MedPoint MedAdmin Self Study Guide 3.4

1
MedPoint - MedAdmin Self Study Guide 3.4
2
Introducing MedPoint

• What is MedPoint MedAdmin?
• A clinical decision support tool.
• Clinical decisions should not be based solely on
  information viewed on MedPoint.
• A patient safety mechanism that incorporates the
  Five Rights of medication administration
• A system that utilizes barcode technology at the
  point of care

3
Introducing MedPoint

• Using MedPoint is easy
• Scan your ID and enter a password
• Scan the patient wrist band barcode
• Scan the medication

4
FYI

• In all instances throughout this guide the term
  select can be accomplished by
• Touching the screen if you have touch screen
  computers.
• Using the left mouse button.
• Double tapping on a touch pad mouse.
• Using the tab key and enter key.

5
Log In

• Scan the barcode on your employee ID

• If you do not have your ID badge you can type in
  your ID

6
Log In

• Type in your password
• Select the enter key or use your mouse to
  select login

7
Identify Patient

• There are 3 ways to identify a patient and access
  their record.
• Scan the patient wrist band barcode
• Type in the patient account number
• Select a patients name from a drop down menu
• Of these, only scanning the patients wrist band
  barcode does not require a second level patient
  identification.

8
Identify Patient
Method 1

• Scan the barcode on the patient wrist band

• Scanning the patient ID is considered a
  positive identification and will save time

9
Identify Patient
Method 2

• Type the patient account number in the Patient
  ID field
• This allows viewing of information only. A
  second step will be necessary to do anything
  besides viewing information

10
Identify Patient
Method 3

• Select the patient from a drop down list
• The patients names are available on the list
  only after you have previously accessed the
  patient record
• Selecting a patient from the list requires a
  another step before you are allowed to do
  anything in the record

11
Identify Patient

• If the patient record was accessed by Method 2 or
  3, this warning appears when trying to do
  anything other than view information.
• To go any further the patient ID must be verified
  by either scanning the wrist band OR typing the
  account number.

12
Scanning the Patient

• REMEMBER - Scanning the patient bar code
• Is time saving
• Is accurate
• Is a positive patient identification the 1st
  time

13
More MedPoint Information

• The Bridge MedPoint Medication Management System
  receives patient order information from the
  pharmacy order entry system.
• Ensuring that the pharmacy receives orders as
  quickly as possible will help the orders to
  display on the bedside device in a timely
  fashion.
• Once the patient wrist band barcode has been
  scanned, one of 2 screens will appear. If there
  are no new orders, the patients medication
  profile will be displayed. If there are new
  orders to be confirmed the Orders screen will
  display (Order Confirmation is covered in
  detail later in this program).

14
When Administering a Med Prior to Pharmacy Order
Entry

• REMEMBER If the order has not been entered into
  the pharmacy system, chances are the pharmacist
  has not had the opportunity to review the
  medication order. In this situation it is the
  nurse who is responsible for making sure that the
  appropriate checks are done prior to
  administering the medication.
• If the medication you want to administer has a
  barcode, scan it. There is no need to access the
  floorstock or formulary lists.
• It should be the RARE occasion that requires the
  nurse to go to the formulary list. Not all
  medications on this list are approved for the
  nurse to administer without pharmacy approval of
  the order.

15
Administering Medications With MedPointThe
BASICS
16
Scanning Meds to Administer

• Scan the med

• The medication will move from the due list to the
  Meds Selected list.
• If a medication does not have a barcode or the
  barcode can not be read, select the medication
  from the list.

17
Finish Selecting Medications

• Select the Finish button once all selections
  have been made.
• If multiple selections were made, the last
  scanned item will always be in the first
  position. Click on drop down arrow to view the
  entire list.

18
Completing Transaction

• REVIEW information for accuracy BEFORE applying
  your electronic signature.
• Closed circles shows the dose has a Given
  status
• A red check mark next to the dose means maximum
  daily dose checking has occurred (more details to
  follow)
• Select the Document All button to complete the
  transaction and affix your electronic signature

19
Quick Review

• Basic Steps
• Scan ID badge and enter password
• Scan the patient wristband barcode
• Scan the medications to administer
• Select Finish button
• Review the medication administration information
  on the Document screen
• Select Document All button to document the
  administrations and affix electronic signature
• Adding a concept
• Dose detail screen

20
New ConceptWarnings and Alerts
21
Warnings and Alerts

• Warnings or Alerts may be generated with certain
  activities.
• OK continue on with activity
• Cancel Stop, return to last screen
• Unlink start the Unlink sequence (this button
  is not on every warning screen)
• If a drop down menu to select a reason is
  present select the most appropriate reason for
  the situation at hand. Your facility has a set-up
  option that may require you to enter a reason
  before you can move on. Remember free text
  reasons are not allowed and do not get saved.

