Eliminate EBM Administration Errors With Code Barcode Reading Technology
Legacy Health Systems (Legacy), a six hospital healthcare system in the Portland, Oregon area needed a solution to positively identify and match Expressed Breast Milk (EBM) to both mother and child. Having previously implemented a barcoded Bedside Medication Administration (BMA) process with Code’s wireless barcode readers, the infrastructure was in place for Code’s Application Engineering team to create an effective barcoded EBM verification solution, using Code's impressive purpose-built healthcare CR2000 series product line.
As part of their BMA process, patients admitted to a Legacy Health System hospital receive a unique bar coded patient identification wristband. Throughout the patient’s hospital stay, the barcode is read with a Code CR2600, or CR2700 series wireless barcode reader to positively identify a patient before medications are administered. Expectant mothers, in addition to a wristband, receive a sheet of matching barcode labels (master barcode labels) for placement on EBM bottles. The baby also receives a matching barcoded wristband upon arrival, and the unit floor station receives a matching barcode label sheet (verification barcode labels) as well. Once the mother expresses breast milk, she places a master barcode label on the bottle. The bottle is then removed from the patient room by a clinician and placed in refrigerated storage. Later, a clinician will retrieve the EBM bottle, scan the master barcode label that was placed on it, and then scans the verification barcode label the unit received when the mother was admitted. The Code Reader has been programed to beep once if it is a positive patient identification match, and three times if it is a negative patient identification match.
If the match is positive, the clinician will then follow the feeding schedule as prescribed and create individual smaller ounce EBM bottles, placing a label from the unit’s verification barcode label sheet on the new, smaller individual bottles. The bottles are then returned to refrigerated storage. At the time of feeding, the clinician retrieves the newly labeled EBM bottle and follows the hospitals’ BMA process. This includes, at bedside, logging into the Health Information System (HIS), scanning the baby’s barcoded patient identification wristband, followed by scanning the verification barcode label that was placed on the smaller EBM bottle. The HIS system will alert the clinician if the EBM matches, or does not match, the baby’s barcoded wristband to ensure the baby receives the correct mother’s breast milk.
To ensure clinicians are following the EBM verification process, supervisors are able to connect and download, via Bluetooth to retrieve each CR2600, or CR2700 scanner's workflow history. Clinicians scan a ‘check in’ bar code at the start of each shift, which indicates to the supervisor, the clinician on duty. In addition to check in history, the last eight EBM verification attempts, the results of each attempt and the length of time passed from check in to a verification attempt is available for download. The data allows supervisors to visually verify procedures are being followed.
Feeding a baby the wrong mother’s breast milk exposes the baby to potential health risks. Considering the number of feedings delivered and the multiple steps in handling EBM, more and more hospitals are recognizing the need of implementing a positive patient identification workflow to match EBM to both mother and child to eliminate the health risks.
Why Code Readers
- CR2000 Series CodeXML®
- M3 Modem Proprietary