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Barcoding Specimens

Barcoding Specimens. Presented by Cindy Combos Mowery, RN. Objectives. Describe CareFusion Describe hardware Describe software Describe information system Discuss advantages of system. Objectives, cont. Discuss disadvantages of system Describe legal issues

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Barcoding Specimens

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  1. Barcoding Specimens Presented by Cindy Combos Mowery, RN

  2. Objectives • Describe CareFusion • Describe hardware • Describe software • Describe information system • Discuss advantages of system

  3. Objectives, cont. • Discuss disadvantages of system • Describe legal issues • Describe informatics competencies • Describe role of Informatics Nurse • Describe CareFusion trend

  4. CareFusion • Select application • Select Zebra printer and align • Log-in using user ID and password • Scan patient ID band • Identify nursing unit • Identify patient, allergies, and patient notification (as required)

  5. CareFusion, cont. • Vital sign documentation • Intake and Output documentation • Transfusion verification (Inova Health System, 2009)

  6. Hardware • Personal Data Assistant • Stylus • Zebra Label Printer • Dinamap

  7. Personal Data Assistant • Hand held device • Scanner • Touch screen • Keypad

  8. Software • GE Centricity • Cerner System

  9. Software, cont. • GE Centricity software • Clinical information system • Interfaces with CareFusion • Patient information

  10. Axiom #1 • Patient safety • Usability

  11. Axiom #2 • Symbols • Scanning • Ergonomics (McGonigle & Mastrian, 2009)

  12. Axiom #3 • Transparency • Usability • Access

  13. Information System • Local area network (LAN) • Automatic identification and data capture (AIDC)

  14. Information System Review • Patient Care Support System Clinical information system (CIS) Laboratory information system • Healthlevel 7 (HL7) • Nursing Intervention Classification (NIC) (Altis, 2007)

  15. Positive Review • Accuracy • Efficiency • Confidence

  16. Advantages of CareFusion • Promotes accuracy • Time at bedside • Reduces workload • Basic skill set • (Hayden, Patterson, etal, 2007) (Grotting, Yang, etal, 2002)

  17. Disadvantages of CareFusion • Multiple steps in process • Personal data assistants (PDA) size • Delays

  18. Legal issues • Lawsuits related to errors • Confidentiality

  19. Informatics competencies • Data entry • Barcode scanning • Label processing

  20. Role of Informatics Nurse • Gather data • Facilitate education • Knowledge worker

  21. CareFusion trend • Patient safety • Seamless process • Cost effectiveness • Usability

  22. Bibliography • Altis (2007). What is HL7? Retrieved March 24, 2010, from http://www.altisinc.com/resources/IE/HL7.php • Grotting, J. B., Yang, M., Kelly, J., Michael Brown, M. ., & Trohimovich, B. (2002, October). The Effect of Barcode-Enabled Point-of-Care Technology on Patient Safety. Retrieved April 12, 2010, from http://www.premierinc.com/safety/topics/bar_coding/ • Hayden, R. T., Patterson, D. J., Cross, C., Dotson, P., Possel, R. E., Srivastava, D. K.,...Shenep, J. L (n.d.). (2007, October). Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital. Retrieved April 12, 2010, from http://www.ncbi.nlm.nih.gov/pubmed/18206692

  23. Bibliography, cont. • Health Level 7 (2007). Health Level 7. Retrieved March 22, 2010, from http://www.hl7.org • Inova Health Systems Nursing Informatics Department (2009). CareFusion Training Manual. • The JCAHO Plan. (2004). Retrieved February 24, 2010, from http://www.isdweb.com/solutions/white_papers/hospitalbc.pdf

  24. Bibliography, cont. • McGonigle, D., & Mastrian, K. (2009). Nursing Informatics and the Foundation of Knowledge. Sudbury, MA: Jones and Bartlett Publishers. • Valenstein, P. N., & Sirota, R. L. (2004, December). Identification errors in pathology and laboratory medicine. Archives of Pathology and Laboratory Medicine, 129(10), 1228-1233.

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