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Medication Management Solutions COVID-19 Customer

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Customer Updates

Today, as the spread of Coronavirus (COVID-19) continues throughout communities, we want you to know that we are here to support you with access to, and support for, our products. This page provides answers to your COVID-19-related questions.

As product demand has evolved over the past several months, the majority of BD and Alaris infusion sets are no longer on manual inventory allocation. However, we will temporarily maintain a limited catalog of BD Alaris™ pump sets.

We continue to provide our distribution network and channel partners with regular updates on product availability to ensure deliverability through standard channels.

Your BD account management and clinical consultant teams are available to assist you with any questions regarding product status or clinical practice. For information on available SKUs and product substitute recommendations, please refer to the IV Set Formulary Catalog.

We understand that while distribution is suspended for the BD Alaris™ System, you may have an immediate medical need that requires a limited shipment. As a result, we have established a process by which existing customers with Alaris™ System devices may request limited shipment of the BD Alaris™ System software compatible devices upon certification of medical necessity. Due to increased COVID-19 demand, BD will limit approved medical necessity orders to an equitable allocation to ensure we effectively serve our existing customers as well as serve areas of the country with high census due to treatment of COVID-19 patients.

For the latest BD-wide response efforts, visit www.bd.com/COVID-19.

COVID-19 Webinars

Session 1:

MMS COVID-19 - HIMSS SERIES
Mobilizing Medication Management to Prepare for New Care Environments

 

 

 

Session 2:

MMS COVID-19 - HIMSS SERIES
Managing Drug Inventory During a Pandemic

Session 3:

MMS COVID-19 - HIMSS SERIES
Managing Drug Diversion During a Pandemic

 

 

Session 4:

MMS COVID-19 - BECKERS HR
COVID-19 Panel Discussion:  Actionable Insights from the C-Suite to the Front Lines

 

 

 

Session 5:

MMS COVID-19 Series
COVID 19: Preparing for Vaccinations
Customer Updates

Due to the current COVID-19 crisis, our team has been receiving many questions from BD Alaris™ Infusion System and BD Alaris™ Pump Administration Set users. Below are clinical considerations and resources to address those concerns.

Resources

To ensure that your devices operate efficiently, use the recommended healthcare-grade cleaning products and correct cleaning and inspection processes defined in the applicable Alaris™ System User Manual. Several of the recommended cleaning products for the Alaris™ System have also been identified by the US Environmental Protection Agency (EPA) as products that meet their criteria for use against SARS-CoV-2, the cause of COVID-19. For the complete Alaris™ System cleaning procedure, recommended cleaning products and frequently asked questions, visit www.BD.com/AlarisSystemCleaning.

BD has ramped up production and continues to meet current demand for the vast majority of our products. However, we are seeing high demand in select Alaris™ System pumps and IV administration sets because of a prolonged flu season and the coronavirus pandemic. We are closely monitoring this dynamic situation and will keep customers informed on any meaningful changes to product availability as the situation evolves.

BD offers pump administration sets to help meet clinical needs throughout the hospital including adult, pediatric and neonatal care.

For information on available SKUs and product substitute recommendations, refer to the IV Set Formulary Catalog.

Additional resources: View the ECRI lab webcast on Infusion Therapy - Conserving Supplies in the Age of COVID-19.

Customers can access training resources for the BD Alaris™ System using any of the following platforms:

  • Customer Portal:  Find user manuals, quick reference guides, frequently asked questions, tip sheets and white papers.
  • BD Learning Compass: Find Video/eLearning education options to target training by learner role and product.
  • Existing customers may access content already downloaded via your Learning Management System (LMS). Check with your Hospital Education or LMS team for existing BD Alaris™ content.
  • For additional training resources, please contact GMB-AlarisMedSafetyProgram@bd.com.

Customers can access our wide range of resources to help understand, use and optimize their BD products. These include BD Alaris™ System user guides, tip/FAQ sheets, cleaning resources, patient education materials and white papers.

We are committed to providing continuous product support.

BD Alaris™ FAQs

BD understands that some of our customers are connecting extra-long extension sets in order to keep the pumps outside the patient room. The information here addresses most commonly asked questions related to this practice.

To help you make educated practice decisions, we are providing you with some considerations, click here for details. For information on calculating Flow Rates, click here.

Additional resources: View the ECRI lab webcast on Infusion Therapy - Conserving Supplies in the Age of COVID-19.

