MEDICATION ADMINISTRATION AND MANAGEMENT SYSTEM AND METHOD

• US 20070233049A1
• Filed: 03/28/2007
• Published: 10/04/2007
• Est. Priority Date: 03/28/2006
• Status: Abandoned Application

• Current Assignee: ICU Medical Incorporated
• Original Assignee: Hospira Incorporated (Pfizer Inc.)
• Inventors: Pelletier, Jeff, Trohimovich, Barbara, Rinda, Jeffrey, Wehba, Steven
• Application Number:
  US11/692,805
• Publication Number:
  US 20070233049A1
• Time in Patent Office: Days
• US Class Current: 604/890.100
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2205/6018 providing set-up signals for the apparatus configuration
• CPC Class Codes: A61M 2205/6072 Bar codes
• CPC Class Codes: A61M 5/142 Pressure infusion, e.g. using pumps
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 40/40 for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A system, method and computer program for programming a medical device to administer a medication to a patient includes the medical device, a scanner that may be associated with a point of care (POC) system, and a medication management unit (MMU). A computer in the POC system can directly program the medical device with the permission of the MMU after a full “five rights” check or the “right patient” check can be delayed until after the pump program is downloaded. Other workflows are disclosed for programming the medical device in manual, semi-automatic and automatic modes, with safety checks incorporated at various points.

Claims

1. A method for programming a medical device, comprising the steps of:

receiving at a POC computer and a medication management computer an order for administering a medication from a container to a patient, the order including a patient ID, an order ID, and order settings;

in response to the receiving step, generating at the medication management computer a universal unique order identifier based upon the patient ID and the order ID;

creating a lookup table in a memory associated with the medication management computer wherein the order settings are stored in the memory and assigned to the universal unique order identifier generated;

scanning into the POC system computer a clinician ID from a clinician, patient identification information from the patient, one of the order ID and a medication ID from the container containing the medication;

verifying that an authorized clinician is attempting to give the correct patient, the correct medication;

scanning the medical device to input a pump ID into the POC system;

transmitting a program pump message to the medication management computer, the program pump message including the scanned pump ID, the scanned patient ID, the scanned order ID and the medication ID, the program pump message further including a medication name and a concentration based upon at least one of the order ID and the medication ID;

retrieving from the lookup table the order settings assigned to the universal unique order identifier according to the patient ID and order ID transmitted in the program pump message;

downloading the order settings, the medication name and the concentration to the medical device, which allows the medical device to automatically select a drug library rule set from a drug library resident in a memory of the medical device;

manually changing the program settings at the medical device;

comparing the program settings to the drug library rule set;

if there are any violations of the drug library rule set,

generating an alert;

undertaking one of the steps of changing the program settings and overriding the alert;

repeating the comparing, generating, changing and overriding steps until all violations of the drug library rule set have been resolved; and

confirming the program settings at the medical device.

2. A system for programming a medical device having a drug library including drug library rule sets, comprising:

a scanner for capturing and inputting identification information;

at least a medical device identifier associated with the medical device and additional identification information including a medication container identifier associated with a container containing a medication, the medication container identifier including at least one of an order ID and a medication ID;

a hospital information system computer;

a medication management computer in communication with the medical device and the hospital information system computer;

a POC computer in communication with the hospital information system computer, the medication management computer, and the scanner;

wherein the POC computer and the medication management computer receives an order for administering a medication from a container to a patient from the hospital information system, the order including a patient ID, an order ID, and order settings;

wherein the medication management computer generates at a universal unique order identifier based upon the patient ID and the order ID and creates a lookup table in a memory associated with the medication management computer wherein the order settings are stored and assigned to the universal unique order identifier generated;

wherein the scanner captures and inputs into the POC system computer a clinician ID from a clinician, patient identification information from the patient, one of the order ID and a medication ID from the container containing the medication, and a pump ID from the medical device;

wherein the POC system computer verifies that an authorized clinician is attempting to give the correct patient, the correct medication by comparing the patient identification information and the order ID input by the scanner to the patient identification information and the order ID received from the hospital information system computer;

wherein the POC system transmits a program pump message to the medication management computer, the program pump message including the scanned pump ID, the scanned patient ID, the scanned order ID and the medication ID, the program pump message further including a medication name and a concentration based upon at least one of the order ID and the medication ID;

wherein the medication management computer retrieves from the lookup table the order settings assigned to the universal unique order identifier according to the patient ID and order ID transmitted in the program pump message;

wherein the medication management computer downloads the order settings, the medication name and the concentration to the medical device, which allows the medical device to automatically select a drug library rule set from a drug library resident in a memory of the medical device;

wherein the medical device allows a user to manually change the program settings at the medical device and automatically compares the program settings to the drug library rule set;

if there are any violations of the drug library rule set,

the medical device generates an alert and allows the user of the medical device to take one of the following actions to resolve the alert before confirming the program settings;

1) adjust the program settings on the medical device; and

2) override the alert.