May 2011
DME: 10000152350 Ver. 00
Matl Number: 133591-01
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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.
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.
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.
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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.
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Content s
About this guide ...................................................................ix
Chapter 1—System overview
The total medication solution.................................................................................2
Index ..................................................... .............................. 227
®
viiiPyxis MedStation 4000 System Console User Guide
About this guide
This guide provides information on how to set up, use, and maintain the Pyxis
MedStation
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
858.617.2000.
TM
4000 system console.
®
products at 800.727.6102 or
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
•User input is formatted in
•Programming code is formatted in
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.
bold.
Courier bold
Courier fixed width
.
.
Pyxis MedStation 4000 System Console User Guideix
About this guide
NOTE
Notes contain supplementary information or emphasize a point or procedure.
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
xPyxis MedStation 4000 System Console User Guide
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Chapter 1
System overview
The Pyxis MedStation system automates the distribution, management, and
control of medications. The Pyxis MedStation system includes a network of
secure storage stations located in patient-care areas throughout the facility. Each
station is controlled by its own microprocessor and functions similar to an
automated bank-teller machine. This section includes the following topics:
The total medication solution....................................................................2
Pyxis MedStation system components.......................................................4
Network information .................................................................................6
System communication..............................................................................8
Pyxis MedStation 4000 System Console User Guide1
Chapter 1—System overview
The total medication solution
The Pyxis MedStation system allows a pharmacy to store and track a range of
medications and floor-stock items. Depending on your needs, the Pyxis
MedStation system can manage:
•Controlled medications
•Floor stock
•Pro re natas (PRNs) (profile mode recommended)
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•First doses (profile mode recommended)
•Some IV solutions and sets
•Up to 95% of all medications (profile mode only)
The actual amount of medication storage depends on your station configurations
and other factors. The Pyxis MedStation system is flexible and has many
configuration options to accommodate your needs and requirements.
2Pyxis MedStation 4000 System Console User Guide
Unit-dose workflow
Unit-Dose
Order is written and
pulled from chart by clerk.
Prescription is delivered
to pharmacy.
Pharmacist reviews.
Orders are entered.
Technician
prepares order.
Pharmacist
checks order.
Order is delivered to
floor.
Order is put in
appropriate storage.
Nurse acquires and
administers medication.
Pyxis MedStation System
Order is automatically
transferred to
automated system.
Nurse acquires and
administers medication.
Prescription is written and
delivered to pharmacy.
Pharmacist reviews.
Orders are entered.
Unit-dose workflow
Most pharmacy and nursing managers understand the benefit of having
medications available at all times on the nursing unit. The following flowchart
represents the differences between the traditional unit-dose system and the Pyxis
MedStation system. The Pyxis MedStation system is able to reduce nine identified
points of potential time delays and errors down to a manageable five.
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Pyxis MedStation 4000 System Console User Guide3
Chapter 1—System overview
Pyxis MedStation system components
The Pyxis MedStation system is custom-configured for your facility’s needs and
for the way you do business. The Pyxis MedStation system components include
the following:
•Console (one or more)—The console is the central controller and
clearinghouse for all stations. Network connections provide the
communications path between the components. The console is usually located
in the pharmacy and stations are located throughout the facility .
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The console provides the management interface to enter and collect
information. It performs the following functions:
Communicates data to and updates activity information in all the stations.
°
Maintains copies of all patient, user, formulary, and activity information
°
used to generate pharmacy reports.
In some facilities, an additional computer, monitor, and keyboard can be
added in a second location as another console access point. This is also known
as a console workstation.
®
Procar, also a part of the console subsystem, is responsible for
Pyxis
interface communications, including the admissions, discharge, and transfer
(ADT) and billing information and, if you use profile mode, the pharmacy
software system link (patient orders and other pharmacy profile information).
CareFusion representatives configure and install the Pyxis MedStation system
for you.
NOTE
The Pyxis MedSt ation system communica tions hardware and sof tware interfaces
are proprietary.
•Stations (one or more)—The stations are the clients in the setup. They
provide secure and reliable storage for medications of all types. They
communicate with the console, receiving patient, order (profile mode only)
and inventory information, while continuously reporting all medication
transactions. Stations come in a variety of configurations, with a selection of
configurable drawers and doors to meet the needs of the various areas.
•Printer—The console includes a high-speed laser printer for printing reports.
•Optional Component (Pyxis
incorporates the Pyxis Connect product. The nurse-monitor station is a tool
used outside the pharmacy, on each unit where a scan station is placed, to
monitor the status of orders in the Pyxis Connect system. The nurse-monitor
station software is usually installed on computers in the nursing unit and used
by nurses to track orders that have been scanned from particular locations.
