Hi all,

While reviewing our BCMA compliance rates, clinician-initiated (additional) boluses for our PCA syringes (morphine, hydromorphone) are one of our highest non-compliant medications. The syringes are scanned when initially hung or changed.

The reasons are very understandable - the syringes are locked into the syringe module in Alaris, the barcode inaccessible due to how the syringe was loaded, or even if the barcode is visible, the plastic of the case is difficult to scan through.

We are currently investigating a few various solutions for this but are also willing to possibly remove the BCMA requirement for these additional PRN PCA bolus orders, given that we require a dual-sign off and BCMA when the syringe is actually loaded into the pump (and also when it's changed).

Is this a problem others have faced?