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UNIT NUMBER:READMISSION MEDICATION LIST VERIFICATION AND ORDER FORM (Medication Reconciliation) Allergies: LIST BELOW All the PATIENTS MEDICATIONS PRIOR TO ADMISSION INCLUDING OTC AND HERBAL MEDS
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How to fill out medication reconciliation and order

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How to fill out medication reconciliation and order

01
Start by reviewing the patient's previous medication orders and reconciling them with their current medication list.
02
Collect all necessary information about the patient's medications, including the name, dose, frequency, and route of administration.
03
Verify the accuracy of the medication information through patient interviews, consultation with healthcare professionals, and medication records.
04
Identify any discrepancies or gaps in the medication information and resolve them by contacting the prescribing physician or pharmacist.
05
Document the finalized medication list and include any changes or adjustments made during the reconciliation process.
06
Review the patient's medical history and any relevant clinical guidelines to ensure appropriate medication selection and dosing.
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Place medication orders based on the finalized list, taking into consideration any allergies, drug interactions, or contraindications.
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Communicate the medication orders to the appropriate healthcare professionals involved in the patient's care.
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Follow up with the patient to monitor the effectiveness and safety of the prescribed medications and make necessary adjustments if needed.
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Regularly update and maintain the medication reconciliation and order as the patient's condition or treatment plan changes.

Who needs medication reconciliation and order?

01
Medication reconciliation and order is essential for:
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- Patients who are transitioning between healthcare settings, such as from hospital to home or between different medical facilities.
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- Patients with complex medication regimens or multiple chronic conditions.
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- Older adults who may be taking multiple medications concurrently.
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- Patients who have experienced medication errors or adverse drug events in the past.
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- Any patient receiving care from multiple healthcare providers or specialists.
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Medication reconciliation is the process of creating the most accurate list possible of all medications a patient is taking, including drug name, dosage, frequency, and route. An order is a directive from a prescriber authorizing the dispensing or administration of a medication.
Healthcare providers, including physicians, nurses, and pharmacists, are required to file medication reconciliation and order for their patients.
To fill out medication reconciliation and order, healthcare providers need to review the patient's medication history, verify the accuracy of the information, make necessary updates, and document any changes made.
The purpose of medication reconciliation and order is to prevent medication errors, ensure patient safety, improve continuity of care, and optimize medication therapy.
The information reported on medication reconciliation and order includes the patient's demographic information, medication list (including prescription drugs, over-the-counter medications, and supplements), allergies, and any relevant medical conditions.
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