Our facility is gearing up to implement bar code medication administration (BCMA) in February 2010. Part of getting ready is making sure that all the medications dispensed from the pharmacy are bar code ready. If the medication isnâ€™t bar coded or wonâ€™t scan, then it wonâ€™t do the nurse much good at the bedside. Weâ€™re in pretty good shape secondary to our carousel install in February of 2008. Everything that gets stored in the carousel is already bar coded. I had hoped that the file stored in our AutoPharm, i.e. carousel, cross reference file could simply be dropped into our Siemens Pharmacy cross reference file, but that would have been too easy. Siemens refused to play nicely with the data.
One of the questions marks surrounding BCMA, known as MAK in Siemens language, is how to label pediatric oral syringes. Unlike most adult unit-dosed medications, pediatric dosages come in a variety of sizes. Where an adult patient may receive 25mg of captopril, a pediatric patient may receive a range of doses based on weight (0.15-0.3 mg/kg/dose for infants). The captopril tablet used by adults is barcode ready from the manufacturer. The pediatric dose, on the other hand, is not. For pediatric patients we compound a 0.75mg/mL oral suspension and pull the doses into oral syringes based on the providerâ€™s order. Captopril is only one example as we do the same for hydralazine, spironolactone, propranolol, sildenafil, etc.
Heathcareitnews.com:”One of the most striking examples of the impact of integration within the closed loop is Siemens, Hess notes. On one hand, providers who rated the Siemens Pharmacy product alone gave it a relatively low overall score of 70.8 out of 100. However, those providers who rated both Siemens Pharmacy and the Siemens bar-coding at … Read more