med scanning presentation

PCMC ICS Unit:

PCMC ICS Unit BCMA System

Why is a BCMA system implemented?:

Why is a BCMA system implemented? Validate medication administration by confirming the Five Rights: Right patient, right medication, right dose, right route and right time 34% of errors originate in the administration process 7000 deaths per year 2 billion in extra costs per year 50% reduction in medication errors

Goals of a BCMA System?:

Goals of a BCMA System? Elimination of medication administration errors Safer environment for patients, family and staff Better patient care Ease of updating medication orders and drug inventory

Ways to ensure success of BCMA system:

Ways to ensure success of BCMA system Extensive staff training with certain staff members identified as captains who receive extra training to assist other staff Frequent analysis of medication administration data to find areas of success and areas where further teaching is needed

Medication Administration Analysis Criteria:

Medication Administration Analysis Criteria Was the medication administered without being scanned? Did the nurse chart that the medication was given before it was administered? Was an override used? Was the scanned barcode on the patient? Was the required double check for the high risk medications performed according to protocol?

Criteria 1: Was the medication administered without being scanned?:

Criteria 1: Was the medication administered without being scanned? Medication was administered without scanning 17% of the 41 observations Errors such as wrong patient, wrong medication or wrong time are possible if medication is not scanned and verified before being administered

Criteria 2: Did the nurse chart that medication was given before it was administered?:

Criteria 2: Did the nurse chart that medication was given before it was administered? Medication was charted before it was administered in 33% of 41 administrations Therapeutic level maintenance can be effected Medication may not be administered and left in patient room

Criteria 3: Was an override used?:

Criteria 3: Was an override used? Overrides were used in 12% of 41 administrations Overrides should occur in less than 5% of administrations Disregards safety mechanism of BCMA system Creates charting discrepancies for future administrations

Criteria 4: Was the scanned barcode on the patient?:

Criteria 4: Was the scanned barcode on the patient? Patient was identified by scanning the barcode while it was on the patient in 78% of 41 administrations Patient identification errors can lead to the medication being given to the wrong patient There are several other acceptable methods of patient identification

Criteria 5: Was the required double check for high risk medications performed according to protocol?:

Criteria 5: Was the required double check for high risk medications performed according to protocol? Double check done according to protocol in 88% of 9 total administrations Failure to do correct double check can lead to many administration errors

Conclusion:

Conclusion More comprehensive study needs to be performed over a longer period of time Continuing instruction on use of the BCMA system is necessary Monthly staff meetings with BCMA training by team captains should be initiated Instruction on nursing time management may be helpful