Bar Coded Medication Administration (BCMA) Presented by: Lisa Olewnick, RN
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1 Bar Coded Medication Administration (BCMA) Presented by: Lisa Olewnick, RN
2 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.
3 Bar Coded Medication Administration Out with the old and in with the new!
4 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.
5 Bar Coded Medication Administration
6 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.
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9 Software MedCheck wcaremed TM OpenVista BCMA SafetyMed RN
10 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.
11 Usability IA nq
12 Omnicell, Inc. Provider for SafetyMed. Point of Care software. Modular configuration.
13 Types of Information Systems Administrative Clinical Special purpose Other
14 Users: Doctors Pharmacists Nurses
15 Clinical Information System Technology based Utilized at point of care Has processing and storage capabilities
16 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.
17 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)
18 Disadvantages Costly investment Added training Computer glitches Disrupts nursing routines JAMA, 2008
19 Legal Issues/Health Information Portability and Accountability Act (HIPPA) Passwords Privacy
20 Informatics competencies Computer skills Informatics knowledge Informatics skills Nursing Informatics, 2009
21 Functions and Responsibilities Educator Project manager Consultant
22 References Cescon, D. & Etchells, E. (2008) Barcoded Medication Administration, A last line of defense. Jama, vol. 299, no , retrieved Novemeber 23, 2009, from Mastrian, K., and McGonigle, D., (2009). Nursing informatics and the foundation of knowledge. Sudbury: Jones and Barlett. Omnicell, retrieved from: Technology for Long Term Care. Retrieved from Ultrapollo54. (2008, January 15). Patient safety. Retrieved from issue=2511http:// Wideman, M. M. Bar Coded Administration: Lessons Learned from an Intensive Care Unit Implementation. Retrieved from
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