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Alderwood is a 70-bed facility providing level 1 and 2 care to rural elderly residents in Cape Breton. Our aim is zero medication discrepancies to ensure safe transitions. Our dedicated team utilizes innovative strategies to improve medication reconciliation processes. Contact Brenda Nicholson, Director of Resident Care, for more information and excellent care services.
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Alderwood Rest Home Brenda Nicholson, Director of Resident Care
Who We Are: • 70 bed facility • We provide care to residents who require level 1 and 2 care • 70% of admissions per year(last year) • Population served approx.150,000 primarily rural residential elderly clients in Cape Breton
AIM Statement • To decrease the potential for medication discrepancies to zero on admission and during transfer from hospital
Team Members • Administrator, RNs, LPNs, Pharmasist, Physician, Dietician and Director of Care • Crucial in making med rec successful at Alderwood was the nurse coordinator, Pharmacist and Director of Care
Change Ideas • Using multiple sources for data collection • MARs, medical status report, sometimes pharmacy and family. Depending if the person is being admitted from home, hospital or another LTC home. • Start BPMH before the person arrives
Change Ideas • Use BPMH to get admission orders • Add forms to admission package
Results • At baseline we exceeded 6 discrepancies per resident admission • The last 4 admissions had ZERO discrepancies!
Lessons Learned • Physicians & nursing staff to be on board • Surprised at the number of discrepancies on admission • Quickly decreased the number of discrepancies but it took 8 months to reach goal • It is valuable to measure and use results to improve the reconciliation process
Challenges • Data entry was definitely a challenge for us at Alderwood. • Some Physician/Nurses were and are frustrated with the process and more so in acute care, as this is where we often see most of our potential errors. • Prescribing physician often not family physician
Currently • Nursing staff are starting to see the benefits of the BPMH: • it is time consuming prior to admission • preventing discrepancies/errors and rework
Next Steps • Work with DoCs to standardize routine med protocols • Reconcile medication on discharge • Need to consider appropriateness of medication
Thank you! Contact Information: Brenda Nicholson Alderwood Rest Home Baddeck , Nova Scotia Email: brenda.alderwood@hotmail.com Phone: 902 295-2644
