Nursing reports - The Pyxis ® Insider newsletter - CareFusion
Nursing reports - The Pyxis ® Insider newsletter - CareFusion
Nursing reports - The Pyxis ® Insider newsletter - CareFusion
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Nurse/report Parameters Purpose Comments/suggestions Source Frequency<br />
Staff nurse (continued)<br />
By patient<br />
• Review prior<br />
medication removals.<br />
• Use this report to investigate<br />
questions concerning charting<br />
accuracy and for further<br />
information with Last Removed<br />
investigations.<br />
Override report By user • Verify that<br />
medications removed<br />
via override have been<br />
documented and have<br />
a corresponding order.<br />
• Remind users of legal<br />
responsibility of override<br />
(e.g., MUST have MD order).<br />
<strong>Pyxis</strong><br />
MedStation<br />
system<br />
End of shift<br />
Undocumented<br />
Waste<br />
By user<br />
• Review undocumented<br />
controlled substance<br />
waste.<br />
• This report details all<br />
Undocumented Wastes.<br />
• Tracks any medication<br />
removal that is greater than<br />
the ordered dose.<br />
<strong>Pyxis</strong><br />
MedStation<br />
system<br />
End of<br />
shift and<br />
as needed<br />
Charge nurse<br />
Discrepancy<br />
report<br />
Open<br />
discrepancies<br />
• Review and promote<br />
timely and accurate<br />
resolution of open<br />
discrepancies on the<br />
<strong>Pyxis</strong> MedStation<br />
system.<br />
• Pharmacy generates this report<br />
and sends to charge nurse/nurse<br />
manager daily for resolution of<br />
open discrepancies.<br />
• <strong>Nursing</strong> management reviews<br />
the report for discrepancies not<br />
resolved per policy.<br />
<strong>Pyxis</strong><br />
MedStation<br />
console<br />
Managed<br />
when<br />
received<br />
from<br />
pharmacy<br />
• Discrepancies should be<br />
managed real time.<br />
All<br />
discrepancies,<br />
documented<br />
and<br />
undocumented<br />
• Determine<br />
discrepancies created,<br />
resolved and still<br />
unresolved at time of<br />
shift change.<br />
• Run this report at the station<br />
at the end of each shift. Follow<br />
up on inappropriately resolved<br />
discrepancies immediately.<br />
Make certain all open<br />
discrepancies are resolved.<br />
• Nurse managers may want<br />
to consider filing discrepancy<br />
<strong>reports</strong> and review over a<br />
defined amount of time to<br />
evaluate any trends with certain<br />
users. This may help identify<br />
educational opportunities.<br />
<strong>Pyxis</strong><br />
MedStation<br />
system<br />
Daily at<br />
each shift<br />
change<br />
Override report<br />
All patients/all<br />
users<br />
• Check for the<br />
appropriate use of the<br />
override privilege.<br />
• Review this report to monitor<br />
compliance with medication<br />
administration policies<br />
and procedures.<br />
<strong>Pyxis</strong><br />
MedStation<br />
system<br />
End of shift<br />
several<br />
times a<br />
week<br />
• May be part of formalized<br />
QA program.<br />
• Consider using Clinical<br />
Data Categories to capture<br />
override reasons.<br />
Table continued on next page<br />
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