We have been receiving customer inquiries regarding extending pump set change intervals for the BD Alaris™ Pump Infusion Set. The BD Alaris™ Pump Set labeling includes the following related to set change intervals: “The set should be changed according to facility protocol or in accordance with currently recognized guidelines for IV therapy.” BD Alaris™ functional performance testing for rate accuracy, occlusion detection and air in line supports the use of the BD Alaris™ Pump Infusion Set for up to 96 hours (excluding blood or blood products). The information here provides well-accepted guidelines on extended set change policies to support conservation efforts in the event of low inventories or backorder situations for the BD Alaris™ Pump Module administration set.

The US Environmental Protection Agency (EPA) published a list of products that meet their criteria for use against SARS-CoV-2, the cause of COVID-19. The following products from the EPA list are also approved cleaners listed in the Cleaning Product Guidelines for the Alaris™ System:

  • 10% bleach (sodium hypochlorite, one-part bleach to nine parts water)
  • Clorox Healthcare® Bleach Germicidal Wipes
  • PDI® Super Sani-Cloth® germicidal disposable wipes (purple-top)
  • Wexford Labs Wex-Cide 128 concentrate germicidal detergent

For more information on COVID-19 disinfectants, please refer to:

The Alaris™ System can be used with the following environmental specifications as defined in the BD Alaris™ System User Manual. Note: Do not place pumps in direct sunlight.

SymbolMeaningOperatingStorage/Transport
Atmospheric Pressure525 - 4560 mmHg (0.7 - 6.08 kPa)5 - 85% Noncondensing
Relative Humidity (Avoid prolonged exposure to relative humidity >85%)20 - 90% Noncondensing5 - 85% Noncondensing
Temperature Range41 - 104°F (50 - 40°C)-4 - 140°F (-20 - 60°C)

           

 

Due to the COVID-19 crisis, customers are considering all equipment and mode of use to fulfill their infusion needs. If you would like to use the BD Alaris™ PCA Module for continuous infusions, please refer to the following clinical guidelines.

Customer Updates

Due to the current COVID-19 crisis, our team has been receiving many questions from BD Pyxis™ users. Below are your top considerations and resources to address those concerns.

Resources

BD Pyxis™ Refrigerator ES has the capability to store vaccines that require refrigeration. For more information on the BD Pyxis™ Refrigerator capabilities and vaccine storage guidelines, please visit our webpage.

MMS COVID-19 Vaccine Update
Overview on how BD solutions can help with vaccine management.

COVID-19 Vaccine Advice for BD MMS Customers
Information on how to configure BD solutions and access reports related to vaccine management.

Please see the Cleaning of BD Pyxis™ Products

  • The Cleaning of BD Pyxis™ Products has also been updated to Customer Portal.

  • BD customer portal: Find quick reference guides, user manuals, frequently asked questions, tip sheets, white papers, and safety manuals https://eim.bd.com/

    • Follow instructions to login or create a login.
    • How to search: Use the Content Library screen to find documents by products or brand.

  • BD Learning Compass: Find Video/eLearning Education Learning options by product and learner role in https://bd.com/learningcompass.

    • Follow the instructions to login or create a login.
    • How to search: Use the Curriculum Finder tool to find training by product, version, and/or role.
  • Download: Option to download web-based education via SCORM files. Click here for detailed information. Check with your Hospital’s training team for already downloaded BD Pyxis™ training content.

  • BD Pyxis™ System manager workshops

  • BD Medication workflow solutions Phone: 1.800.727.6102


BD Pyxis™ MedStation™ Education Videos Quick Reference Guide
The education needs of our customers are shifting to meet the steady increase in temporary staffing models, making it difficult to utilize a Learning Management System. To accommodate these needs, BD now provides those who desire a different option outside of an LMS direct access to the BD Pyxis™ MedStation™ System Training Videos. The purpose of this quick reference guide is to provide the direct links to BD Pyxis™ MedStation™ education videos as resources for customers. The education videos are for the BD Pyxis™ MedStation ES and for the BD Pyxis™ MedStation™ 4000 devices. The BD Pyxis™ MedStation™ ES can be used for versions 1.3,1.4,1.5, and 1.6. QR codes are also provided so that learners can scan the QR code directly from their mobile device and then watch the videos directly from their mobile device.

In response to the COVID-19 situation that Health Systems are facing, BD remains committed to provide a consistent approach to delivering field services and support. To ensure the safety of BD and customer staff, the BD Global Customer Services Team will work closely with our customers to determine the criticality of each service activity, timing, and the requirements to be on-site. Our team has expanded its capability to utilize remote options as much as feasible with collaboration and cooperation from our customers.

Our teams will work closely with customers prior to each on-site visit to ensure clear understanding of specific protocols and vendor policies and will follow CDC guidelines to minimize COVID transmission risk.

BD will continue to support the needs related to equipment moves, pick up, and break fix support. BD requests that equipment be properly decontaminated and cleaned according to the service manual before engaging our service team.

