Care Fusion Pyxis MedStation 4000 User manual

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

Pyxis MedStation™4000 System Console User Guide
Changes in equipment, software, or procedures occur periodically; information
describing these changes will be included in future editions of the guide.
The information in this document is subject to change and does not represent a
commitment on the part of CareFusion to provide additional services or
enhancements.
Documentation provided with this product might reference product not present in
your facility or not yet available for sale in your area.
Authorized European Representative
CareFusion
The Crescent, Jays Close
Basingstoke, Hampshire RG22 4BS
United Kingdom
Information to User
Caution: Any changes or modifications not expressly approved by the party
responsible for compliance could void the user’s authority to operate the
equipment.
FCC Notice
This device complies with Part 18 of the FCC rules.
Canadian Notice (Avis Canadien)
This ISM device complies with Canadian ICES-001.
Cet appareil ISM est conforme à la norme NMB-001 du Canada.
Information to User
Caution: Any changes or modifications not expressly approved by the party
responsible for compliance could void the user’s authority to operate the
equipment.
FCC
This device complies with Part 15 of the FCC Rules. Operation is subject to the
following two conditions: (1) this device may not cause harmful interference,
and (2) this device must accept any interference received, including
interference that may cause undesired operation.
Canadian Notice (Avis Canadien)
This Class A digital apparatus complies with Canadian ICES-003.
Cet appareil numérique de la classe A est conforme à la norme NMB-003 du
Canada.
CareFusion, Pyxis,
MedStation, CUBIE, PARx,
andtheCareFusionlogoare
trademarks or registered
trademarks of CareFusion
Corporation or one of its
subsidiaries.
autoPharm®is a registered
trademark of Integrated
Healthcare Systems, Inc.
dba Talyst.
All other trademarks are the
property of their respective
owners.
CareFusion Corporation
San Diego, CA
United States
800.367.9947
858.617.2000
carefusion.com
© 2009–2011
CareFusion Corporation
or one of its subsidiaries
All rights reserved.

Pyxis MedStation 4000 System Console User Guide iii
LIMITED RELEASE 1 DRAFT 5/4/11
Contents
About this guide ...................................................................ix
Chapter 1—System overview
The total medication solution.................................................................................2
Unit-dose workflow................................................................................................3
Pyxis MedStation system components...................................................................4
Network information..............................................................................................6
Comprehensive reporting ...............................................................................6
System communication ..........................................................................................8
Interface options.............................................................................................8
Chapter 2—Console Basics
Getting started ......................................................................................................12
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

Contents
iv Pyxis MedStation 4000 System Console User Guide
LIMITED RELEASE 1 DRAFT 5/4/11
Chapter 3—Setting Up the System
Devices.................................................................................................................18
Accessing the devices list.............................................................................18
Adding a station or other device...................................................................19
Beginning the process........................................................................19
Entering the general settings..............................................................20
Entering the communication settings.................................................24
Entering the settings for profile mode................................................25
Entering the hardware settings...........................................................27
Completing the process......................................................................34
Editing a station or other device...................................................................35
Deleting a station or other device.................................................................35
Changing the device type .............................................................................36
Changing the name of a device ....................................................................36
Taking a device in or out of service .............................................................37
Formulary management........................................................................................38
Remove Warning overview..........................................................................38
Editing a formulary item ..............................................................................44
Editing accessed inventory...........................................................................45
Enabling Scan on Load/Refill ......................................................................47
Enabling undocumented waste.....................................................................47
Configuring the multi-scan medication feature............................................48
Formulary equivalencies ......................................................................................50
Creating an equivalency...............................................................................50
Editing an equivalency.................................................................................52
Deleting an equivalency...............................................................................52
Expanding an equivalency............................................................................53
Variable dose........................................................................................................54
Adding a variable dose.................................................................................54
Editing a variable dose .................................................................................57
Deleting a variable dose ...............................................................................57
Combination dose.................................................................................................58
Adding a combination dose..........................................................................58
Editing a combination dose..........................................................................61
Deleting a combination dose........................................................................62
Kits .......................................................................................................................63
Adding a kit..................................................................................................63
Editing a kit ..................................................................................................65
Deleting a kit ................................................................................................66
Users.....................................................................................................................67
Creating templates for user privileges..........................................................67
Adding a user................................................................................................69
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

Contents
Pyxis MedStation 4000 System Console User Guide v
LIMITED RELEASE 1 DRAFT 5/4/11
Assigning medication privileges to a user.........................................76
Filtering the users list ...................................................................................76
Updating information for an existing user or group of users .......................77
Updating information for one user.....................................................77
Updating a user-privilege template....................................................78
Deleting a user..............................................................................................78
Patients .................................................................................................................80
Adding a patient file.....................................................................................80
Using the expanded allergies feature............................................................86
Multiple severities and reactions for one allergy...............................88
Using the enhanced pre-admit hold order ....................................................88
Editing a patient file .....................................................................................89
Discharging a patient....................................................................................89
Filtering the list of patients...........................................................................89
Patient billing reconciliation.........................................................................90
Using the reconcile feature ................................................................91
Areas.....................................................................................................................93
Adding a nursing unit...................................................................................93
Adding an area..............................................................................................95
Adding or removing a nursing unit to or from an area.................................95
Deleting an area............................................................................................96
Deleting a nursing unit .................................................................................96
Clinical data..........................................................................................................97
Predefined Clinical Data Categories (CDCs)...............................................97
Using a CDC response................................................................................102
Adding a multiple-response list .......................................................104
Editing a multiple-response list........................................................105
Deleting a response from a multiple-response list...........................105
Site-specific options...........................................................................................107
Specifying demographic information.........................................................107
Specifying system options..........................................................................107
Configuring an attention notice (bulletin)..................................................109
Activating an optional type of attention notice................................109
Addressing an unsolicited attention notice ......................................111
Report and maintenance options ................................................................111
Selecting report options ...................................................................111
Specifying maintenance options ......................................................113
Running a maintenance task ............................................................115
Customizing the console name ........................................................115
Viewing or modifying a medication warning..................................116
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

