1 / 19

MEDICATION RECONCILIATION

MEDICATION RECONCILIATION. A Joint Commission Safety Goal. Patients are more at risk for experiencing medication errors during transition from one health care provider to another.

jroyals
Download Presentation

MEDICATION RECONCILIATION

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. MEDICATION RECONCILIATION A Joint Commission Safety Goal

  2. Patients are more at risk for experiencing medication errors during transition from one health care provider to another.

  3. It is critical that health care providers determine what medications a patient has taken and what medications are to be ordered whenever a patient is transferred from one health care provider to another.

  4. MEDICATION RECONCILIATION Medication reconciliation is the process of determining what medication a patient has been taking with a previous provider, when the last dose of a medication was taken by the patient, and what medication is be continued or discontinued by the receiving health care provider.

  5. Hospital Policy #120.04“Medication Reconciliation” • Hospital Policy #120.04 replaces Nursing Policy #220.00 and describes the hospital’s process for medication reconciliation. • This process involves registered nurses and physicians. • The process was developed to assure that all of the patient’s medications (including nutritional supplements, herbal products, vaccines and OTC meds) are reviewed and evaluated by the receiving physician prior to the patient being administered any medication at our hospital.

  6. Hospital Policy #120.04“Medication Reconciliation” • Medication Reconciliation should be completed at every transition of care in which new medications are ordered or existing orders are re-written. • Medication Reconciliation must occur when a patient returns from an outside health care provider (such as a stay in another hospital) that results in recommendations for changes in medications.

  7. Medication Reconciliation at Discharge Medication Reconciliation must also occur at the time of a patient’s discharge from the hospital to assure that an accurate list of current medications is given to the patient and/or family and is sent to the receiving provider.

  8. New Form for Medication Reconciliation There is a new form that will be in use beginning on August 15, 2012 to document the Medication Reconciliation process.

  9. Med Reconciliation at Admission and at Re-admission from Medical Leave • The RN shall review and verify pre-admission medications, including OTC medications, herbal preparations, vitamins, and nutritional supplements. This may necessitate calling the previous provider to verify by phone if there are any questions. • Verification of meds must also include determining the doses already taken during the day of admission.

  10. The RN shall record the medication, dose, route, frequency and last dose on the “Preadmission Medication List Verification and Medication Reconciliation” form within 4 hours of admission.

  11. The RN shall indicate the source(s) of the medication information in the space provided. The RN shall include any comments regarding the med history at the bottom of the form.

  12. The RN shall sign, date and time the form when it is ready for review by the physician.

  13. The admitting physician shall review the medications and complete the medication reconciliation form within 24 hours by checking or circling “C” for continue or “DC” for discontinue beside each medication.

  14. If the medication reconciliation is completed by phone with the physician, the RN will indicate the status of each medication by circling “C” or “DC” on the form as instructed by the physician. The RN will indicate in the comments section the name of the physician who completed the reconciliation, and the date and time of the phone call. The completed form will be placed in the doctor’s book for the OD or attending physician to sign within 24 hours.

  15. Entering Medication orders in Quadramed Following completion of the medication reconciliation form, the physician (or RN if completed by phone) shall enter the medication changes/orders in the electronic medication system.

  16. The “Preadmission Medication List Verification and Medication Reconciliation” form shall be filed in the patient record under the Physicians Orders tab, once it is completed and signed by the physician.

  17. Medication Reconciliation at the time of internal transfer from one unit to another Upon transfer of a patient from one unit to another within the hospital, the physician of the receiving unit shall complete a medication reconciliation within the electronic medication record, and shall print and sign the list of medications. This printed list shall be filed in the progress note section of the patient record.

  18. Medication Reconciliation at the time of discharge • At the time of discharge, a list of current meds shall be printed from the electronic medication record. • This list will be reviewed by the nurse and physician to assure it is correct and complete. • A copy of the discharge medication list will be given to the patient and/or family, along with discharge instructions. • A copy of the discharge medication list will also be faxed to the next provider of care on the day of discharge by the social worker or the RN (if the social worker is not on duty).

  19. You have completed the RSH inservice “Medication Reconciliation” Name: ___________________________ Date: ______________ Print , sign and date this slide and send to the Nursing Administration Office (Terry Slayback) to receive credit for this inservice.

More Related