Nurses can check the status of an order at the same station from which they
attempted to remove a medication. If a nurse discovers that a new drug is not
yet on the patient’s profile, he or she can log on to Pyxis Connect from the
Pyxis MedStation system to check the status of the order.
®
Connect)—the Pyxis MedStation system
4Pyxis MedStation 4000 System Console User Guide
Pyxis MedStation system components
•Scanner—A scanner capable of reading linear and 2D barcode symbols is
standard equipment on both the station and the console.
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Pyxis MedStation 4000 System Console User Guide5
Chapter 1—System overview
Network information
Pyxis Procar translates patient information from the hospital’s host information
system into a usable format for the Pyxis MedStation system. It serves as a
connection between the console and the hospital’s ADT, billing, and clinical
(patient-profile) pharmacy systems.
NOTE
Some hospital or pharmacy vendors require addition al hard ware and software to
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accomplish this interface. Your CareFusion representative work s with yo u to
determine the requirements for your facility.
The communications link between the console and the stations is interactive. The
console receives patient information from the hospital’s information system
(ADT), correlates it with the correct nursing unit and area, and sends it to the
appropriate stations.
NOTE
CareFusion provides long-term data-archive and reporting systems to track
inventory and clinical data. For more information, contact your CareFusion
representative.
The console communicates with each station after a specified time interval
depending on setup and the amount of activity. Information is automatically
retrieved and subsequently stored when any change in status, such as medication
removal, occurs. The activities are then forwarded to the hospital’s billing system
through Pyxis Procar.
Comprehensive reporting
Many facilities have numerous stations located throughout a variety of patientcare areas, so comprehensive and accurate reporting is critical to the pharmacist
and system manager.
The console, located in the pharmacy, retains up to 31 days of transaction data for
all stations, including:
•Medication removals and returns
•Wasted medications
•Refill activities
•Discrepancy-resolution information
•Inventory verification
Reports on every aspect of the Pyxis MedStation system—including pocket
accesses, inventory, patient ADT, orders (profile mode only), and formulary—are
available from the console, located in the pharmacy. Data can be sorted and
printed in a variety of reports and kept as a permanent record of medication usage.
6Pyxis MedStation 4000 System Console User Guide
Network information
Each station can generate summary reports of all transactions for that station for
up to the most recent 32 hours.
T o store information electronically, or to generate custom reports, you can archive
the console data and import the data into various database and spreadsheet
programs. For specific information on archiving, see Utilities on page 137.
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Pyxis MedStation 4000 System Console User Guide7
Chapter 1—System overview
System communication
You can implement a communications system to fit your needs and the layout of
the facility . The configurable communications feature allows communications via
network methods. A CareFusion applications engineer works with you to
integrate the Pyxis MedStation system with your telecommunications system.
The required communications links in the Pyxis MedStation system installation
include:
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•A Pyxis Procar that interfaces the console to the hospital or pharmacy
computer for ADT, billing, and patient-profile information.
•A communications component that links the console to the network of
stations.
For station communications, network protocols are used. For interface
communications, the same options apply, depending on the system-interface
method supported by the hospital-system vendor. The preferred method of
network communications is Transmissions Control Protocol/Internet Protocol
(TCP/IP) over Ethernet.
Interface options
While the Pyxis MedStation system can be operated as a stand-alone turnkey
system, significant value and operating efficiencies are added by using various
interfaces with your hospital- and pharmacy-information systems. CareFusion
will collaborate with any hospital-information system vendor to complete these
interfaces.
There are five basic interface options:
•ADT interface—Although ADT information can be manually updated, the
volume of information necessitates the use of a real-time electronic interface.
The ADT interface between the console, located in the pharmacy, and the
hospital’s information system is typically a one-way source of information,
coming from one of several potential ADT sources. These sources include a
printer “splice” interface into an existing line from your information system to
your pharmacy printer, or any of the communications methods discussed in
System communication on page 8. The console receives ADT information,
routing it to the appropriate stations.
•Billing interface—A billing interface eliminates the need to enter individual
billing transactions manually into the billing system. CareFusion can create an
interface that allows you to format and send these transactions directly to your
billing system.
•Pharmacy-profile interface—the Pyxis MedStation system offers an
interface to the pharmacy computer system, which gives providers immediate
point-of-use access to patients’ medications via their medication profiles,
while saving a number of dispensing steps for the pharmacy . Upon medication
removal, information regarding usage and inventory is automatically routed
back to the pharmacy system. This interface can also include real-time
8Pyxis MedStation 4000 System Console User Guide
System communication
formulary and stock-location updates between the pharmacy system and the
Pyxis MedStation system.