22
Warnings and Alerts More to See
23
New ConceptCo-Signature
24
Co-Signature

• What is Co-Signature why do we have it?
• Co-signature is a second witness to a drug
  administration.
• Drugs There are particular drugs, such as
  insulin or chemotherapy that are considered high
  risk might need a co-signature prior to
  administration.
• Person - Certain people such as nursing students
  may be required to obtain co-signatures before
  administering drugs.
• Places - Certain units (oncology) might have a
  policy that requires co-signature for all
  medication administrations.

25
Co-Signature - Required

• When a specific drug requires a co-signature, the
  pharmacy may use a comment to alert you.
• After scanning the medication barcode, the dose
  detail screen will appear.

26
Co-Signature - Required

• In any of the situations (drug, person or place)
  that require a co-signature the dose detail
  screen appears and there is a notice of
  required next to the co-signature field.

27
Co-Signature - Required

• A user who can be a co-signer would then need to
  scan their ID badge while the cursor is in the
  co-signature field.

28
Co-Signature - Required

• The co-signer then enters their password into the
  password field on the Co-Sign Confirmation
  window.
• Then select OK.

29
Co-Signature - Required

• A user can never co-sign their own
  administrations. A warning appears, alerting the
  user to this situation.

• A user who attempts to co-sign but does not have
  that privilege will receive this warning.

30
Co-Signature MAR View

• On the MAR View the initials of both the
  administrator (1st initials) the co-signer (2nd
  initials) show.

31
New ConceptAllergy Alert
32
Allergy Alerts

• What are Allergy Alerts?
• Allergy alerts tell the nurse something about the
  allergy status of the patient.
• Types of Allergy Alerts
• No allergy information has been received.
• New allergy information has been received.
• Possible allergy or cross-sensitivity to the
  medication being given has been detected.

33
Allergy Alerts

• This alert is triggered when MedAdmin has not
  received any allergy information from the other
  system. This alert is seen each time the patient
  is selected until allergy information is received
  by MedAdmin (even NKA).

34
Allergy Alerts

• This alert is seen when new allergy information
  has been received by MedAdmin. This alert is
  seen only the first time the patient is selected
  after new allergy information has been received.

35
Allergy Alerts

• This warning displays when an allergy is detected
  during
• Order Confirmation
• OR
• Med administration

36
Allergy Alerts

• The nurse has 2 choices
• Cancel button which stops the transaction.
• Select a reason to continue and then the OK
  button. NOTE MedAdmin requires a reason to
  override the warning.

37
MAR View Taking a Closer Look
38
MAR ViewMedication Administration Record
(On-Line View)

• What is the on-line medication administration
  record?
• All administration activity is displayed here.
• The place to change documentation on previously
  documented medications
• Dose details
• Dose status

39
MAR ViewGetting There
Select the MAR button from the green Menu Bar View
40
Viewing the On-line MAR

• The meds are shown in reverse chronological order
  (most recent is first)
• What the symbols mean
• Given
• Not Given
• Omitted dose
• Unknown status

41
Viewing the On-line MAR

• To view the administrations of a specific
  medication, touch the drop down arrow
• Select the med from the list
• To view a specific timeframe, touch the drop down
  arrow.
• Only administrations pertaining to the selected
  med and time frame will display

42
On-line MARChanging Documentation

• To change the documentation
• Select the administration that you want to edit
  the documentation by touching the underlined
  medication name
• Dose Detail Screen appears
• Change, add to, edit any of the fields. See
  earlier slide on Dose Detail Screen)

43
New ConceptLogging Out
44
Logging Out

• If you simply want to bring up a different
  patients record, select the New Patient
  button.
• If you are done using MedPoint, select Logout

45
New ConceptChanging Passwords
46
Changing Passwords

• A few words about passwords
• Try to make your password something you will
  remember
• You will be prompted to change your password
  every x days, before it expires, based on your
  hospitals chosen password duration time.
• REMEMBER KEEP IT TO YOURSELF Your log-in ID and
  password used together create your electronic
  SIGNATURE.

47
Changing Passwords

• Log in to MedPoint
• Select the Change Password button from the Menu
  Bar or the Password About to Expire warning
  screen

48
Changing Passwords

• Type in your OLD password
• Type in your NEW password
• Type in the NEW password again
• Select Change

49
The End

• Congratulations!!
• You have just completed the MedPoint MedAdmin
  Self Study Guide.
• Thank you!

50
Updates

• Med Admin has been updated to Version 3.5.
• Please review the Bridge Med Admin 3.5 update
  power point.