System for vending medications from a vending machine in accordance with a dosing schedule that is downloaded and programmed into the vending machine from a remotely located electronic medication administration record
An automated method is provided for recording contents of medication packages vended from a plurality of vending machines in electronic records, such as an electronic medication administration record (eMAR), that store records for a plurality of patients who are associated with respective vending machines. A vending event causes the electronic record to be populated. The contents of the medication packages vended from the vending machines are recorded in electronic records without communicating patient names or vended medications in the electronic message sent from the vending machines.
1. A system for vending medication to a plurality of patients, the system comprising:
(a) an electronic medication administration record (e-MAR) that includes:
(i) first unique patient identifying information for each of the plurality of patients, and
(ii) dosing schedules for each of the plurality of patients;
(b) a plurality of vending medication devices remotely located from the e-MAR, each vending medication device being associated with one of the patients, each vending medication device including:
(i) a database that maintains the dosing schedule for the patient associated with the respective vending medication device, and
(ii) a controller configured to obtain and configure the dosing schedule for the associated patient before the medication is loaded into the vending medication device by:
(A) electronically communicating second unique patient identifying information to the e-MAR, wherein the dosing schedule for the patient is located and retrieved from the e-MAR using the first and second unique patient identifying information and is electronically communicated to the controller, and
(B) electronically storing the dosing schedule received from the e-MAR in the database of the vending medication device,
wherein the controller is further configured to:
(C) enter a dose mode to allow for vending of medication after the medication is loaded into the vending medication device in accordance with the previously configured dosing schedule, and
(D) prompt the patient regarding when to take the medication based on the previously configured dosing schedule without receiving any instructions to do so from any external source at the time when a dose of medication should be taken based on the previously configured dosing schedule,
wherein the controller configures the dosing schedule without any interaction with identifier information associated with or on medication packages.
2. The system of claim 1 wherein the e-MAR further includes:
(iii) a record of vended medications for each of the patients, and
wherein the controller is further configured to:
(E) record each vending event and electronically communicate each vending event to the e-MAR for recordation of vended medication that matches the dosing schedule for the patient associated with the vending medication device.
3. The system of claim 2 wherein the medication is vended in multi-unit dose packages (MUDPs), and the e-MAR includes for each patient the contents of each MUDP to be vended at an appropriate dose time in the dosing schedule, and wherein a single vending event causes the e-MAR to record that a plurality of medications that make up the contents of the MUDP were vended.
4. The system of claim 1 wherein each vending medication device further includes:
(iii) a plurality of vending locations, each vending location holding a medication package to be vended, and
wherein the controller is further configured to vend the medication packages from a predefined vending location without receiving any instructions regarding the predefined vending location from any external source at the time of the vending event.
5. The system of claim 4 wherein the plurality of vending locations are in vending slots or columns.
6. The system of claim 1 wherein the controller is configured to perform steps (A) and (B) each time that medication is loaded into the vending medication device, thereby ensuring that the current dosing schedule maintained in the e-MAR becomes stored in the database and is used in a subsequent dose mode for patient prompting.
7. The system of claim 1 wherein the first and second unique patient identifying information are the same unique identifying information.
8. The system of claim 1 wherein the second unique patient identifying information is a machine number of the vending medication device or a static IP address associated with the vending medication device, and the system further comprises:
(c) a database table of (i) the second unique patient identifying information, and (ii) the first unique patient identifying information for use in locating patient records in the e-MAR associated with respective vending medication devices.