Bmv Learning Assessment
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Learning Assessment for the Implementation of Bedside Medication Scanning
- 1.Pharmacy enters a scheduled medication as BID, the physician's order reads "Daily." What are you required to do?
- A.
Call Pharmacy
- B.
Reject the ACK (Acknowledge) when checking the order
- C.
Enter a comment to best explain the reason for rejecting the order
- D.
All of the above
- 2.
- A.
Call the IT department
- B.
Click in the History portion of the medication to be undone
- C.
Select the administration to undo by highlighting from the history section
- D.
B only
- E.
Both B & C
- 3.
- A.
Admin schedule lists all of the scheduled times attached to a specific medication order
- B.
Administer will attach to the next due time
- C.
There is no difference
- D.
Both A & B
- 4.A patient is ordered insulin with sliding scale coverage. The finger stick is low and coverage is not indicated. Which steps should you take?
- A.
The nurse should scan the insulin and document 0 in the dose field
- B.
The nurse should document the insulin order as "Not Given" - with a reason code of "decreased blood sugar."
- C.
A co-sign is not indicated when a medication is documented as "Not Given."
- D.
There is no need to scan a medication that you are not giving
- E.
B, C, and D
- 5.The adjust dose field does not automatically display if insulin is not scanned. How do you locate the adjust dose field in a non-scanning situation?
- A.
Click on Admin Schedule - Click on Dose Instruction (Adjust dose screen will display)
- B.
Enter appropriate dose then click on Okay
- C.
Co-sign, if indicated
- D.
There is no adjust dose screen, it cannot be done
- E.
A, B, & C
- 6.During downtime, you will document medication administration on paper. After downtime has been restored, the medications given during downtime need to be reconciled on the eMAR. How do you do this?
- A.
Medications will be documented as "Not Given" - reason code "downtime administration."
- B.
The paper administration records used will remain on paper as part of the legal record.
- C.
The reconciliation of the eMAR must be completed prior to administration of medications via scanning
- D.
All of the above
- 7.When an order requires 2 tablets to be scanned, you are required to do which of the following?
- A.
Scan each tablet separately
- B.
Verify by viewing the screen that you scanned the correct dose
- C.
Confirm amount scanned is equal to amount ordered
- D.
Call the pharmacy for help
- E.
A, B, & C
- 8.An Override is considered an unverified order by Pharmacy and displays in eMAR as STK-MED
- A.
True
- B.
False
- 9.Overrides require a 2-step documentation process. Which of the following is the correct process?
- A.
Document against the override and call the physician
- B.
Document against the override as "Given" by scanning the medication
- C.
Document against the 2nd order entered by Pharmacy as Not Given - reason code "Previous Omnicell Override."
- D.
Document against the Unverified Override and do nothing else
- E.
Both B & C
- 10.If a medication is overdue, you are not required to scan the medication.
- A.
True
- B.
False
- 11.All medications should be scanned and prepared at the patient's bedside.
- A.
True
- B.
False
- 12.A patient in the X-Ray Department is requesting pain medication and you are notified. How do you document the medication administration?
- A.
Save the packaging and scan after the patient returns to the room
- B.
Administer the medication and document the medication manually without scanning
- C.
Tell the X-Ray Department staff member that the patient will have to wait since there is no scanning availability
- D.
Ignore the request
- 13.You are giving a 1700 scheduled dose of Zantac. The previous nurse has obviously documented incorrectly, because on your eMAR, the next time due on the medication list is tomorrow at 0900. What should you do?
- A.
You should document the medication as an Unscheduled Administration
- B.
Using Unscheduled Administration is a non-scanning function
- C.
A non-scanning function will not "automatically" latch onto the next scheduled time
- D.
The eMAR times will now be correct for the next dose (i.e., still shows 0900).
- E.
All of the above
- 14.You override the Omnicell for Lasix 40 mg IV. Your order is for 20 mg IV Push NOW. The medication flows over from Omnicell as Lasix 40 mg STK-MED and requires Acknowledgement. Should the nurse ACK the larger dose, and continue to administer or adjust the dose to 20 mg?
- A.
There is no smaller dose available from Omnicell, I will use the Adjust Dose function
- B.
Scan the larger dose and select the dose field to make necessary adjustments
- C.
Both A & B
- D.
None of the above
- 15.The ACK (Acknowledge) function on the eMAR requires that you verify the eMAR and the physician orders are the same.
- A.
True
- B.
False
- 16.Why would you NOT want to scan the medication if the "next time due" is the incorrect time?
- A.
Scanning will change the time
- B.
Scanning will automatically link the medication to the next time due (i.e., in this instance - the wrong time)
- C.
Scanning will wake up the sleeping patient
- D.
Scanning is the correct method and you should always scan the medication
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