Management of pending medication orders

Patent metadata

Field	Value
Publication number	US-9981085-B2
Application number	US-201514848063-A
Country	US
Kind code	B2
Filing date	Sep 8, 2015
Priority date	Feb 11, 2005
Publication date	May 29, 2018
Grant date	May 29, 2018

Abstract

Pending medication orders are presented on the controller of an infusion pump to which a patient has been identified. All pending medication orders are displayed on the screen of the controller and any may be selected by the clinician. Selecting a pending order at the controller that involves an infusion to the patient also results in automatic programming of the infusion pump in accordance with that order. Selection of an oral medication at the controller results, as does selection of any other order, in notification to the healthcare facility server that the order is being administered. Such notification resolves open controlled item transactions as well as provides information that may be relevant to a patient's EMAR. Selection of a pending order may occur manually or automatically through identification of a medication.

First claim

What is claimed is:

1. A system for managing pending medication orders pertaining to a patient located in a healthcare facility, the system comprising:
an infusion pump located at the patient;
a controller located at the infusion pump and being in operational control over the infusion pump, the controller comprising a controller processor;
a display located at the controller and being under the operational control of the controller; and
an identification device configured to acquire patient identification data from the patient and provide that patient identification data to the controller;
wherein the controller processor is configured to:
receive the patient identification data from the identification device;
provide a patient-identification-received signal based on the patient identification data;
receive pending medication orders pertaining to an identified patient;
display the received pending medication orders for the identified patient on the display;
start an item-removed transaction and monitor an elapsed time when an item is removed;
stop monitoring the elapsed time and resolve the item-removed transaction when an item administration signal is received;
generate an alert signal when infusion data identified in a controlled-item-removed signal is not received within a preselected amount of elapsed time; and
update a transaction log to reflect an alert resolution.

2. The system of claim 1 wherein:
the identification device is also configured to acquire clinician identification data from a clinician and provide that clinician identification data to the controller; and
the controller processor is configured to provide a patient-identification-received signal only after it has received the clinician identification data.

3. The system of claim 1 wherein:
the identification device is also configured to acquire clinician identification data from a clinician and provide that clinician identification data to the controller;
the controller includes a selection device configured to enable selection of a pending medication order displayed on the display; and
the controller processor is further configured to receive the clinician identification data and to enable a use of the selection device only after it has received the clinician identification data.

4. The system of claim 1 wherein:
the identification device is also configured to acquire clinician identification data from a clinician and provide the clinician identification data to the controller; and
the controller processor is configured to receive the clinician identification data and to display pending medication orders for the patient only if the clinician is authorized to assist the identified patient.

5. The system of claim 1 wherein:
the identification device is also configured to acquire clinician identification data from a clinician and provide that clinician identification data to the controller; and
wherein the controller processor is configured to receive the clinician identification data and to allow a clinician to select a pending order from the displayed pending medication orders only if the clinician is authorized to perform the pending order.

6. The system of claim 1 wherein the controller processor is configured to provide a pending-order-executed signal to a second processor of the healthcare facility upon a selection of a displayed pending order.

7. The system of claim 6 wherein the controller processor is configured to provide the pending-order-executed signal to the second processor of the healthcare facility upon manual selection of a displayed pending order.

8. The system of claim 6 wherein:
the identification device is also configured to acquire medication identification data from a medication and provide that medication identification data to the controller; and
the controller processor is configured to automatically select a displayed pending order upon receipt of the medication identification data that corresponds to data of a displayed pending order.

9. The system of claim 1 wherein the controller processor is configured to:
monitor the infusion pump; and
provide a pending-order-executed signal to a second processor of the healthcare facility upon determining an infusion by the infusion pump in accordance with a displayed pending order.

10. The system of claim 1 wherein the controller processor is configured to:
receive a manual indication that a medication has been administered to the patient in accordance with a selected pending medication order; and
provide a pending-order-executed signal to a second processor of the healthcare facility upon receiving the manual indication of dispensing.

11. The system of claim 1 wherein upon a selection of a displayed pending order comprising a controlled item, the controller processor provides a controlled-item-administration signal to a second processor of the healthcare facility.

12. The system of claim 11 wherein the second processor is configured to note the controlled-item-administration signal to a log and thereby resolve a controlled-item-removed transaction.

13. The system of claim 1 further comprising a dispensing processor, the dispensing processor configured to provide a controlled-item-removed signal to a second processor of the healthcare facility when a controlled item has been dispensed, wherein the second processor monitors time that elapses since provision of the controlled-item-removed signal and if the second processor does not receive a controlled-item-administration signal within a predetermined period of time, and wherein the second processor generates an alert signal.

14. The system of claim 13 wherein:
the dispensing processor is configured also to send an identification of a pending order that is associated with the controlled item that was removed and identification of a patient for the pending order to the second processor;
the second processor determines whether a patient-identification-received signal for the patient of the identified pending order by the dispensing processor has been received; and
if the identification of the patient has been received from a controller, the second processor communicates an alert to the controller that provided the patient-identification-received signal.

15. The system of claim 11 wherein the controller processor is configured to provide the controlled-item-administration signal to the second processor upon manual selection of a displayed pending order.

16. The system of claim 11 wherein:
the identification device is also configured to acquire medication identification data from a medication and provide that medication identification data to the controller; and
the controller processor is configured to provide the controlled-item-administration signal to the second processor automatically upon receipt of the medication identification data from the identification device that matches a displayed pending order.

17. The system of claim 1 wherein:
the identification device is also configured to acquire medication identification data from a medication and provide that medication identification data to the controller, the medication identification data including a drug identifier and drug administration information; and
the controller processor compares the drug identifier and drug administration information to a pending medication order and if a match to the pending medication order is determined, the controller processor enables selection of the pending medication order.

18. The system of claim 17 wherein the cont

Assignees

• Carefusion 303 Inc
• Carefusion 303 Inc

Inventors

• Batch Richard M
• Vanderveen Timothy W

Classifications

• A61M2205/6072

  Bar codes · CPC title

• A61M5/172

  electrical or electronic {(A61M5/16804, A61M5/16831 take precedence)} · CPC title

• A61M5/16827 Primary

  controlling delivery of multiple fluids, e.g. sequencing, mixing or via separate flow-paths (infusion of multiple fluids without using a controller A61M5/1407) · CPC title

• G16H20/17

  delivered via infusion or injection · CPC title

• A61M2205/3561

  local, e.g. within room or hospital · CPC title