BD has also created a priority channel to support urgent and critical implementations in response to Covid-19. Please reach out to your account representative for detailed information.

We understand that these are difficult times and we are doing our best to fully understand the challenges and address the needs as soon as possible. Thank you for partnership and patience.

Technical Support – Maintenance and Troubleshooting:
Phone: 800.727.6102

BD Pyxis™ Point of Care Support Line:
1.800.423.2451

Ordering:

 

BD Pyxis small parts order:

  • Phone: 1.800.366.3330, Fax: 1.858.617.5301

 

Billing:

 

Service and Support Center:
BD Pyxis™ customers can submit a case online with our Technical Support Center, check the status of open cases and find troubleshooting solutions.

 

Find all the contact information from above in our BD support website.    

BD Pyxis™ MedStation™:

1. BD Pyxis™ MedStation™ ES Station Quick Reference Guide v1.6.0:
DME: 10000331368 Ver 00
This guide provides instructions for v1.6.0 emergency medication removal, dispense medications, manage and search patients, change password, usage of Pyxis formatted barcodes, register of BD Pyxis™ BioID, queued medications, troubleshooting and buttons and indicators meaning.

2. BD Pyxis™ MedStation™ ES system Station Quick Reference Guide v1.5.2:
DME: 10000282423 Ver 02
This guide provides instructions for v1.5.2 emergency medication removal, dispense medications, manage and search patients, change password, usage of Pyxis formatted barcodes, register of BD Pyxis™ BioID, queued medications, troubleshooting and buttons and indicators meaning.

3. Pyxis® MedStation® 4000 System Station Quick Reference Guide:
Part Number: 130354-01
This guide provides instructions for 4000 on how to access inventory, edit allergy information, document discrepancy, inventory, kit and medication management, password BioID change, patient information management and user management.

4. BD Pyxis™ MedStation™ ES v1.6 Job Aids:
ES16216 version 2.0 (In BD Learning Compass Curriculum)
The BD Pyxis™ MedStation™ ES v1.6 Job Aids provide task-based guidance for workflows performed at a BD MedStation™ v1.6 device by both clinicians and pharmacy staff. e.g. Grant visitor access.

5. BD Pyxis™ MedStation™ ES v1.5 Job Aids:
CLP-ES200-JA (In BD Learning Compass Curriculum)
This set of Job Aids provide task-based guidance for workflows performed at a BD Pyxis™ MedStation™ ES v1.5 device by both clinicians and pharmacy staff.

6. BD Pyxis™ MedStation® 4000 System Specifications Guide:
DME: 10000184410 Ver 01
This guide provides product specifications for BD Pyxis™ MedStation® 4000 system products.

7. BD Pyxis™ ES system Training Resource Tool Kit v1.3.4:
CLP-ES200-TG (In BD Learning Compass Curriculum)
The BD Pyxis™ ES system Training Resource Tool Kit contains materials to assist with facility staff training and to support end users post-training. The Tool Kit includes training checklists, job aids, training activities, and assessments. These resources can be updated or customized as needed.

8. BD Pyxis™ MedStation™ ES system, v1.4 Training Guide:
CLP-ES200-TG (In BD Learning Compass Curriculum)
This guide includes training resources to make planning and conducting BD Pyxis™ MedStation™ ES system v1.3.x training sessions more successful. The guide includes resources such as training best practices and recommendations, training checklists, job aids, and assessments. These resources can be updated or customized as needed.

9. BD Pyxis™ MedStation™ ESv1.6 Profile/Non-Profile Modes Training essentials for Nurse/Clinician:
(In BD Learning Compass Curriculum)
This training series contains a tutorial for each major clinician workflow performed at a BD Pyxis™ MedStation™ ES device, v1.6, used in Profile and Non-Profile mode.

10. BD Pyxis™ MedStation™ ES v1.6.1 Station User Guide:
DME Number: 10000331366 Ver 01
This guide provides information on how to configure, use, and maintain BD Pyxis™ MedStation™ ES devices. It focuses on the daily use of the system, as well as minor maintenance and troubleshooting.

11. BD Pyxis™ MedStation™ ES System v1.4.2 Station User Guide:
DME: 10000264369 Ver 03
This guide provides information on how to set up, use, and maintain the BD Pyxis™ MedStation™ ES system devices. It focuses on the daily use of the system, as well as minor maintenance and troubleshooting.

12. Changing Login Mode for BD Pyxis™ Devices:
Here are instructions on how to change the Login Mode for BD Pyxis™ Devices.

