BAR CODE MEDICATION ADMINISTRATION (BCMA)

1 BAR code MEDICATION ADMINISTRATION (BCMA) GUI USER MANUAL Version February 2004 (Revised July 2021) Department of Veterans Affairs Office of Information and Technology July 2021 BCMA V. GUI User Manual i Revision History Date Revised Pages Patch Number Description 07/2021 PSB*3*82 For MEDICATION ADMINISTRATION History (MAH) and MEDICATION History reports sections: Added Note and text under "Read Me First" section for MAH and Med History Added Note for MAH Report Added new MAH Report example for patient Added new MAH Report example for ward Added Note for Med History Report Added new Med History Report example Added Note and text under Viewing/Printing a MAH Report (refer to Chapters 7 thru 13) Updated Footers and TOC (Global)

2 07/2021 i, 6, 8-9, 36, 43, 354, 358, 361, 368, 373, 379, 399, 456 PSB*3*106 Updated the content to add the Hazardous to Handle and Hazardous to Dispose of icons to the Icon Legend and to the sections where those icons and/or notifications are discussed. 04/2019 98 PSB*3*119 Updated TOC, footers, and the image and process on the revised page. 12/2018 i, 46-47, 333, A-14 PSB*3*96 Two-factor authentication (2FA). REDACTED 11/2016 i-xi 5, 6, 7, 8, 20, 21, 27, 29, 32, 37, 39, 40, 41, 42, 43, 44, 45, 61, 65, 69, 76, 115, 126, 207, 210, 212, 214, 219, 220 PSB*3*83 Updated TOC and footers. Enhancements made in support of Inpatient MEDICATION ADMINISTRATION -Transdermal project for MEDICATION requiring removal (MRR).

3 Renamed Wit column to Alert and added icon for Requires Removal. Replaced screen displays that include this column. Renamed AdminTime column to Next Dose Action to provide information on MEDICATION that is late and/or due for removal along with the admin date and time. Added new MRR information in report definitions. Replaced screen displays of reports that now include new MRR removal information and have Injection site wording revised for new Body Site and Dermal Site terminology that encompasses both MRR body sites and non-MRR injection sites. REDACTED 11/2015 i, ii, 2, 33 PSB*3*86 Added description of maximum days back searched for PRN MEDICATION orders needing effectiveness documentation.

4 12/2013 All PSB*3*70 Enhancements made in support of the BCMA Clinic Orders and Witness for High Risk/High Alert Medications projects. Clinic Orders - BCMA modified to display clinic orders on all MEDICATION tabs including Cover Sheet, Unit Dose, IVP/IVPB and IV tabs. ii BCMA V. GUI User Manual July 2021 - Choice of order modes Inpatient or Clinic - Inpatient Order Mode Indicator to display showing green when active inpatient orders exist or white when no active inpatient orders exist. - Clinic Order Mode Indicator to display showing green when active clinic orders exist or white when no active clinic orders exist.

5 - Clinic column displaying clinic name added to all MEDICATION tabs including cover sheet - Ability to view and administer clinic medications that are due each day and to see active clinic orders that were due prior to today and after today. - Ability to see all active IV orders that have been infused, whether infused in an inpatient ward or clinic. - Ability to see clinic order IV bags that have not been completed until marked as completed. - Last Action column updated on Unit Dose and IVP/IVPB tabs to reflect action taken and date/time of action, whether in an Inpatient Ward or in a Clinic. - Last Given calculation and date updated on the PRN MEDICATION log dialog to reflect the last date/time the orderable item was given and the elapsed time since it was last given, whether in an inpatient ward or in a clinic.

6 - All pending PRN Effectiveness entries, along with the Location given, displayed in the PRN MEDICATION Log dialog, whether the PRN med was originally given in an inpatient ward or in a clinic. - Indicators to display on the VDL when patient has any Infusing IV s, Stopped IV s and Patches that are not removed. - Mutually exclusive reports which separate Inpatient data from Clinic Order data including Admin Times, Due List, Missed Meds, and Cover Sheet reports. - Combined reports which include both Inpatient data and Clinic Order data including MAH, Med Log, Med History, IV Bag Status, Med Therapy and PRN Effectiveness reports.

7 High Risk/High Alert Medications - High Risk/High Alert medications requiring witness to complete ADMINISTRATION identified on the VDL - Wit column added to the Cover Sheet and all MEDICATION tabs on the VDL displaying the HR/HA Icon when a witness is required for the ADMINISTRATION . - New BCMA Witness Sign-On dialog for administrations requiring a witness added. - New BCMA Witness Sign-On dialog for administrations requiring a witness to display Quantity and Units, where applicable. - Witness information stored in the MEDICATION Log for report purposes. REDACTED July 2021 BCMA V. GUI User Manual iii Table of Contents Chapter 1: Introducing BCMA V.

8 Read Me First! .. 7 Before Using this Software .. 7 Discover Benefits of BCMA V.. 8 Using this Manual .. 19 Assumptions that We Made About You .. 19 Benefits of this Manual .. 19 How this Manual is Organized .. 20 Conventions Used in this Manual .. 21 Windows Terminology Used in this Manual .. 22 Other Sources of Information .. 23 BCMA: In a Nutshell .. 24 What is BCMA? .. 24 Benefits of BCMA .. 26 Features Unique to BCMA .. 27 Background Information About BCMA .. 30 Getting Help In a Hurry .. 32 Offering Superior Customer Service, Technical Support .. 32 Chapter 2: Take a Quick Tour of BCMA Taking a Quick Tour of BCMA.

9 34 Benefits of this Chapter .. 34 The VDL: In a Nutshell .. 34 Getting Acquainted with the VDL .. 42 Accessing BCMA Features and Options .. 42 Understanding the Columns on the VDL .. 45 Sorting the Contents of a Column .. 52 Resizing the Columns on the BCMA VDL .. 53 Refreshing the VDL .. 54 Getting Started .. 56 Signing on to BCMA .. 57 Working with Patient Records .. 50 Opening a Patient Record .. 50 Closing a Patient Record .. 57 iv BCMA V. GUI User Manual July 2021 Table of Contents Chapter 3: Administering Active Unit Dose Medications Working with Unit Dose Medications .. 58 Benefits of this Chapter .. 58 Preparing to Administer Unit Dose Medications.

10 58 How BCMA Validates Patient and MEDICATION Information .. 62 Administering a Patient s Unit Dose Medications .. 64 Preparing to Administer Unit Dose Medications .. 64 Scanning and Verifying MEDICATION Information .. 67 Unable to Scan Unit Dose MEDICATION .. 75 Administering a Multiple Dose Order .. 82 Administering a Fractional Dose Order .. 84 Administering an Order with Multiple Admin Times .. 88 Administering an Order with Special Instructions .. 89 Specifying the MEDICATION Quantity and Units Given .. 92 Specifying the Injection Site for the MEDICATION .. 94 Displaying the Injection Site for the MEDICATION .