1. EPIC Blood Administration Updates/Optimization
May 2013
Duly and Howell, 2013

2. Objectives: Verbalize the need now to scan three barcodes.
Describe the proper order of scanning.
Discuss the importance of charting from the EPIC MAR.
Explain the importance of completing “30-minute” Transfusion Reaction assessments from the EPIC Worklist screen.
Identify Discharge Education Requirement

3. You must scan them in the correct order as shown.
Scanning Changes
Need to Scan Three Barcodes:
First is the Unit Number
Second is the
Registration Number
3. Third is the Product Number
You must scan them in the correct order as shown.

4. Unit Number First Scan the Unit Number
After the first scan you will see the prompt below to scan the next barcode
Pop-up indicates your next step.
Do not click on cancel, just scan
the next barcode.

5. Registration Number Second Scan the Registration Number
After the second scan you will
see the prompt below to scan the next barcode

6. Linking Blood to Line
When the Select a Line appears during the scanning process.
Select a line in which the blood will be ran and click on “Link”

7. Verify the all numbers are noted in unit number box on the EPIC MAR
Product Number
Third Scan the Product Number
Verify the all numbers are noted in
unit number box on the EPIC MAR

8. Troubleshooting-Scanning Issue???
Do not delay care because you cannot scan, use the manual process!
If your barcodes do not scan correctly please manually enter the numbers from the Unit number and Product number.
You must enter the numbers in this displayed format with only using the Unit and Product numbers but not the Registration Number.
Do Not
Delay Care!
Unit number
Product number

9. Documentation Items on MAR Screen
Documentation of all required items except Transfusion Reaction can be done from MAR Screen.
So at the start of administration, after first 15 minutes, and at the stop of infusion, you need to access the
MAR Screen and document.

10. Accessing MAR Screen
To access the MAR Screen, choose the desired unit of blood if multiple units are running concurrently.
This will help keep information concerning each unit such as Start, Issue, Complete “date and times” items separate and easily accessible.
Double-click on the medication syringe and the Administration Warning will appear.

11. Administration Warning-What to Do??
Select the MAR action as appropriate for the clinical situation:
Rate/Dose Change
Rate/Dose Verify
Stopped

12. Worklist Document-Single Unit
When you select “Yes” on the “Start
Assessment Checks” item from the EPIC
MAR screen the Transfusion assessments
flows to Worklist documentation with
appropriate documentation times.

13. Worklist Document-Multiple Units

14. Discharge Education Requirement
Discharge Navigator and Patient Instruction
Use the Smart Text Box
During patient discharge documentation, the nurse will need to search
under Discharge-Patient Instructions then type in the Smart Text Box
“PH OP TRANSFUSION DISCHARGE INSTRUCTIONS”
and then choose “Accept”
so this information will be added patient’s discharge instructions.

15. Conclusion