BD Pyxis™ Supply:

1. BD Pyxis™ Supply Solutions Quick Reference Guide:
DI8411
This guide can be posted in clinical areas to help clinicians quickly learn how to find, take and return an item.

2. BD Pyxis™ Supply Technologies Specifications Guide:
DME: 10000151560 Ver 00
Use this guide to know the size, capacity and other requirements for setting up BD Pyxis™ Supply technologies in a facility.

3. BD Pyxis™ SupplyStation™ v10, End User training:
(In BD Learning Compass Curriculum)
This curriculum provides end users, system managers, materials management, and material technicians with an overview of the BD Pyxis™ SupplyStation™ System v10.

4. BD Pyxis™ SupplyStation™ System v10.2 Console Reports Guide:
DME: 10000355601
This document can help customers set-up and use the Console Reports allowing them to review their supply chain data to manage supplies.

5. BD Pyxis™ Supply Technologies Clean and Safety Guide:
DME: 10000145676 Ver 03
This guide contains information to help customers understand how to clean and safely move BD Pyxis™ Supply Technologies around their facility.

6. BD Pyxis™ SupplyCenter Server v10.2 User Guide:
DME: 10000355602
This document is a high-level overview of the setup and use of the BD Pyxis™ SupplyStation™ system v10.2.

BD Pyxis™ CIISAFE™:

1. BD Pyxis™ CIISafe™ v7 and v8.1 Transactions Quick Reference Guide:
This guide provides instructions on how to manage meds in ADM or non-ADMs and manage standard and non-standard compound.

2. BD Pyxis™ CIISAFE™ Specification Sheet v7:
DI2525-01 (0711/2000)
Use this sheet to find specifications about hardware external dimensions, components, weight, constructions, power and PC tower for setting up BD Pyxis™ CIISAFE™.

3. BD Pyxis™ CIISAFE™ v7 and v8.1 Pharmacy Training Essentials
(In BD Learning Compass Curriculum)
This curriculum is available for end users (pharmacists, pharmacy technicians) of the BD Pyxis™ CIISAFE™. It provides information on both BD Pyxis™ CIISAFE™ v7.x and the new v8.1. Whether you are a new user to BD Pyxis™ CIISAFE™, use v7.x, or are upgrading to v8.1.

4. BD Pyxis™ CIISAFE™ System v8 User Guide:
DME: 10000277635 Ver 05
This guide focuses on the daily use of the BD Pyxis™ CIISafe v8 as well as minor maintenance and troubleshooting.

5. BD Pyxis™ CIISAFE™ Supply Technologies Clean and Safety Guide:
DME: 10000145676 Ver 03
This guide focuses on the daily use of controlled substance management with BD Pyxis™ CIISAFE™ v7 system, as well as minor maintenance and troubleshooting.

BD Pyxis™ Refrigerator:

1. BD Pyxis™ Refrigerator:
Note: Use BD Pyxis™ ES Medstation™ User Guide v1.6.1 (10000331366 Ver 01)
This provides information on commonly used functionality:

  • Configuring BD Pyxis™ Refrigerator – page 78
  • Remove controlled medication – page 92
  • Returning controlled medication – page 93
  • Assigning and loading medication – page 93

2. BD Pyxis™ Refrigerator Specification Sheet:
1910001315 BD-10276 (0519/PDF)
Use this sheet to find specifications about stand sizes, bin sizes, configuration options, electrical performance, refrigeration specs and construction specs.

3. BD Pyxis™ ES Refrigerator Training:
(In BD Learning Compass Curriculum)
This set of Job Aids provide task-based guidance for workflows performed at the BD Pyxis™ ES Refrigerator by both clinicians and pharmacy staff. e.g. Remove Medication.  Additional access link.

4. BD Pyxis™ ES Refrigerator iMX105 Operation/User Manual:
360393 REV B
This manual is for end users of the iMX105 BD Pyxis™ ES Refrigerator. For information on how to use the BD Pyxis™ MedStation™ ES User Guide, which provides medication management capabilities to the iMX105 BD Pyxis™ ES Refrigerator, see the link provided.

BD Pyxis™ E-Lock Temp Monitor:

1. BD Pyxis™ E-Lock Temp Monitor:
This course provides information on commonly used functionality for refrigerated medication.

2. BD Pyxis™ E-Lock Temp Monitor User Guide:
10000331366 Ver 01
Provides information on commonly used functionality for refrigerated medication:

  • Configuring settings – page 82
  • Outdating and counting inventory – page 103
  • Performing and inventory count – page 104

Tip Sheet on how to get information around CUBIE™ Maps, destocking medications, device configuration, global find, managing medications in non-profile mode, optimizing cabinet footprint, multi-use vials and printing label, remote queuing, user role setup/visitor access, and wasting medication and returning.

