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Chapter 12. Automated Medication Systems

Chapter 12. Automated Medication Systems. Jeffery D. Evans, Pharm.D . Associate Professor of Pharmacy Practice ULM COP. Chapter 12 Automated Medication Systems. Intent: To regulate AMSs To ensure proper usage and oversight Impact on Pharmacy Practice

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Chapter 12. Automated Medication Systems

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  1. Chapter 12. Automated Medication Systems Jeffery D. Evans, Pharm.D. Associate Professor of Pharmacy Practice ULM COP

  2. Chapter 12 Automated Medication Systems • Intent: • To regulate AMSs • To ensure proper usage and oversight • Impact on Pharmacy Practice • Significant if you are around one or depend on one

  3. What is an Automated Medication System (1201 - 1203) • AMSs are mechanical systemsthat store, package and deliver (not compounding or administration) and collects data from the transactions. May be profile or non-profile driven • Must be • In a licensed hospital or health care area • Licensed with a CDSL if needed • Licensed by the board if neither of the above are present • Permit expires on June 30th of each year • Application must be received 30 days prior to start-up

  4. Always about the PIC (1205) • Again the PIC takes care of the duties • Ensures machine is working well • Establishes a QA program • Notifies board if one is removed • Gives access to the machine • Ensures machine is properly stocked • Retains records for two years • Notifies prescribers they can prescribe other things. Must be on front of EVERY medical record.

  5. Pharmacist review (1207) • Medication orders shall be prospectively reviewed. • If not* then they must be retrospectively reviewed. • So which is it?

  6. The big book of rules and reports (1209 – 1213) • PIC creates this using the template given • Must be reviewed at least annually • Records must be retrievable • Shall be maintained for one year

  7. Security, Stocking, and Packaging(1215 – 1219) • Machine must • Prevent baddies from getting in • Follow all the rules • Protect patient confidentiality • Restocking • Offsite vs. Onsite. Is there a difference? • Packaging • Must follow state and federal law (see Chap 25)

  8. Did the patient get the medication (1221 – 1223) • System must document • What patient got the med • Who gave it to them • What the medication was • When it was taken • Wasted meds • Must be removed from the system and destroyed.

  9. Cleanup (1225 – 1231) • Inspections may occur • Weird statement about out of state pharmacies • There are penalties if you don’t follow the rules.

  10. In closing • Important stuff • Duties of the PIC • What is the profile driven stuff? • Duties of pharmacist in stocking the machine.

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