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Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL):How Orders Get from Computerized Patient Record System (CPRS) to BCMA
Diane Murphy, RN and Nancy Smestad MS, RPHApplied Informatics ServiceHealth Informatics (HI)Office of Informatics and Analytics (OIA)Veterans Health Administration (VHA)
MAY 7, 2012
VETERANS HEALTH ADMINISTRATION
Objectives• Introduction to basic medication order entry• Understanding provider, pharmacist and nursing
roles in assuring safe medication administration• Your part as a BCMA coordinator in assuring
safety of medication software when it comes to reporting problems
• Informatics Patient Safety’s role in the software
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Medication Tab in CPRS
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Orders Tab in CPRS
What you see in the “Write Orders” column will be different from site to site. It is controlled by the Clinical Application Coordinator (CAC) setup. It may even differ from provider to provider or service to service within your site.
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Provider Order Checks
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Provider Order ChecksOrder checks* are done when the accept button is selected and the order is being signed
A few of the order check types include:• Drug/drug interactions• Duplicate drug class• Drug/allergy interactions
The two degrees of order checks are:• Significant – for information
only• Critical – requires justification
and signature for acceptance* Order checks appear for both inpatient and outpatient medication order(s).
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Additional Dose
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Enhanced Order Checking
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Unreleased Until Signed by Provider
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Order Checks
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Order Pending in CPRS
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Quick Orders
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Infusion Orders
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BCMA No, Still Not There? Just Checking.
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Pharmacies
Provide the magic that makes the order active
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Veterans Health Information System and Technology Architecture (VistA)Inpatient Order Entry
Select PATIENT: patient name
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Pharmacy Patient Information
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Pharmacy Finishing
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Pharmacy Edit
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Pharmacy Review Screen
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Pharmacy Verification
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Intravenous (IV) Type
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Accept/Verify Actions
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Unit Dose/One Time Medication Order
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Pharmacy Allergy Intervention
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Pharmacy Recommendation
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Pharmacy Intervention Menu
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Pharmacy Accept Order
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Active Medication Order(s)
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CPRS Display/Status Active
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Drum Roll Please…Don’t You Love Happy Endings?
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As BCMA Coordinator: My Two Favorite Screens
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Why Won’t This Scan?
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Not a Happy Ending? Remedy
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https://vaww.portal.va.gov/sites/BCRO/BCROPublic/BarCodeCoordinators/default.aspx
New Service Request proposal vetting on the Bar Code Coordinators SharePoint
Have a Great Idea? New Service Request (NSR)
http://vista.med.va.gov/nsrd/
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Questions From Any of the Links?
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