BD® Remote Assist is a web-based portal allows Pharmacy & Materials Management to remotely access their eligible BD devices across the enterprise without entering patient care areas.

Benefits:

  • Eliminates the need to travel to a station in order to resolve a user need
  • Enables resolution of end user issues efficiently and safely

 

BD® Remote Assist enables pharmacy and materials management to remotely access the following:

  • BD Pyxis™ MedStation™ ES
  • BD Pyxis™ Anesthesia Station ES
  • BD Pyxis™ CIISafe System
  • BD Pyxis™ SupplyCenter Server
  • BD Pyxis™ 4000 Console

 

BD® Remote Assist support documents:

1. BD® Remote Assist v1.1 User Guide
10000354835 Ver 01
Provides information on how to access BD Pyxis™ devices remotely so that Pharmacists and Materials Managers can remotely help nurses without having to enter patient care areas.

2. BD® Remote Assist Training
(In BD Learning Compass Curriculum)
This course describes the purpose of the tool, how to access and remotely connect to BD devices, and how to add users to the system.

Pharmacist and materials managers can remotely help nurses without having to enter patient care areas.

In response to the COVID-19 situation and to help address the urgent need customers might have for remote access to help nursing staff, BD will offer the option to contract and implement BD® Remote Assist with deferred payment options available.*

If you’d like to take advantage of this option, please contact your account representative.

*Terms subject to change

BD Pyxis™ FAQs

We recommend you clean equipment often. Surfaces with direct exposure to patients (e.g., procedural area, isolation area) should be cleaned between patients.1

  • We have a summary list of cleaning solutions that have been tested to be compatible with BD Pyxis™ equipment.
  • BD Pyxis™ Cleaning Guidelines are available here.
  • The current CDC guidance states that “routine cleaning and disinfection procedures (e.g., using cleaners and water to pre-clean surfaces prior to applying an EPA-registered, hospital-grade disinfectant to frequently touched surfaces or objects for appropriate contact times as indicated on the product’s label) are appropriate for SARS-CoV-2 in healthcare settings, including those patient-care areas in which aerosol-generating procedures are performed.”2
  • The Environmental Protection Agency List “N” includes all commercial products that meet EPA’s criteria for use against COVID-19.2
  • Regarding the issue of cleanability of BD Pyxis™ matrix bins and cubies, we also invite Pyxis users to review the use of disposable bin liners (example available here). A 2005 study entitled “An Evaluation of Medication Drug Bins as a Potential Source of Nosocomial Pathogens” (supported by HealthCare Logistics Company) advocated that “regular cleaning of bins or use of bin liners should be considered as a strategy to reduce nosocomial infections” and that bin liners may be a “convenient, quick to use, and low cost in comparison to a bin cleaning program” (reference).

References:
1 Anesthesia Patient Safety Foundation. 2020. FAQ On Anesthesia Machine Use, Protection, And Decontamination During The COVID-19 Pandemic - Anesthesia Patient Safety Foundation. [online] Available at: https://www.apsf.org/faq-on-anesthesia-machine-use-protection-and-decontamination-during-the-covid-19-pandemic/

2 Centers for Disease Control and Prevention. 2020. Interim Infection Prevention And Control Recommendations For Patients With Suspected Or Confirmed Coronavirus Disease 2019 (COVID-19) In Healthcare Settings. [online] Available at: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html [Accessed 6 April 2020].

The Centers for Disease Control and Prevention has released guidelines:

A “clean hands” approach involving “wash in before” and “wash out after” is advised for accessing medications from dispensing devices.

Medications should be replenished with a “clean hands” approach beginning in central pharmacy, covered/protected during transport, and hand washing before touching BD Pyxis™ and the medications that will be loaded/stocked. In areas with high potential for exposure, it may also be advisable that pharmacy staff wear gloves (in addition to any other personal protective equipment that is deemed warranted) and discarding it before leaving that area (helping to prevent spread). Gloves should not be considered a substitute for proper hand hygiene.

With a significant proportion of inpatients being treated as COVID+ or presumptive positive, we are seeing hospitals leaving used medications in the patient room. This is especially the case for multi-use, bulk, or patient-specific items (e.g., creams, ointments, eye drops, inhalers, spacers) regardless of COVID+ status. We can appreciate the challenge (especially those setting up temporary isolation rooms) in meeting this requirement during these difficult times. The TJC website reminds us that their definition of secure does “not prescriptively require medications to be locked (unless required by law and regulation),” and their intent is that medications are “protected from unauthorized access, tampering, theft or diversion”3.

