Interactive sandbox

Try TOM MMS

You are the consultant pharmacist for a fictional practice with four surgery centers. Five steps, about thirty seconds each. Nothing to enter, nothing to sign up for.

Sample data. The practice, facilities, people, patient references, activity, and scores shown in this sandbox are fictional; no customer or patient data is used.

Step 1 of 5. You are the consultant pharmacist. Four surgery centers, one queue. Everything that needs you is counted here, before you open a single facility.
Good morning
BLUEBONNET PHARMACY CONSULTING. FOUR FACILITIES. THURSDAY
Needs your review today
7
1
Exception open
2
Reconciliations due
4
Missed entries
0
Unsigned
FacilityReadinessOpen itemsLast reviewedNext visitOpen
American Surgery Center87%3 missed entries3 days agoTue
Hill Country Surgical Suites71%Count does not reconcileYesterdayToday
Northline Endoscopy Center93%Reconciliation due Fri5 days agoNext Mon
Trinity Bay Eye Surgery82%1 missed entry, 1 cart overdue8 days agoThu
Since your last sign-in
Hill Country: fentaNYL count short by 1, flagged by RN06:48
American: freezer reading missed overnight06:00
Trinity Bay: MH cart check overdue by 1 dayYesterday
Northline: monthly reconciliation openedYesterday
This week
Weekly CS verification, all four facilitiesFri
Site visit, Hill Country Surgical SuitesToday
Site visit, Trinity Bay Eye SurgeryThu
Quarterly report, Northline EndoscopyNext week
Step 2 of 5. Staff logged the day. Missed readings and overdue checks surfaced on their own. One item is an exception.
Review queue
Everything waiting on a pharmacist, across the practice, oldest first
ItemFacilityRaised byAgeStatusOpen
FentaNYL 100mcg count short by 1Hill CountryRN, end of shift count2 hException
Freezer reading missed, overnightAmericanSystem4 hMissed entry
MH cart check overdueTrinity BaySystem1 dOverdue
Monthly reconciliationNorthlineScheduled1 dOpen
Waste without witness signatureAmericanRN2 dNeeds signature
Humidity above range, PACU fridgeTrinity BaySystem2 dMissed entry
Monthly reconciliationAmericanScheduledDue in 3 dUpcoming

Reviewed today: 3 Reviewed items move to the audit trail with your signature and the time.

Step 3 of 5. The catch is real and it happened while you were somewhere else. The record shows what you did about it and when.
Exceptions / Hill Country Surgical Suites
FentaNYL 100mcg/2mL, count short by 1
Raised at end-of-shift count. OR 2 cabinet. Expected 14, counted 13.
What happened, in order
Count did not reconcileTwo-person count, both signed. Discrepancy flagged to the pharmacist automatically. Staff cannot close it.
06:48
Pharmacist opened the recordEvery sign-out, waste and return for that drug since the last reconciled count, in one view. See right.
08:12
Found itA 07:05 sign-out was recorded against the wrong cabinet. The dose is accounted for. Correction entered with both original and corrected values kept.
08:31
Resolved and signedResolution note, pharmacist signature, timestamp. The facility administrator is notified. The whole thread stays in the audit trail.
08:34
Movements since last reconciled count
TimeActionQtyCabinet
07:05Sign-out1OR 1
07:42Sign-out2OR 2
08:30Waste0.5OR 2
Resolution

Recorded against the wrong cabinet. Corrected 08:31. Signed by pharmacist. Administrator notified.

