Management of pending medication orders

• US 10,668,211 B2
• Filed: 05/25/2018
• Issued: 06/02/2020
• Est. Priority Date: 02/11/2005
• Status: Active Grant

• Current Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Original Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Inventors: Batch, Richard M., Vanderveen, Timothy W.
• Primary Examiner(s): Osinski, Bradley J
• Application Number:
  US15/990,526
• Publication Number:
  US 20180272061A1
• Time in Patent Office: 739 Days
• CPC Class Codes: A61M 2205/3561 local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/3569 sublocal, e.g. between console and disposable
• CPC Class Codes: A61M 2205/6072 Bar codes
• CPC Class Codes: A61M 5/16827 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 Class Codes: A61M 5/172 electrical or electronic A61M5/16804, A61M5/16831 take precedence
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 40/67 for remote operation

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.

Claims

1. A system for managing pending medication orders pertaining to a patient located in a healthcare facility, the system comprising:

an infusion pump;

a controller located at the infusion pump and being in operational control over the infusion pump, the controller comprising a controller processor;

a display device located at the controller and being under the operational control of the controller; and

an identification device associated with the controller and configured to acquire identification data from a caregiver or a patient and provide that patient identification data to the controller;

wherein the controller processor is configured to;

receive patient identification data from the identification device;

receive caregiver identification data from the identification device;

receive, based on the patient identification data, pending medication orders pertaining to a patient identified by the patient identification data;

determine, responsive to receiving the patient identification data and the caregiver identification data, whether a caregiver identified by the caregiver identification data is authorized to administer medications to the patient identified by the patient identification data; and

provide for display, for selection on the display device, responsive to and only when determining that the caregiver is authorized to administer medications to the patient, a listing of the pending medication orders pertaining to the identified patient;

receive a selected medication order from the displayed listing of the pending medication orders; and

provide, over a network, an indication that an administration of a medication corresponding to the selected medication order has been initiated.

2. The system of claim 1, further comprising:

a server configured to;

receive an indication that the medication was removed for the selected medication order from a medication dispensing device;

determine, based on the indication that the medication was removed from the medication dispensing device, an elapsed time between the medication being removed and a current time; and

send an alert indication responsive to the elapsed time satisfying a predetermined threshold of time before the indication that the administration has been initiated is received by the server over the network.

3. The system of claim 2, wherein the alert indication is provided by the server to the controller.

4. The system of claim 2, wherein the indication that the medication was removed from the medication dispensing device is received after the listing of the pending medication orders is provided for display but before receiving the indication that the administration has been initiated.

5. The system of claim 2, further comprising:

a server configured to;

receive the patient identification data and the caregiver identification data from the controller; and

provide, based on the patient identification data, the pending medication orders to the controller; and

generate a transaction log comprising the patient identification data, the caregiver identification data and identification data pertaining to the medication removed from the medication dispensing device.

6. The system of claim 1, wherein the identification device is configured to obtain the patient identification data or the caregiver identification data by way of a scanning action.

7. The system of claim 6, wherein the identification device is a radio frequency identification (RFID) scanner device.

8. The system of claim 6, wherein the selected medication order is received by scanning a label or radio frequency identification (RFID) tag affixed to a medication container associated with the selected medication order.

9. The system of claim 1, wherein the controller is further configured to:

determine whether the selected medication order is for an infusion medication or a non-infusion medication; and

automatically program, responsive to determining that the selected medication order is for an infusion medication, the infusion pump with infusion parameters corresponding to the selected medication order.

10. A method for managing pending medication orders pertaining to a patient located in a healthcare facility, the method comprising:

receiving patient identification data from an identification device associated with an infusion device controller;

receiving caregiver identification data from the identification device;

obtaining, based on the patient identification data, pending medication orders pertaining to a patient identified by the patient identification data;

determining, responsive to receiving the patient identification data and the caregiver identification data, whether a caregiver identified by the caregiver identification data is authorized to administer medications to the patient identified by the patient identification data; and

providing for display, for selection on a display device associated with the infusion device controller, responsive to and only when determining that the caregiver is authorized to administer medications to the patient, a listing of the pending medication orders pertaining to the identified patient;

receiving a selected medication order from the displayed listing of the pending medication orders; and

providing, over a network, an indication that an administration of a medication corresponding to the selected medication order has been initiated.

11. The method of claim 10, further comprising:

receiving an indication that the medication was removed for the selected medication order from a medication dispensing device;

determining, based on the indication that the medication was removed from the medication dispensing device, an elapsed time between the medication being removed and a current time; and

providing an alert indication responsive to the elapsed time satisfying a predetermined threshold of time before the indication that the administration has been initiated is received.

12. The method of claim 11, wherein the alert indication is provided by a server to the infusion device controller.

13. The method of claim 11, wherein the indication that the medication was removed from the medication dispensing device is received after the listing of the pending medication orders is provided for display but before receiving the indication that the administration has been initiated.

14. The method of claim 11, further comprising:

receiving the patient identification data and the caregiver identification data from the controller; and

generating a transaction log comprising the patient identification data, the caregiver identification data and identification data pertaining to the medication removed from the medication dispensing device.

15. The method of claim 10, wherein the identification device is configured to obtain the patient identification data or the caregiver identification data by way of a scanning action.

16. The method of claim 15, wherein the identification device is a radio frequency identification (RFID) scanner device.

17. The method of claim 15, wherein the selected medication order is received by scanning a label or radio frequency identification (RFID) tag affixed to a medication container associated with the selected medication order.

18. The method of claim 10, further comprising:

determining whether the selected medication order is for an infusion medication or a non-infusion medication; and

automatically programming, by a processor, responsive to determining that the selected medication order is for an infusion medication, the infusion pump with infusion parameters corresponding to the selected medication order.

19. A non-transitory computer readable medium having instructions thereon that, when executed by one or more computing devices, cause the one or more computing devices to perform operations comprising:

receiving patient identification data from an identification device associated with an infusion device controller;

receiving caregiver identification data from the identification device;

obtaining, based on the patient identification data, pending medication orders pertaining to a patient identified by the patient identification data;

determining, responsive to receiving the patient identification data and the caregiver identification data, whether a caregiver identified by the caregiver identification data is authorized to administer medications to the patient identified by the patient identification data; and

providing for display, for selection on a display device associated with the infusion device controller, responsive to and only when determining that the caregiver is authorized to administer medications to the patient, a listing of the pending medication orders pertaining to the identified patient;

receiving a selected medication order from the displayed listing of the pending medication orders; and

providing, over a network, an indication that an administration of a medication corresponding to the selected medication order has been initiated.

20. The transitory computer readable medium of claim 19, the operations further comprising:

receiving an indication that the medication was removed for the selected medication order from a medication dispensing device;

determining, based on the indication that the medication was removed from the medication dispensing device, an elapsed time between the medication being removed and a current time; and

providing an alert indication responsive to the elapsed time satisfying a predetermined threshold of time before the indication that the administration has been initiated is received.