Transcript Barcode Medication Administration (BCMA)

Barcode Medication
Administration (BCMA)
Presented By:
Amrita Singh
Keneikhrienuo
Contents
Barcode Introduction
Anatomy
Hardware Model
Software Model
Standards
Advantages & Disadvantages
Competencies
What is BCMA?
 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
(Wideman, Whittler, & Anderson, n.d.)
BCMA Basic Steps
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
• The Five Rights of Barcode Medication Administration:
The right
medication
By the right
route
The right
patient
At the right
dose
At the
right time
Hardware Model
Wireless PC
Barcodes
BCMA
Keyboard
Scanner
Barcode Scanning Device
• Light weight and comfortable hand held design
• Built in decoder
• Emits high intensity red aiming beam
• Trigger button
Software
Siemens Med Administration Check (MAC)
• Siemens Pharmacy
• INVISION
• Chart-Assist
• Interface with LCR and PYXIS Connect
( Siemens 2005)
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
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
 User friendly
 Easily learned
 Overall department satisfaction with use
 Access information easily
 Interface achieves particular goals
 Error tolerance
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
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
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
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
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
Competencies
• Clinicians have various technological backgrounds
• Users were accessible to staff every shift 24 hours
• Workshops are initiated
• Need successful completion of the course
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
Conclusion
• Technology at work at the bedside
• Increasing safety
• Increasing continuity of care
• Increasing satisfaction among staff
• Increasing communication
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)
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
References
• Technology for Long Term Care. (2008). Barcode Medication
Administration.
Technology
Retrieved
for
Long
February
term
15,
Care
2009,
from
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.