Start of Day Procedure [Pump Meds]

The Start of Day Procedure must be completed for each pump at the beginning of the day and when replacing an empty bottle before any pump medication can be dispensed. 

Required Permissions: Super Admins and users with the Manage Pump feature can access the Pump tab to complete the Start of Day procedure.

Start of Day Workflow

Pump Screen: Start of Day  

The Start of Day procedure must be completed before dispensing Liquid Methadone to patients.  

1. To begin, click on the Pump tab in the header and select Start of Day.
   

   • Note: If the Pump tab is not visible in the menu, confirm that the pump server is open. To test the pump server connection, go to Settings > Konnectors. Click here for instructions. 

2. Review the Pump Details information:
   
   • Name of the pump 
   • Type of Pump (Scilog LabTec, Ivek Digispense, or Ivek Methaspense) 
   • Mode (Automatic or Manual) 
   • Last Status, which displays the last action taken by the pump. 
3. Click Empty Cleaning Solution to remove the cleaning solution from the tubing. The Time in secs fields can be adjusted to increase or decrease the amount of time the pump is active. Super admins can configure the time in seconds in MAT Settings.
4. The Abort button becomes available during this process to stop the pump immediately.
5. Once the cleaning process is complete, click Open Medication. Doing so will take you to the Change Bottle tab.
6. Select a bottle from the drop-down list and confirm the serial number (also known as bottle number), lot number, and quantity.
7. Enter the bottle weight in grams. Notice that the system offers an expected bottle weight in grams that should match the actual bottle weight.
   

   • Note: EMR Settings will generate an alert message when the weight entered deviates from the expected number. In this scenario, click OK to continue.

8. Click on the Sign and Submit button, sign your name in the box, and click the Submit button.  
9. The system will display a green confirmation message showing the bottle’s serial and lot numbers.
   
   
10. Once the medication has been checked out from the pump, the user can review the Current Medication Details, including: 
    • Manufacturer: Displays the medication manufacturer 
    • Serial Number: Displays the bottle number 
    • Lot Number: Shows the lot number 
    • Quantity Remaining: Calculated automatically based on empty bottle weight, average density, and remaining medication.
11. Click on the Prime the Medication button to allow the medication to enter the tube. The Time in secs field can be adjusted to increase or decrease the amount of time the pump is active. Super admins can configure the time in seconds in MAT Settings.

    Note: Medication cannot be dispensed until it has been successfully primed.

12. The Abort button becomes available when the Prime Medication process occurs. It can be used to immediately stop pump activity.
    

Tips: Empty Cleaning Solution & Prime Medication

Empty Cleaning Solution: The Empty Cleaning Solution button becomes available when the Last Status is set to Prime Cleaning Solution or Setup. Selecting this button reverses the prime liquid back into the bottle, clearing the tubing before use. If no medication is associated with the pump, the Check Out Medication button will appear instead. Selecting it takes you to the Change Bottle screen, where you can check out a new medication bottle. 

Prime Medication: The Prime Medication button becomes available when the Last Status is not Prime Cleaning Solution and medication has already been checked out. During priming, the Abort button appears and can be used to immediately stop pump activity. Once priming is complete, dispensing becomes available, ensuring medication flows correctly and safely.