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Poc intro-new-2011
 

Poc intro-new-2011

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  • Start from the right and work left.
  • The log in screen is very similar to the powerchart log in screen.
  • Page 3-1 Type in your user name and password. Then click on OK.

Poc intro-new-2011 Poc intro-new-2011 Presentation Transcript

  • 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 Facility Tape the tent card to the top of the monitor
  • Point Of Care Scanning Devices
    • 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:
          • right patient
          • right drug
          • right dose
          • right route
          • 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
    Work Flow Scan - Scan –Administer – Sign
      • Must be Done in PowerChart by the Unit Nurse
      • Do not pass medications that have not been reviewed
    Medication Review
    • Linear Barcode
    • Linear Barcodes are utilized on the Pt’s armband for FSBG.
    • Are also found on many medications.
    • 2D Barcode
    • Aztec
      • Aztec Barcodes are utilized on the Pt’s armband to ID the pt. for medication scanning.
    • Data
      • Look for Aztec or Linear Barcodes when scanning medications.
    Barcode Types Look for Linear or Aztec barcodes when scanning medication.
  • Patient Wristband When scanning a patient’s wristband, aim the scanner at the 2D barcodes, not the linear barcode.
  • Scanning Devices
    • Care Admin scanners used at:
      • CMC-Mercy
      • CMC-Pineville (except Maternity)
      • CMC-NE
      • CMC-Lincoln
    • Dolphins used at:
      • CMC, CMC-Union, CR, BHR,
      • 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 Version The 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 Flow
    • Use 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 N ext 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 N ext 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?