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Pharmacist Take-Home Pre-Pour Instructions

Pharmacist
Take-Home Dose Dispensing

 

  1. From the toolbar, click the “Inventory” (safe”) icon to open the Inventory screen.
  2. Click “Prepare doses”.
  3. Another window will appear called “Select medication supported by this dispensing station” and “meth” and “subx” will show in the screen if both meds will be dispensed with this pour.
  4. Click“subx”.
  5. Click the “Prepare” button on the lower-left corner of the screen.
  6. The highlighted line with the patient’s name will go white and a check mark will appear in the “done” column box. The next patient line will now be highlighted.
  7. Click the “Prepare” button for each patient until all boxes contain a checkmark in the “done” column.
  8. When all names are checked, click the “close” button in the lower right hand corner of the screen.
  9. In the “Reconcile lot screen” screen, click on the “cancel” button.
  10. The screen will revert back to just containing the Icon Menu.
  11. Now repeat from step #4 thru #6.
  12. The “Dose Preparation Screen” will appear.
  13. Click the highlighted “Clear Pump” button in the upper left corner.
  14. The “Clear” box will appear in the screen with a picture and instructions on how to prepare pump and tubing to be cleared of water.
  15. Click the “Clear” button after removing distal end of tubing from the water bottle. Make sure all water is drained from the tubing by the pump.
  16. The screen will show a “Pump busy” box for approximately 15-20 seconds.
  17. A box will then appear saying “Operation complete” at this point.
  18. Click “OK”.
  19. Select a bottle of methadone from the safe. Best practice dictates that the next bottle in numeric sequence should be selected, or pick a bottle used previously by nursing that has a volume of at least 5000mg=500ml.
  20. Click “Prime Pump” in the upper right corner of the screen.
  21. A “Prime” box will appear showing the numeric list of methadone bottles in inventory and a photo with instructions for priming tubing with methadone.
  22. Click the bottle number that corresponds to the actual bottle selected for use. It will now be highlighted on the screen.
  23. Click the “Prime” button at the bottom of the screen.
  24. The “Pump busy” screen will appear and the pump will prime the tubing with methadone.

***Make sure there are no air bubbles or air gaps in the of tubing during or after the priming sequence***

  1. A box will appear in the screen stating “Operation Complete”. Click the “OK” button.
  2. The first patient name on the list will be highlighted. The patient doses are listed from the highest to lowest dose of methadone.
  3. Any name highlighted in YELLOW means there is a dose of that quantity in surplus in the actual safe that should be used for the patient on the list.
  4. Transfer the contents of the surplus dose bottle into the labeled bottle for the pour being performed.
  5. Click the “Re-label” button at the bottom of the screen. This will check the “done” box on the YELLOW highlighted name.
  6. When all names on the list are clear and a check mark is in every “done” box, the pour is complete.
  7. Click the “Empty Pump” box in the upper-left corner of the “Dose Preparation Screen”.
  8. Follow the instructions and look at the photo showing how to empty the tubing of methadone.
  9. Click the “Empty” button at the bottom of the screen.
  10. A “Pump Busy” box will appear while pump is working in reverse to drain the dosing tubing.
  11. A box will appear stating “Operation Complete”. Click the “OK” button.
  12. Now click on the “Flush (water)” button.
  13. A picture and instructions will appear in the window to set up the water bottle and tubing to prime with water in the “Flush” screen.
  14. Once tubing is in the flush bottle, click the “Flush” button.
  15. The “Pump Busy” box will appear while pump primes the tubing and fills it with water.
  16. When complete, a box will appear stating “Operation Complete”.
  17. Click the “OK” button.
  18. Now click the “Close” button at the bottom of the screen in the lower right hand corner.
  19. Click the “Exit button to exit the software.
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