In Kerry’s branch, they receive at least one delivery daily, and this can be over 1000 items. They estimate around 5% of the stock in their pharmacy is FMD compliant, and their staff are now well practised at identifying compliant packs, performing the verification scans and checking the tamper proof packaging. If they scan a pack which has less than six months until its expiry date the solution will notify them, which helps identify these packs and avoid wastage from expired stock.
Decommissioning scans are performed at the dispensing stage, just before the items are handed to the patient or their representative. Their solution allows them to aggregate using stick on barcode labels with unique IDs. So, if there is more than one FMD item for a patient, they can aggregate the items together by scanning them and associating them with the stickon barcode, which is stuck to the prescription. The prescription is then fastened to the bag of medicines. Before the item leaves the pharmacy for delivery, or when the patient comes to collect, Kerry’s team scan the stick-on barcode which automatically decommissions all the individual medicines which are associated with it. The stick-on labels are supplied by their FMD solution supplier in batches of 60,000 labels.
Aggregation isn’t used for patients that have waited whilst their medication is picked and dispensed, because they can do the decommissioning scan as they put the medicines into the bag, which is then handed straight to the patient.
For undelivered aggregated items that the driver brings back to the pharmacy, they will retrieve the prescription with the stick-on label and scan to recommission the packs. It will be decommissioned again before the next delivery attempt. This solves any problems that might be caused by the requirement that decommissioned medicines cannot be recommissioned after 10 days have elapsed.
When dispensing part-packs, they cross out the FMD barcode after the first decommission, which prevents them from accidentally scanning it again, which would result in a message back from NMVS telling them the item’s already been dispensed. All the pharmacy team routinely perform both verification and decommissioning scans, and Kerry provided the training on identifying the FMD compliant packs, scanning, and using the FMD software.