As barcoding in pharmacies grows in popularity I get exposed to more and more barcoding equipment; particularly barcode scanners. Our carousels utilize barcode scanners from Code Corp, our AutoPack system utilizes a barcode scanner from Honeywell – previously Handheld – and our barcode medication administration system will use a yet-to-be-determined scanner. In addition, I’ve accumulated a nice collection of various scanners in my office including wireless, Bluetooth and tethered.
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Requirements for a pharmacy informatics professional
In a post from ASHP Midyear I mention that “pharmacists are highly educated clinicians that deserve to practice informatics at that same level. [They] should be the individual involved in making sure that systems are designed to include pharmacy workflow, that the reports being written provide the necessary information to be clinically relevant, that current clinical standards are adhered to during implementation of new systems, be the representative at the table during discussions of integration and interoperability of hospital systems, etc”
A couple of things caught my eye since writing those words and I would like to share them with you here.
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Cool Technology for Pharmacy
My Cool Technology for Pharmacy this week strays a little from my normal hardware and software approach and focuses on the concept of RxNorm. The reason for this deviation is simple; my ignorance of RxNorm was never more evident than during my time at ASHP Midyear this week. I don’t like it when I lack understanding of what people are talking about, and this happened on a couple of occasions during discussions involving RxNorm. This was especially true during a presentation by Dr. Usha Desiraju of First DataBank. Dr. Desiraju’s presentation focused on the use of RxNorm and interoperability.
So I was forced to do a little reading. The entire idea seems simple enough, but like many good ideas implementation and acceptance is a little like trying to push the wrong end of two magnets together. In the simplest terms I can muster, think of RxNorm as a standardized language used to identify each unique medication across multiple systems.
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Talyst User Group – ASHP #Midyear2009
Tonight’s ASHP activity consisted of attending the Talyst User Group. It was a pretty big turnout, probably three times the size of the one I attended in Chicago in June.
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ASHP Midyear 2009 – “The Plan”
I’m sitting in the airport waiting for my plane to board and getting my agenda together. Below is my plan of attack for my time in Vegas. Of course it’s all just speculation at this point as I have an affinity to stray from my plans based on what I find interesting. I also need to find some time for the exhibit hall, where I will undoubtedly waste countless hours wondering around checking out all the cool technology.
Sunday
- Talyst User Group, 2:00 – 5:00 PM
Monday
- IV Sedation in the Intensive Care Unit: Applying Pharmacoeconomic Principles, 6:15-7:45 AM
- Opening Session, 9:00-10:30 AM
- Integrating Tech to Improve Medication-Use and Patient Safety, 11:30AM – 1:30 PM
- Does the Shoe Fit? Selecting Robotic IV Technology for Pediatric Sites, 2:00-5:00 PM
- Section Advisory Group on Ambulatory Care Informatics Networking Session, 5:15-6:15 PM
- Pharmacy OneSource Happy Hour, 5:30-7:00 PM
Tuesday
- BCMA: Inpatient & Outpatient Trends, Metrics, and Innovations, 8:00-9:30 AM
- On the Bleeding Edge of Technology: Overcoming Implementation Challenges with Informatics, 10:00-11:00 AM
- Section Advisory Group on Pharmacy Operations Automation Networking Session, 11:15 AM – 12:30 PM
Here’s where it get fuzzy. There are 4 sessions in the 2:00-5:00PM slot that I want to attend; not sure what I’m going to do just yet.
- Redefining the Practice Model: Where Have We Been, Where Do We Go? 2:00-5:00PM
- Rule of Thumb: A Look at Positive ID, Secondary Authentication, and Health IT Regulation, 2:00-4:00 PM
- Powerful Impact of Human Factors Engineering on Medication Safety, 2:30-4:00 PM
- More Than a Vending Machine: Effectively Planning and Implementing Carousel/Packager Technology, 4:00-5:00 PM
Wednesday
- Pharmacy 2.0: How the Web is Changing How We Practice, 8:00-9:45 AM
- Section Advisory Group on Pharmacy Informatics Education Networking Sessions, 11:15 AM – 12:30 PM
- Informatics Bytes 2009: Pearls of Informatics, 2:00-5:00 PM
Unfortunately I return home on Wednesday night, which means I will miss the following sessions that I would like to attend, especially the first one listed.
Thursday
- Does Current Technology/Automation Need to Change to Advance Pharmacy Technician Dispensing? 9:30 AM -12 NOON
- Strategies for Successfully Implementing ADMs and CPOE into the Medication Management System, 2:00-4:00 PM
“What’d I miss?” – Week of November 29th
As usual there were a lot of things that happened during the week, and not all of it was pharmacy or technology related. Here’s a quick look at some of the stuff I found interesting.
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Cool Technology for Pharmacy
Entering and making pediatric drips for pharmacists working in an adult hospital can be a real sphincter tightener. Pharmacists that aren’t accustomed to working with pediatric patients feel a little bit uneasy when an order shows up for a customized dopamine, dobutamine, etc. I remember working in a pediatric facility where we did this kind of thing all the time and no one gave it a second thought. We used a combination of two standardized concentrations, hi and low, for each commonly ordered drip. For code blue situations we often used the “Rule of 6’s”, which is now discouraged by the Joint Commission.
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