For those of you currently working in hospital pharm,
I posted a similar question on the anesthesiology board to get their side of this but I also want to ask the pharmacist.
How does your hospital pharmacy deal with suppling meds to anesthesiologists? Do you use pyxis? Do you use trays? Who does the billing? Who does the wasting. I am in a small 70 bed hospital and we are having back and forth with the anesthesiologists. They tell us that our current system isn't working well(we use low-high use trays), we change in the way they ask for the most part and then one of the other anesthesiologists comes and says the new system isn't working at all. We currently do the billing, and change out the trays when the anesthesiologists ask us to.
The current system is somewhat cumbersome because the anesthesiologists aren't keeping great track of what they use and just fill out their sheets at the end of the day. We can tell some what of what they use by what is missing, but because we are currently billing by the ml we are not sure we are billing properly espcially because the anesthesiologists do the wasting with an observer there.
Second question. Do you guys test what you get back for diversion? From what I have been reading this can be difficult to pick up because there is all the equipment in an OR to back fill a vial to the amount that the doc says they have given the patient with NACL or H20. If you do test for diversion can you describe how you do it and your methods for developing standards and things of that nature?
Thanks,
DR
I posted a similar question on the anesthesiology board to get their side of this but I also want to ask the pharmacist.
How does your hospital pharmacy deal with suppling meds to anesthesiologists? Do you use pyxis? Do you use trays? Who does the billing? Who does the wasting. I am in a small 70 bed hospital and we are having back and forth with the anesthesiologists. They tell us that our current system isn't working well(we use low-high use trays), we change in the way they ask for the most part and then one of the other anesthesiologists comes and says the new system isn't working at all. We currently do the billing, and change out the trays when the anesthesiologists ask us to.
The current system is somewhat cumbersome because the anesthesiologists aren't keeping great track of what they use and just fill out their sheets at the end of the day. We can tell some what of what they use by what is missing, but because we are currently billing by the ml we are not sure we are billing properly espcially because the anesthesiologists do the wasting with an observer there.
Second question. Do you guys test what you get back for diversion? From what I have been reading this can be difficult to pick up because there is all the equipment in an OR to back fill a vial to the amount that the doc says they have given the patient with NACL or H20. If you do test for diversion can you describe how you do it and your methods for developing standards and things of that nature?
Thanks,
DR