All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ======================================
Sue: We have been working with this for some time, and are still trying to get the buy-in from the physicians for the entire process to work. Here it is: The nurse (upon admit) gathers home med info from the patient. These queries are on a CDS, attached to the admit hx intervention. There is a query that asks: Is this list complete?". If "Y" it sends an OA message to pharmacy to begin the reconciliation process. Our pharmacy really stepped up to the plate and actually volunteered to be involved and is a major player in this process...the pharmacy techs compare the meds the physician ordered on admit and the home meds. Pharmacy personnel are in NUR and use an intervention called "PHARMACY ONLY- Home Meds" to start this. This intervention has all the home meds defaulted in from the nursing assessment. The techs answer the queries "ordered on admit" and/or "same dose" queries. This is then edited by a pharmacist and reviewed for accuracy, etc. Iatrics wrote an NPR report for us that prints an order form to the patient's location (upon the edit) that lists all the home meds that were not ordered on admit or a different dose. These order forms are put on the patient's chart for the docs to order, review and sign. Once the patient is discharged, we do have Patient Discharge Instructions from Iatrics that we use to print out the meds the patient has taken in the hospital and will get sent home with, along with home meds to continue or stop. That's it in a nutshell...of course the docs don't want to sign the order form, or go to the computer to print out the discharge instructions!!...The nurses do GREAT...but trying to figure out how to get the docs to do it is another matter entirely!!... If you have any questions, please don't hesitate to contact me. Thanks...have a great weekend!!.. Diane Folsom, RNC Clinical Information System Specialist Sid Peterson Memorial Hospital Kerrville, TX 78028 830-258-7080 -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Deepe, Sue Sent: Thursday, August 03, 2006 3:00 PM To: Dana Pfingstler; Meditech L Subject: RE: [MEDITECH-L] Home medication reconciliation All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Our process is almost entirely back on paper. Originally we were entering the home medications into Meditech, but since they only give you one text box to enter all of these medications, it does not flow like you need it to for the Medication Reconciliation Process. So, we stopped entering medications into Meditech for the time being, and we use a paper form to list the home medications on. We start when the patient is admitted to the ED or to the floor. Once the patient is admitted, if the medications have to be reconciled again because the patient has moved from unit to unit, then I do have a computer generated report that lists the patient's current medications being used in the hospital. The nurses like this and would like to do this on admission...but we have not found that doing it in Meditech to be helpful. Once again on discharge, we use a paper form to list all of the medications that the patient will be taking at home and list all of the new prescriptions that the patient will be adding to their current list. I would like to build a more seamless approach to this, but Meditech needs to build in some more fields to accommodate the Medication Reconciliation process. Sue Deepe Clinical Systems Analyst We are interested in learning how other facilities are reconciling home medications. We currently capture home meds on a nursing CDS but the reconciliation process is burdensome and not as effective as we would like it to be. Would anyone be interested in sharing their method for reconciling home medications at discharge? Thanks Hap Beckes Information Systems Director Sullivan County Community Hospital 2200 N. Section Street P.O. Box 10 Sullivan, IN 47882-0010 email: [EMAIL PROTECTED] phone: 812.268.2641 fax: 812.268.2650 _______________________________________________ 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 * Confidentiality Notice * This electronic message may contain confidential and legally protected information, intended only for the use of the individual or entity named in the message header. The authorized recipient of this information is prohibited from disclosing this information to any other party and is required to delete the electronic message after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this electronic message and/or any attachments is strictly prohibited. If you have received this communication in error, please notify the Sender immediately by telephone to Lenoir Memorial Hospital (252-522-7000) or by replying to this message and destroying all copies of this communication and any attachments. _______________________________________________ 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
