Jerry Fahrni

Tag: BCMA

  • Scanning difficulties with certain barcodes

    I’ve been following the Twitter stream from the ASHP Midyear in Tampa (#ashpsm10). Sunday morning I saw a Tweet from Karl Gumpper come through the ticker stating “ASHP Statement on Barcode on Inventory, Compound & Dispense approved by House of Delegates.” That’s a good thing.

    The ASHP Statement on Bar-code Verification During Inventory, Preparation, and Dispensing of Medications can be found here. I re-read the paper Monday morning. There is a lot of good information throughout the document, but I one paragraph in particular caught my attention. “In addition, for BCMA to function, a vast majority of doses must be accurately bar coded, meaning there must be a highly reliable relationship between the information in the bar code and the contents of the dose. Additionally, the bar code must be readable by commercially-available scanners. Although doses delivered directly from manufacturer-labeled packages generally meet these conditions, there are numerous drug products that may not.” This makes sense as a bar-code is useless if it can’t be easily read by a scanner.  And believe me when I say that we find our fair share of bar-codes that don’t want to cooperate. The same can be said for bar-code scanners. I’ve heard people say that almost any of the new bar-code scanners today will do the job. I humbly disagree as I’ve had the misfortune of using some awful bar-code scanners on our way to settling on those currently used in our facility. Some of it is personal preference, but some of it is quality of the device. I’ve written about my opinion for consistency with scanning hardware before.
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  • Participating in the ASHP Summer Meeting from afar #ashpsm10

    The inability to physically be in Tampa, FL shouldn’t stop someone from participating in the ASHP Summer Meeting. Technology doesn’t care that I’m 2700 miles away or that I’m sitting in my home in my bunny slippers with Diet Pepsi in hand. With a webcam and speaker phone I was able to join a user group discussion held by Talyst.
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  • “What’d I miss?” – Week of May 30, 2010

    As usual there were a lot of things that happened during the week, and not all of it was pharmacy or technology related. Here’s a quick look at some of the stuff I found interesting.
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  • Update on AutoPharm software only pilot

    A couple of months ago we became a beta site for a Talyst AutoPharm software only solution. It’s not really a “software only” solution as it consists of a POS-X PC117 workstation, a Code CR3 scanner and a Zebra ZM400 printer, and of course Talyst’s AutoPharm software, but there are no carousels attached to it.
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  • Carousel technology article in AJHP

    AJHP: “Implementation and evaluation of carousel dispensing technology in a university medical center pharmacy (Am J Health Syst Pharm 2010 67: 821-829)

    Results. The estimated labor savings comparing the preimplementation and postimplementation time studies for automated dispensing cabinet (ADC) refills, first-dose requests, supplemental cart fill, and medication procurement totaled 2.6 full-time equivalents (FTEs). After departmental reorganization, a net reduction of 2.0 technician FTEs was achieved. The average turnaround time for stat medication requests using CDT was 7.19 minutes, and the percentage of doses filled in less than 20 minutes was 95.1%. After implementing CDT, the average accuracy rate for all dispense requests increased from 99.02% to 99.48%. The inventory carrying cost was reduced by $25,059.

    Conclusion. CDT improved the overall efficiency and accuracy of medication dispensing in a university medical center pharmacy. Workflow efficiencies achieved in ADC refill, first-dose dispensing, supplemental cart fill, and the medication procurement process allowed the department to reduce the amount of technician labor required to support the medication distribution process, as well as reallocate technician labor to other areas in need. ”

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  • Top blog posts and searches from last week

    I always find it interesting to see what brings someone to my website and what they decided to read once they get here. Most of the time it isn’t pharmacy related at all. Funny how that works.

