With out engineering contrived barcodes created simply for the sake of hitting 100%, I doubt a facility can ever hit a 100% scan rate. However, many staff can hit 100% if they don't have a patient with some of those outlier situations.
However, bringing in controlled meds puts this discussion in a whole other realm. We have always taken additional precautions with controlled meds. I would assume that most facilities have moved away from multidose vials for controlled meds already, and probably for most other meds for a myriad of reasons. You would want to look at the practice of allow the patient to bring controlled meds in multidose vials and the impact it can have on things at your facility. If you determine that it is the safest, best practice to continue doing that, then I would guess that you would have to determine whether you want to skip the BMV so that your users don't have to "replace" the vial, or if you design a way around the return issue so that you can have the additional safety of scanning a controlled medication at the bedside. Best of luck to you, Daniel Davis, RN ________________________________ From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Tuesday, December 26, 2006 10:49 PM To: 'Lanoue, Ed T'; [EMAIL PROTECTED] Subject: RE: [MEDITECH-L] Pyxis/BMV/Patient Own Med Controls Hey Ed- Is BMV supposed to hit 100% scanned meds? Most likely this is a fantastic example of one that actually shouldn't be scanned for the reasons you described. From a "patient safety" view, a solid implemented point of care medication administration/documentation program should be the goal - but let's make them realistic and obtainable. Another reference on this would be the folks at www.PointofCareForum.com - Kevin. Kevin McConnell, PharmD. Clinical Consultant (713)480-6810 [EMAIL PROTECTED] www.RPhInformatics.com ________________________________ From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Lanoue, Ed T Sent: Tuesday, December 26, 2006 11:41 AM To: [EMAIL PROTECTED] Subject: [MEDITECH-L] Pyxis/BMV/Patient Own Med Controls Hi Everybody, I am trying to find an easier way to track a patient's controlled medications that are stored in Pyxis and coded by RX number and tracked by inventory. The nurse removes the drug from Pyxis like all other medications, but I'm wondering how to get the vial (which has the order specific barcode on it) to the patient bedside and then back into the Pyxis. I suppose we could have nurses attempt to remove it again and hit the Cancel button to "return" it. I hate that idea but that's what I'm coming up with in order to keep the inventory correct. Does anyone have a better solution to this problem? Thanks, Ed Edward Lanoue, RPh Pharmacy Information Systems Southwestern Vt Medical Center 100 Hospital Drive East Bennington, VT 05201 phone: 802-447-5370 mailto:[EMAIL PROTECTED] DISCLAIMER: The information contained in this electronic message is legally privileged and confidential under applicable law and is intended for a particular addressee(s). If it is not clear that you are the intended recipient, you are hereby notified that you have received this transmittal in error; any review, copying or distribution or dissemination is strictly prohibited. If you suspect that you have received this transmittal in error, please notify Southwestern VT Health Care Corporation immediately by return email reply to ([EMAIL PROTECTED]), and immediately delete the transmittal and any attachments without making any copy or distribution. Thank you.
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