Unused sealed items (e.g., medications, supplies, RSI kits, code trays, etc.) simply may not be feasible to clean in a meaningful manner (e.g., alcohol sometimes causes the labels to bleed and become unreadable, vials have uneven surfaces and crevices). In today’s environment of medication shortages (expected to get worse), strategies to avoid throwing these items away are needed. Considering the recent evidence that suggests the coronavirus can remain viable and infectious in aerosols for hours and on surfaces up to days4 (van Doremalen, 2020), many are looking at alternative strategies like sequestering these items for a period of time. At NYU Langone, Arash Dabestani (Sr. Director of Pharmacy) recommends having a plan for the process of cleaning and replacing crash carts from isolation areas. “It’s best to have a dedicated space to process and quarantine returned meds and med trays from isolation areas for a few days5.” Others are sequestering items in rigid storage containers for up to ten days6. Because the duration of coronavirus viability varies by surface type and the initial viral load, duration recommendations are still not clearly defined5. We recommend the “SFAIRP” approach (so far as is reasonably practicable) and sequester drugs as long as feasibly possible during these difficult times.

References:
3 Jointcommission.org. 2018. FAQ: Medication Security - Bedside Medications / Self Administration: Do Medications Kept At The Bedside Need To Be Locked?. [online] Available at: https://www.jointcommission.org/standards/standard-faqs/critical-access-hospital/medication-management-mm/000002190/ [Accessed 2 April 2020].

4 van Doremalen, N., Bushmaker, T., Morris, D., Holbrook, M., Gamble, A., Williamson, B., Tamin, A., Harcourt, J., Thornburg, N., Gerber, S., Lloyd-Smith, J., de Wit, E. and Munster, V., 2020. Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. New England Journal of Medicine.

5 connect.ashp.org. 2020. American Society Of Health-System Pharmacists (ASHP), COVID-19 Connect Community. [online]. “ASHP Pulse on Managing COVID-19: Lessons Learned From NYU Langone Health”. Available at: https://connect.ashp.org/communities/community-home/digestviewer/viewthread?MessageKey=a1238126-c4a6-4b34-8229-7e272b825e42&CommunityKey=ef9cb3a4-f25b-4959-87bd-c87f60738bca&tab=digestviewer#bma1238126-c4a6-4b34-8229-7e272b825e42 [Accessed 31 March 2020].

6 connect.ashp.org. 2020. American Society Of Health-System Pharmacists (ASHP), COVID-19 Connect Community. [online]. “ASHP Pulse on Managing Code Carts and RSI Kits” Available at: https://connect.ashp.org/communities/community-home/digestviewer/viewthread?MessageKey=a1238126-c4a6-4b34-8229-7e272b825e42&CommunityKey=ef9cb3a4-f25b-4959-87bd-c87f60738bca&tab=digestviewer#bma1238126-c4a6-4b34-8229-7e272b825e42 [Accessed 31 March 2020].

BD Pyxis™ Supply FAQs

BD Pyxis™ Supply is an inventory optimization system that helps to automate supply distribution across the enterprise (hospital or IDN) by providing reports from one system that aid in improving financial performance, clinical efficiency, patient safety and regulatory compliance; while providing a verifiable return on investment.

For customers that have BD Pyxis™ Supply in place, there are several options available for managing Personal Protective Equipment (PPE).

  • When PPE is needed in locations that have BD Pyxis™ Supply equipment –
    • Load the PPE into existing storage locations that have available space.
    • If additional space is needed, add additional auxiliary units to support additional of PPE.
  • When PPE management is needed in a new location – Add expansion units to existing system and consider the short term leasing options BD is making available to assist in the current situation.

1. For non-BD Pyxis™ Supply customers, the complete Supply infrastructure including server, client workstation and point of use devices would need to be implemented.

2. For current BD Pyxis™ MedStation customers, you could consider adding the PPE items to the system formulary and use your MedStation devices to manage access to PPE. This would be straightforward for control of inventory and traceability of use but may not drive replenishment through the ERP system without additional configuration at the CCE level.

a. As the pandemic continues, the need for a quick, flexible, secure and effective COVID-19 response supplies management strategy has become key for healthcare providers. BD Pyxis™ Supply Clinical Sales Consultants can partner with you to quickly address these needs. Due to our variety of point of care technologies we have the unique ability to provide our partners with a customized supply automation solution that can support their workflows and budget.

b. If your plan is to turn a space with existing open shelving into a secure supply depot allowing you to tightly manage the supply usage, the BD Pyxis™ SupplyStation system contains RFID, Scanning and Push to Take solutions that can be quickly implemented (alone or in combination) to achieve this goal.

c. Or if your plan is to securely store and track these items in an open area like a Field Hospital, the BD Pyxis™ SupplyStation system can provide you with mobile or stationary supply cabinets available in RFID, Scanning and Push to Take options to support this environment.

d. Our Clinical Sales Consultants stand ready to assist with the accuracy of virtual configurations.

