MEDICATION ADMINISTRATION AND MANAGEMENT SYSTEM AND METHOD

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.

Description

DESCRIPTION OF THE DRAWINGS

FIG. 1 is a schematic diagram showing a system and method for administering a medication to a patient using a point of care computer system comprising a POC server and a thick client input device according to one embodiment of the present invention.

FIG. 2 is a schematic diagram showing a system and method for administering a medication to a patient using a point of care computer system comprising a POC server and a thin client input device according to one embodiment of the present invention.

FIG. 3 is a front view of a medical device with a display and user interface, wherein the medical device is stopped and not displaying programmed infusion settings.

FIG. 4 is a front view of a medical device with a display and user interface, wherein the medical device is displaying downloaded infusion settings for confirmation or modification.

FIG. 5 is a simplified pictorial schematic diagram of a system for administering medication to a patient according to one embodiment of the invention.

FIG. 5A is a simplified pictorial schematic diagram of a system for administering medication to a patient similar to FIG. 5 but shows the patient with a RFID wristband for auto-associating the patient and the medical device into a patient area network according to one embodiment of the invention.

FIG. 6 is a screen shot of one embodiment of a delivery information input device for inputting identification information and/or confirming delivery programming code data.

FIG. 7A is a flow chart showing a method for administering a medication to a patient according to one embodiment of the present invention.

FIG. 7B is a continuation of the flow chart of FIG. 7A.

FIG. 8A is a flow chart showing a method for administering a medication to a patient according to one embodiment of the present invention.

FIG. 8B is a continuation of the flow chart of FIG. 8A.

FIG. 9A is a flow chart showing a method for administering a medication to a patient according to one embodiment of the present invention.

FIG. 9B is a continuation of the flow chart of FIG. 9A.

FIG. 10A is a flow chart showing a method for administering a medication to a patient according to one embodiment of the present invention.

FIG. 10B is a continuation of the flow chart of FIG. 10A.

FIG. 11A is a flow chart showing a method for administering a medication to a patient according to another embodiment of the present invention.

FIG. 11B is a continuation of the flow chart of FIG. 11A.

FIG. 12 is a flow chart showing a method for administering a medication to a patient according to another embodiment of the present invention.

FIG. 13 is a flow chart showing a method for administering a medication to a patient according to another embodiment of the present invention.

FIG. 14 is a flow chart showing a method for administering a medication to a patient according to another embodiment of the present invention.

FIG. 15 is a flow chart showing a method for administering a medication to a patient according to another embodiment of the present invention.

Claims

1. A method for programming a medical device having a drug library including drug library rule sets, comprising the steps of: providing a scanner in communication with a medical device;providing a medication management computer in communication with both the medical device and a second computer containing order settings associated with one of an order ID and a medication ID on a medication container containing a medication;scanning a nurse to acquire a clinician ID;scanning a patient to acquire a patient ID;scanning the medication container to acquire at least one of the order ID and the medication ID;scanning the medical device to acquire a pump ID;transmitting a program pump message to the medical device, the program pump message including the pump ID, the clinician ID, the patient ID and at least one of an order ID and the medication ID;requesting that the medication management computer supply the medical device with an IP address for the second computer;from the medical device requesting that the second computer provide the order settings that correspond to one of the order ID and the medication ID included in the program pump message;downloading the order settings in an order settings message from the second computer to the medical device, the order settings message including programmable settings for the medical device and a medication name and concentration;automatically selecting a drug library rule set from a drug library resident in a memory of the medical device based upon the medication name and concentration included in the program pump message;automatically populating program setting fields on the medical device with the order settings received from the second computer and information transmitted by the scanner;manually supplementing and adjusting the order settings at the medical device to provide program settings;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 adjusting the program settings and overriding the alert;repeating the comparing, generating, adjusting and overriding steps until all violations of the drug library rule set have been resolved; andconfirming 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 in communication with the medical device;a medication management computer in communication with the medical device;a second computer in communication with the medication management computer and the medical device, the second computer having an associated memory storing order settings for programming the medical device;wherein the scanner captures a clinician ID from a clinician, a patient ID from a patient, one of an order ID and a medication ID from a container containing a medication, and a pump ID from the medical device;wherein the scanner transmits a program pump message to the medical device, the program pump message including the pump ID, the clinician ID, the patient ID and at least one of the order ID and the medication ID;wherein the medical device requests that the medication management computer supply the medical device with an IP address for the second computer;wherein the medical device requests that the second computer provide the order settings that correspond to one of the order ID and the medication ID included in the program pump message;wherein the second computer downloads the order settings in an order settings message to the medical device, the order settings message including programmable settings for the medical device and a medication name and concentration;wherein the medical device automatically selects a drug library rule set from a drug library resident in a memory of the medical device based upon the medication name and concentration included in the program pump message;wherein the medical device automatically populates program setting fields on the medical device with the order settings received from the second computer and information transmitted by the scanner;wherein the medical device allows a user to manually adjust the order settings at the medical device to define program settings 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; and2) override the alert.