Barcode Medication Administration (BCMA)
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Transcript of Barcode Medication Administration (BCMA)
Barcode Medication Administration (BCMA)
Presented By:
Amrita SinghKeneikhrienuo
Contents Barcode Introduction
Anatomy
Hardware Model
Software Model
Standards
Advantages & Disadvantages
Competencies
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.)
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
• 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
Hardware Model
BCMA
Wireless PC
Scanner
Keyboard
Barcodes
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 MACMAC 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
Usability
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. 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.