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Providers Course 2 Participant Guide Med Reconciliation & Discharge ProcessCarolinas Healthcare SystemRevised June 2012Table of Contents 1. Enhanced Medication Reconciliation ___ 11 Introduction .........................................................................................................

How to fill out medication reconciliation at admission

How to fill out medication reconciliation at admission

1. Collect a complete list of all medications the patient is currently taking, including prescription medications, over-the-counter medications, and supplements.
2. Verify the accuracy of the medication list by cross-referencing with the patient's medical records, pharmacy records, and consulting with the patient or caregiver.
3. Document any allergies or adverse reactions the patient has experienced with medications in the past.
4. Review the medication list with the patient to ensure understanding and compliance.
5. Update the medication list in the electronic health record system for easy access by healthcare providers.

Who needs medication reconciliation at admission?

1. Patients who are being admitted to a healthcare facility such as a hospital, nursing home, or rehabilitation center.
2. Patients with complex medical conditions or multiple chronic illnesses who are on multiple medications.
3. Patients who have recently had changes in their medication regimen or have been hospitalized for a significant period of time.

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What is medication reconciliation at admission?

Medication reconciliation at admission is the process of creating the most accurate list possible of all medications a patient is taking, including drug name, dosage, frequency, and route of administration, and comparing the list against a physician's admission orders to identify any discrepancies.

Who is required to file medication reconciliation at admission?

Healthcare providers, including physicians, nurses, and pharmacists, are required to complete medication reconciliation at admission for their patients.

How to fill out medication reconciliation at admission?

To fill out medication reconciliation at admission, healthcare providers must gather information on the patient's current medications, verify the information with the patient or caregiver, and reconcile any discrepancies with the physician's orders.

What is the purpose of medication reconciliation at admission?

The purpose of medication reconciliation at admission is to prevent medication errors, improve patient safety, and ensure that the patient receives the correct medications during their hospital stay.

What information must be reported on medication reconciliation at admission?

The information reported on medication reconciliation at admission includes the patient's name, date of birth, allergies, current medications (including prescription, over-the-counter, and herbal supplements), dosages, frequencies, and routes of administration.