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Cristina: The process we have choosen is similar to yours. The nurses have up to 24 hours after an admission to collect as many of the home meds as possible. As soon as we have them all, or as close as it will ever get, we file our HOME MEDS intervention that will print an OA message to PHA to begin the reconcilation process. Our PHA techs have the first step. They go into NUR assessments, find their intervention, start checking the ordered meds and the home meds, if doses are different, if it has not been ordered, etc. Once they are done, the pharmacist edits this assessment and verifies the medications, these steps can take up to 24 hours, also. Once these meds are verified by the pharmacist, a trigger query will print out an NPR form that is in an order format, to the patient's location for the docs to review and check if they want to order the home med, or that a different dose has been ordered from what they are taking at home. They can then order a different dose, origina! l home med, etc., this form is then scanned to PHA for ordering. We have given ourselves a total of 48 hours to complete this process with the hopes of trimming it down as we get better. We are trialing this with three docs, will see how that goes, what changes need to be made, etc., before we roll it out for the rest. So the short answer to your question would be the charge nurses, nurses are responsible to get the meds from all sources, pharmacies, other physicians, etc., and we have up to 24 hours to do this!!... Hope this helps. Please feel free to contact me if you have any questions. Diane Diane Folsom, RNC Clinical Information System Specialist Sid Peterson Memorial Hospital Kerrville, Texas 830-258-7080 > -----Original Message----- > From: [EMAIL PROTECTED] [SMTP:[EMAIL PROTECTED] On Behalf Of Castillo, > Cristina > Sent: Monday, April 03, 2006 2:12 PM > To: [email protected]; [EMAIL PROTECTED] > Subject: [MEDITECH-L] Medication Reconciliation Process > > All messages should be posted in plain text. HTML will be converted to > attachments. The meditech-l web site is MTUsers.com > ====================================== > > 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] > This electronic message is intended only for the individual or entity to > which it is addressed and may contain information that is confidential > and protected by law. If you are not the intended recipient of this > e-mail, you are cautioned that use of its contents in any way is> > prohibited and may be unlawful. If you have received this communication > in error, please destroy it and notify the sender immediately by e-mail. > > > > _______________________________________________ > meditech-l mailing list > [email protected] > http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
