Limit of dispenses from Pyxis/ADCs?

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Jacqueline Kao
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Limit of dispenses from Pyxis/ADCs?

Hello,

Does your institution limit the number of dispenses from the Pyxis (or equivalent ADC)? If so, what is the limit for number of dispenses, and have you ran into issues in which certain exceptions must be made? How did you address it?

For example, if 10 tablets of a medication are ordered and the tablet is in the Pyxis, will it re-route to pharmacy instead of Pyxis to dispense as a safety measure? (i.e. the pharmacist would have to check 10 tablets and should question the dose since such a large amount is being dispensed).

Do you have other safety measures in place for preventing high doses of medications from being administered to the patient?

Thank you,

Jacqueline Kao, PharmD, BCPS
Inpatient Pharmacist Specialist
Interim Medication Safety Coordinator
Santa Clara Valley Medical Center
Office: 408-885-4961
jacqueline.kao@hhs.sccgov.org