Chapter 12. Automated Medication Systems Jeffery D. Evans, Pharm.D. Associate Professor of Pharmacy Practice ULM COP

Chapter 12 Automated Medication Systems Intent: – To regulate AMSs – To ensure proper usage and oversight Impact on Pharmacy Practice – Significant if you are around one or depend on one

What is an Automated Medication System ( ) AMSs are mechanical systems that store, package and deliver (not compounding or administration) and collects data from the transactions. May be profile or non-profile driven Must be – In a licensed hospital or health care area – Licensed with a CDSL if needed – Licensed by the board if neither of the above are present Permit expires on June 30 th of each year Application must be received 30 days prior to start-up

Always about the PIC (1205) Again the PIC takes care of the duties – Ensures machine is working well – Establishes a QA program – Notifies board if one is removed – Gives access to the machine – Ensures machine is properly stocked – Retains records for two years – Notifies prescribers they can prescribe other things. Must be on front of EVERY medical record.

Pharmacist review (1207) Medication orders shall be prospectively reviewed. If not* then they must be retrospectively reviewed. So which is it?

The big book of rules and reports (1209 – 1213) PIC creates this using the template given Must be reviewed at least annually Records must be retrievable Shall be maintained for one year

Security, Stocking, and Packaging (1215 – 1219) Machine must – Prevent baddies from getting in – Follow all the rules – Protect patient confidentiality Restocking – Offsite vs. Onsite. Is there a difference? Packaging – Must follow state and federal law (see Chap 25)

Did the patient get the medication (1221 – 1223) System must document – What patient got the med – Who gave it to them – What the medication was – When it was taken Wasted meds – Must be removed from the system and destroyed.

Cleanup (1225 – 1231) Inspections may occur Weird statement about out of state pharmacies There are penalties if you don’t follow the rules.

In closing Important stuff – Duties of the PIC – What is the profile driven stuff? – Duties of pharmacist in stocking the machine.