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Automated Dispensing Cabinet (ADC)
Self Assessment

Demographic information

  1. Please check the one category that best describes the number of beds currently set up and staffed for use in your organization.

    Fewer than 100 beds
    100 to 299 beds
    300 to 499 beds
    500 beds and over
  2. Please check the one category that best describes the type of organization that is responsible for establishing policy for the overall operation of your organization.

    State or local government
    Non-government, not-for-profit
    Investor-owned, for-profit
    Military - To which branch of service does your organization belong?
        Army
        Navy
        Air Force
    Veterans Affairs'
    US Public Health Service
    Other
  3. Please indicate the primary state or territory in which your organization or health system offers services.

  4. Please check the one category that best describes the location of your organization.

    Urban
    Rural

    Is your organization a designated critical access hospital? (Optional)
        Yes
        No
  5. Please check the one category that best describes the type of service that your organization provides to the majority of its admissions.

    General Medical Surgical
    Psychiatric
    Critical access
    Specialty - Oncology
    Specialty - Pediatrics
    Other:
  6. Does your pharmacy provide 24-hour pharmacy services?

    Yes
    No

    If you answered “No” to question #6, do you use telepharmacy services in conjunction with ADCs for after hour coverage?

        Yes
        No
  7. Please identify the one statement that best describes your current drug distribution model for inpatient use.

    Centralized pharmacy or satellite pharmacy with a cassette fill; ADCs used only for controlled substances and common prn medications
    Centralized pharmacy or satellite pharmacy with a cassette fill; ADCs used for controlled substances, common prn medications and most first doses
    ADCs are the primary means of medication distribution (i.e., most medication doses are obtained from this source)
    Other:
  8. Which of the following patient care areas that exist in your organization do not have an ADC but store medications? (Answer all that apply)

    All units have automated dispensing cabinets
    Dialysis
    Emergency Department (ED)
    Endoscopy
    Cath Lab
    Newborn Nursery
    Radiology
    Labor and delivery patient care areas
    Neonatal intensive care units
    Oncology units
    Operating Room (OR)
    Outpatient ambulatory care clinics
    Pediatric units
    Post Anesthesia Care Unit (PACU)
    Same day surgery/pre-op
    Other:
  9. Which of the following patient care areas that exist in your organization use an ADC without active profile functionality? (answer all that apply)

    All patient care areas have active profile functionality
    Dialysis
    Emergency Department (ED)
    Endoscopy
    Catheterization Lab
    Newborn Nursery
    Radiology
    Labor and delivery units
    Neonatal intensive care units
    Oncology units
    Operating Room (OR)
    Outpatient ambulatory care clinics
    Pediatric units
    Post Anesthesia Care Unit (PACU)
    Same day surgery/pre-op
    Other:

 

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