The following terms are trademarks of Omnicell, Inc. in the United States, other countries, or
both.
Omnicell
ivFlex Designer
Pharmacy Line
OmniLinkRx
AcuDose-Rx
Enterprise Medication
Manager
MedCarousel
Savvy
vSuite
PACMED
XT Anesthesia Workstation
Connect-Rx
PakPlus-Rx
Anesthesia-Rx
Autobond
ROBOT-Rx
Anywhere RN
Autogen
PROmanager-Rx
SinglePointe
Gemini
NarcStation
SafetyStock
MTS-350
WorkflowRx
FastEntry
MTS-500
MedShelf-Rx
FlexBin
Sureseal
Fulfill-Rx
OptiFlex
PillVue
i.v.STATION
Pandora
SureMed
i.v.STATION ONCO
PandoraVIA
Time My Meds
i.v.SOFT
Performance Center
Omnicell is a leader in medication and supply dispensing automation, central pharmacy automation
and IV robotics, analytics software, and medication adherence solutions. Hospitals, post-acute care
sites, and pharmacies worldwide rely on Omnicell products to increase patient safety, streamline
workflow, and more effectively address drug diversion and regulations.
This guide and accompanying software and/or hardware described in it are protected under
copyright laws and may not be reproduced, adapted, or translated, wholly or in part, without the
express written consent of Omnicell, Inc. The same proprietary and copyright notices must be
attached to any permitted copies as were attached to the original documents.
Omnicell, Inc.
590 E. Middlefield Road
Mountain View, CA 94043
(650) 251-6100
www.omnicell.com
All other trademarks and trade names are the property of their respective owners.
How to Use this Guide .................................................................................................................................................. 7
For More Information .................................................................................................................................................... 7
Technical Support ........................................................................................................................................................... 7
Color Touch Software ................................................................................................................................................... 7
Main Menu .......................................................................................................................................................................... 8
Logging On ...................................................................................................................................................................... 10
User Name in Screen Footer .............................................................................................................................. 11
Log Off ......................................................................................................................................................................... 12
Log on with Magnetic Card or Bar Code Card Reader ....................................................................... 12
Log on with User ID and Password ............................................................................................................... 13
Log on with Fingerprint BioID.......................................................................................................................... 13
Short List ..................................................................................................................................................................... 13
Fingerprint Scan Guidelines and Help .......................................................................................................... 14
Access an Item ............................................................................................................................................................... 19
Browse Drug Info .......................................................................................................................................................... 19
Change Unit of Issue/Unit of Stock .................................................................................................................... 22
Bar Code Scanners ...................................................................................................................................................... 23
Verify Item by Bar Code Scan ......................................................................................................................... 24
Select a Patient ............................................................................................................................................................ 30
Patient Bar Codes ................................................................................................................................................... 31
Clear Return Bin Receipt.................................................................................................................................... 34
Codonics Safe Label System 500i (SLS) .......................................................................................................... 41
Patient Care ............................................................................................... 44
View Patient and Transaction Info ..................................................................................................................... 44
My Items ..................................................................................................... 57
About My Items ............................................................................................................................................................. 57
Add Kits to My Items .................................................................................................................................................. 57
Add Items to My Items .............................................................................................................................................. 58
Issue from My Items to a Patient ........................................................................................................................ 60
Cancel Issue to Patient .............................................................................................................................................. 62
Transfer My Items to Another User .................................................................................................................... 63
Return My Items Inventory ...................................................................................................................................... 65
Waste My Items Inventory ......................................................................................................................................66
Waste All Remaining Items Now ................................................................................................................... 67
View My Items Reconciliation Details ................................................................................................................ 68
Complete Normal Restock ..................................................................................................................................... 84
Audit Return Bin ......................................................................................................................................................... 102
About Discrepancies ................................................................................................................................................ 107
The Discrepancy by User Report ....................................................................................................................... 109
How to Resolve Discrepancies ............................................................................................................................ 109
How to Research Discrepancies ........................................................................................................................... 112
About Cabinet Reports .............................................................................................................................................113
Change Your Password ...........................................................................................................................................122
Change Password Button Not Available ....................................................................................................... 124
Re-enroll Your Fingerprint .................................................................................................................................... 124
General Tips for Enrolling Your Fingerprint ................................................................................................. 129
Add New Patient ........................................................................................................................................................ 129
Change Printer Paper .................................................................................................................................................131
Test Printer ......................................................................................................................................................................131
Clean the Cabinet .........................................................................................................................................................131
Recommended Cleaning Products for Cybernet Commercial Grade AIO ............................. 132
View FlexLock Temperature ................................................................................................................................ 134
Safety Information for Anesthesia Workstation ........................................................................................ 134
Check System Messages ........................................................................................................................................ 134
Periodically, check myomnicell.com for updates to this material.
Page 8
User Guides |8
Main Menu
The Main Menu is accessible once you log on. You can access all main areas of the software from
this Main Menu.
•You may be restricted to accessing only certain areas of the software depending on your user
access privileges. If so, some buttons on the Main Menu will appear inactive when you log on.
•Your log-on credentials may direct you to a specific area of the software upon log on. For
example, users who perform patient care tasks will typically gain direct access to the patient
lists upon log on. Similarly, users who perform inventory tasks will typically gain direct access
to the inventory menu.
•Tasks covered in this guide will direct you to access a menu option from the Main Menu. If you
are not already on the menu screen, press Main Menu, then press the desired menu option.
Main Menu Options
Press to access the patient lists and begin patient-related transactions.
Periodically, check myomnicell.com for updates to this material.
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User Guides |10
Basics
Logging On
Use of Omnicell cabinets is restricted, and all users are required to log on. There are multiple ways
to log on depending on your health care facility policy.
A User ID is provided to you. The User ID can be unique to Omnicell products or it can be the
same ID you use to log on to other applications within the facility, like your email or other thirdparty systems. Your system administrator will notify you of the ID you need to use to log on.
Strong Passwords
Strong passwords enforce strict security on the cabinets. If a strong password is expected and
you did not enter one, you will see a prompt screen that indicates required characters.
• Passwords must be between 6 characters minimum and 18 characters maximum.
• Passwords should not contain letters that are part of your own name and should not contain
common words.
• Case-sensitivity may be enforced.
• Spaces are not allowed as the first or last character.
• Passwords must contain three of the four elements:
A log-on message can be configured at your facility and can provide important instructions or
reminders. Review any message that appears. Press
proceed.
to acknowledge the message and
User Name in Screen Footer
Once logged on, your name will appear on the screen footer (bottom right of screen). Your name
will show on all screens while you are logged on.
Periodically, check myomnicell.com for updates to this material.
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Exit
Log Off
Press
to log off the cabinet when you are done. This ensures that no transactions can be
completed by another user with your ID.
Log on with Magnetic Card or Bar Code Card Reader
You must be listed as a magnetic card user on the OmniCenter or you will not be recognized as a
valid user when the card is swiped. Log on will be denied. You can also use the card to enter your
credentials when acting as a witness.
Periodically, check myomnicell.com for updates to this material.
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Enter
Enter
Enter
•This cabinet will recognize your primary or alternate fingers.
1.
Swipe the card through the reader on the cabinet.
− Vertical orientation: magnetic strip faces to the right.
− Horizontal orientation: magnetic strip faces away from you.
2.
Enter your password, then press
on the keyboard.
Log on with User ID and Password
Passwords may be case sensitive. If you are having difficulty entering your password, make sure
Caps Lock is off. When Caps Lock is on, a message is displayed on the log-on screen, lower right.
1.
Enter your User ID, then press
2.
Enter your password, then press
enter your password until you access an item.
on the keyboard.
on the keyboard. You may not be prompted to
Log on with Fingerprint BioID
Your fingerprint must be enrolled in the system before you can log on with a fingerprint scan. If
you are not enrolled, contact your designated fingerprint registrar to enroll your fingerprint. Until
then, log on with your User ID and password.
•Either finger can be used to log on. You are NOT required to log on with both.
1.
For initial log-on at the beginning of your shift, enter your user User ID first.
2.
Place your finger flat on the sensor for at least two seconds, then lift. If your cabinet is
enabled for the Short List, once you have logged on with your user ID, you can log on by
just scanning your fingerprint for the rest of your shift.
See "Short List"
.
Short List
The Short List is a group of users who have recently logged on to a specific cabinet. The Short List
allows you to log on quickly with just a fingerprint scan. The cabinet compares your scan to other
users on the list. When a match is found, you are logged on.
• The cabinet must be enabled for Short List, and each cabinet maintains its own list.
• The list changes based on user activity over a given time frame.
• Your fingerprint must first be enrolled before you can use it to log on.
Periodically, check myomnicell.com for updates to this material.
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User Guides |14
If you find that you suddenly cannot log on with your fingerprint scan only and you
• Pay attention to placement: it is
• To get on the Short List, you must enter your User ID and scan your fingerprint or enter your
password at the beginning of every shift.
•You can fall off the Short List if you have not logged on for an extended period of time or if
you are logging onto a cabinet that you do not use often.
•You can also fall off the Short List if the list at the cabinet has reached capacity. Once the list
reaches its maximum number of users, the user with the least recent activity will drop off the
list.
were able to before, you might have fallen off the Short List. To get back on, enter your
user ID, then scan your fingerprint.
Fingerprint Scan Guidelines and Help
During log-on, fingerprint images on the top right of the screen give you a visual indicator on how
the system is capturing your scan. When the User ID field is highlighted in yellow, this is a prompt
to enter your User ID. Enter your User ID and re-attempt your scan.
Fingerprint Image Guides What To Do
Arrows in the window are meant to guide
you to better position your fingers on the
sensor. The fingerprint image on-screen
should fill the window. If it does not, you
should reposition your finger on the sensor.
•Reposition finger in the
direction of the arrow. In this
example, you should move your
finger up to better fill the
sensor.
Arrows can point up, down, right, or left.
important to match the same
Try Again indicates that the quality is good
enough, but there is no match with this
fingerprint scan. After a few attempts at
scanning, you may see the message
Fingerprint not recognized.
placement as during enrollment.
•Make sure you are using the
same finger that you enrolled.
•Enter User ID first. The system
may not have found a match on
the Short List. See "Short List"
.
Adjust Cabinet Volume
Always check with your facility before adjusting the volume. There may be areas of the facility
where the sound is set so that you can hear important alerts and triggers. Other areas may require
a quiet environment.
Periodically, check myomnicell.com for updates to this material.
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User Guides |15
Change Volume or Brightness
Change Brightness
You can adjust volume directly from the log-on screen or by using F11 (+) and F12 (–) on the
keyboard. An advantage of using the function keys is that you can adjust the volume any time
from any screen.
1.
From the log-on screen, press
If the button reads
without the option for volume, then this means
that the cabinet is configured for silent mode and volume adjustment is not permitted.
Contact your nurse manager or Pharmacy if you need to have this setting changed.
.
2.
Press the "+" or "-" buttons adjust the volume as desired. The buttons will become
inactive when you have reached the allowed maximum or minimum setting. You can also
use the function keys on the keyboard. F11 increases volume. F12 decreases volume.
Periodically, check myomnicell.com for updates to this material.
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User Guides |16
Previous Screen
Change Volume or Brightness
3.
Press
to return to the log-on screen.
Adjust Screen Brightness
There may be times when you need to adjust screen brightness. You can do this directly from the
log-on screen or by using F9 (+) and F10 (–) on the keyboard. An advantage of using the function
keys is that you can adjust the brightness any time from any screen.
Periodically, check myomnicell.com for updates to this material.
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User Guides |17
Previous Screen
2.
Press the "+" or "–" buttons on screen to adjust the brightness as desired. The buttons
will become inactive when you have reached the allowed maximum or minimum setting.
You can also use the function keys on the keyboard. F9 increases brightness. F10
decreases brightness.
Periodically, check myomnicell.com for updates to this material.
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User Guides |18
Return
Exit
Exit
Access the Quick Reference Guide
An online quick reference guide is available to help you perform common tasks associated with
this software. The information provided may not match your specific cabinet configuration.
1.
Access the quick reference guide by pressing F1 on the keyboard from any screen after
you log on.
2.
Select a task from the list.
To exit the help file, press
quick reference file during a task, you will return to the screen you were on.
on the lower right of the screen. If you access the
Conclude Tasks
Make sure all door, bins, and drawers are closed completely. Follow screen prompts for specifics.
1.
Acknowledge expiration date.
If prompted, enter or verify expiration date on screen. Use the earliest date found. If the
system detects an expired expiration date, a warning may be displayed, prompting you
to enter a new date.
2.
Close lid, drawer, or door.
When you are finished with a transaction, make sure to close bins, drawers and doors
completely. Always check to make sure that the bins and drawers are not filled beyond
capacity and that there are no obstructions blocking the bin lids and drawers from
closing and locking. The system may prompt you with an audible beep and
screen message in the event that a bin or drawer is improperly closed, which will prevent
you from concluding the task.
Locking Bins
FlexBin,
Anesthesia
Drawers
Remote Items
Close lid. If you are finished with all items in drawer, close the
drawer.
Press Next Item to go to the next item, if necessary. If you are
finished with all items in a drawer, close the drawer.
Press Next Item to go to the next item, if necessary. If you are
finished with remote items, press Item Completed.
3.
Press
to log off the cabinet when you are done. This ensures that no transactions can be
completed by another user with your ID.
to log off the cabinet when you are finished with the case. Always press
Periodically, check myomnicell.com for updates to this material.
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User Guides |19
Access an Item
Cabinets are divided into zones that allow the software to control access to items. Pharmacy
zones are intended for pharmacy items where more secure control is required. Supply zones are
intended for supply items only. Selecting and accessing items vary slightly depending on the zone
or type of bin where the item is physically stocked. Follow screen prompts.
1.
Select the item.
In most cases, items are selected on screen. An exception includes supply items that are
stocked on button bar shelves or supply drawers. To access supplies, you will need to
open the drawer or door and press the green button associated with the item.
2.
Follow the guiding lights and on-screen prompts.
When you select some items, Omnicell's unique "guiding lights" direct you to the item's
location while the on-screen message provides the item's location.
3.
Open the drawer or door. Follow screen prompts for specific instructions.
− Open the drawer or door with the green, blinking LED. Once open, a blinking LED
indicates the appropriate bin. Raise the bin lid or enter the bin number on screen. If
you are selecting an item stocked on a shelf, press the green LED button
associated with the item.
− Once the drawer or bin has been opened, you may be required to modify the
quantity to remove, provide witness information, scan a bar code, or provide a
countback.
Locking
Bins
Anesthesia
Drawers
FlexLock
After selecting an item on the screen, the guiding light on
the drawer will flash. Follow the lights to locate the correct
bin, open the bin, to access the item.
After selecting the item on screen, the guiding light on the
drawer will flash. Open the drawer, but do not push the
LED button. Pushing the LED button will cause the system
to skip to the next item. Next, follow the lights to locate
the correct bin, and remove the item.
After selecting the item on screen, the guiding light on the
FlexLock unit will flash. Open the refrigerator door and
remove the item.
Browse Drug Info
Browse Drug Info allows you to access the Gold Standard Media (GSM) Clinical Pharmacology
online database to reference drug information. This option is available on cabinets that have
internet connectivity.
Browse drug information during the following tasks:
Periodically, check myomnicell.com for updates to this material.
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User Guides |21
Check Item Availability is not available for nurse-prepared or pharmacy-prepared med
Check Item Availability
Return
Check Item Availability
Check Item Availability allows you to find other cabinets that stock the selected item. This option
is available on cabinets that are enabled for this feature and that are communicating with
OmniCenter over the network.
Check item availability during the following tasks:
• Issue and when viewing Med Order detail
• Return
• Supplemental Restock
• Destock
orders.
1.
Press
2.
Review information on screen.
.
3.
Press
to go back to the task.
If your cabinet is connected to a network printer, then you may have the
option to print information from Browse Drug Info or Item Availability screens.
Periodically, check myomnicell.com for updates to this material.
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User Guides |22
Change Unit of Issue/Unit of Stock
The ability to change the unit type allows you to choose between unit of issue and unit of stock
for an item at your discretion. This is an area-level setting; if enabled, all cabinets in a given area
will support it.
Changing the unit type is available after you select the item during the following tasks:
• Issue
• Return
• Supplemental Restock
• Destock
1.
Change the option, if necessary.
Example: medication issue
Periodically, check myomnicell.com for updates to this material.
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User Guides |23
SCAN GUIDELINES
2.
Continue the task.
Bar Code Scanners
Your XT Anesthesia Workstation cabinet is equipped with a bar code hand scanner (Model
DS6708, P/N 70-6061). You can use the scanner to perform different tasks, such as scanning an
item bar code to issue items to patients or verifying that the item selected is correct.
Most items are cross-referenced in the system so that you can simply scan the bar code directly
on the product packaging. In some cases, you may be required to scan a specific bar code. Follow
your site policy and procedures.
•For best results, aim the scanner at an angle, not directly over the bar code. The scanner can
tilt up to 65 degrees forward or backward.
•Either place the bar code directly under the scanner beam while in its stand (if a stand is
present) or hold it in your hand and aim the scanner at the bar code.
•If you experience trouble scanning the bar code, you may have the option to enter the fields
manually or skip the item depending on your specific configuration.
Periodically, check myomnicell.com for updates to this material.
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TROUBLESHOOT THE SCANNER
Bar Code Item Check
If you experience any issues using the scanner, try unplugging the scanner from the power supply.
Wait 5 seconds, then plug the scanner back in. If this does not work, contact your system
administrator.
Verify Item by Bar Code Scan
Use this task to verify an item via a bar code scan. You can also use this task to test the bar code
scanner by scanning a known item to make sure that it is reading the scan correctly.
1.
On the log-on screen, press
2.
Scan the item bar code.
If the item is recognized, you will see item-specific information displayed on screen.
Periodically, check myomnicell.com for updates to this material.
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User Guides |25
If the item is not recognized, you will see the message Item Not Found. Contact your
system administrator.
Register the Scanner
The scanner and keyboard are identified as an input device without being distinguished. You can
identify the scanner as a separate input device type from the keyboard to enforce either scanner
input only or keyboard input only.
Periodically, check myomnicell.com for updates to this material.
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OmniConfig
Hardware
Scanner/Keyboard - Identify Input Device
Register Scanner
Bar Code Item Check
Register Scanner
Registering the scanner as a separate input device enables the Color Touch software to apply
rules restricting input device types so that there is no confusion of keyboard input with scanner
input. The scanner will be identified as a separate input device type from the keyboard. This
functionality must be enabled at the cabinet by using
disabled, the
button is not displayed.
. This configuration is disabled by default. When
If the same scanner device type is used when the scanner is changed, the device name stays the
same. If the device type changes, the device name might change, requiring re-registration of the
device. If a new scanner is connected after the cabinet is started, the scanner must be registered
to take advantage of this functionality.
Periodically, check myomnicell.com for updates to this material.
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User Guides |27
3.
Scan any bar code to register the scanner.
SafetyStock
SafetyStock enforces the use of a bar code scan to ensure accurate placement of items during
restock and/or to confirm correct item access during patient issue. This is an optional feature that
helps to support both patient safety and workflow efficiency. Only items that have been set to
require item confirmation will prompt you for a bar code scan.
SafetyStock can be enabled for the following workflows:
Periodically, check myomnicell.com for updates to this material.
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• Normal Restock
• Supplemental Restock
• Set Bin Level
Confirm Item via Bar Code Scan
You will be prompted to scan the bar code when you access the item bin, if the item is enabled for
item confirmation. You may be prompted during the following workflows: issue, return, set bin
level, normal restock, or supplemental restock.
During normal restock, if Normal Restock Mode is set to Scan to Restock, scanning the item bar
code satisfies the SafetyStock requirement. Scanning the restock bar code or selecting the item
from the screen does not satisfy this requirement, and in such case you are prompted to scan the
item bar code.
1.
Follow screen prompts to access the item.
2.
At the screen prompt, scan the appropriate bar code. You may be prompted to scan the
item, bin, or restock bar code depending on how the item is configured. In this example,
the item is configured for item and bin confirmation.
3.
Scan the item bar code.
If bin confirmation is configured, the following screen displays.
Periodically, check myomnicell.com for updates to this material.
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Override Bar Code Scan
Patient Care
Add New Patient
Override Bar Code Scan
When issuing an item, you can override the bar code scan if you are having trouble scanning. The
option to override the scan is available during the issue workflow only.
1.
Press
2.
Select an override reason from the list; press OK.
.
Sort Lists
Patient lists and item lists can be sorted so that you can quickly find what you need. Patient list
can be sorted by room or name. Item lists can be sorted by alphabet or due time (when viewing
items on the Scheduled Meds tab).
Select a Patient
The first step to any patient care transaction is to select your patient from either a global list of all
patients within the facility or a local list of patients within the cabinet's area.
1.
From the Main Menu, press
2.
Select the desired patient from the patient list screen.
3.
To find the desired patient, enter the first few letters of the patient’s last name or use the
up/down arrows.
4.
If your patient is not on the Local or Global lists, press
her to the system. See
Periodically, check myomnicell.com for updates to this material.
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Once you select a patient, the patient screen is displayed. You are ready to begin
issuing items to the patient.
Global Patient List Lists all patients in the facility.
Local Patient List Lists all patients in the patient’s area.
Partial Dose List
Displays a list of patients who have
undocumented medication issues.
Patient Bar Codes
You can scan a patient’s bar code by using the bar code scanner or by entering the patient ID
number on the keyboard. Once the number is entered, the system searches for the patient in the
list of patients.
If a match is found, the patient screen automatically appears. If no match is found, a new patient
screen appears and you can enter information for the new patient. When the OmniCenter polls the
cabinet, the new patient will be assigned a permanent ID number and the patient status will be
updated from temporary.
Patient Medication Accounts (PMAs)
The PMA is a method that the system uses to track the amount of medication you have
outstanding for a given patient. When you issue an item for a patient, the system automatically
creates a PMA in your name for the amount of the item you removed. The PMA remains open until
you reconcile the outstanding amount. When the PMA equals zero, it is considered reconciled and
closed.
The PMA is comprised of three components: unique user (you), unique patient, and unique item
(by item ID). If you issue two different items to the same patient, you will have two PMAs open for
that patient.
Only certain items will require this type of reconciliation, as determined by your facility. Examples
may include high-security, high-priority medications. Follow your health care facility policy for
reconciliation requirements.
Amount added to PMA Amount subtracted from PMA
You issue an item from the
cabinet to administer it to
a patient.
Periodically, check myomnicell.com for updates to this material.
You indicate how much of the item was actually
administered to the patient on screen.
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PMADETAILS
OUTSTANDING WASTE PROMPTS
Amount added to PMA Amount subtracted from PMA
You choose to automatically commit the previous dose as
administered during the current issue of the item. This
prompt is configurable.
You return the item to the cabinet.
You record a waste amount.
•You can have multiple PMAs open for a single patient and multiple PMAs open for multiple
patients.
•Once the PMA is closed, it is no longer active in the system. If you issue the same item to the
same patient again, you will generate a new PMA.
•You can reconcile after each individual issue (recommended) or a sum of the total amount
outstanding.
•You are allowed to waste and return against another user’s PMA, but you can only issue to
your own.
•You can issue at any cabinet that stocks the item, and you can waste and return at any cabinet
(provided an issue was already generated).
•If you have an open PMA, it is your responsibility to reconcile the outstanding amount.
System prompts may appear to remind you of outstanding waste. Note the following:
•Upon log-on, you see the message You Have Partial Dose Issues That Require Waste. Press OK
to acknowledge.
•Before selecting a patient, the Partial Dose List tab is populated with patient names who have
undocumented medication issues.
•After selecting a patient and pressing the Waste Meds button, the Meds Requiring Waste tab
is displayed by default with a list of items that require waste.
•You generate a transaction report and filter it to view Waste Required Items.
Witness Requirements
Some transactions may require a witness. Witness requirements may be set per item, per control
level, or per transaction, as determined by health care facility policy. You must have your witness
present to enter their user ID and password otherwise you will not be permitted to complete the
transaction. It is recommended that your witness remain present during the entire length of
activity on the cabinet in case they are prompted to enter their user ID and password multiple
times during the same log-on session.
Periodically, check myomnicell.com for updates to this material.
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SINGLE WITNESS
20.5 and earlier
21.0 and later
The cabinet can be enabled to allow a witness to enter their user ID and password once to satisfy
witness requirements for multiple items during the same log-on session (per transaction type and
per patient). For items requiring witness verification, your witness may be required to re-enter
their user ID and password during the same log-on session when:
•You change transaction type (issue, return, waste). The witness must enter their user ID and
password once per transaction type.
•You select more than one patient. The witness must enter their user ID and password once per
patient for each transaction type.
•You change transaction type (restock, destock, cycle count etc). The witness must enter their
user ID and password once per transaction type.
•You issue an item against a med order or you waste partial dose at time of issue. Single
witness is not supported for these transactions; therefore, the witness must enter their user ID
and password for each item individually.
•If single witness is disabled, a witness is required for each bin that requires witness verification.
The chart below lists the transactions that may require a witness.
Single-
Transaction Witness Rules
Witness
Support
Issue with MO
A witness icon is displayed to the left of the listed med
order, indicating that a witness is required.
No
Issue w/o MO Witness may be required. Yes
Issue Partial Dose
Return, Waste,
Admin Witness
Required if item selected for partial dose issue requires a
witness.
Required if item selected requires a witness. Items can be
configured so that a witness is required for some
transactions and not others.
No
Yes
: Only required if one or more items on
the PCR screen requires a waste witness and if the
Post-Case
Reconciliation
cabinet is configured to require a witness.
a witness may be required to complete the reconciliation,
:
No
even if none of the items on the PCR screen requires a
Periodically, check myomnicell.com for updates to this material.
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Transaction Witness Rules
• If the user to resolve the discrepancy is the same user
AVAILABLE RECEIPTS
listed on the transaction, a witness will always
be required.
Discrepancy
Resolution
Cycle Count,
Destock, Restock,
Expire/Recall, Return
Bin Audit
•If user is not the user listed on the transaction, then
witness requirements follow configuration settings,
none or by control level. If the configuration is set to a
control level that matches the item in the discrepancy,
then a witness will be required.
Required if item selected requires a witness. Items can be
configured so that a witness is required for some
transactions and not others. Witness requirements for
cycle count and return bin audit are linked. If the item
requires a witness during cycle count, then the item will
also require a witness during return bin audit.
SingleWitness
Support
No
Yes
Cabinet Receipts
The Color Touch cabinets can be configured to print receipts automatically for select transactions.
Follow your health care facility's policy for handling these receipts. All receipts include the
date/time stamp for the transaction and list the cabinet where the transaction occurred.
• Clear Return Bin
• Cycle Count
• Discrepancy
• Dispense
• Inventory
• Issue
• Print Temp User
• Return
• Unassigned Items
• Waste
Clear Return Bin Receipt
Lists the contents of the return bin when cleared. Includes items that are selected for return bin
audit only.
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• Area
• Date and time
• User
• List of audited items and quantities
• Witness name
Cycle Count Receipt
Identifies the item, user, quantity expected, found, and remaining. If the discrepancy receipts is
also enabled and a discrepancy exists, both receipts will print.
Cycle count receipts prints automatically following an item count. The receipt is configured to
print by cabinet and by selected control level. If cycle count receipts and discrepancy receipts are
both enabled and a discrepancy exists, both receipts will print.
Receipt components:
• Omni
• Area
• Date and time
• Item
• User
• Quantity Expected
• Quantity Found
• Quantity Counted
• Quantity Remaining
• Witness Name
Discrepancy Receipt
Helps to isolate the cause of the discrepancy by printing the discrepancy transaction plus the last
two transactions.
Discrepancy receipts prints for configured control level only.
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Patient Management
The issue receipt provides a record of the individual item issued while the dispense
− Quantity Found
− Quantity Adjusted Up
− Quantity Remaining
• Previous Transaction Details
− Transaction type details
− Quantity Expected
− Quantity Found
− Quantity Adjusted Up
− Quantity Remaining
Dispense Receipt
Dispense receipts enables users to print a list of medications issued to a patient. You can use the
receipt to add to the bag of medications for the patient. Follow policy and procedure for how to
handle receipts.
This cabinet configuration can be set to Enable or Disable (default is Disable). If this cabinet
configuration is set to Enable, a summary of the issued medications for a patient prints
automatically after completing the transaction. Regardless of the configuration setting, users have
the option to print a dispense receipt for the selected patient, on demand, via the Patient
Management screen.
•When enabled, the receipt prints automatically (or re-prints on demand) after all items have
been issued for a patient.
•When disabled, users can print the receipt on demand from the
screen
at the cabinet.
•On-demand printing must be performed directly after the selected patient’s medications are
dispensed.
•The receipt prints or re-prints for the last patient for whom medications were dispensed.
Receipt components:
• Omni
• Area
• Date and time
• User
• Patient name and ID
• Room number
• List of items and quantities removed
receipt provides a summary of all items issued for the selected patient. If both types of
receipts are enabled, individual item receipts will print as well as the dispense summary
at the conclusion of the issue transaction.
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Patient Management
Patient Management
Print Dispense Receipt
Print Dispense Receipts On Demand
Depending on how the cabinet is configured, a dispense receipt might print automatically when
you dispense medications. If it does not, you have the option to print the receipt on demand from
the Patient Management screen. Follow health care facility policy when handling dispense
receipts.
Dispense receipts print for one patient at a time. After all medications are dispensed for a patient,
go to
printed after you have removed the items for the selected patient and before you log out. You will
not be able to print the dispense receipt after you log out or select another patient within the
same log-on session.
1.
Immediately after dispensing medications for a patient, press
2.
Press
to print or re-print the receipt. The dispense receipt can only be
.
.
Inventory Receipt
Identifies the item, user, quantity expected, found, and remaining. Prints for the following
inventory workflows: destock, normal restock, supplemental restock, expire and recall.
Inventory receipts print for configured control levels only.
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• Quantity Restocked, Destocked, Expired, or Recalled
• Quantity Remaining
Issue Receipt
Provides a record of an individual item issued for a patient.
Issue receipts print for configured control levels only.
Receipt components:
• Omni
• Area
• Date and time
• Item
• User
• Patient Name, ID, and DOB (if configured)
• Room number
• Intended dose (if known)
• Quantity expected
• Quantity Found
• Quantity Removed
• Quantity Remaining
Print Temp User Receipt
Prints when a new temporary user is added to the cabinet. Identifies the temporary user's name
and ID, the user who added them, the date, and the specific cabinet.
Receipt components:
• Date and time
• Omni
• Area
• User
• Temporary User Name
• Temporary User Type
• Temporary User ID
Return Receipt
Provides a record of an individual item returned for a patient.
Return receipts print for configured control levels only.
Labels automatically print when issuing items when
OmniCenter.
).
is enabled for the item in
The following workflows support automatic printing for syringe labels. A best practice is to
remove and label one medication at a time before proceeding to the next medication.
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Print
Print Patient Information on Syringe Labels
Omni Config
Pharmacy
Print Patient Information on Syringe Labels
Change to Yes
4.
Press
.
Print Patient Information
Print or hide patient information on syringe labels.
The
the configuration:
1.
Log on to Color Touch as an administrator.
2.
3.
Press
Press
>
to print patient information.
>
configuration is set to No by default. To change
.
Codonics Safe Label System 500i (SLS)
The Codonics Safe Label System 500i (SLS) uses bar code technology to read information from a
drug container and electronically compare it against the pharmacy's hospital-approved database.
It audibly identifies the medication and concentration, then prints a bar-coded and color-coded
medication label.
The integration of the Omnicell Anesthesia Workstation with the SLS provides a streamlined
workflow for anesthesiologists and CRNAs. Integration is enabled by a system administrator via
Anesthesia Workstation configuration. The purpose is to provide a single sign-on experience and
single scanning functionality.
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AUTOMATIC LOGON AND LOGOFF
SINGLE SCAN
Single scan is supported only in the issued items list of the Omnicell Anesthesia
REMOVING AND LABELING NARCOTICS
When integration with the Anesthesia Workstation is enabled, the SLS has single sign-on
functionality.
• When you log on to the Anesthesia Workstation, you are logged on to the SLS, too.
• You can log off only the SLS and remain logged on to the AWS. This enables a second user to
print a label while you are in a surgery case.
•If you log off the AWS when another user is logged on to the SLS, that user is not logged off
the SLS.
•If another user is logged on to the SLS, and you log on to the AWS, the other user is
automatically logged off the SLS, and you are automatically logged on to the SLS.
•You are logged off the SLS if you log off the AWS, exit to the shell, reboot, or shut down. You
are also logged off in the event of an unexpected system exit or timeout.
To enable single scan functionality, an Item Scan (Anes) license must be configured at the
OmniCenter. When it is, and the Anesthesia Worstation is integrated with the SLS, the scan
simultaneously adds the medication to the issued items list on the Anesthesia Workstation.
The scan of medications from unlocked drawers or supply drawers creates an inventory message,
but locked drawer items do not. Scanning a locked drawer item creates a label and a message at
the Anesthesia Workstation indicating that an item was scanned that did not come from a supply
drawer.
Workstation.
Narcotics use the standard pre-select workflow, but you can scan and get a label after removing
each medication. Best practice is to remove and label one medication at a time.
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Remove Items
Remove Now
REMOVING AND LABELING NON-NARCOTICS
REMOVING AND LABELING CONTROLLED SUBSTANCE (CS)KITS
Remove Kits
Remove Now
REMOVING AND LABELING MIXED KITS
Remove Kits
Remove Now
1. Pick the patient.
2. Click
3. Click
4. Follow the guiding lights to the correct bin.
5. Scan the medication at the SLS.
6. Prepare the medication and label the syringe.
7. Proceed to the next medication.
The medication is added to the issued items list.
The SLS prints the label.
and select the medication.
.
Non-narcotics can be scanned at the Codonics SLS to be added to the issued items list.
1. Pick the patient.
2. Open the drawer and select the medication.
3. Scan the medication at the SLS.
The medication is added to the issued items list, and the SLS prints the label.
4. Prepare the medication and label the syringe.
5. Proceed to the next medication.
If a kit includes narcotics, guiding lights direct the anesthesiologist to the bin that contains those
medications. If the kit includes non-narcotics, there are no guiding lights to those items. Best
practice is to prepare and label each medication one by one.
1. Pick the patient.
2. Click
3. Click
4. Follow the guiding lights to remove the narcotics.
5. Scan each narcotic at the SLS. The SLS prints the label.
6. Prepare and label the medication.
7. Proceed to the next medication.
8. Retrieve, scan, and label any non-narcotic medications.
and select the kit.
.
Mixed kits contain both controlled and non-controlled substances. With mixed kits, the nonnarcotics are automatically added to the issued items list. To avoid duplicating them when they
are scanned, scan them before accessing the issued items list.
1. Pick the patient.
2. Click
3. Scan the non-narcotics at the SLS before accessing the issued items list.
4. Click
5. Follow the guiding lights to remove the narcotics.
6. Scan the narcotics one-by-one at the SLS.
7. Prepare and label each medication as it is scanned.
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PATIENT MANAGEMENT
Area
Date of Birth
ICD9
Med. Rec. #
Patient Care
View Patient and Transaction Info
All transactions associated with a patient are tracked by the system and can be generated on
screen. Once you select a patient, information about that patient can be accessed,
and transactions can be initiated. You can log on to any cabinet in the system to initiate
a transaction for the case. For example, you can reconcile and complete the case after the patient
has been transferred to the PACU on any cabinet provided that it is enabled for Post-case
Reconciliation (PCR).
Press Patient Management from the patient screen to review the patient’s admission stats.
Patient’s active room number.
Patient’s date of birth; can be used as a second
identifier for the patient.
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Patient ID #
Patient’s identification number.
Payor ID
Physician
Room
Patient Type
CF
ERM
INP
MS
OP1
OPB
REC
SDS
TMP
ALLERGY INFORMATION
VIEW LAST ISSUED DETAILS
Last-issued information is not displayed for supply items.
Insurance plan identification number.
Patient’s primary doctor.
Patient’s active room number.
outpatient
Confidential (1-4)
Emergency Room
Inpatient
Other Type (1-4)
Same Day
Outpatient in bed
Recurring (series)
O/P
Same Day Surgery
Temporary Patient
Known patient allergy information is available by pressing Allergy Info from the patient screen.
Check MAR if no known allergies are displayed.
All items or kits will display last-issued date and time information. Depending on how your cabinet
is configured, you may see cabinet-specific information or system-wide information. System-wide
support lists the most recent issue information, per patient and item, from all cabinets. Cabinetspecific support lists the most recent issue information for the cabinet in use only.
System-wide support
Issued:
Month/Date/Year
Time
Last issue from the cabinet in use or another cabinet in system.
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System-wide support
Cabinet-specific support
Main Menu
Patient Care
only (not from locked pharmacy drawers).
Item has not been
issued
Information not
available
Issued:
Month/Date/Year
Time
Issued: 08/02/17 2:59
PM
Item has not been
issued
This item has not yet been issued to the selected patient.
Cannot obtain last issue information; check MAR.
Last issue from the cabinet in use.
This item has not yet been issued to the selected patient from the
cabinet in use only. No time/date stamp is provided even if the item
was issued for that patient from another cabinet.
Issue Items
Individual items can be issued by scanning the item bar code or by pressing Remove Meds on
screen.
• Scanning the item bar code: This applies to items stocked in unlocked anesthesia drawers only.
• Pressing Remove Meds: This is the only way to add items stocked in locked pharmacy
drawers. Items stocked in anesthesia drawers can be added to the list either way.
1.
From the
2.
Select patient.
3.
From the patient’s screen, remove the item from the anesthesia drawers and scan the
item bar code.
4.
Acknowledge on-screen alerts, if prompted.
Once scanned, the item is added to the top of the list with a quantity of 1.
5.
Remain on the blue issued items list to scan items.
6.
To remove additional quantity of the same item, press the + sign next to that item.
− The +/- buttons appear for items removed from the unlocked anesthesia drawers
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12.
Main Menu
Patient Care
Remove Kits
Add Kits
Display Selected Items
Remove Now
Follow prompts and guiding lights to access item(s).
13.
Confirm or edit correct count for the item, if prompted.
14.
Scan issue confirmation bar code, if prompted.
15.
Place items into your designated anesthesia work drawer until you need them. All items
are added to the issued items list for that patient.
− If you do not have an anesthesia work drawer, follow facility policy for storing
removed items.
− Only items issued from this cabinet will display on the issued items list. Issues and
returns from other cabinets in the system are not reflected on this list. However, all
transaction information is kept updated system wide and is reflected on the PCR
screen when you are ready to reconcile the case.
16.
Close bin and drawer.
Issue Kits
Kits will only be available for issue if you have access rights to all items in the kit.
1.
From the
2.
From the patient’s screen, press
3.
Select desired kit.
4.
Acknowledge on-screen alerts, if prompted.
5.
Verify quantity on screen, if necessary.
6.
To add another kit, press
The
7.
Press
8.
Follow prompts and guiding lights to access item(s).
9.
Have your witness enter user ID/password, if prompted.
10.
Confirm or edit correct count for the item, if prompted. Press OK.
11.
Scan issue confirmation bar code, if prompted.
12.
Place items into your designated anesthesia work drawer until you need them. All items
, press
.
. Select patient.
.
.
tab lists the items from the kit(s) that will be added.
are added to the issued items list for that patient, listed by individual item in
chronological order.
13.
If you do not have an anesthesia work drawer, follow your health care facility's policies
for storing the removed items.
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-
Return Meds
Main Menu
Patient Care
more) indicates that the item is not allowed to be returned back to the original
Return Meds
Meds Eligible to Return
Display Meds to Return
All Meds
Stocked Meds
Only items issued from this cabinet will display on the issued items list. Any
items issued for this case from other cabinets in the system are not displayed
on this list. However, all transaction information is kept updated system wide
and is reflected on the PCR screen when you are ready to reconcile the case.
14.
Close bin and drawer.
Return Items
Depending on your health care facility's policy, you will either be directed to return an item back
to the original location in the cabinet or to the external return bin. Return any unused items first
before proceeding with your waste transactions and before attempting to complete the case.
Items can be returned in two ways:
•Pressing the
button on the issued items list
This applies to items stocked in unlocked anesthesia drawers only.
•Pressing
This is the only way to return items stocked in locked pharmacy drawers. Items stocked in
anesthesia drawers can be returned either way.
1.
From the
2.
Select patient.
3.
From the patient’s screen, press the - button next to the desired item to return.
, press
.
The quantity is decremented on screen. Each press decrements the quantity by 1.
A - button that appears inactive on screen (for an item with quantity 1 or
location in the cabinet. You may still be able to return the item to the external
return bin. Proceed with "Return Items". Use the Return Meds function to
return these items to the return bin, if necessary.
4.
Open the anesthesia drawer and return the item.
5.
Alternatively, press
6.
From the
The
. The button could also read Return Items.
tab, select the desired item(s).
tab lists the items that you have selected to return.
− If you cannot find the item you need to return on this list, press
list of open PMAs for you or another user.
− If you still cannot find the item you need to return, select the item from the
tab. Reconciling an item from this tab may result in a Miscellaneous
Return.
to show a
7.
View or modify the quantity to return. Press OK.
The return quantity is auto-populated with a quantity of 1.
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Return Now
Print Receipt
8.
Select the next item. When all desired items have been selected, press
9.
If directed, follow prompts and guiding lights to return the item back to its original
location.
10.
Have your witness enter user ID/password, if prompted.
11.
Or, if directed, open the return bin and place contents inside. Enter or select a return
reason, if requested.
