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Auto-ID Barcode Scanning University of Iowa Hospitals and Clinics

Bev Vermace RN MSN Parental Infusion Device Coordinator Staff Development Instructor. Auto-ID Barcode Scanning University of Iowa Hospitals and Clinics. Conversion to Alaris® and Auto-ID. House-wide conversion including Auto-ID and Authorized User enabled in October 2008

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Auto-ID Barcode Scanning University of Iowa Hospitals and Clinics

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  1. Bev Vermace RN MSN Parental Infusion Device Coordinator Staff Development Instructor Auto-ID Barcode Scanning University of Iowa Hospitals and Clinics

  2. Conversion to Alaris® and Auto-ID • House-wide conversion including Auto-ID and Authorized User enabled in October 2008 • Initially met resistance about scanning the clinician ID badge to unlock the panel • Continue to see the use of the tamper-resistant switch or nonsense entering of numbers

  3. What Do We Scan? 1. Patient 2. Clinician • Manual entry is an option however discouraged • Keypad re-locks if no activity on keypad for 5 minutes • Tamper resistance switch in back of pump

  4. Clinician ID Barcode Scanning

  5. What Do We Scan? 3. Medication • EPIC 2-D barcode • NDC • Medications can still be manually selected from drug library within each profile 4. Without integration scanning must occur in both Epic® and Alaris®

  6. What’s In Our Drug Library That We Scan? • We put everything in our library that runs on the pump (duration doesn’t matter) • However some entries do point to a couple of generic Fluids but at least the clinician has something to scan and profile specific settings are in place. • We Do NOT do irrigations, dialysis, epidurals • We only scan NDC barcodes on pre-made bags and fluids

  7. Comparison of Guardrail® Usage With Other Hospitals

  8. Challenges of Auto-ID Barcode Scanning • Broken Equipment • Hand held scanners cables and connection • Disabling of scanning ability on Auto-ID module.

  9. Integration of EPIC® and Alaris® • We are the Alpha site for EPIC/Alaris integration • Alaris/Cerner has integrated at Children’s Minnesota • EPIC/Hospira has integrated at Lancaster General • We are in the very EARLY stages of testing • Version 9.15 software from Alaris is needed for integration. Software upgrade requires a manual touch to each PCU/LVP/Syringe module. • PCA will not be integrated

  10. Integration Issues Exposed  • Subsequent bag workflow changed • Time drift/sync issues

  11. Questions????

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