Cerner RxStation Training RxStation Overview • Touch Screen Computer called an ELO. • Keyboard and Mouse can also be used. • Scanner is used by pharmacy to load the medication. • Each RxStation is built based on unit needs and size of medication room. • Lights direct user to where medication is located. Logging In • No more Fingerprint! • Username and password are the same as your Cerner (PHRED) username and password. • After logging in once the system will remember usernames. • Charge Nurses • No more adding users. • Anyone that floats • Clinical Instructors • Managers & Educators • No need to request access for new staff. Selecting a Patient • If no patient list (PAL) is set up by a user in Cerner, RxStation will default to where the machine is located. • Patient lists (PAL) are available under first drop down. • Location • Custom • In areas that share a RxStation the user will select the appropriate area. Available Actions Remove • RxStation functions off of tasks; the user must have a task or the medication be verified to remove. • RxStation looks back 6 hours and forward 4 hours for tasks. • Grouping Medications • Task • Alpha • Display • Generic • Brand • Respiratory Therapists will see all active medications however, will only be able to remove medications that are inhaled. This includes Morphine. Override • Medications on override display alphabetically. The user can select show all or the first letter of the medication when searching for a medication. • The override list is based on unit and user privileges. • Best practice – go to remove screen first, see if the medication is available, if not available select override from top left section of remove screen. Waste • Continue current practice, either document waste in RxStation or on the MAR/MAW. • 2 options within RxStation. • Option 1 • Waste prior to selecting done from return screen. • Option 2 • Select waste from action screen once a patient is selected • A list of available medications to waste will appear. Waste • Narcotic waste requires a witness to enter their user name and password. • Enter the amount (either strength or volume) wasted into the appropriate box. • Select reason for waste. Return • Upon selecting return from available actions the medications available for return on that patient will display alphabetically. • Return bins will usually be located in the bottom drawer. •Squeezing the blue handle will empty the return bin. Order Details Discrepancies • Charge Nurse or unit designee will continue to check RxStation for discrepancies. • If no icon appears on login screen, sign discrepancy log. • No longer a need to print anything. •If the icon appears, log into RxStation. • From options drop down menu select Manage Discrepancies. • Rx Station will guide you through resolving discrepancies. • Once resolved, sign log. Troubleshooting • What if I don’t remove enough? • Prior to selecting done, select retry dispense. • Can I access RxStation during downtime? •Yes, the screen will be black. • Patients available prior to downtime will still be available. • New Patients will need to be added. Searching For or Adding a Patient • If the patient is on your unit but not transferred from their previous unit select the magnifying glass. • Enter patient information into search. • Select appropriate encounter for patient. • You will now be able to remove medications for that patient based on current orders or medications on override. • If the patient is on your unit (new admit) and not in the system search for them using the steps above. • If no match, select add new patient. • Medications on override will be available to this patient. Managing Ad Hoc Patients • After the patient has been added to your unit it’s important to inactivate the patient that was added via the search option. • From the options menu select Manage Ad Hoc Patients. • Select the patient that was added. • Select inactivate selected. • Inactivating the added patient will prompt users to select the correct patient. • Pharmacy will clean up the list once all billing has been reconciled. Lexicomp • Lexicomp can be accessed by clicking the blue circle with the white “i” • The icon will either be in the options drop down menu or next to the log out screen when in a specific patient’s chart. Additional RxStation Information Questions?? Contact your floor Pharmacy Tech!