•Medication-charting interface—As medications are withdrawn from
stations, all information routinely required for the medication-administration
record is passively collected. The Pyxis MedStation system has the ability to
pass this information electronically to automated nurse-charting systems.
Additional data fields in the Remove and Return processes collect
information such as injection sites, observations, and other medication- and
station-specific data. Configure the information to meet your nurse-charting
vendor specifications.
•Wholesaler interface—CareFusion has the ability to pass medication usage
information directly to your wholesaler. A separate computer connected to the
console interfaces with the wholesaler’s computer. More information
regarding the wholesaler interface is available from your CareFusion
representative and your wholesaler.
Using the console....................................................................................14
Pyxis MedStation 4000 System Console User Guide11
Chapter 2—Console Basics
Getting started
This section provides an overview of how to access the console user interface.
NOTE
The examples used throughout this guide show screens with full access
privileges and most station options turned on. The screens you see on your
system might vary depending on your access privileges and option settings.
NOTE
If your facility decides to use the SHA1 password encryption, do not turn on this
flag until this feature is implemented on all devices connected to the console.
Navigating the standby screen
The standby screen box is the default console screen and is your entry point into
the console. After a predetermined time without keyb oard activity, the console
reverts to the standby screen even if you have not logged out. However, you
should always log off when you leave the console to ensure that transactions are
not performed by other users using your logon ID.
Logging in
When no one is logged in to the console, the standby screen displays the Login,
Window, CommStatus, and Help menu options. Your system administrator
provides you with a user ID and a first-time Password.
1. In the standby screen, click
2. In the Console User Login dialog box, enter your ID and password and click
OK.
The menu bar appears.
NOTE
The console should not allow ID scans.
Login, click on the screen,or press Enter.
Logging off
Log off before stepping away from the console.
12Pyxis MedStation 4000 System Console User Guide
Getting started
•In the menu bar, click Logoff.
The standby screen appears.
Changing your password
Before you can access the console, you must have a password. Your system
administrator assigns a temporary password to you.
1. In the menu bar, click
Change Password.
2. In the Change Password dialog box, enter your current password and your
new password.
3. In the
4. To save the new password, click
Re-enter new password box, enter your new password again.
OK.
Pyxis MedStation 4000 System Console User Guide13
Chapter 2—Console Basics
Using the console
This section includes information on the menu bar and features and functions.
NOTE
In some of the dialog boxes that you will encounter throughout the product,
yellow is used to highlight fields that you are required to complete.
Menu bar
After logging on to the console, a menu bar appears. The menu bar provides
access to all the functions available to you, based on your user access privilege
level. Functions are grouped into the following menu categories:
•Inventory—
medications to pocket, or make pockets unavailable.
more
•Reports—
and System reports. The Reports option also allows you to view the print queue
and to add to or edit the list of batch reports.
•System Setup—
define all system components such as devices, formulary, users, patients, and
areas.
•Utilities—
•Change Password—
•Window—
and off. Do not leave the XQ Viewer open—use only as a support tool.
•Help—
•CommStatus—
including stations and
•Logoff—
Logoff whenever you step away from the console.
Assign medications to station pockets, replace medications or assign
Access Inventory reports, Activity reports, System Activity reports,
Customize your system site information and selections lists, and
Globally edit your formulary, devices, and users, and archive data.
Change your password.
Turn display of the Attention Notices pane and XQ V iewer pane on
Access Online Help to get information about the console.
V iew the communication status between all non-console devices
Procar
s.
Log off the console. To prevent unauthorized use of the system, use
Features and functions
The console uses standard features and functions found on most devices.
However, you may not be familiar with Quick Keys. Those are explained below.
Quick key
In addition to accessing menus using the mouse, you can use quick keys to access
menus, menu options, and onscreen buttons. This involves using the Alt key, the
first letter of the menu name, followed by the first letter of the menu option (or
whichever letter in the name that is underlined).
To display quick keys
➤ To toggle the display of quick keys (that is, to hide or show the underlined
letters), press A
14Pyxis MedStation 4000 System Console User Guide
LT.
To use a quick key
Using the console
1. While holding down A
2. T o select an option from the open menu, release A
LT, enter the underlined letter of the applicable item.
LT, and enter the underlined
letter of the desired option.
NOTE
You can also activate on-screen buttons using quick keys in the same way. Hold
down A
activate a Save button, you would hold down A
LT and enter the on-screen button’s unde rlined character . For exam ple, to
LT and press S.
Pyxis MedStation 4000 System Console User Guide15
Chapter 2—Console Basics
16Pyxis MedStation 4000 System Console User Guide
Chapter 3
Setting Up the System
When you configure the Pyxis MedStation system, you enter information unique
to your facility, such as station names, users, patients, and formulary . This section
includes the following topics: