Bar-coding Medication Administration Work Arounds

1. Bar-coding Medication Administration Work Arounds • Common BCMA Workarounds: • -Not doing the 8 rights • -Taking shortcuts • -Giving a medication before scanning patients ID band • -Documenting administration before medication given • -Label does not scan-giving medication anyway • Mims, Tucker, Carlson, Schneider & Bagby (2009) • --UC Davis Health System Policies and Procedures (2012) Best Practices: 8 Rights of Medication Administration Right Patient Right Medication Right Route Right Dose Right Time Right Documentation Right Reason Right Response -UC Davis Health System Policies and Procedures (2012) 7,000 Deaths annually due to medication errors -Institute of Medicine Observed Practice: -Skipping some of the 8 rights -Distractions during med pass such as talking to co-worker -Passing medication before scanning patients ID Band Know Your Workflows for Bar-coding Medication Administration - Mims, Tucker, Carlson, Schneider & Bagby (2009) Know the proper use of the scanner- Mims, Tucker, Carlson, Schneider & Bagby (2009) How to Prevent Medication Errors: -Know your institutions Policies and procedures -Do your 8 rights every time, every medication pass -Avoid distractions during medication administrations References: Mims, E., Tucker, C., Carlson, R., Schneider, R. & Bagby, J. (2009). Quality-monitoring program for bar-code-assisted medication administration. American Journal of Health-System Pharmacy, 66(12), 1125-1131. doi: 10.2145/ajhp080172 Barcoded Medication Administration(BCMA). (2012, December). UC Davis Health System Policies and Procedures. (Policy ID: IV-*#). Sacramento, California Clean the Scanner after use in isolation room per policy --UC Davis Health System Policies and Procedures (2012)