Pyxis+ES+Overview+and+Reports

System Overview and Educational Objectives

• Automated Dispensing Machine (ADM) Definition: A computerized medication storage unit designed to store and dispense pharmaceuticals directly at or near the point of patient care while tracking inventory counts, stock movement, and drug expiration dates.
• Core Utility: Functionally operates as a secure, computerized vending machine for medications within a clinical facility.
• Operational Responsibilities: Inpatient pharmacy technicians utilize, maintain, load, refill, and monitor Pyxis systems on a daily basis.
• Primary Objectives of Pyxis Training:
  • Describe the pharmacy department's operational utilization of Pyxis.
  • Differentiate between various operational functions within the Pyxis ecosystem.
  • Identify all physical components and hardware configurations of Pyxis MedStation® units.
  • Define processes related to the Pyxis Enterprise Server (web-based platform) and Pyxis MedStations®.

User Authentication and Hardware Architecture

• System Access Provisioning: Access must be requested through a Solar request submitted via the Pulse intranet page.
• Initial Login Credentials: The user's initial Pyxis login username and password match their standard Indiana University Health (IUH) network credentials. Any network password updates automatically synchronize with the Pyxis system.
• Biometric Fingerprint Registration: Biometric enrollment is required during initial setup. It is recommended to register the middle finger or ring finger, as these digits feature more defined skin ridges, facilitating quicker scanner identification.
• Hardware Configuration Components:
  • Main Unit: Contains the central touch terminal screen, system control software, primary barcode scanner, return bin, and primary drawer arrays.
  • Auxiliary Unit: Auxiliary drawer modules connected to the Main Unit to expand physical pocket capacity.
  • Tower Unit: High-capacity open shelving or refrigerated storage cabinet used for bulk items, large intravenous fluids, or high-volume items.
  • Integrated Barcode Scanner: Hardware attached to the station used to verify medication identification during stocking, loading, and restocking workflows.

Drawer and Pocket Storage Classifications

Half-Height CUBIE® Drawers

• Dimensional Nomenclature: Designated by the code 1x (indicating half height). The suffix _x indicates the pocket width (e.g., 1x1, 1x2, 1x3).
• Security Standard: Fully secure locking storage; strictly required for controlled substances.
• Usage Priority: Represents the primary, default pocket classification across inpatient Pyxis MedStations® (if a item physically fits into a CUBIE®, a CUBIE® must be selected).
• Grid Layout and Pocket Configurations:
  • Row A: Pockets A1 through A6 (Size 1x1 CUBIE®).
  • Row B: Pockets B1 through B6 (Size 1x1 CUBIE®).
  • Row C: Pockets C1 through C6 (Size 1x1 CUBIE®).
  • Row D: Pockets D1, D3, D5 (Size 1x2 CUBIE®).
  • Row E: Pockets E1, E4 (Size 1x3 CUBIE®).

Full-Height CUBIE® Drawers

• Dimensional Nomenclature: Designated by the code 2x (indicating full height). The suffix _x indicates pocket width (e.g., 2x2, 2x3, 2x5).
• Security Standard: Fully secure locking storage; designated for controlled substances.
• Usage Priority: Secondary pocket classification; reserved for larger, bulky items that exceed the capacity of half-height CUBIE® pockets.
• Standard Size Variants: Size 2x2 CUBIE®, Size 2x3 CUBIE®, and Size 2x5 CUBIE®.

Matrix Drawers

• Security Standard: Unsecure storage; strictly forbidden for controlled substances.
• Sub-Pocket Organization: Open drawer divided into internal sub-pockets numbered sequentially from $1$ to $48$, arranged from front to back, left to right.
• Weight Capacity Limitation: Weight restricted to $\le 9.1\,\text{kg}$ ($20\,\text{lbs}$).
• Authorization Policy: Matrix pockets must not be pended to at IU Health Methodist Hospital or University Hospital without prior authorization from an Automated Dispensing Cabinet (ADC) technician or a member of leadership.

Controlled Substance Return Bin

• Location: Integrated into Main Drawer 1 of the Pyxis MedStation®.
• Security Standard: Locked, tamper-proof internal receptacle used by nursing staff to return unused controlled substances.
• Emptying Protocol: Requires a witness to be present when pharmacy staff empties the contents.

![Return Bin in Main Drawer 1](https://assets.knowt.com/pdf-flow-prod/d0bd12d9-