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BCMA Overview. R eally P owerful at M easuring S tuff. What is BCMA?. Bar Code Medication Administration BCMA is a separate GUI application (not part of EHR) used to administer medications. BCMA. How does BCMA work?.

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bcma overview

BCMA Overview

Really Powerful at Measuring Stuff

what is bcma
What is BCMA?
  • Bar Code Medication Administration
  • BCMA is a separate GUI application (not part of EHR) used to administer medications
how does bcma work
How does BCMA work?
  • BCMA allows users to electronically document medications at the bedside or other points-of-care.
  • The nurse will have a medication cart equipped with a wireless laptop and a barcode scanner.
  • BCMA is used to record administration of medications
  • But it also provides functions such as:
  • Meds Due List
  • Variance Log (e.g. med errors)
  • Med Admin History
  • PRN Effectiveness tracking
  • Missed Medications
  • Request missing Med from Pharmacy
bcma and administration schedules
BCMA and Administration Schedules
  • BCMA doesn’t handle ambiguity
  • Schedule ranges need to be removed (i.e. Q4-6H PRN needs to become Q4H PRN)
  • Standard schedules must have defined admin times, e.g.:
  • Q4H 0100-0500-0900-1300-1700-2100
  • All “versions” of a medication must be scanned into Inpatient Pharmacy as a synonym for it to be recognized by BCMA
  • BCMA can use IENs or other standard identifiers such as NDC numbers.
ivs vs iv piggybacks
IVs vs. IV Piggybacks
  • A frequent area of confusion is configuration of IV Piggybacks so that they will function correctly in BCMA
ivs vs iv piggybacks1
IVs vs. IV Piggybacks
  • IV Piggybacks are Unit Dose with a Route of IV and a Schedule (e.g. Q6H)
  • IVs are Large Volume and Continuous with an Infusion Rate (e.g. 75ml/hr)
when is a med due
When is a med due?
  • With standard BCMA configuration a medication is due the next scheduled administration time.
  • It is important that everyone be trained to understand this
  • This will sometimes necessitate using the ‘First Dose Now’ button to start the medication as desired by the Provider
bcma and order verification
BCMA and Order Verification
  • Using BCMA properly, nurses should never Verify (in EHR) a Pending medication.
  • Verification should only happen after Pharmacy has completed the order
  • The med nurse should never administer a med that has not been Completed by Pharmacy and Verified by Nursing.
admin process
Admin Process
  • The basic process of passing medication remains the same. (BCMA is not a substitute for Nursing Judgment.
  • This includes:
    • Wrist band (now with Bar Code)
    • Identity verification (i.e. ask pt’s name)
    • Right Drug
    • Right Dose
    • Right Route
    • Right Time
questions and discussion

Questions and Discussion

Really Powerful at Measuring Stuff