Step 4 of 5. Time-stamped, individually attributed, down to the dose. Filter it, export it. It was built while the work happened, not the week someone asked for it.
Audit trail
Every entry, who made it, who witnessed it, and what you did about it. Filter by facility, drug, person or date.
Hill CountryFentaNYLExport for survey
TimeFacilityDrugActionQtyEntered byWitnessPharmacist review
08:34Hill CountryfentaNYL 100mcg/2mLException closedPharmacistSigned 08:34
08:31Hill CountryfentaNYL 100mcg/2mLCorrection1PharmacistOriginal keptSigned 08:31
08:30Hill CountryfentaNYL 100mcg/2mLWaste0.5Sarah Johnson RNMike Chen RNReviewed
07:42Hill CountryfentaNYL 100mcg/2mLSign-out2Mike Chen RNSarah Johnson RNReviewed
07:05Hill CountryfentaNYL 100mcg/2mLSign-out1Mike Chen RNSarah Johnson RNReviewed
06:48Hill CountryfentaNYL 100mcg/2mLCount short13 of 14Sarah Johnson RNMike Chen RNReviewed
06:00AmericanFreezerReading missedSystemWaiting
YesterdayTrinity BayMH cartCheck overdueSystemWaiting
Survey export

Pick a facility and a date range. The export carries the entries, the witnesses, the corrections with originals, and every pharmacist review, in one file.

Preview export
Good morning, Dr. Roberts
AMERICAN SURGERY CENTER
Compliance Readiness
87%
92%
CS Mgmt
85%
Temp
95%
Equipment
78%
Docs
Last pharmacist visit: 3 days ago
Recent Activity
fentaNYL sign-out, Mike Chen RN07:42 AM
midazolam sign-out, Sarah Johnson RN08:15 AM
morphINE waste, Sarah Johnson RN08:30 AM
Fridge temp logged: 4.5°C ✓06:00 AM
Crash Cart (OR 1) verified06:15 AM
CS Log
Today's controlled substance entries
TimeDrugActionQtyWitnessPatientUser
07:42 AM fentaNYL 100mcg/2mL Sign-Out 2 Sarah Johnson RN MRN-4521 Mike Chen RN
08:15 AM midazolam 5mg/mL Sign-Out 1 Lisa Park RN MRN-4522 Sarah Johnson RN
08:30 AM morphINE 10mg/mL Waste 0.5 Mike Chen RN MRN-4521 Sarah Johnson RN
Temperature & Humidity
Current readings and log
Medication Fridge
4.5°C
✓ In Range (2-8°C)
Operating Room
21.2°C
✓ In Range (20-25°C)
Humidity
45% RH
✓ In Range (30-60%)
Freezer
-18°C
✓ In Range (-25 to -10°C)
Today's Log
TimeLocationReadingStatus
06:00 AMMedication Fridge4.5°C✓ In Range
06:00 AMOperating Room21.2°C✓ In Range
06:00 AMHumidity45% RH✓ In Range
06:00 AMFreezer-18°C✓ In Range
Cart Check
Emergency equipment verification
Crash Cart (OR 1)
Last checked: Today, 6:15 AM
Seal #4821
✓ Verified
Crash Cart (OR 2)
Last checked: Yesterday, 5:45 PM
Seal #4822
⚠ Due
MH Cart
Last checked: 2 days ago
Seal #7103
⚠ Due
Compliance Report
Real-time compliance readiness
87%
Overall Readiness
Category Breakdown
CS Management92%
Temperature & humidity85%
Equipment Checks95%
Documentation78%
Action Items
● Freezer temp reading missed on 4/12
● MH Cart check overdue by 1 day
● Monthly reconciliation due in 3 days
Diversion Risk
Weekly pattern analytics (view only)
12 / 100
Low Risk
High-quantity sign-outs
0 flagged
No anomalies
Witness pattern anomalies
0 flagged
No anomalies
After-hours activity
1 flagged
Review recommended
Variance from protocol
0 flagged
No anomalies
7-Day Trend
Mon
Tue
Wed
Thu
Fri
Sat
Sun
This is the end of the sandbox tour.
Run these same screens on your own facility data, or have us walk you through it.

New CS Entry

Log Temperature Reading

Verify Cart

Checklist
Also in TOM MMS
Reconciliation + sign-off
Shift summary PDF
Case audit trails
License & renewal tracking
DEA-222 order tracking
Incident reporting
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