Contents
vi Pyxis MedStation 4000 System Console User Guide
LIMITED RELEASE 1 DRAFT 5/4/11
Adding or modifying a discrepancy-resolution reason ..............................122
Adding a discrepancy-resolution reason..........................................122
Editing a discrepancy-resolution reason..........................................123
Deleting a discrepancy-resolution reason........................................123
Adding, updating, or deleting a formulary or station list ...........................124
Adding an item to a list....................................................................124
Editing a list.....................................................................................125
Deleting an item from a list..............................................................125
Maintaining scan codes......................................................................................126
Adding a scan code.....................................................................................126
Editing a scan code.....................................................................................127
Deleting a scan code...................................................................................127
Using scan code for a quick search ............................................................127
Confirming items........................................................................................129
Communication status........................................................................................131
Viewing specific communication information...........................................131
Changing the refresh rate............................................................................135
Chapter 4—Utilities
Using virtual files edit to define communication ports......................................138
Adding a virtual file....................................................................................138
Editing a virtual file....................................................................................138
Deleting a virtual file..................................................................................139
Renaming a virtual file...............................................................................139
Copying a virtual file..................................................................................140
Updating information globally...........................................................................141
Updating the formulary globally................................................................141
Updating device information globally........................................................144
Updating user information globally............................................................148
Archiving transactions........................................................................................152
Viewing or deleting the list of archive files ...............................................152
Selecting archive data.................................................................................153
Creating or editing archival data for pocket-access transactions.....153
Creating or editing archival data for user transactions ....................155
Creating or editing archival data for document-discrepancy
transactions.......................................................................................155
Creating or editing archival data for temperature-log transactions..156
Copying archive files to media...................................................................157
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

Contents
Pyxis MedStation 4000 System Console User Guide vii
LIMITED RELEASE 1 DRAFT 5/4/11
Chapter 6—Reports
Available reports ................................................................................................170
Report descriptions.............................................................................................171
Generating a report.............................................................................................175
Batch reports.......................................................................................................177
Adding a batch report.................................................................................177
Viewing the list of batch reports ................................................................178
Editing a batch report .................................................................................178
Deleting a batch report ...............................................................................179
Enabling or disabling a batch report...........................................................179
Printing a batch report................................................................................179
Appendix A—Troubleshooting
Attention notice (bulletin)..................................................................................182
Can’t communicate attention notice...........................................................182
Same station attention notice ...........................................................183
Different station attention notice......................................................184
Using brain transplant to restore a database.......................................................185
Checking the communication status of a station..............................185
Running a brain transplant...............................................................185
Communication problem with Pyxis Procar ......................................................187
ADT communication problems..........................................................................188
Patient or patient order not displayed at the console..................................188
Patient billing information problems..........................................................189
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
Appendix B—Pyxis®Advisor control panel
Accessing Pyxis Advisor in the console.............................................................196
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

Contents
viii Pyxis MedStation 4000 System Console User Guide
LIMITED RELEASE 1 DRAFT 5/4/11
Appendix D—Cerner®
Cerner overview.................................................................................................206
Medication location and availability..........................................................206
Linking your accounts................................................................................208
Clinical and operational alerts............................................................................209
Alerts ..........................................................................................................209
Appendix E—Management and Monitoring
Recommendations
Security recommendations.................................................................................212
General recommendations..........................................................................212
Controlled medications...............................................................................213
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

Pyxis MedStation 4000 System Console User Guide ix
About this guide
This guide provides information on how to set up, use, and maintain the Pyxis
MedStationTM 4000 system console.
This guide does not cover service and repair procedures. It focuses on the daily
use, minor maintenance, and troubleshooting of the system.
For information about the product that is not covered in this document, call the
Technical Support Center (TSC) for Pyxis®products at 800.727.6102 or
858.617.2000.
Conventions
This guide uses the following conventions:
• The names of document titles, cross-references, and text that requires
emphasis are formatted in italics.
• The names of buttons, menu commands, options, icons, file names, and
folders are formatted in bold.
• User input is formatted in
Courier bold .
• Programming code is formatted in
Courier fixed width .
CAUTION
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.

About this guide
x Pyxis MedStation 4000 System Console User Guide
Overview of this guide
This guide includes the following information about the console.
•Chapter 1, System overview—Provides an overview of system features and
components, and the system’s network configuration.
•Chapter 2, Console Basics—Explains how to use the console and includes
procedures for logging on and off the system.
•Chapter 3, Setting Up the System—Describes how to set up system
information unique to your hospital, such as station names and options, users,
patients, and the formulary.
•Chapter 4, Utilities—Describes how to use system management functions at
the console.
•Chapter 5, Inventory—Describes how to use the Inventory feature to manage
your hospital’s inventory as it moves from the Pharmacy out to the patient.
•Chapter 6, Reports—Provides reports, report descriptions, procedures for
generating reports, and batch reports information that can help you to monitor
and manage your system.
•Appendix A, Troubleshooting—Provides remedies to potential problems
involving the console and its components.
•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
NOTE
Notes contain supplementary information or emphasize a point or procedure.