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PATIENT NAME: PATIENT ID: PATIENT MEDICATION LIST The nurse will review this information with you during the admissions process. ALLERGIES (list all allergies, including food, latex, and medication
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How to fill out medication reconciliation - patient

01
Gather all the prescription and over-the-counter medications you are currently taking.
02
Include any vitamins, supplements, or herbal remedies that you regularly use.
03
Make a list of the medication names, dosages, and frequencies that you take.
04
Note any allergies or adverse reactions you have experienced with specific medications.
05
Bring this list with you to your healthcare provider's office or hospital when filling out the medication reconciliation form.
06
Be prepared to review and update your medication list regularly with your healthcare provider.

Who needs medication reconciliation - patient?

01
Patients who are taking multiple medications.
02
Patients who see multiple healthcare providers.
03
Patients who have recently been discharged from a hospital.
04
Patients who are undergoing a medication change or adjustment.
05
Patients who have a complex medical history or chronic conditions.
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Medication reconciliation - patient is the process of creating the most accurate list possible of all medications a patient is taking, and comparing that list against the physician's medication orders.
Patients are required to participate in and provide accurate information for medication reconciliation.
To fill out medication reconciliation - patient, patients need to list all medications they are currently taking including prescription drugs, over-the-counter medications, vitamins, and supplements.
The purpose of medication reconciliation - patient is to prevent medication errors, improve medication adherence, and ensure patient safety.
Information such as medication names, dosages, frequencies, route of administration, and who prescribed the medications must be reported on medication reconciliation - patient.
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