When considering repurposing BD Pyxis™ Supply inventory management solutions from one location to another, it is recommended to review the system reporting to determine which devices have a lower level of utilization for products and prioritize those for potential redeployment. Repurposing a device that drives a high volume of utilization or manages an amount of inventory that is significant from a value perspective would not be recommended.

BD Pyxis™ Supply offers 60-month leasing options.

Customer Updates

Due to the current COVID-19 health crisis, our team has been receiving questions from BD HealthSight™ clinical users. Below BD is providing some clinical considerations and resources that may help address some of these concerns.

Resources

  • DOWNLOAD: If not already downloaded – option to download the web-based education via a SCORM file from BD Learning Compass. Refer to here for more detailed information.

  • CUSTOMER PORTAL: Find user manuals, quick reference guides, frequently asked questions, tip sheets, white papers, and safety manuals here.

  • LEARNING COMPASS: Find Video/eLearning Education Learning options to targeted training by learner role and product.

  • Follow instructions to login or create a login.
  • Downloadable training guides and job aids are available in the Educator curriculum
  • To evaluate your training options, use the Curriculum Finder tool to find the appropriate training by product, version and role.

BD Diversion Management Reference Toolkit:
The purpose of this toolkit is to provide those engaged in diversion management with publicly available resources to learn more about the causes and consequences of drug diversion and the factors to consider when implementing a drug diversion prevention program.

Other Diversion Resources:
BD Pyxis™ MedStation Security Best Practices (log-in to the BD Customer Portal to access)
Five Ways to Address Hospital Drug Diversion
How big is the drug diversion problem? Nobody knows!
Diversion in U.S. hospitals: A pharmacist's perspective on the issues and challenges

As the COVID-19 (SARS-CoV-2) challenge continues to evolve and attention shifts to sustained response efforts, BD continues to augment our solutions to support your efforts. In discussions with many of our customers, visibility to indices of trends, medication utilization, and organizational impact are often reinforced as areas that may require additional support. To that end, our BD HealthSight™ Infection Advisor with MedMined™ Insights solutions continue to develop and enhance COVID-19 specific analytics. We have also recently released our COVID-19 medication stewardship dashboard to help identify commonly utilized medications and their impact on days of therapy, utilization by facility, and utilization trends over time.

This information can be utilized in conjunction with the other aspects of the solution including identification and prioritization of positive COVID-19 patients, to support demand planning efforts for medications of interest, and to help advance your health system insights.

These capabilities are included in the robust, flexible solution that leverages years of experience in clinical surveillance of healthcare-associated infections (HAIs) combined with clinical support and educational tools. For more information regarding the new capabilities of BD HealthSight™ Infection Advisor with MedMined™ Insights and how it may be able to support your organization during this time, please contact your BD HealthSight Sales Executive or visit our website.

See the BD MedMined™ Learning Compass here.

To reinforce appropriate infection prevention and control behaviors, SHEA and BD are pleased to announce the launch of the Prevention Course in HAI Knowledge and Control (Prevention CHKC). This online course has been developed with “front line” staff in mind - this can include physicians, nurses, pharmacists, laboratory technicians, and others involved in supporting infection prevention and antimicrobial stewardship programs and contains modules on Hand Hygiene, PPE, Disinfection and Pneumonia prevention.

To register, please visit www.PreventionCHKC.org. Participants are encouraged to use code BDAccess when registering.

Customer support is provided for the following BD HealthSight™ solutions:

  • BD HealthSight™ Inventory Optimization
  • BD HealthSight™ Viewer
  • BD HealthSight™ Diversion Management
  • BD HealthSight™ Data Manager

 

The contact phone number information is below:

  • BD HealthSight™ Technical Support: 1.877.858.8822

o   BD HealthSight™ Technical Support Hours: Monday through Friday, 6:00 a.m. to 5:00 p.m. Pacific Time. Support requests can be submitted to the Technical Support Center 24/7.

o   Create a case through the Customer Self Service portal at www.bd.com/self-service.

 

Customer Support for BD HealthSight™ Clinical Advisor and BD HealthSight™ Infection Advisor with MedMined™ Insights:

o   MedMined Technical Support: call 1.888.742.1108

o   MedMined Support Hours: Monday through Friday, 6:00 a.m. to 5:00 p.m. Pacific Time.

o   Support requests can be submitted clinsupport@BD.com 24/7.

