Auto-ID Barcode Scanning University of Iowa Hospitals and Clinics

Auto-ID Barcode Scanning

University of Iowa Hospitals and Clinics

Bev Vermace RN MSNParental Infusion Device Coordinator

Staff Development Instructor

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

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

Clinician ID Barcode Scanning

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®

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

Comparison of Guardrail® Usage With Other Hospitals

Challenges of Auto-ID Barcode Scanning

Broken Equipment Hand held scanners cables and connection

Disabling of scanning ability on Auto-ID

module.

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

Integration Issues Exposed

Subsequent bag workflow changed

Time drift/sync issues

Questions????