RxTOOLKIT
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RxWORKFLOW: Integrating Technology, Process, and Competency, RxCUSTODY: Maintaining Custody of Controlled Substances RxEXCHANGE:  Borrow / Loan / Inventory Tracking Application

DOSING SOLUTIONS FOR HIGH-RISK PATIENTS OR DRUGS:

Including NICU, Pediatrics, and Chemotherapy

Automated solutions utilizing barcode and database technologies increase both patient and provider safety for especially vulnerable patient populations.

Your most vulnerable patient populations are more at risk for medication errors. Steps must be taken to ensure safe medication delivery within this population. RxTOOLKIT® provides automation and weight based calculations to make sure your most susceptible patients are always protected. Your staff can operate with confidence knowing they have a built in safety net. Automating your most complex procedures increases efficiency and ensures accuracy.

NICU EMERGENCY MEDICATION CALCULATOR™:

Clinicians at the bedside utilize this tool during a clinical crisis for a NICU infant. Calculates weight based dose and appropriate infusion dose volume based on your organization's custom parameters. The application includes dosing calculators, taper charts, a complete Standardized Solutions Library for common NICU infusions, and a STAT Calculator for determining weight based crash cart doses. Requiring weight entry provides an important safeguard against dosing errors. RxTOOLKIT provides a centralized and easy to navigate menu and the patient list can also be used with our other NICU Patient Safety Tools. We currently offer the NICU Emergency Medication Calculator for 27 different drugs. There are also custom settings available for defibrillation and cardio dosing calculations.

Essential Patient Safety Features:

  • Drugs and concentrations are determined by your organization
  • Concentrations and calculations are checked prior to release
  • Drugs and concentrations cannot be set by anyone locally
  • Completely secure HIPA compliant environment
  • Weight limits are determined by your organization
  • Hard or soft stops are determined by your organization
  • Customized and printable patient summary reports ensure documentation and policy compliance. The reports include built in safety features: they are time stamped, contain demographic and weight information for the patient, and a place for nursing to sign as a double check.

NICU INFUSION CALCULATOR™:

Weight based dosing calculators for eight commonly used infusions in the NICU. Provides warning alerts for upper and lower limits, a taper sheet, standard concentrations, and infusion rates. The bedside nurse utilizes this tool to calculate and double-check infusion pump settings.

Essential Patient Safety Features:

  • Establishes an accurate infusion taper process
  • Serves as a double-check for nursing
  • Provides notification when infusion must be delivered in syringe vs bag
  • Displays all of the calculations

RxCALC™:

Dosing and infusion rate calculators for infusion therapy drugs used in acute care institutions for adult patient populations. RxCALC™ calculates individual infusion doses based on patient weight and then converts them to infusion rates using common drug concentrations. Calculation verification mechanisms are also provided. Drugs and concentrations are determined by your organization. Requiring weight entry provides an important safeguard against dosing errors. The application includes taper charts for titratable infusions and a complete Standardized Solutions Library for common infusions. We currently offer RxCALC™ for 35 different drugs.

Essential Patient Safety Features:

  • Drugs and concentrations are determined by your organization
  • Concentrations and calculations are checked prior to release
  • Drugs and concentrations cannot be set by anyone locally
  • Completely secure HIPA compliant environment
  • Weight limits are determined by your organization
  • Hard or soft stops are determined by your organization
  • Customized and printable patient summary reports ensure documentation and policy compliance. The reports include built in safety features: they are time stamped, contain demographic and weight information for the patient, and a place for ursing to sign as a double check.

RxCUSTODY™: Maintaining Custody of Controlled Substances

Especially when a controlled substance is compounded, pharmacists need an effective way to track and document the transfer and delivery of the drug from the compounding room to the administering nurse. RxCUSTODY™ delivers the ability to track custody of a controlled substance, expensive drug, or drug with a high risk of diversion using a tablet computer and handheld Bluetooth scanner. Easily document the transfer and movement of any drug from the pharmacy to the bedside.

Essential Patient Safety Features:

  • Automatic email is generated and a confirmation is sent to all involved parties
  • Automatic generation of printer friendly receipt and unique reference number
  • The report feature provides complete quality assurance (QA) documentation and makes it easy to search and reference transaction records.
  • Completely secure HIPA compliant environment
  • Full integration with Epic (or any other patient management system). The unique patient order number is embedded in a patient specific barcode on the drug label, effectively linking the transaction with the patient record.

RxFACTOR™:

Assists the hospital pharmacist in dispensing clot factors to trauma physicians by determining quickly and precisely how to reach the requested dose with the least amount of waste. RxFACTOR™ calculates the total volume from all available vials within specified range. It prevents waste and dosing errors, maximizes resource utilization, and provides increased cost savings.

Often, when blood factors are needed, they are needed STAT. Because the assays come from a human source, they are extremely expensive and their total volumes are always variable. This creates a unique challenge—to dispense and administer a group of assays equaling the total amount requested by the physician with no shortage or waste. Bedside calculations, performed by hand, have proven to be costly and are particularly prone to error. We have developed RxFACTOR™ for the most common factor products in use today: HumateP, Benefix, Recombinate, NovoSeven and Kcentra.

Essential Patient Safety Features:

  • Calculate the total volume from all available vials within specified range
  • Prevent waste and dosing errors
  • Maximize resource utilization and increase cost savings
  • Your institution sets custom dosing parameters
  • The built-in report feature ensures documentation and policy compliance
  • Reports provide patient information, dose, lot number, and the % difference between actual weight based dose vs. administered dose

Background / Development
of Dosing Solutions for High-Risk Patients or Drugs:


NICU/PEDS:

In early 2000, doctors were mainly using the rule of six to calculate intravenous infusions during NICU and pediatric crisis situations. The rule of six proved to be inconsistent, inefficient, and was prone to error. It also presented unique challenges for weight based dosing. In 2005, The Joint Commission (TJC) for National Patient Safety Goals (NPSG) mandated the elimination of the rule of six method and established standardized titratable infusion concentrations for NICU/PEDS. Following TJC's new recommendations, many hospitals needed an immediate solution, as inspections would be imminent in just a few months time. We worked closely with directors of pharmacy and of nursing to develop a solution—RxTOOLKIT's NICU Emergency Medication Calculator™...Read the whole story.


Complex Drug Therapy Solutions

We also provide Complex Drug Therapy Solutions.

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Pharmacy Labeling Solutions

We also provide Pharmacy Labeling Solutions.

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Information and Communication Solutions

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