.
5.
Touch INVENTORY MENU
Touch DESTOCK
Touch DESTOCK Meds
Select an item to destock
Enter quantity to destock
Press OK
THIS DOES NOT UNASSIGN THE MEDICATION FROM THE CABINET, BUT MAY
BE USED TO REDUCE QUANTITY.
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Expiring or Recalling a Medication
1.
2.
3.
4.
5.
Touch INVENTORY MENU
Touch EXPIRE/RECALL on the right side of screen
Touch FIND ITEM
SELECT ONDANSETRON 4 MG / 2 ML
Follow the guiding light and find location of
Ondansetron
6. Open the bin
7. Move the cursor to the ITEMS TO EXPIRE/RECALL
spot and enter 0
8. Press OK
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Return bin processing
1. Touch INVENTORY MENU
2. Touch CLEAR RETURN BIN on left side of screen.
3. Use Omnicell key #2204 to open the left keyhole on
the return bin.
4. Empty bin of all medications. Lock return bin.
5. Compare contents of return bin to slip that prints. If
there is any narcotic discrepancies the charge
nurse must be notified immediately.
6. Medication can be restocked using SUPPLEMENTAL
RESTOCK or medication can be returned to
pharmacy.
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Cycle Counting or Taking Period Inventory
of Non-controlled Medications
1.
2.
3.
4.
5.
6.
Touch INVENTORY MENU
Touch CYCLE COUNT on the right side of the screen
Touch FIND ITEM
Select Acetaminophen 325mg tab
Look for the flashing green light
Remember to press the green button below the flashing
light
7. Enter count on the screen
8. Press OK. You will get a confirmation question. Press
YES.
9. Close the door
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Take the quiz!
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Questions
1.
2.
3.
4.
5.
During the generation of non-controlled restock sheets how many pages will generate per cabinet
1.
One
2.
Two
3.
Three
4.
Four
When removing stock from the storeroom it is important to:
1.
Neatly document the item number of the product taken
2.
Document the quantity removed
3.
Give the completed Storeroom picksheet to the storeroom for inventory processing
4.
All of the above
If the storeroom is unable to provide an item, it is okay to omit it on the restock without looking in
alternate locations.
1.
True
2.
False
Setting up a restock should use which of the following items?
1.
Plastic transparent bags
2.
Area specific bins
3.
Restock sheets denoting items filled or not-filled with technician initials
4.
All of the above
To delete an item from a cabinet, use the destock function
1.
True
2.
False
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