    Most read posts over last week:

    1. Medscape Mobile for the BlackBerry – This has appeared at or near the top for the past couple of weeks. It’s a testament to how many healthcare professionals are still carrying BlackBerry devices.
    2. iPad + ClamCase = awesomeness? – This is funny. All I have to do is put the word “iPad” anywhere in a post and people flock to it.
    3. CPOE – Giving it some thought – CPOE is gaining some traction for sure.
    4. Cool Technology for Pharmacy – LXE Bluetooth Ring Scanner – I sat on this one for quite a while. Couldn’t decide if I wanted to blog about it or not.
    5. RxCalc 1.1 now available for the iPhone and iPod Touch – Similar to “iPad”. Put the word “iPhone” somewhere in the post and people will find it.
    6. “What’d I miss?” – Week of May 23, 2010
    7. Cool Technology for Pharmacy – This was before I started putting the name of the cool technology in the blog title. This particular post was from Jun 18, 2009 and covered Alaris Smartpumps.
    8. Best iPhone / iPod Touch Applications for Pharmacists – Ibid, iPhone & iPad. It’s been a while. I should really update this information.
    9. Curriculum Vitae – I see this show up high up on the list occasionally. I believe young pharmacists are looking for an example of how to compose a CV. I spent a lot of time trying to figure out how to write one; still don’t know if I have it right. I can never figure out how much information to include or what should be excluded.
    10. “What’d I miss?” – Week of May 17,2010

    Top searchterm phrases for last week

    1. “medscape.com/blackberry”
    2. “autopharm”
    3. “alaris”
    4. “jerry fahrni”
    5. “black cloud”
    6. “cloud computing”
    7. +”magnetic resonance imaging” + “cool image”
    8. “alaris infusion pump”
    9. “dell xt”
    10. “carousel for meds” tied with “medscape mobile”

  • Cool Technology for Pharmacy – LXE Bluetooth Ring Scanner

    A recent conversation with Carla Corkern, CEO of Talyst, resulted in this week’s Cool Technology for Pharmacy.

    The LXE 8650 Bluetooth Ring Scanner is a pretty neat, albeit homely, piece of hardware. The device is designed with wearability in mind to provide the end-user with hands-free operation.

    The LXE 8650 consists of a ring scanner and a Bluetooth module. The Bluetooth module is attached to the wrist via a velcro strap and the ring scanner fits on the finger and is operated by a thumb trigger. The system is lightweight coming in at only 4.8 ounces (136 grams), and that includes the ring scanner, Bluetooth module, battery and wrist strap. The scanner is designed with a magnesium alloy housing so it can take a beating, something that is a necessity in the pharmacy. In addition to the magnesium housing the system is sealed to IP54 standards1 and can withstand multiple drops from up to 4 feet to concrete. Battery life appears to be pretty good and can deliver up to 17,000 scans on a single charge. I don’t know about your pharmacy, but that equates to more than 24 hours of continuous use before a charge is necessary.
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  • CPOE – Giving it some thought

    Computerized Provider – or Physician if you like – Order Entry (CPOE) is an older technology that has been in the spotlight for the better part of the past year thanks to the American Recovery and Reinvestment Act (ARRA) and key components of meaningful use. Because of the “stimulus” offered by ARRA many hospitals across the United States will be gearing up to implement CPOE, ready or not. Currently less than 20% of the hospitals in the United States are using CPOE, and only a small fraction of those are using it for all orders throughout their facility (AJHP. 2008; 65:2244-64).
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  • Combination RFID – Bar code reader from Motorola

    Looks like Motorola is upping the ante a bit in the portable scanner game. They recently introduced a combination bar code scanner and RFID reader for use at the point of care. It’s not pretty, and the name could use a little marketing help, but it offers some interesting functionality. A combination scanning devices like this could be just what the healthcare industry needs as we continue to move forward with BPOC / BCMA and start investigating the expanded role of RFID tags in patient safety.
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  • Cool Technology for Pharmacy – QR Codes

    Last night I was reading through some tweets and ran across this one from @ahier. Of course this led me to the referenced article on Microsoft Tags. It was a very interesting article, but for reasons I can’t explain I started thinking about a conversation I had with some people at the unSUMMIT regarding the use of QR Codes. And like all people with a short attention span I fired up Google and started searching for information on QR Codes. Fascinating stuff.
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