Bar Coded Medication

Administration (BCMA)Presented by: Lisa Olewnick, RN

Objectives

• Describe trend (Bar Coded Medication Administration (BCMA))

• Describe and evaluate the hardware and software utilized with this trend.

• Describe and evaluate the information system used with this trend.

• Assess the role and functions of the nurse informaticist when working with this trend.

• Examine related legal/ethical issues.• Discuss Advantages/Disadvantages from nursing

perspective.

Bar Coded Medication Administration

Out with the old and in with the new!

Bar Coded Medication Administration (BCMA)

• A system used to reduce medication errors.

• A Barcode reader scans the medication and confirms it with the correct patient.

• Enforces the “5 Rights” of medication administration.

• Used highly among Veteran Administration Hospitals.

•http://www.fda.gov/cber/rules/barcodedlabel.pdf

Bar Coded Medication Administration

Bar Coded Medication Administration (BCMA)

• Hardware▫ Consist of a handheld scanning device.

▫ Connects to a wireless mobile computer and cart.

▫ The system can communicate with other information systems in the facility.

▫ It records transactions and stores other medical information.

▫ Or some systems utilize a barcode scanner enabled Palm PDA to scan, confirm, and store medication

transaction information.

Bar Coded Medication Administration (BCMA)

Bar Coded Medication Administration (BCMA)

Bar Coded Medication Administration (BCMA)

• Software

▫ MedCheck

▫ wCareMedTM

▫ OpenVista BCMA

▫ SafetyMed™RN

Bar Coded Medication Administration (BCMA)

• Software (continued)

▫ MedCheck

Helps eliminate medication administration errors.

Requires validation of medications dispensed to the patient.

Audible alarms for wrong medication or patient.

Automatic stamp of date/time/administer .

Bar Coded Medication Administration (BCMA)

• Usability

• http://www.youtube.com/watch?v=awwVn5RZvIA

• http://www.youtube.com/watch?v=V40SY0LtBnQ

Bar Coded Medication Administration (BCMA)

• Omnicell, Inc.▫ Provider for SafetyMed.™

▫ Point of Care software.

▫ Modular configuration.

Bar Coded Medication Administration (BCMA)

• Types of Information Systems

▫ Administrative

▫ Clinical

▫ Special purpose

▫ Other

Bar Coded Medication Administration (BCMA)

Users:

Doctors Pharmacists Nurses

Bar Coded Medication Administration (BCMA)

• Clinical Information System ▫ Technology based

▫ Utilized at point of care

▫ Has processing and storage capabilities

Bar Coded Medication Administration (BCMA)

• What does CBIS enable nurses to do?▫ Improves safety in the medication use process.

▫ Decreases the chance of patient harm

▫ Frees caregiver’s time for direct patient care activities.

▫ Automatically documents medication administration.

▫ Confirms the 5 rights during medication administration.

Bar Coded Medication Administration (BCMA)

• Advantages▫ Proven to reduce medication administration errors.

▫ Proven to reduce pharmacy dispensing errors

▫ Can intercept hazardous medications or late order changes

▫ Nurse satisfaction

(Jama, 2008)

Bar Coded Medication Administration (BCMA)

• Disadvantages▫ Costly investment

▫ Added training

▫ Computer glitches

▫ Disrupts nursing routines

JAMA, 2008

Bar Coded Medication Administration (BCMA)

• Legal Issues/Health Information Portability and Accountability Act (HIPPA)

▫ Passwords

▫ Privacy

Bar Coded Medication Administration (BCMA)

• Informatics competencies▫ Computer skills

▫ Informatics knowledge

▫ Informatics skills

Nursing Informatics, 2009

Bar Coded Medication Administration (BCMA)

• Functions and Responsibilities▫ Educator

▫ Project manager

▫ Consultant

References

Cescon, D. & Etchells, E. (2008) Barcoded Medication Administration, A last line of defense. Jama, vol. 299, no 18 2200-2202, retrieved Novemeber 23, 2009, from http://jama.ama-assn.org.cgi/content/full/299/18/2200.

Mastrian, K., and McGonigle, D., (2009). Nursing informatics and the foundation of knowledge. Sudbury: Jones and Barlett.

Omnicell, retrieved from: http://www.omnicell.com/

Technology for Long Term Care. Retrieved from

Ultrapollo54. (2008, January 15). Patient safety. Retrieved from http://www.techforltc.org/ltc.cfm?pageid=157&product=2634&careissue=2511http://www.youtube.com/watch?v=V40SY0LtBnQ

Wideman, M. M. Bar Coded Administration: Lessons Learned from an Intensive Care Unit Implementation. Retrieved from http://www.ahrq.gov/downloads/pub/advances/vol3/Wideman.pdf