Returns made to a return bin can be identified with a printed receipt to assist the
pharmacy in return reconciliation. If enabled, press
to generate the receipt
to be enclosed with the item when placed in the bin.
12.
Confirm or edit correct count for the item, if prompted. Press OK.
13.
Scan item or bin confirmation bar code, if prompted.
14.
Close bin and drawer.
Only items returned to this cabinet will display on the issued items list. Issues
and returns from other cabinets in the system are not reflected on this list.
However, all transaction information is kept updated system wide and is
reflected on the PCR screen when you are ready to reconcile the case.
.
Record Waste with Post-case Reconciliation (PCR)
Post-case Reconciliation (PCR) is the process of recording administration and wasted amounts for
controlled items used in a case before committing it as complete. To facilitate efficient workflow,
this process is performed on a single screen. To use PCR, you must be an eligible PCR user as
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Case Complete
Main Menu
Patient Care
Waste Case Meds
determined by your facility. Furthermore, only items that are eligible for PCR will be allowed to be
reconciled in this way.
•Complete returns first. See "Return Items"
.
• Complete the PCR case even if you have zero waste to document.
• You can complete the PCR case from any cabinet within the facility that is enabled for PCR.
• If the anesthesia provider changes during the OR procedure there are two options. 1) The
current provider completes the PCR case to document the administered and waste amounts
(recommended practice). 2) The new provider removes meds against the already open PCR.
•If the anesthesia provider does not change but wants to return or waste before the end of the
OR procedure, the provider can complete the PCR case to document the administered and
waste amounts. If more controlled meds are removed a new PCR case is created.
•PCR is patient and control level specific. It is not based on the user. Only one PCR can be open
for a patient at one time.
closes the open PCR. Another PCR can be started
for a patient if needed.
1.
From the
2.
From the patient screen, press
, press
. Select the patient.
.
If you do not see this button, see "Record Waste without Post-case Reconciliation
(PCR)".
3.
If you see the message Have you returned all unopened items issued to this patient?,
enter a response:
− If yes, then the system will direct you to the post-case reconciliation screen.
Proceed with "Record Waste with Post-case Reconciliation (PCR)"
.
− If no, then the system will return you to the previous screen so that you can return
your unopened items. See "Return Items"
.
4.
From the post-case reconciliation screen, enter the total amount administered or
wasted.
Press the Up/Down arrows or the Tab key on the keyboard to advance quickly through
the list.
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Zero
Waste to Document
20.5 and earlier
21.0 and later
Store Data
Case Complete
5.
If you administered the total amount for all items used during the case, press
The fields are automatically populated with zero for the wasted amounts for all items in
the list. Any entries you had previously entered will be overwritten.
6.
If you are not ready to complete the case now, press
complete the case.
Data for the case is stored system wide. Any issue or return transaction performed on
the case after it has been stored will update the administration and wasted amounts.
7.
If you are ready to complete the case now, press
If entries on the PCR screen were incomplete, then you may see a message indicating
that there is missing information.
− The remaining amount is calculated automatically based on the amount entered.
− The net quantity removed is shown on the left of the screen.
− The amounts displayed on this screen represent the total amount issued system
wide, taking into account any returned amounts. Amounts issued to this case from
My Items are also reflected on this screen. See "Issue from My Items to a Patient"
If an item you are required to waste is not listed on the PCR screen, see
"Record Waste without Post-case Reconciliation (PCR)".
.
for all items.
: A witness will not be required if zero waste was documented
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Yes
No
20.5 and earlier
21.0 and later
Yes
No
Exit
Partial Dose List
Main Menu
Patient Care
Waste Meds
Meds Requiring Waste
All Meds
Stocked Meds
Stocked Meds
− Press
− Press
8.
Acknowledge on-screen alerts, if prompted.
9.
Have your witness enter user ID/password, if prompted.
10.
Indicate whether you want to place the contents into the return bin, if prompted.
−
the PCR Receipt can be placed in the bin.
− Press
close lid.
− Press
Submit the PCR Receipt to Pharmacy, if required.
− A PCR Receipt may print automatically if configured to do so. If not, you can print
the PCR Report (which contains the same information) from the Reports menu.
11.
Press
to continue and complete the case.
to return to the PCR screen and enter the missing information.
: If zero waste was documented, the return bin will not unlock.
: The return bin will unlock after zero waste is documented, so that
and place item(s) in return bin along with the PCR Receipt, if required;
and follow facility policy and procedure to properly dispose of the waste.
to conclude.
Record Waste without Post-case Reconciliation (PCR)
Use this task to waste an item when Post-case Reconciliation (PCR) is unavailable or disabled.
Although it is recommended to record waste using PCR, in some cases, it may not be possible.
This could occur if the cabinet that you are using is not enabled for PCR, if you are not eligible to
use PCR, or if the item you need to waste is not eligible for PCR.
Item eligibility is based on item and/or control level settings at OmniCenter. If you notice the
following:
• During log-on, a message is displayed regarding partial dose issues that require waste.
• Before you select a patient, a
undocumented medication issues.
This is an indication that at least one item that you issued may not be eligible for PCR.
•Complete returns first. See "Return Items"
restrict waste of certain items to the PCR process only.
•Some cabinets may restrict recording of waste to PCR only. See "Waste Restricted".
1.
From the
2.
From the patient screen, press
If you do not see this button, see "Waste Restricted".
3.
From the
− If you cannot find the item you need to waste on this list, press
list of all undocumented items by all users.
− If you still cannot find the item you need to waste on this list, you can select it from
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4.
OK
Yes
ccess Return Bin Now
Print Receipt
No
Record Waste Now
Exit
Once the item is selected:
− Enter or modify the Administration Amount, if requested. This field may be pre-
populated.
− Enter the waste amount.
− Enter or select a waste reason. Press
.
5.
Acknowledge on-screen alerts, if prompted.
6.
Have your witness enter user ID/password, if requested.
7.
Indicate whether you want to place the contents into the return bin, if prompted.
− If yes, press
lid. Wastes made to a return bin can be identified with a printed receipt to assist
the pharmacy in waste reconciliation. If enabled, press
the receipt to be enclosed with the item when placed in the bin.
− If no, press
disposing of waste.
8.
Submit the waste receipt to pharmacy if required by facility policy.
9.
Press
to conclude.
. Press A
. Press
. Place waste in return bin; close
to generate
. Follow your facility's policy for properly
Waste Restricted
You cannot complete waste for an item at the cabinet if the following conditions apply.
•The Item is not eligible for PCR; therefore, the item will not be displayed on the PCR list.
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•Waste Meds is not enabled at the cabinet; therefore, you are restricted to using PCR (via
Waste Case Meds).
OR
•The item is set to only allow waste via PCR. A message will be displayed upon selecting the
item in this case.
If these conditions apply, then the item will be listed on the Post Case ReconciliationReport
compiled at the OmniCenter, and Pharmacy will be required to reconcile the item.
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ACCESS TO MY ITEMS
RECONCILE MY ITEMS
My Items
Add Kits
My Items
Add Items
Add Kits
My Items
About My Items
My Items allows you to assign items to yourself at any time during your shift. These items become
part of your own personal inventory and are managed in a list that you can access on screen. You
are responsible for all items in the list, and you must account for any items left unreconciled.
These items are assigned to you, not issued or associated to a patient.
The use of My Items is discretionary. You have the option of bypassing this workflow and issuing
items directly to a patient when necessary.
Consider the following scenarios in which you might use My Items:
• To prepare for your cases at the beginning of the day.
• To prep and treat unknown patients who have not come through ADT.
• To split billing of a single vial between multiple patients.
• To transfer medications to another anesthesia provider if you are leaving for the day or going
on break.
The My Items main menu can be accessed by pressing My Items from the patient list screen after
you log on. The button will only be displayed if My Items is enabled at your facility and only if you
are eligible to use it (as determined by your system administrator).
You may be required to reconcile your My Items list at the end of your shift or at other regular
intervals determined by your facility. Follow your health care facility's policies and procedures for
when you must reconcile your My Items inventory. See "View My Items Reconciliation Details"
.
Add Kits to My Items
To begin using My Items, you must first add kits or items to your inventory list. Not all items in the
kit may be eligible to be added to My Items. Item eligibility is determined by your facility and is set
at the OmniCenter. These items can still, however, be issued directly to a patient. You can
continue to add kits and items at any time during your shift as needed.
1.
From the
If no items have been added yet or if all items on your list have been reconciled, then this
message is shown: To add medications to
or the
removed and scanned.
main menu, press
button on the rights. Items from unlocked anesthesia drawers may be
.
