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BCMA Overview

BCMA Overview. R eally P owerful at M easuring S tuff. What is BCMA?. Bar Code Medication Administration BCMA is a separate GUI application (not part of EHR) used to administer medications. BCMA. How does BCMA work?.

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BCMA Overview

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  1. BCMA Overview Really Powerful at Measuring Stuff

  2. What is BCMA? • Bar Code Medication Administration • BCMA is a separate GUI application (not part of EHR) used to administer medications

  3. BCMA

  4. How does BCMA work? • BCMA allows users to electronically document medications at the bedside or other points-of-care. • The nurse will have a medication cart equipped with a wireless laptop and a barcode scanner.

  5. BCMA • BCMA is used to record administration of medications • But it also provides functions such as: • Meds Due List • Variance Log (e.g. med errors) • Med Admin History • PRN Effectiveness tracking • Missed Medications • Request missing Med from Pharmacy

  6. BCMA and Administration Schedules • BCMA doesn’t handle ambiguity • Schedule ranges need to be removed (i.e. Q4-6H PRN needs to become Q4H PRN) • Standard schedules must have defined admin times, e.g.: • Q4H 0100-0500-0900-1300-1700-2100

  7. BCMA • All “versions” of a medication must be scanned into Inpatient Pharmacy as a synonym for it to be recognized by BCMA • BCMA can use IENs or other standard identifiers such as NDC numbers.

  8. IVs vs. IV Piggybacks • A frequent area of confusion is configuration of IV Piggybacks so that they will function correctly in BCMA

  9. IVs vs. IV Piggybacks • IV Piggybacks are Unit Dose with a Route of IV and a Schedule (e.g. Q6H) • IVs are Large Volume and Continuous with an Infusion Rate (e.g. 75ml/hr)

  10. When is a med due? • With standard BCMA configuration a medication is due the next scheduled administration time. • It is important that everyone be trained to understand this • This will sometimes necessitate using the ‘First Dose Now’ button to start the medication as desired by the Provider

  11. BCMA and Order Verification • Using BCMA properly, nurses should never Verify (in EHR) a Pending medication. • Verification should only happen after Pharmacy has completed the order • The med nurse should never administer a med that has not been Completed by Pharmacy and Verified by Nursing.

  12. Admin Process • The basic process of passing medication remains the same. (BCMA is not a substitute for Nursing Judgment. • This includes: • Wrist band (now with Bar Code) • Identity verification (i.e. ask pt’s name) • Right Drug • Right Dose • Right Route • Right Time

  13. Questions and Discussion Really Powerful at Measuring Stuff

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