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ROYAL COLUMBIAN HOSPITAL 330 E. Columbia St, New Westminster Pharmacy: 6045204619
Fraser Health AuthorityPHATEST, MED REC
BD:05/06/1970
GND:F
AGE:46Y
PhD: 9878574984
Unit#:RC00003373DISCHARGE PRESCRIPTION
(Mere)Admitted:
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How to fill out medication reconciliation for discharge

How to fill out medication reconciliation for discharge
01
Here is a step-by-step guide on how to fill out medication reconciliation for discharge:
02
Start by collecting the patient's medication history from the electronic health record system or directly from the patient.
03
Verify the accuracy of the medication list and ensure it includes all current medications, including prescription drugs, over-the-counter medications, supplements, and herbal remedies.
04
Review the medication list with the patient to confirm its accuracy and update any missing or discontinued medications.
05
Document any medication allergies or adverse drug reactions reported by the patient.
06
Identify any discrepancies or conflicts between the medication list and the discharge orders.
07
Resolve any discrepancies by consulting with the prescriber or pharmacist to clarify medication orders or intentions.
08
Ensure proper documentation of changes made to the medication list and any instructions provided.
09
Communicate the updated medication list and reconciliation summary to the patient's primary care provider or community pharmacist.
10
Provide patient education on the importance of medication adherence and any changes made to their medication regimen.
11
Reconcile the medication list one final time before discharge to ensure accuracy and completeness.
Who needs medication reconciliation for discharge?
01
Medication reconciliation for discharge is needed for patients who are being discharged from a healthcare facility, such as a hospital, clinic, or long-term care facility.
02
It is specifically important for patients who have been on multiple medications, have chronic conditions, or are transitioning to a different care setting.
03
Medication reconciliation helps prevent medication errors, improves patient safety, and ensures continuity of care during the transition from the healthcare facility to the patient's home or another care setting.
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What is medication reconciliation for discharge?
Medication reconciliation for discharge is the process of ensuring that a patient's medication list is accurate and complete when they leave a healthcare facility. It involves comparing the medications the patient was taking before hospitalization with the medications prescribed at discharge and addressing any discrepancies.
Who is required to file medication reconciliation for discharge?
Typically, healthcare providers such as nurses, pharmacists, and physicians are responsible for filing medication reconciliation for discharge to ensure patient safety and continuity of care.
How to fill out medication reconciliation for discharge?
To fill out medication reconciliation for discharge, healthcare providers must gather a complete list of the patient's medications, review medications prescribed during the stay, identify any discrepancies, and ensure proper instructions are provided to the patient for medications at discharge.
What is the purpose of medication reconciliation for discharge?
The purpose of medication reconciliation for discharge is to prevent medication errors, ensure safe medication management, improve communication between healthcare providers and patients, and enhance the overall quality of patient care.
What information must be reported on medication reconciliation for discharge?
The medication reconciliation form must report the patient's complete list of medications (including dosages and frequencies), any changes made during the hospital stay, and detailed instructions for the patient regarding their medications upon discharge.
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