We are an EPIC system with Alaris pumps and went live with EHR-pump integration approximately 18 months ago. It came up recently that we actually have 2 active barcodes on our internally compounded IVs - the QR code on the patient label and the manufacturer barcode from the fluid bag. The concern is that if the RN scans the manufacturer barcode, the system might recognize it and run it as a fluid (and therefore at the wrong rate) if the patient has an order for that agent, despite the fact that drug has been added to the bag.

We have considered covering the manufacturer barcode of the fluid diluent with the patient label to prevent 2 active barcodes from being present, but this has proven difficult in practice, especially with 50 and 100 mL bags.

Has anybody else encountered this issue and implemented a resolution? Any ideas are welcome!!