Pyxis Med Administration Verification Reference Guide - CareFusion

Pyxis ® Med
Administration
Verification
Quick reference guide
Pyxis ®

Overview of steps
Create My Patient List
Select patient from My Patient List and tap Preview Meds
Review meds to be given
Retrieve meds
Perform standard med checks
Tap Manage MPL
Select Unit and/or Patient(s)
Tap Save to set My Patient List
Preview meds
Log into either Pyxis Med Administration or My Patient List
Tap Next Patient (to exit Preview Meds)
At patient bedside, scan patient wristband and confirm facility appropriate identifiers and
confirm allergies
• If Pyxis Med Administration—select My Patient List
From My Patient List select patient (highlights blue)
Perform final med checks and patient education for each med
Tap folders and check filter boxes as necessary
Scan meds (noted status changes)
Follow screen prompts (component lists, injection site, fractional dose, etc.)
Tap Next Patient or Exit application
Ensure you also log out of My Patient List if not auto logged out!
Tap Preview Meds button
Medication verification
(Can be done via Preview Meds or Med Due List)
All new med orders must be verified in order to display on the Med Due List
When prompted, “You have unverified orders, do you wish to verify them now?” Tap Yes
My Patient List (MPL)
Tap the med order and review the order details, tap Close to return to verify screen:
Tap on My Patient List icon from the home screen and log in
First time user or changes to Shift Details/Alerts Subscription:
Shift Details:
• Tap Action
• Select Shift Details—enter Start/Stop times
• Tap Save—information retained moving forward
Alerts Subscription (if configured):
• Tap Action
• Select Alerts Subscription
• Select appropriate Med Administration Alerts
• If appropriate, tap Verify
• If inappropriate, tap Clarify (or follow facility set practice)
Med Pass Hx
(Can be done via Preview Meds or Med Due List and will display all med actions from the past
24 hours)
Tap on Med Pass Hx box
Med Pass Hx window populates (note orange border)
• To add a new Med Dose Comment, tap med order and then Action
• Select Med Dose Comments
• Tap Save—information retained moving forward
• To view specific med pass details, tap on med order and then underlined med name

Medication refused
Tap Med Dose Not Given
Scan patient ID band
Tap Med Refused
Tap Action
Tap Med Dose Refused
• Facility specific—enter a med dose comment
Medication dose comment
Tap the med order you wish to comment on (can only change the status on a med that has a
current action taken on it)
Select Reason from drop down
Tap Action
Medication held
Tap Med Dose Comment
From the patient record (Preview Meds—select patient from Patient List or Med Due
List—scan patient ID band)
Tap med to be held
Tap Action
Tap Med Dose Held
Select reason from drop down
Batch hold
From the patient record (Preview Meds—select patient from Patient List or Meds Due
List—scan patient ID band)
Adjust Start/Stop windows to reflect time frame of orders to be batch held
Enter a comment or utilize template drop down (Comment gets filed to the MAR and is
not seen on handheld)
Remove a medication patch
Scan patient ID band
Tap the patch order you wish to remove
Tap Action
Tap Med Patch Removed
• A patch will remain on the Med Due List until removed, regardless of the timeframe,
and must be removed before the next ordered dose can be administered
Tap Action
Tap Perform Batch Hold
Check the boxes for medications to be held
Select reason for hold from drop down
Medication not given
Scan patient ID band
Tap the med you wish to change to not given status (can only change the status on a med
that has a current action taken on it)
Tap Action
PRN medication
Scan patient ID band
Be certain PRN box is checked
Scan medication
Select reason for giving from drop down
Follow screen prompts—component list, injection site, fractional dose, etc.
• Once screen refreshed, status drops off allowing user to give again in the appropriate
time frame; therefore, once refreshed user cannot change the status of Given

PRN effectiveness
Scan medication
From the patient record (Preview Meds—select from the Patient List or from the MDL—scan
patient ID band)
Tap medication for PRN effectiveness
Tap Action
Tap PRN Effectiveness
Select dose date/time from list
Enter free text comment and/or choose template
Witness verification from preview medications
From Preview Meds, tap the med to be temporary witnessed
Tap Action
Tap Witness Administration
Select a provider
Select a route (and injection site, if required)
Tap UD, IVP or IVPB to select the order type
Tap OK
Crushed/split medications
Take all unopened medications to bedside
Scan patient ID band
Scan med—follow on-screen prompts
Open packages and pour, split or crush med as ordered
• Follow your facility designated practice for crushing or splitting medication
Manual entry of patient ID
Review and act upon order with appropriate witness verifying ordered dose
• If appropriate by your facility practice
Tap OK
Enter the patient financial number and check digit numbers/characters as appropriate
Status changes from RW (require witness) to TW (temporary witness)
Tap Enter
• User has a pre-defined time to administer med before status returns to RW;
witness verification configuration is facility specific
STAT order—generating order from handheld
Scan patient ID band
Tap STAT button
Scan med and follow screen prompts to complete order
Order displays on Med Due List as Given
Override medication
You will be required to state your reason for manual ID entry
Manually enter a medication without scan
Scan patient ID band
Tap the med for the ID you wish to view
Tap View
Tap Drug ID (write down the ID)
Tap Administer
Enter the Drug ID
Scan patient ID band
Tap OK
• If an override order exists, a popup notification will ask if you wish to administer now;
tap Yes (or from the MDL, tap the Override button)
• This action can also be accomplished by viewing the Drug ID, writing it down,
tapping Action and selecting the Administer Medication option

Large volume IV (IV tab)
Scan patient ID band
Tap IV tab
Network error
• Acknowledge popup, continue working, check for status update on medication and report if
popup persists
Scan IV bag
If another bag of the same order is infusing, you will be presented with a prompt to complete—
if yes, follow screen prompts
Pyxis Med Administration Verification
If a new order, follow screen prompts to move drug to a status of Infusing
• IV Med Due List will display with an A. User must open IV History screen and tap on
date to see bag display with a status of; from this screen, the user can tap on
the bag infusing to “take action” from the Menu option to change the status of the bag (Stop,
Complete), make a Med Dose Comment or mark the med as Refused
Processing popup notifications
NetMeter error: Note room/location/handheld identifier and report problem to IT
The correct tab has not been selected: Please select the correct tab
• Med scanned belongs to another tab (folder) than the current selected one
(e.g., PO med scanned, but on the IVP/IVPB tab)
The time interval is too narrow: Please select a new start and stop time
• Start/stop windows not reflective of the time for the med scanned
The correct box has not been selected: Please select it
• References the PRN, Continuous, One Time, On Call boxes
You are about to scan less than the ordered dose!
• Tap OK and continue scanning components (Hard Stop) or answer a reason
for giving less if configured at your facility (Soft Stop)
No med with scanned Drug ID within the selected Med Due List date/time:
Abbreviation
A
C
CA
CL
DC
G
H
HD
I
M
NC
NG
PR
R
RM
Definition
Active
Completed
Cancelled
Clarified
Discontinued
Given
Held
Provider on Hold
Infusing
Missing
Needs Clarification
Not Given
Pharmacy Rejected
Refused
Removed
• Wrong drug or dose scanned
RW
Requires Witness
• Non-verified order
S
Stopped
No formulary match: Please notify pharmacy
TW
Temporarily Witnessed
• Drug not mapped in system by pharmacy (unrecognized barcode)
U
Unverified
This medication was not ordered for this patient
W
Witnessed
• Wrong med scanned
WO
Witness Overridden

CareFusion
San Diego, CA
carefusion.com
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or registered tradmark of CareFusion Corporation or one of its subsidiaries. DI3095 (0811/PDF)