BD HealthSight™ FAQs
  • Although the Shortage Manager is primarily intended for managing actual drug shortages, you can create shortage cases for any medication in your formulary.

  • Medication use is typically evaluated based on an average usage in the past 120 days and will not reflect an acute change in usage volatility.

    • The Shortage Manager uses metrics based on the last seven days of data, permitting you to more accurately forecast inventory needs based on current average daily usage.
    • If there are medications with the similar therapeutic use, assigning them as Substitutes enables you to monitor the inventory days on-hand of the whole group of medications.
    • The shortage manager permits organization of shortage cases by priority, which makes it easier to locate and monitor the cases with highest priority.
  • To use this tool to monitor your usage of critical COVID-19 medications, create a shortage case for each medication. The case will permit you to see where that medication currently is stored, where it is (and is not) being used, days on hand, and estimated stock-out date.
  • When you experience a medication shortage at a facility, you may want to know how much of the medication the facility has, where it is located, and how fast the medication is being used. The Shortages page allows you to view and monitor pre- and post-shortage data.
  • Once you determine a medication that you want to monitor, you can create a Shortage case.

  • If you choose, you can adjust PAR levels from within the Shortage case or set them back to pre-shortage levels when the Shortage case is closed. The Shortages page provides two views:

    • Health System Shortages (a consolidated view of medication shortages across all BD HSIO enabled facilities within the Health System).
    • Facility Shortages (a view of medication shortages associated with the currently selected BD HSIO enabled facility).
  • If you are managing these drugs for an enterprise in multiple EMR systems, usage of the same medications across the enterprise may be viewed from a single point. A connection through BD HealthSight™ Data Manager with formulary mapping to the BD Library permits you to monitor drug usage with multiple medication identifiers (Med IDs) across your enterprise.

No, you will proactively manage PARs within the Shortage Manager. By default, the list of shortage medications is sorted by estimated stock-out date in chronological order. Furthermore, the estimated stock-out date is displayed in red when it is less than or equal to seven days from the current date for active cases.

If you want to see PAR recommendations from HealthSight™ Inventory Optimization (IO), it is just a few clicks away.

Whenever you increase inventory, there is a risk of items expiring before use. To avoid this risk, use the inventory snapshot feature of the Shortage Manager to capture pre-emergency PAR levels, and restore those PAR levels when usage returns to normal.

Preparing Patient Care Area devices for increased inventory amounts done by performing the following:

  • Determine the desired inventory level
  • Remove items from care area devices that are not being used to create room for the additional inventory
  • Where needed, replace pockets that are near capacity with larger pockets that can hold the desired amount of inventory, or place additional pockets in the freed-up space. Pocket type is on the Medication Details page.

During the pandemic, it is of utmost importance to ensure that needed medications are available, while reducing trips to Patient Care areas to avert potential exposure. This means that your inventory cost will temporarily increase. Use the inventory snapshot to reduce inventory when usage returns to normal to relieve that inventory.

View the inventory valuation on the Inventory page across the enterprise as well as by facility and export to a .CSV. Filter by type to view just selected mediations such as Shortages and Substitutes.

  • The Soon to Expire Items report looks forward in time to identify medications, in BD Pyxis™ MedStation ES devices, that are at risk of expiring in the near future.
  • The report also identifies devices with current utilization where the medication is more likely to be consumed prior to the expiration date.

  • Identified medications that are not likely to be consumed prior to their expiration date may be eligible for extended expiration dates.

    • The FDA has a list of manufacturers that have applied for drug extensions on its website located here.
  • BD Website - BD's Response Plan on COVID-19 (Coronavirus)
  • BD Learning Compass – Log-in and search “COVID”

    • BD-16551_BD HealthSight™ Inventory Optimization COVID-19 Guide

    • BD-16552 19-Minute - BD HealthSight™ Inventory Optimization & COVID-19 presentation
    • 19-Minute - BD HealthSight™ Inventory Optimization & COVID-19 - On-demand webinar
    • 19-Minute - BD HealthSight™ Inventory Optimization & COVID-19 - Live webinar
    • BD-17579 BD HealthSight™ Inventory Optimization Managing Shortages during COVID-19 Video-on-demand
    • BD-16766 BD HealthSight™ Inventory Optimization Drug Shortage & COVID-19 - Infographic
  • Job Aides (4):
    • BD HealthSight™ Inventory Optimization Soon to Expire Items Report Job Aid
    • BD HealthSight™ Inventory Optimization Assign a Substitute Job Aid
    • BD HealthSight™ Inventory Optimization Create a Shortage Case Job Aid
    • BD HealthSight™ Inventory Optimization Medication Usage Report Job Aid
  • ASHP Shortages
  • FDA Shortages
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