Preparation of the administrated dose by repacking in dependent old people’s home (DOPH), still a relevant practice?

6 October 2017

V. Chawadronow, B. Martel, A. Landry, E. Peronne, S. Truet, D. Lemoine Centre hospitalier de Bayeux, 13 rue de Nesmond, 14400 Bayeux, France


In order to secure the medication circuit for long-term patients, our hospital has chosen to deploy a repacking-unpacking automaton. This automaton allows the preparation of the administrated dose (PAD) in individual pack facilitating the caregivers’ work.


All medication are not eligible for repacking (Recommendations from the automaton users’ club), we would like to evaluate if this method is still relevant.

Material and method

Currently, the PAD automaton provides the dispensation of 272 patients. On a typical week, we analyzed the total number of individual pack produced and taken medication not supported by the automaton. Medications administrated by the nurses (injectable, aerosol) are not included in this study.


16187 sachets are produced for 22 437 taken medications. 6250 taken medications are not supported by the automaton (TMNSBA) or 28% .Among the TMNSBA, there are: immunosuppressant and cytotoxic’ agents (n=74; 1.8% of TMNSBA), beta-lactams (n=121, 1.9% of TMNSBA); sachets and patchs (n=1879; 29,7% of TMNSBA); orodispersible tablets and oral solutions (n=1712; 27% of TMNSBA ); paracetamol capsule (n=2464; 39% of TMNSBA).

Discussion - conclusion

28% of the total taken medications are not supported by the automaton, which does not facilitate the administration of medication by the caregivers. 60% of TMNSBA are attributing to an incompatibility between medicinal specialties and the automaton. 40% concern the paracetamol which gives rise to logistical problems. The use of this automaton is questionable. The transition to an automaton allowing the over-packaging or a nurse preparing medication organizers are both potentially efficient to solve these problems.

Discussion forum

GERPAC provides for its members a discussion forum specifically devoted to technology in hospital pharmacy

Access forum

Association Loi 1901
Siège social : Chez Jean-Yves Jomier / 8ter rue Léon Bussat, 64000 PAU
Immatriculation formation N° 72 64 035 30 64
Contact us Legal notes - Management of personal data
Réalisation : Développeur web WordPress & SPIP freelance