, select either the
button
2.
3.
Select the desired kit to remove.
Follow on-screen prompts to acknowledge alerts, warnings, messages, if prompted.
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Add Kits
Display Selected Items
Remove Now
My Items
My Items
Add Items
Meds Available for My Items
4.
Verify quantities; select item on screen to adjust quantity, if necessary. Press
add another kit.
− Items labeled Not Eligible for My Items will not be added and cannot be selected
on screen.
−
added.
5.
Press
6.
Place items into your designated anesthesia work drawer until you need them.
. Follow guiding lights to remove each item in the kit, one by one.
If you do not have an anesthesia work drawer, follow your health care facility's policies
and procedures for storing the removed items.
All eligible items from the selected kit(s) are added to your My Items inventory list, listed
by individual item.
If the same item is part of multiple kits, the amount of that item will appear as
the sum total.
tab lists the items from the kit(s) that will actually be
to
Add Items to My Items
Add items at any time during your shift as needed. Not all items are eligible to be added to My
Items. Item eligibility is determined by your facility and is set at the OmniCenter. These items can
still, however, be issued directly to a patient.
Individual items can be added in two ways:
• Scan the item bar code. This applies to items stocked in unlocked anesthesia drawers only.
• Press Add Items. This is the only way to add individual items stocked in locked pharmacy
drawers. Items stocked in anesthesia drawers can be added to the list either way.
1.
From the
item bar code(s). Once scanned, the item is added to the list. Scan additional items as
needed.
Stay on the
2.
Alternatively, press
desired item.
main menu, remove item(s) from the anesthesia drawers and scan
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Remove Now
You cannot issue items to a patient unless you have items in your My Items list. The
My Items
Issue to Patient
5.
Select next item. When all desired items have been selected, press
on-screen prompts and guiding lights to access each item.
The selected items are added to your My Items list.
. Follow
6.
Place items into your designated anesthesia work drawer until you need them.
If you do not have an anesthesia work drawer, follow your facility's policies and
procedures for storing the removed items.
Issue from My Items to a Patient
Use this task to issue an item from your My Items inventory directly to a patient. The amount of an
item you issue to a patient is removed from your My Items list and is considered reconciled. Issue
the entire amount of an item or a partial amount according to health care facility policy.
Issue to Patient button is not present on screen otherwise. See "Add Kits to My Items"
and "Add Items to My Items".
1.
From the
main menu, press
.
2.
Select desired patient from the local or global list.
The screen title specifies that this is a My Items issue.
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3.
Complete Issue
Next Patient
Patient Care
Return to My Items
Enter the total issue amounts for all desired items. Leave unwanted items blank.
The screen title specifies the patient to whom you are issuing the items.
Press the Up/Down arrows or Tab key on the keyboard to advance quickly
through the list.
4.
Press
5.
From the issue confirmation screen, verify that the issue amounts are correct. The
.
confirmation screen details:
− The amount available on your My Items inventory prior to the issue.
− The exact amount you issued to the patient.
− The total amount that remains on your My Items list.
The amount issued is now issued to the patient and is no longer part of your My Items
inventory. The issued amount is considered reconciled and is removed from your list. See
"View My Items Reconciliation Details"
If you notice an error in the issued amount or the item itself, then you can
cancel the issue. See "Cancel Issue to Patient".
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Patient’s Items
Next Patient
Patient Care
My Items
My Items
You can only cancel an issue before you have documented waste for the item.
Eligible Issue
Transactions for
Cancellation
My Items
− Press
to go to the patient’s issued items list and proceed with the
case. At this point, you are no longer in My Items workflow.
− Press
or
, then press
to return to
.
Cancel Issue to Patient
Cancel the issue after you have completed the issue and the item is already in the patient’s issued
list.
Not all issue transactions that are displayed in the list can be selected
for cancellation. Issue transactions that can be cancelled are those that
1.
From the
you want to cancel.
have not yet been reconciled. If you select a transaction that cannot
be cancelled, you will see a message indicating that the cancellation
will not be permitted.
main menu, select the item associated with the issue
2.
Select the issue transaction that you want to cancel.
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3.
Reconciliation Details
Cancel Patient Issue
Cancel
Patient Issue
My Items
Transfer to Other User
Accept My Items Transfer
OK
The
screen lists the transaction history of the
selected item. Not all transactions can be selected on this screen, only
eligible patient issue transactions. See
4.
Press
You must select an issue transaction to enable the
button. The cancel button does not display on
.
"Cancel Issue to Patient".
screen otherwise.
Once the patient issue has been cancelled, the cancelled amount is
added back to your My Items inventory.
Transfer My Items to Another User
Transfer ownership of items from your My Items list to another eligible user when necessary, such
as at the end of shift or before going on break. You cannot transfer ownership of items already
assigned to patients, only those from My Items. In addition, you must transfer the entire contents
of the My Items list. Selecting individual items to transfer is not permitted.
• The user accepting the transfer must be present.
• The user accepting the transfer must be eligible to use My Items and must have access rights
to all items in the list.
1.
From the
The
2.
Have the user accepting the transfer enter their user name and password. They can also
scan their fingerprint, if the fingerprint scanner is available. Press
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Some items are set to not allow returns to the cabinet at all. This is an item-specific
My Items
Return Items
Meds Available to Return
OK
Return My Items Inventory
Return full amounts of items from your My Items inventory as needed.
setting at the OmniCenter. These items may still be displayed in this list. Follow your
health care facility's policies and procedures for returning items if you see the message
Unable to Return Item to this Cabinet.
1.
From the
2.
Select items to return from the
added to your My Items list and at least one entire unit are eligible to return.
The screen title specifies that this is a My Items return.
3.
Verify or modify the quantity to return. The return quantity is auto-populated with a
quantity of 1. Press
The Remaining Amount is the amount of this item that you have left in your My Items
inventory.
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Record Waste Now
Access Return Bin Now
Record Waste Now
Press the Up/Down arrows or the Tab key on the keyboard to advance quickly
through list.
3.
Press
4.
Have your witness enter their credentials, if requested.
5.
If prompted, indicate whether you want to place the contents into the return bin (if one
.
is present). Follow your facility's policies and procedures for how to proceed.
− If yes, press
− If no, press
. Place items in return bin; close lid.
. Return actual waste to the pharmacy with a
receipt, if directed by policy.
Once the waste is completed, the amount wasted for that item is subtracted from your
My Items inventory. If the entire amount of the item is wasted, then the item is removed
from My Items.
A waste receipt may print automatically upon completing the return (if
configured to do so). You may be required to provide this waste receipt to the
pharmacy. Follow your facility's policies and procedures.
Waste All Remaining Items Now
Use this button to waste the remaining contents of all items in your list at the same time. When
complete, all items are removed from your My Items list.
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Proceed only if you are sure you want to waste the remaining amounts for all items in
Waste All Remaining Items Now
Record Waste Now
My Items
Show All
your list. Once this process is completed, all items from your My Items list will be
removed.
1.
Press
.
The waste amounts are auto-populated.
2.
Press
3.
Have your witness enter their credentials, if requested.
Proceed with "Waste My Items Inventory"
..
for options for how to place waste contents
into the return bin, if one is present.
View My Items Reconciliation Details
The Reconciliation Details screen shows a history of all of the transactions that have occurred for
an individual item in your My Items inventory. From this screen, you can see when you added the
item and whether the item was issued, transferred, wasted, returned, or a combination of all.
1.
From the
main menu, select the item whose transaction history you want to
view.
− To view reconciled item, press
items. Select the item.
The system requests transaction history information in real-time from the
OmniCenter. Network delays may prevent the list from populating
immediately.
2.
View the transaction details for the selected item.
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TOUCHED STATUS
Inactive Access
Omni Config
Misc
Cycle Count: Preferred
Option
Perform Routine Inventory
Guided Cycle Count
This feature enables you to select the control levels and touched status of the items to cycle
count and be guided to the relevant drawers and bins.
When performing guided cycle count, you can:
• Select one or more control levels zero through six
• See the number of item locations to cycle count for the selected control levels
• Skip cycle count of any item
• Pause and resume the cycle count within a configured number of hours
• Filter the guided cycle count for items based on their "touched" status.
Only the user who pauses a cycle count can resume the cycle count. To pause the cycle count,
exit the cabinet.
It is recommended that a full cycle count be performed after cabinet upgrade.
For instructions, see "Perform Guided Cycle Count"
To set guided cycle count as the preferred method of cycle counting, see "Set Preferred Cycle
Count to Guided Cycle Count".
