Tips and Tricks from VA Pharmacy Informatics 411
Contents
1. If you have an idea that would be helpful to others Please send an Outlook message to VHAPBH System Tips and Tricks Tip Contributed by Christine Edie IV Labels Not Available for BCMA Unraveling the Mystery What does it mean when IV labels are not available in BCMA What causes this An example Could you please look at this order The labels are not defaulting to available in BCMA for some reason MAGNESIUM SULFATE 4 GM NORMAL SALINE 250 ML Start 10 22 14 06 39 Stop 10 23 14 06 39 Schedule ONCE Orderable Item MAGNESIUM SULFATE INJ SOLN Select Item s Next Screen AL Activity Logs A ctivity L abel H istory I nstructions History Label Log Advance the screen ENTER until you see the information below Available Label Date Time Unique ID in BCMA Status Count BCMA Action Date Time 10 22 14 06 50 7244614V37 NO YES 10 22 14 06 54 7244614V38 NO YES 10 22 14 06 55 7244614V39 YES YES Response BCMA parameter settings control when IV labels are invalidated Changes in dose rate additive solution and frequency are examples of order changes that invalidate IV labels but not limited to those examples The BCMA availability of IV bags may be viewed using the Label Log action as in the example above All IV labels that have been invalidated are displayed in the label log file with NO in the Available in BCMA column Labels will not be available in BCMA under the following conditions When the status is Reprint Re2. cycled Destroyed or Cancelled When the action is Given Infusing Stopped or Completed When an Invalid Bag Event has occurred An Invalid Bag event occurs when both of the following conditions are met 1 A change is made to any IV order field that matches a BCMA IV Bag site parameter field that is set to Invalid Bag 2 IV labels were available for the order prior to the change Note Order changes may originate in Inpatient Medications or CPRS Tips and Tricks from VA Pharmacy Informatics 411 If an Invalid Bag event occurs the following information is displayed in VistA for the processing pharmacist after the edited order s status is changed to ACTIVE The edited field that triggered the IV bags to be invalidated The Date and time of each invalidated IV label The label ID of each invalidated IV bag The status of each invalidated IV bag The Count status of each invalidated IV bag The BCMA Action Date Time of each invalidated IV bag Local BCMA parameters are set to invalidate IV bags if there are edits changes to the designated fields after labels are printed Parameters can be set by facility division based on IV type and the default settings are highly recommended by the BCMA Workgroup Local changes are permitted however BCMA site parameter access requires the Bar Code Medication Administration Manager PSB MANAGER option as well as the PSB MANAGER key If yo
3. u do not have access to these menus please request the setting information from your local BCMA Coordinator Be sure and review for each division if more than one Saving a copy screenshot of current settings before making the changes is highly recommended Please refer to the VDL for additional information http www va gov vdl application asp appid 84 Response adapted from BCMA V 3 0 Manager s User Manual accessed 10 22 2014 Tips and Tricks found in this update have been reviewed by the Pharmacy Informatics 411 workgroup but are not officially approved Users should use caution when implementing any Tip and Trick and must follow all local policies and procedures Older Tips and Tricks postings can be found on the PBM Informatics Moodle site at Pharmacy Informatics Tips amp Tricks http vapharmacytraining remote learner net mod data view php d 123 amp advanced 0 amp paging amp page 1
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