Bill, JCAHO Standard MM.6.10 (formerly TX.3.9) The effects of medication(s) on patients are monitored. The rationale for this standard is that monitoring helps to ensure that drug therapy is appropriate and adverse events are minimized. A patient's response to medication must be monitored according to the clinical needs of the patient, and actual or potential medication-related problems must be addressed. Monitoring includes consideration of the patient's perceptions about adverse effects and, when appropriate, perceived efficacy (e.g., pain relief after administration of an analgesic). Information from the patient's medical record, laboratory test results, clinical response, and the medication profile should be considered in monitoring a patient's response to medications. The organization should have a process for monitoring the response to the first dose of medications that are new to the patient while under the direct care of the organization. This requirement recognizes the higher likelihood of an adverse reaction to a medication that is new to a patient than to a medication that the patient has taken successfully in the past. It will require nursing staff to spend more time at the bedside after first doses. This standard does not apply to drugs given at discharge or drugs given to patients to be administered after they leave the facility. It also does not mean that the first dose of such drugs must be administered in the hospital or clinic.
Hope this helps, Paul Paul Goedicke IT Analyst III Jackson County Memorial Hospital 1200 E.Pecan, Altus, OK 73521 Phone: (580) 477-7485 Fax: (580) 477-7366 Email: [EMAIL PROTECTED] -----Original Message----- From: [email protected] [mailto:[EMAIL PROTECTED] Behalf Of Bill Mullins Sent: Tuesday, February 06, 2007 7:46 PM To: [EMAIL PROTECTED]; Meditech-L Subject: RE: [MEDITECH-L] Med - First Dose documentation I do not know this JCAHO standard, can someone tell me is this is required for all meds, even meds the patient has been on for years, or just a new med while in the hospital? How do you know it is a new med, maybe they took it before, but is not listed on their home meds list? _____ From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of jclarke Sent: Monday, January 29, 2007 9:34 AM To: Meditech-L Subject: [MEDITECH-L] Med - First Dose documentation Listserv Members - How do you accomplish documentation of Patient Education when the first dose of a medication is administered in the inpatient & outpatient setting? Thanks, Janet R. Clarke, RN BSN Nurse Informaticist Calvert Memorial Hospital Prince Frederick, MD 20678 office: 410.414.4816 fax: 410.414.4790 [EMAIL PROTECTED] ********************************************************************** This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. This footnote also confirms that this email message has been swept by Sophos and MIMEsweeper for the presence of computer viruses. ********************************************************************** _____ This email has been scanned by the JCMH McAfee Webshield appliance and has been cleared for delivery. If you have any concerns or questions, call the IT Helpdesk at x2646. The documents accompanying this transmission contain confidential information, belonging to the sender, that is legally privileged. This information is intended only for the use of the individual or entity named above. The authorized recipient of this information is prohibited from disclosing this information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any reading, disclosure, copying, distribution, or action taken in reliance on the contents of these documents is strictly prohibited. Violators may be prosecuted. If you have received this email in error, please notify the sender immediately and destroy the transmitted information.
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