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From my point of view, I'd prefer to see like-discipline communication when it goes 'outside' the walls of the Organization. I'd vote for hospital pharmacist to speak to local retail pharmacist to do the med rec if patient/family unable to provide the info.
Alan R. Baillargeon RN, BSN
Senior Clinical Analyst
Information Systems
(410) 620-3464
Pager (410) 378-0171
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| "Castillo, Cristina"
<[EMAIL PROTECTED]>
Sent by: [EMAIL PROTECTED] 04/03/2006 03:11 PM |
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Our Pharmacy and Nursing are kinda having a struggle on who should do
what. Currently, this is our process which we just implemented:
1. Nursing collects the Home Meds list during the admission process.
They also ask for the Pharmacy name and phone number.
2. The list gets printed thru a standard profile format report.
3. The report is shown to the physician where they can indicate whether
it is a DC or Continue.
4. It is then faxed to pharmacy to enter it in the system.
No Problem here.
Now, when nursing can't obtain the medication list either from patient
or family but somehow has the name of the pharmacy and the phone, they
feel that Pharmacy has to call the outside pharmacy, obtain the list
then enter it thru an NUR CDS. A trigger query will print an instruction
to the nursing unit to print the profile, then nursing does Step 3 and 4
as above. Pharmacy feels that Nursing should be calling the outside
Pharmacy and obtain the list themselves.
How much involvement does your Pharmacy have in the Medication
Reconciliation process? How does it work in your facility and would you
mind sharing your process? Thanks in advance!
Cristina G. Castillo, BSN, RN
Manager, Clinical Informatics
Pacific Alliance Medical Center
531 W. College St.
Los Angeles, Ca 90012
Ph: (213) 437-4214
Fax: (213) 617-9203
Email: [EMAIL PROTECTED]
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