Medication preparation system
A system for preparing compounded medication doses is disclosed. The system includes a computerized medication compounding workstation configured to receive a batch compounded medication dose order over a network and retrieve an electronically stored protocol having a set of steps to prepare compounded medication doses specified by the batch compounded medication dose order. The example workstation is also configured to display, on a graphical user interface to a pharmacy operator, information related to the set of steps for preparing the compounded medication doses and receive input related to the preparation of the compounded medication doses including at least medication information scanned from at least one source medication container and a digital image from a digital camera. The workstation verifies completion for each step before allowing the pharmacy operator to move to a next step to prepare the compounded medication doses.
1. A medication compounding workstation system comprising:
a medication compounding workstation including:
a communications interface configured to receive an electronic batch medication dose order for respective compounded medication doses over a network,
a scanner configured to receive medication information scanned from at least one source medication container,
an interactive graphical user interface configured to display, to a pharmacy operator, a set of steps for preparing the compounded medication doses, and
a digital camera configured to capture digital images of the pharmacy operator preparing the compounded medication doses,
wherein, for each step in the set of steps to prepare the compounded medication doses, the medication compounding workstation is configured to verify before moving to a next step that:
(1) a source medication container suitable for preparing the compounded medication doses, as identified in medication information scanned from the source medication container, is present at the medication compounding workstation,
wherein the medication compounding workstation is configured to display an error in real-time (i) requiring the pharmacy operator to repeat the respective step, and (ii) preventing the pharmacy operator from providing verification for a subsequent step if the medication compounding workstation does not receive verification that the source medication container suitable for preparing at least one of the compounded medication doses, as identified in the medication information scanned from the source medication container, is present at the medication compounding workstation,
(2) if required by the step, that the digital image of the pharmacy operator preparing the compounded medication doses is captured and associatively stored with the electronic batch medication dose order in a database, and
(3) if required by the step, that a user input from the pharmacy operator indicating completion of the step is captured and associatively stored with the electronic batch medication dose order in the database; and
a portal that is accessible remotely from the medication compounding workstation and in communication with the database, the portal configured to at least one of:
display the associatively stored electronic batch medication dose order and the information used to verify completion of each step in the set of steps to prepare the compounded medication doses for subsequent inspection or approval of the completed electronic batch medication dose order, and
display reports relating to the preparation of the compounded medication doses.
2. The system of claim 1 , wherein the medication compounding workstation is configured to cause a label to be printed, the label identifying a completed electronic batch medication dose order.
3. The system of claim 1 , wherein the interactive graphical user interface is configured to receive a user input requesting additional information related to the electronic batch medication dose order and a selected step in the set of steps to prepare the compounded medication doses.
4. The system of claim 1 , wherein the medication information is scanned using a barcode scanner.
5. The system of claim 1 , wherein the medication compounding workstation is configured to display, in the interactive graphical user interface, each step in the set of steps based on a sequence specified by a protocol that must be undertaken to prepare the compounded medication doses.
6. The system of claim 5 , wherein the protocol is electronically stored with a plurality of different protocols, and
wherein the medication compounding workstation is configured to determine the electronic batch medication dose order is associated with the protocol before retrieving the protocol.
7. The system of claim 6 , wherein the medication compounding workstation is configured to determine the association between the electronic batch medication dose order and the protocol based on a match between at least one of a medication and a form of dose specified within each of the electronic batch medication dose order and the protocol.
8. The system of claim 6 , wherein the input related to the preparation of the compounded medication doses includes a measurement performed by at least one of a scale, a hydrometer, and a spectrometer on at least one of the completed compounded medication doses corresponding to the electronic batch medication dose order, medication in the at least one source medication container, and an intermediary mixture formed during the step, and
wherein completion for each step in the set of steps is alternatively based on receipt of the measurement within an acceptable range.
9. The system of claim 8 , wherein the medication compounding workstation is configured to prevent the pharmacy operator from completing the protocol if the measurement is outside the acceptable range.
10. The system of claim 8 , wherein the measurement is received electronically in the medication compounding workstation from the at least one of the scale, the hydrometer, and the spectrometer.
11. The system of claim 1 , wherein the medication compounding workstation is configured to display, in the interactive graphical user interface, a completion progress indication for each step in the set of steps after verification of the completion of the respective step.
12. The system of claim 1 , wherein the medication compounding workstation is configured to:
determine one step in the set of steps to prepare the compounded medication doses has not been verified as being complete;
flag the electronic batch medication dose order as being incomplete due to an error; and
associatively store in the database the electronic batch medication dose order, the flag, and the determined one step that has not been verified as being complete.
13. The system of claim 12 , wherein the medication compounding workstation is configured to permit processing of another electronic batch medication dose order after the electronic batch medication dose order has been flagged as being incomplete.
14. The system of claim 1 , wherein the medication compounding workstation is configured to store the electronic batch medication dose order to a queue after receiving the electronic batch medication dose order over the network.
15. The system of claim 1 , wherein the digital image includes at least one of the at least one source medication container including an identification of a medication name, a lot number, an expiration date, and quality control information.
16. The system of claim 1 , wherein the portal is configured to transmit to the medication compounding workstation a message indicative that the compounded medication doses can be released if the information used to verify completion of each step in the set of steps to prepare the compounded medication doses is approved.
17. The system of claim 16 , wherein the medication compounding workstation is configured to display release information indicative that the compounded medication doses can be released after receiving the message from the portal.
18. The system of claim 1 , wherein the medication compounding workstation is configured to:
receive an identity of the pharmacy operator; and
associate the identity of the pharmacy operator with the digital images of the pharmacy operator preparing the compounded medication doses.
19. The system of claim 18 , wherein the medication compounding workstation is configured to receive the identity of the pharmacy operator from at least one of a fingerprint reader, a key-card reader, and the interactive graphical user interface.
20. The system of claim 18 , wherein the medication compounding workstation is configured to use the identity of the pharmacy operator to verify before moving to a next step that the pharmacy operator is authorized to perform the step.