Comments on: Pediatric labels for bar code medication administration (BCMA) http://jerryfahrni.com/2009/09/pediatric-labels-for-bar-code-medication-administration-bcma/ Pharmacy Informatics and Technology Mon, 21 May 2012 11:59:14 +0000 hourly 1 http://wordpress.org/?v=3.3.2 By: Jerry Fahrni » Top posts for week ending February 27, 2011 http://jerryfahrni.com/2009/09/pediatric-labels-for-bar-code-medication-administration-bcma/comment-page-1/#comment-5811 Jerry Fahrni » Top posts for week ending February 27, 2011 Tue, 01 Mar 2011 05:26:30 +0000 http://jerryfahrni.com/?p=1698#comment-5811 [...] Pediatric labels for bar code medication administration (BCMA) [...] [...] Pediatric labels for bar code medication administration (BCMA) [...]

]]> By: Top blog posts and searches from last week (35) | Jerry Fahrni http://jerryfahrni.com/2009/09/pediatric-labels-for-bar-code-medication-administration-bcma/comment-page-1/#comment-3798 Top blog posts and searches from last week (35) | Jerry Fahrni Mon, 06 Sep 2010 18:13:46 +0000 http://jerryfahrni.com/?p=1698#comment-3798 [...] Pediatric labels for bar code medication administration (BCMA) [...] [...] Pediatric labels for bar code medication administration (BCMA) [...]

]]> By: Jerry Fahrni » Year end thoughts for 2009 http://jerryfahrni.com/2009/09/pediatric-labels-for-bar-code-medication-administration-bcma/comment-page-1/#comment-1174 Jerry Fahrni » Year end thoughts for 2009 Wed, 30 Dec 2009 16:32:20 +0000 http://jerryfahrni.com/?p=1698#comment-1174 [...] Biggest bar coding challenge for me this year – Figuring out how to bar code our pediatric syringes. [...] [...] Biggest bar coding challenge for me this year – Figuring out how to bar code our pediatric syringes. [...]

]]> By: Jerry Fahrni http://jerryfahrni.com/2009/09/pediatric-labels-for-bar-code-medication-administration-bcma/comment-page-1/#comment-456 Jerry Fahrni Thu, 10 Sep 2009 02:27:08 +0000 http://jerryfahrni.com/?p=1698#comment-456 You get the gist of the issue in your second comment. We use our AutoLabel system in the same way you use AccuChart. All our unit or use items are barcoded and placed in the Pyxis. The "powers to be" on our BCMA implementation team are scared to death that someone will label a peds syringe incorrectly. They haven't given any thought to a medication barcode being better than our current system, i.e. no barcode. I'm not sure how they could sleep at night . They want the barcode tied to both the patient and the medication. That's going to be tough. I like your way better, which is option #2 in my post. It makes more sense and fits our current workflow. Thanks for the info about AMSO.org. I'll check it out. You get the gist of the issue in your second comment. We use our AutoLabel system in the same way you use AccuChart. All our unit or use items are barcoded and placed in the Pyxis. The “powers to be” on our BCMA implementation team are scared to death that someone will label a peds syringe incorrectly. They haven’t given any thought to a medication barcode being better than our current system, i.e. no barcode. I’m not sure how they could sleep at night . They want the barcode tied to both the patient and the medication. That’s going to be tough. I like your way better, which is option #2 in my post. It makes more sense and fits our current workflow.

Thanks for the info about AMSO.org. I’ll check it out.

]]> By: pillguy http://jerryfahrni.com/2009/09/pediatric-labels-for-bar-code-medication-administration-bcma/comment-page-1/#comment-455 pillguy Thu, 10 Sep 2009 00:00:30 +0000 http://jerryfahrni.com/?p=1698#comment-455 I did not clarify. We only put unit of use items in the Pyxis, so the nurse documents the dose given, even if they only need to use 1/2 of the syringe. I am not sure you are easily going to get to a dose verification. For instance if we have a 2mEq syr of NS, if they scan that med it will make sure this is the med the pharmacy profiled. The dose could be 1.5 mEq, and the nurse would just document they gave 1.5 on the eMAR. It does check for the right product and the right time, right patient, etc. I would love to get ours to a dose specific check on all of our meds in Pyxis, but I am not sure that is really possible. You might want to check with AMSO.org. They have a great bunch of folks on their listserv and could likely answer it from the safety perspective. I did not clarify. We only put unit of use items in the Pyxis, so the nurse documents the dose given, even if they only need to use 1/2 of the syringe. I am not sure you are easily going to get to a dose verification. For instance if we have a 2mEq syr of NS, if they scan that med it will make sure this is the med the pharmacy profiled. The dose could be 1.5 mEq, and the nurse would just document they gave 1.5 on the eMAR. It does check for the right product and the right time, right patient, etc. I would love to get ours to a dose specific check on all of our meds in Pyxis, but I am not sure that is really possible. You might want to check with AMSO.org. They have a great bunch of folks on their listserv and could likely answer it from the safety perspective.

]]> By: pillguy http://jerryfahrni.com/2009/09/pediatric-labels-for-bar-code-medication-administration-bcma/comment-page-1/#comment-454 pillguy Wed, 09 Sep 2009 23:55:24 +0000 http://jerryfahrni.com/?p=1698#comment-454 Wow Jerry! Your process sounds incredibly challenging! Ours is much easier. We purchased a nice relabeler (printer and accompanying software) from AccuChart (they also sell the Euclid repackager) http://www.accuchart.com/index.php?option=com_content&view=article&id=16&Itemid=16 This handy device barcodes (NDC or UPC, our choice) any med that we do not print a patient specific label for. So everything in the Pyxis has one of these, everything that comes from the central pharmacy has an OrderID barcode on the patient label. Just that easy! Wow Jerry! Your process sounds incredibly challenging! Ours is much easier. We purchased a nice relabeler (printer and accompanying software) from AccuChart (they also sell the Euclid repackager) http://www.accuchart.com/index.php?option=com_content&view=article&id=16&Itemid=16 This handy device barcodes (NDC or UPC, our choice) any med that we do not print a patient specific label for. So everything in the Pyxis has one of these, everything that comes from the central pharmacy has an OrderID barcode on the patient label. Just that easy!

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