WELCOME to Point of Care Scanning Devices

Instructor(s) Halina Craig MS RN

Before Class begins……

Complete both sides of the name tents First name FacilityTape the tent card to the top of the monitor

Point Of Care Scanning Point Of Care Scanning DevicesDevices

Use of handheld devices with integrated barcode scanners.

Provides for a safe medication administration utilizing patient arm band and medication barcode

scanning. Automatically checks for the five patient rights:

o right patiento right drugo right doseo right route o right time

Enables the clinician to document medication

administration at the bedside.

Use the eMAR to identify the meds to be administered

Obtain the meds from the appropriate storage device

Scan the patient’s armband

Scan the medications

Administer the medications

Sign the medications

Scan - Scan –Administer – Sign

Work FlowWork Flow

Must be Done in PowerChart by the Unit Nurse

Do not pass medications that have not been reviewed

Medication ReviewMedication Review

Linear Barcode

Linear Barcodes are utilized on the Pt’s armband for FSBG.

Are also found on many medications.

2D Barcode

Aztec

o Aztec Barcodes are utilized on the Pt’s armband to ID the pt. for medication scanning.

Data

o Look for Aztec or Linear Barcodes when scanning medications.

Barcode TypesBarcode Types

Look for Linear or Aztec barcodes when scanning medication.

Patient WristbandPatient Wristband

When scanning a patient’s wristband, aim the scanner at the 2D barcodes, not the linear barcode.

Scanning DevicesCare Admin scanners used at:

o CMC-Mercyo CMC-Pineville (except Maternity)o CMC-NEo CMC-Lincoln

Dolphins used at:o CMC, CMC-Union, CR, BHR,o CMC-NE ED only and CMC-P Maternity

Care Admin

Use of the “ Wizard” (HHP 4820)

for CareAdmin

Medication Administration

Use of the “ Wizard” (HHP 4820)

for CareAdmin

Medication Administration

CareAdmin Uses handheld devices with integrated barcode

scanners. Utilizes patient arm band and medication

scanning. Automatically checks for the five patient rights:

right patient right drug right dose right route right time

Enables the clinician to document medication

administration at the bedside.

Base

Tethered Scanner

Scan Trigger

Bar code scanner attached to PC

Tethered to PC

WireLess VersionThe Device has three parts

Scanner

Charger Base

Wireless Activator

Wireless Scanner The scanner sits in the base charger. Wireless Activator is attached to the

monitor/cart. Remove the scanner from the base. Scan the barcode on the record activator,

“bluetooth device”, attached to the monitor/cart.

This will allow communication to the patient’s record.

When finished scan the barcode on the base charger to inactivate connection to the patient’s record.

Medication Review

Must be Done in PowerChart By the Unit Nurse

Do not pass medications that have not been reviewed

Access the correct medications from the storage device.

Open the Patient’s MAR

Confirm that all the patient’s medications have been reviewed.

Identify the medications that are due.

Work FlowWork FlowUse the eMAR to identify the meds to be

administered

Obtain the meds from the appropriate storage device

Click on the MAW-Medication Administration Wizard BarCode

Scan the patient’s armband

Scan the medications

Administer the medications

Sign the medications

Scan - Scan –Administer – Sign

Click on the Button.

The MAW – Medication Administration Wizard Opens.

MAW Access

Barcode Types Linear Barcode

Linear Barcodes are utilized on the Pt’s armband for FSBG.

Are also found on many medications. 2D

Aztec Barcode Data Matrix

Aztec Barcodes are utilized on the armband to ID the Pt.

Look for Aztec or Linear Barcodes when scanning medications.

Patient Wristband.

When scanning a patient’s armband aim the scanner at the 2D barcodes, not the linear barcode.

Click on the Next Button if armband will not scan, only if it is an emergency.

Otherwise, you should get a new armband and scan prior to med administration.

Scan The Patients Wristband

If more than one task exists for a patient, a dialog box will display.

Med Administration

Click on the task that is being charted.

Scan the medication barcode with the hand held device.

A blue check will appear when the scanned medication matches the order detail.

Med Administration Scan the medication barcode with the hand held device.

“Required Fields”

If a medication has required fields A blue Circle with a white “X“ will appear.

Click on the Blue Circle with the white X to chart data.

A Low Dose icon will appear if the dose scanned is less than ordered.

Scan an additional dose to add up to the ordered dose.

Less than Scanned Dose

More than Scanned Dose

An alert appears if the scanned dose is greater than the ordered dose. Click the Red circle with the white “X” to change the dose.

Wristband does not Scan

Click on the Next Button to access the patients profile. (This should not be done unless it is a medical emergency and you can not wait for a new armband.) Double verify that you are in the correct patient record, correct patient room, and correct patient.

Click in the square next to the required drug, to manually chart the medication. Double verify that you have the correct dose, strength, route and frequency. This bypasses the safety system.

Save the label and send report to the pharmacy

Medications that will not Scan

Signing the Medications Signing the medications completes the administration process and documents the medications on the eMAR.

Click on the Sign button

Inactivating the Device

Aim the scanner at the Base Charger barcode.

Place the Scanner into the Base Charger after it

has been wiped done with the approved cleaning product.

Notice to Pharmacy

Save the label of the med not scanned – return to pharmacy, with a patient label attached.

Go to Reports and select “Pharmacy Communication”

Select “POC Scanning Error Communication” Fill out the required fields Send message to Pharmacy

QUESTIONS?

QUESTIONS?

QUESTIONS?

QUESTIONS?

QUESTIONS?