Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA...
-
Upload
damian-spencer -
Category
Documents
-
view
215 -
download
1
Transcript of Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA...
![Page 1: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/1.jpg)
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
![Page 2: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/2.jpg)
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
2
![Page 3: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/3.jpg)
VETERANS HEALTH ADMINISTRATION
Medication Tab in CPRS
3
![Page 4: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/4.jpg)
VETERANS HEALTH ADMINISTRATION
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.
4
![Page 5: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/5.jpg)
VETERANS HEALTH ADMINISTRATION
Provider Order Checks
5
![Page 6: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/6.jpg)
VETERANS HEALTH ADMINISTRATION
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).
6
![Page 7: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/7.jpg)
VETERANS HEALTH ADMINISTRATION
Additional Dose
7
![Page 8: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/8.jpg)
VETERANS HEALTH ADMINISTRATION
Enhanced Order Checking
8
![Page 9: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/9.jpg)
VETERANS HEALTH ADMINISTRATION
Unreleased Until Signed by Provider
9
![Page 10: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/10.jpg)
VETERANS HEALTH ADMINISTRATION
Order Checks
10
![Page 11: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/11.jpg)
VETERANS HEALTH ADMINISTRATION
Order Pending in CPRS
11
![Page 12: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/12.jpg)
VETERANS HEALTH ADMINISTRATION
Quick Orders
12
![Page 13: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/13.jpg)
VETERANS HEALTH ADMINISTRATION
Infusion Orders
13
![Page 14: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/14.jpg)
VETERANS HEALTH ADMINISTRATION
BCMA No, Still Not There? Just Checking.
14
![Page 15: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/15.jpg)
VETERANS HEALTH ADMINISTRATION
Pharmacies
Provide the magic that makes the order active
15
![Page 16: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/16.jpg)
VETERANS HEALTH ADMINISTRATION
Veterans Health Information System and Technology Architecture (VistA)Inpatient Order Entry
Select PATIENT: patient name
16
![Page 17: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/17.jpg)
VETERANS HEALTH ADMINISTRATION
Pharmacy Patient Information
17
![Page 18: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/18.jpg)
VETERANS HEALTH ADMINISTRATION
Pharmacy Finishing
18
![Page 19: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/19.jpg)
VETERANS HEALTH ADMINISTRATION
Pharmacy Edit
19
![Page 20: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/20.jpg)
VETERANS HEALTH ADMINISTRATION
Pharmacy Review Screen
20
![Page 21: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/21.jpg)
VETERANS HEALTH ADMINISTRATION
Pharmacy Verification
21
![Page 22: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/22.jpg)
VETERANS HEALTH ADMINISTRATION
Intravenous (IV) Type
22
![Page 23: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/23.jpg)
VETERANS HEALTH ADMINISTRATION
Accept/Verify Actions
23
![Page 24: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/24.jpg)
VETERANS HEALTH ADMINISTRATION
Unit Dose/One Time Medication Order
24
![Page 25: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/25.jpg)
VETERANS HEALTH ADMINISTRATION
Pharmacy Allergy Intervention
25
![Page 26: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/26.jpg)
VETERANS HEALTH ADMINISTRATION
Pharmacy Recommendation
26
![Page 27: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/27.jpg)
VETERANS HEALTH ADMINISTRATION
Pharmacy Intervention Menu
27
![Page 28: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/28.jpg)
VETERANS HEALTH ADMINISTRATION
Pharmacy Accept Order
28
![Page 29: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/29.jpg)
VETERANS HEALTH ADMINISTRATION
Active Medication Order(s)
29
![Page 30: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/30.jpg)
VETERANS HEALTH ADMINISTRATION
CPRS Display/Status Active
30
![Page 31: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/31.jpg)
VETERANS HEALTH ADMINISTRATION
Drum Roll Please…Don’t You Love Happy Endings?
31
![Page 32: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/32.jpg)
VETERANS HEALTH ADMINISTRATION
As BCMA Coordinator: My Two Favorite Screens
32
![Page 33: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/33.jpg)
VETERANS HEALTH ADMINISTRATION
Why Won’t This Scan?
33
![Page 34: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/34.jpg)
VETERANS HEALTH ADMINISTRATION
Not a Happy Ending? Remedy
34
![Page 35: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/35.jpg)
VETERANS HEALTH ADMINISTRATION
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/
35
![Page 36: Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized.](https://reader030.fdocuments.us/reader030/viewer/2022032604/56649e695503460f94b656cd/html5/thumbnails/36.jpg)
VETERANS HEALTH ADMINISTRATION
Questions From Any of the Links?
36