barcode medication administration (bcma) presented by: amrita singh keneikhrienuo presented by:...

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Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo

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Page 1: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

Barcode Medication Administration (BCMA)

Barcode Medication Administration (BCMA)

Presented By:

Amrita Singh

Keneikhrienuo

Presented By:

Amrita Singh

Keneikhrienuo

Page 2: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

Contents

Barcode Introduction

Anatomy

Hardware Model

Software Model

Standards

Advantages & Disadvantages

Competencies

Page 3: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

Electronic software application

Combines barcode technologies with real-time Ethernet local area network (LAN) that connects with a centralized computer

First developed 1995 VA Medical Center Topeka, Kansas

Introduced nationwide in 2000

What is BCMA?

(Wideman, Whittler, & Anderson, n.d.)

Page 4: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo
Page 5: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

1. Physician order received

2. Order faxed to Pharmacy

3. Pharmacists edit and verify electronic orders into patient

profile

4. Pharmacy dispenses ordered medications in Bar-Coded

packages

5. Nurse accesses BMCA software on computer via log on

6. Nurse scans unique patient bar-coded ID band

BCMA Basic Steps

Page 6: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

• The Five Rights of Barcode Medication Administration:

The right patient

The right medication

At the right time

At the right dose

By the right route

Page 7: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

Hardware Model

BCMA

Wireless PC

Scanner

Keyboard

Barcodes

Page 8: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

Barcode Scanning Device

• Light weight and comfortable hand held design

• Built in decoder

• Emits high intensity red aiming beam

• Trigger button

Page 9: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo
Page 10: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

Software

Siemens Med Administration Check (MAC)

• Siemens Pharmacy

• INVISION

• Chart-Assist

• Interface with LCR and PYXIS Connect

( Siemens 2005)

Page 11: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

Software MAC

MAC is a nursing application

Database collects, sorts, organizes, and stores information

Database allows nurse to easily retrieve select and aggregate data

Open MAC application using login id and password

Select patient from database

All patients information is stored on database

Page 12: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo
Page 13: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo
Page 14: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

Standards

• When multiple parties or companies are involved in the ID

process, industry standards are usually established

• The standard is not necessarily the same as the barcode

symbology

• Barcode standards define how to use the barcode symbology

in a particular situation

• ISBN is a standard for labeling books

• Periodicals that uses the EAN-13 symbology

Page 15: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

User friendly

Easily learned

Overall department satisfaction with use

Access information easily

Interface achieves particular goals

Error tolerance

Usability

Page 16: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

Advantages

• Improves medication administration flow with online work list

• Checks for five rights at the point of care with bar code

technology

• Drives online MAR documentation, charging, inventory control

• Uses proven point of care technology options

• Is designed for acute, ambulatory, long term care environment

Page 17: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

Advantages

• Provides value added clinical and operation integration

• Can include assessment and process redesign consulting

services

• Compatible with any automated drug dispensing device and

drug wholesaler

• Assesses for pain by prompting a pain scale when

administering analgesics

Page 18: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo
Page 19: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

Disadvantages

• Not foolproof

• Bar codes mismatch with drug, dose, and patient at times

• Bar code sometimes function erroneously

• Unable to scan bar codes properly at times

• Duplicate patient identification bar codes have been scanned

for multiple patients

Page 20: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

Disadvantages

• Carrying several patients pre-scanned medications on one

tray

• Disabling system alarms to avoid disturbing their patients

• Unreadable bar codes

• Emergency Situations

• Time consuming

Page 21: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

Ethical/Legal Issues

Potential problems in regards to HIPPA

• Leaving the computer in the hallway with patient name and identity exposed

• Nurses not logging off the software application

• Unethical/ethical in regards to overrides

Page 22: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

Competencies

• Clinicians have various technological backgrounds

• Users were accessible to staff every shift 24 hours

• Workshops are initiated

• Need successful completion of the course

Page 23: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

Competencies

• Staff representatives include inpatient pharmacist, ICU nurse,

ward nurse, and a nursing instructor

• Ongoing refresher courses offered

• Job shadowing

• Multidisciplinary cross training techniques increase staff

understanding and competency

Page 24: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo
Page 25: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

Conclusion

• Technology at work at the bedside

• Increasing safety

• Increasing continuity of care

• Increasing satisfaction among staff

• Increasing communication

Page 26: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

Functions & Responsibilities of Informatics Nurses working with BMCA

• Incorporate theories, principles, and concepts from appropriate sciences and evidence based practice

• Integrate ergonomics and human-computer interaction principles appropriately and efficiently

• Systematically determine the social, legal, and ethical impact and play an active role in system improvement

(McGonigle & Mastrian, 2009)

Page 27: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

Conclusion

• Decreases medication errors

• Decreases law suits

• Regardless of some small disadvantages the application can

be improved over time

• Opens new windows and doors for communication and safety

Page 28: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo

References

• Technology for Long Term Care. (2008). Barcode Medication

Administration. Retrieved February 15, 2009, from Technology

for Long term Care Web site: http://www.techforltc.org

• McGonigle, D., & Mastrian, K. (Eds.). (2009). Nursing

Informatics and the Foundation of Knowledge. Mississauga,

Ontario Canada: Jones and Bartlett.

Page 29: Barcode Medication Administration (BCMA) Presented By: Amrita Singh Keneikhrienuo Presented By: Amrita Singh Keneikhrienuo