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Bar Code Expansion Project Class 110 VeHU 2007 PowerPoint Presentation
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Bar Code Expansion Project Class 110 VeHU 2007 - PowerPoint PPT Presentation

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Bar Code Expansion Project Class 110 VeHU 2007 Jan Zeller, Education Project Manager, VALU - NT&EO Ruth Petrich, RN-MSN – North Texas Health Care System HOUSE KEEPING This is a 90 minute class Restrooms are located… Cell Phones Please turn off or change to vibrate

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Bar Code Expansion ProjectClass 110VeHU 2007

Jan Zeller, Education Project Manager, VALU - NT&EO

Ruth Petrich, RN-MSN – North Texas Health Care System

house keeping

This is a 90 minute class

Restrooms are located…

Cell Phones

Please turn off or change to vibrate

If you must answer a call, please leave the room.

class objectives
Class Objectives
  • 1.  Provide an overview of the Bar Code Expansion project.
  • 2.  Review the available and future applications.
  • 3.  Identify a proposed implementation timeline.
  • 4.  Recognize the pre-implementation facility requirements.
  • 5.  Identify potential users of the applications.
session overview
Session Overview
  • What is BCE-Project Overview
  • Why BCE
  • Where is BCE Today
  • When is BCE arriving –Timeline
  • Who will be affected – BCE Users
  • Applications Overview
  • Summary
  • Q & A
project overview
Project Overview
  • National Center for Patient Safety Initiative
  • Provide centralized approach to clinical barcode applications in VHA
why bce
Why BCE?
  • Patient misidentification
  • Vulnerability in labeling
  • Case in point
  • Patient Safety Manager (PSM) reporting
where is bce today
Where is BCE Today
  • Further application development necessary
  • Acquire project staff
  • Implementation of wMA, wCareAssist and wCareView
  • Wireless infrastructure issues
when is bce coming to you
When is BCE Coming to You
  • FY 07
  • FY 08
  • FY 09
  • FY 10
who will be using bce
Who will be Using BCE
  • VA Medical Facilities
  • Clinical Staff
  • Inpatient/Outpatient
  • Laboratory
  • Operating Room (OR)
applications overview
Applications Overview
  • Lab/Specimen Collection – wCareCollect
  • Blood Administration – wBloodCare
  • Medication Administration – wMA
  • Vitals and Inputs/Outputs (I&O) – wCareAssist
  • CPRS view only – wCareView
  • Code Blue
applications icons
Applications Icons
  • WCareCollect
  • W Blood Care
  • WMA
  • WCareAssist
  • WCareView
  • Calculator
overview of the pda
Overview of the PDA
  • Red power button
  • Yellow scan buttons on each side
  • Integrated scanner beams from the top
  • Has a tethered stylus
  • 4 function buttons that are assigned to different applications
  • Home button that allows the user to navigate from application to application
wcarecollect lab specimen collection
wCareCollect (Lab Specimen Collection)
  • The printer attaches to the PDA for point of use printing
wcarecollect lab specimen collection14
wCareCollect (Lab Specimen Collection)
  • Log in using your


Access Code

wcarecollect lab specimen collection15
wCareCollect (Lab Specimen Collection)
  • Scan the patient
  • Wristband
  • Confirm patient
  • Allergy Alert
wcarecollect lab specimen collection16
wCareCollect (Lab Specimen Collection)
  • It will bring up all ordered


  • You can view collection details

by tapping on the item

  • Staff can view different

collection types such as

      • Active
      • Lab
      • Unit
      • All
wcarecollect lab specimen collection17
wCareCollect (Lab Specimen Collection)
  • After obtaining the

specimen and placing

the labels on the tube,

staff will scan the barcode

to put an electronic

date/time stamp and

staff identification on

that specimen

wbloodcare wireless blood administration
wBloodCare (Wireless Blood Administration)

The Process

  • Scan patient and blood unit
  • Record Vital Signs, presence of informed consent, documentation of reaction
  • Coordinated with the VBECS package
  • Will replace paper SF 518
wbloodcare wireless blood administration19
wBloodCare (Wireless Blood Administration)
  • After logging in and

scanning the patient

barcode, you will see

a listing of all available

cross-matched units

wbloodcare wireless blood administration20
wBloodCare (Wireless Blood Administration)
  • Application allows

user to enter vital signs

per facility policy.

