BCMA and McKesson

[rninformatics, DNP, RN]

I've posted this to multiple Listserves and thought I'd also ask this group.

If your organization is using McKesson's Admin Rx and bar code medication administration (BCMA) please assist me.

What are the appropriate responses/direction given to your staff nurses when they verbalize the reasons listed below for picking the medication instead of scanning it? Are there any acceptable reasons/circumstances for noncompliance to your organization's policy? For example, we do not require the nurse to scan meds she/he will not be giving - pt NPO, medication d/c'd, etc.

Does your organization require 100% compliance to bar code med admin.?

We are revising our bar code med admin. policy and I am asking for direction from both a technical aspect (of what their options are within the AdminRx charting application) and from a best practice process work flow aspect.

As always, any and all assistance is appreciated. MANY THANKS!

I picked the med instead of scanning it because:

• The pt was off the floor for a procedure
  
• The label would not scan but I put a message in to pharmacy asking for the new label after I picked the med
  
• The Nystatin powder was being used by the aide at the time
  
• The scanner wouldn't work - I think it was a low battery
  
• I trashed the rapper,package, bottle
  
• That med was in the Pyxis
  
• The pt was on isolation
  

[rninformatics, DNP, RN]

Several students asked me to post these articles related to best practice for BCMA

Enjoy!

BCMAerrorsprev.pdf

bestpracticeBARCOD.pdf

BarCode_Koppel (2).pdf