.
A bin is considered touched if it has been opened since the previous cycle count or the items have
the item-level
The default setting for touched status is "not touched". This means if a user selects guided cycle
count for items with touched status after a cabinet upgrade, no items will be eligible for count.
The user must select to count untouched items, so all items will be eligible for cycle count.
flag set and a user has had access to them.
Set Preferred Cycle Count to Guided Cycle Count
By default, preferred cycle count is set to Open Cycle Count, previously called Normal Cycle
Count, which enables you to count items by drawers and bins. Use these steps to set the default
to Guided Cycle Count.
Guided Cycle Count enables you to select the control levels and touched status of the items to
cycle count and be guided to the relevant drawers and bins. For more information, see
Cycle Count". Note that you have an option to choose the other cycle count method from the
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>
>
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Guided Cycle Count
Update
2.
Select
, and press
.
Set Up Default Control Levels for Guided Cycle Count on Multiple
Cabinets
Determine default control levels for the guided cycle count workflow. The user has the ability to
modify the selected control levels before they start counting. The default value is 2, 3, 4.
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Administration > Global Modify Type > Color Touch Configurations
Continue
Color Touch Configurations
a.
For Omni Type
Color Touch Systems
b.
In the Configurable OmniSupplier List
c.
For Category
Misc
d.
For Modifiable Options
Cycle Count: Default Control Levels for Guided
e.
Mo
not supported for guided cycle count.
Save
This task is performed on OmniCenter and allows you to enable on multiple cabinets at the same
time. You must have administrative privileges. To enable this configuration at the cabinet, see
Up Default Control Levels for Guided Cycle Count at the Cabinet".
1.
2.
Go to
On the
.
screen, select the following:
. Click
"Set
dify current value. Allowed control levels include 0 through 6. Control Level S is
, select
, select
.
, select
.
, select each desired cabinet or select all.
.
3.
Click
.
Set Up Default Control Levels for Guided Cycle Count at the Cabinet
Determine default control levels for the guided cycle count workflow. The user has the ability to
modify the selected control levels before starting to count. The default value is 2, 3, 4.
This task is performed at the Omnicell cabinet. You must have administrative privileges. To enable
this configuration on multiple cabinets at once, see
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Resume Count
If the user leaves the system unattended for a specified amount of time during a guided
cycle count, the system will time out, which will also pause the guided cycle count.
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Omni
Config
Items
Normal Restock Mode
Scan to Restock
Omni Config
Items
Normal Restock Mode Toggle
Enable
Omni
Config
Users
Enable Restock for Nurse Users
Omni Config
Hardware
Scanner/Keyboard
Identify Input
Device
Enable
Main Menu
Inventory Menus
Normal Restock
Normal/PSB Restock
6.
Continue until all items have been counted.
Complete Normal Restock
Replenish items stocked in the cabinet on a regular basis: daily, weekly, or as scheduled by your
facility. If configured, a nurse as well as a restock technician can perform restocks.
Normal restock has the following configurations:
•Guided Restock mode is the default. In this mode, all drawers with bins for restock items flash,
and you can select a flashing drawer to restock the items in it.
•Scan to Restock mode enables you to scan an item or restock bar code, or select a restock
item from the restock list, and be guided by flashing lights to the bin or bins that contain the
scanned or selected item.
To enable the Scan to Restock configuration, at the cabinet Administration menu select
scanning the item bar code satisfies the SafetyStock requirement. Scanning the restock bar
code or selecting the item from the screen does not satisfy this requirement, and in such case
the user is prompted to scan the item bar code.
•The nurse will be able to choose between Scan to Restock mode and Guided Restock mode if
the toggle configuration is enabled.
To engage the toggle functionality, at the cabinet Administration menu select
To enable nurses to perform normal restock, at the cabinet Administration menu select
•To disable entry of the restock quantity or the expiration date with the scanner, at the cabinet
Administration menu select
configuration is enabled.
>
>
>
>
>
>
. Keyboard entry of quantity and expiration date will be required when this
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.
depending on how the cabinet is set
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Sort by
3.
Select the Normal Restock tab, if not already visible.
4.
Select the correct restock order from the list on screen or scan the bar code on the top
of the restock report. Use the
button to sort the list by date—newest on top or
oldest on top.
5.
If the Scan to Restock mode is enabled, scan an item or restock bar code, or select an
item from the restock list.
Bins will light to indicate the item locations that need to be stocked. At the same time,
any items stocked in remote locations will be listed on the screen.
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OK
Omni Config
Hardware
Scanner/Keyboard
Identify Input
Device
Enable
Main Menu
Inventory Menus
Supplemental Restock
11.
Close the bin and the drawer.
12.
Scan another item or follow the flashing lights to access the next item to restock.
13.
Continue until all items have been restocked. Once you have restocked all items in the
list, a message will be displayed to confirm that the restock is complete. Press
to acknowledge.
Complete Supplemental Restock
Replenish items in the cabinet in between scheduled restocks as needed.
Supplemental restock has the following configuration:
•To disable entry of the restock quantity or the expiration date with the scanner, at the cabinet
Administration menu select
configuration is enabled.
1.
2.
>
From the
Press
. Keyboard entry of quantity and expiration date will be required when this
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Main Menu
Inventory Menus
Destock
Destock Items
12.
Close bin and drawer.
Destock Items
Destock items from the cabinet, either to return to pharmacy or to restock another cabinet. The
bin will remain assigned to the item, even if it is completely destocked. To change the bin
assignment, you must unassign or replace the item.
1.
2.
From the
Press
.
, press
.
3.
Press
to the item list screen automatically (next step).
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Yes
Main Menu
Inventory Menus
Expired/Recalled
Find By Date
10.
Confirm the number of items currently in the bin, prior to destock, if prompted. Press
or No. If the count is not correct, then you will be prompted to enter the correct
count.
11.
Confirm the actual amount to destock. Modify or enter the expiration date, if prompted.
Use the earliest date found in the bin.
12.
Close bin and drawer.
Find and Remove Expired Items
Use this task to do a search for items in the cabinet that are expired so that they can be removed.
Expired items should be removed from the cabinet periodically. Follow health care facility policy
and procedure.
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6.
Follow guided lights to access each bin. Once the bin is accessed, verify the date on
each item and pull all items with expired dates.
7.
Enter the number of items to expire or recall. Enter a new expiration date. You may be
asked to enter the current bin level.
Not all items in the bin will have the same expiration date. Make sure to check
the entire contents of the bin and enter the next earliest expiration date.
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Example:
8.
Close bin when done.
9.
Follow on-screen prompts until the search is complete.
Expiration Rules
Items can be set for expiration tracking in three ways: by calendar date, by specific time, and by
month. Expiration dates are tracked at the OmniCenter per item. When you enter the expiration
date, the search will pull items based on how the item is tracked to expire. You will not be able to
determine how an item’s expiration date is set for expiration tracking by looking at the cabinet
software.
The system will find all items set to expire by the day entered at or before 11:59:59
by
Date
p.m.
Entering 7/28/17 would find all items expiring 7/28/17 at or before 11:59:59
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by
Example:
Example:
Main Menu
Inventory Menus
Expired/Recalled
Time
by
Month
If the date entered is today or earlier, the system will find all items expiring at or
before 11:59:59 p.m. of the entered date. If the entered date is a future date
(tomorrow or later), the system will find all items expiring at or before 11:59:59 p.m. of
today’s date.
Item A expires on 7/27/17 at 9:00 a.m. | Item B expires on 7/28/17 at 4:10
p.m. | Item C expires on 7/29/17 at 11:00 p.m.
1. Entering a date of 7/27/17 (one day in the past) would find Item A. Item B and
Item C would not be included.
2. Entering a date of 7/28/17 (today) would find Item A and Item B. Item C would
not be included.
3. Entering a date of 7/29/17 (one day in the future) would find Item A and Item B.
Item C would not be included.
The entered date is used to find the last day of the prior month at a time of 11:59:59
p.m.
Entering 7/28/17 would find all items expiring on or before 6/30/17 at
11:59:59 p.m.
Expire/Recall Items
Use this task to remove items that have expired or those you need to recall. Items stocked in the
cabinet should be checked periodically for expired dates. Follow health care facility policy and
procedure.
To search for a specific item that has expired, see "Find and Remove Expired Items"
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Find Item
3.
Open the drawer for the item you need to expire or recall, then select the desired
bin by opening the lid or pressing the bin button. If you need to access a specific item,
press
and select the item from the list.
4.
Have your witness enter their user ID and password, if prompted.