  • These vitals are

interfaced back to CPRS

wbloodcare wireless blood administration21
wBloodCare (Wireless Blood Administration)
  • Second verifier enters

their access/verify


wbloodcare wireless blood administration22
wBloodCare (Wireless Blood Administration)
  • Recording the start of the unit of blood
wbloodcare wireless blood administration24
wBloodCare (Wireless Blood Administration)
  • Further actions that can be taken:

Enter additional vitals

Complete the transfusion

Stop the Transfusion

wbloodcare wireless blood administration25
wBloodCare (Wireless Blood Administration)
  • Record total amount

of blood product


wma wireless medication administration
WMA (Wireless Medication Administration)
  • Takes BCMA software and reconfigured it to display on a PDA
  • Is used currently at 18 VA’s
  • Can be used as an adjunct to med carts with laptops or as the only device for medication passes
wma wireless medication administration27
WMA (Wireless Medication Administration)
  • Similar functionality


    • Start/Stop time change
    • UD, IVP/IVPB, IV tabs
    • Rearrange Fields
      • Medication, Admin
    • Perform PRN effectiveness
wma wireless medication administration28
WMA (Wireless Medication Administration)
  • Instead of menu bars at the top of the screen there is and “Action” menu at the bottom left
wcareassist wireless vitals inputs outputs
wCareAssist (Wireless Vitals/Inputs & Outputs)

The Process

  • This functionality will allow staff to either Enter vital signs manually or beam them over via an infrared beam
  • The vitals recorded in the PDA will be stored into the appropriate VISTA file and be accessible in Vitals Lite and CPRS
wcareassist wireless vitals inputs outputs30
wCareAssist (Wireless Vitals/Inputs & Outputs)

Retrieving Patient Records

  • Scan the patient wristband
  • Acknowledge patient demographics
  • Tap on “OK” to proceed
wcareassist vital signs and intake and output
WCareAssist (Vital signs and Intake and Output)

Vital Sign Entry Screen

-Enter Vitals

-Vitals Mark Errors

-View Vitals


-View Allergies

wcareassist vital signs and intake and output33
WCareAssist (Vital signs and Intake and Output)
  • From the vitals entry screen, tap on the vital sign you want to record
  • It will bring up this type of screen
  • Enter the patient’s vitals
  • You can record “qualifying information” in the drop down fields
  • Tap on the Next or Prev. buttons, to repeat the steps for the remainder of vital signs
  • You may also select “Unavailable” or “Refused”
  • Tap on Summary and select “Save” to record vital signs in CPRS
wcareassist wireless vitals inputs outputs34
wCareAssist (Wireless Vitals/Inputs & Outputs)
  • Vital Sign entry via beaming over the vital sign from the automated blood pressure machine
wcareassist wireless vitals inputs outputs36
wCareAssist (Wireless Vitals/Inputs & Outputs)
  • Alignment of the infrared beam with the receiving port on the PDA
wcareview read only cprs
WCareView (Read only CPRS)
  • The tabs at the top are the same as the tabs at the bottom of CPRS
  • Vital Sign and Lab trending ability is available
  • This is a Read only version and data cannot be entered, modified or deleted

Under Development

bce implementation activities
BCE Implementation Activities

Key Activities:

  • Forming local implementation team and plan
  • Selecting initial clinical areas for implementation
  • Hardware shipping, receiving and set-up
  • Software loading and testing
  • Information Resources Management (IRM) training (on-site)
  • Super user training (on-site)
  • End user training (by local super users)
  • Support
food for thought
Food for Thought
  • Vendor super-user training and IRM training
  • BCE Coordinator pre-implementation involvement
  • Laboratory/Blood Bank involvement
  • How much testing is really needed
  • Need for cohesive team
  • Need for effective communication
  • Who should be part of local team and decision making processes
  • Where should BCE be implemented/tested
  • When should BCE be implemented at your facility
  • Who should be your super-users
  • How will you train your end-users
  • How will you receive support
  • BCE focused on Patient Safety
  • Need for further development
  • Appropriate wireless infrastructure
  • BCMA-C involvement not appointment
  • Facility workflow/process assessment
  • BCE NT&EO Website