Transcript MedsCheck/MedRec poster at HealthAcheive

Linking MedsCheck and MedRec
An ISMP Canada MedsCheck/ Medication Reconciliation Pilot Project
Purpose
To facilitate the linkage of the MedsCheck program in
community pharmacies with the MedRec process in hospitals
across Ontario.
Coordination Process Flow Map
Adapted with Permission from Joseph Brant Memorial Hospital
Patient
scheduled for
surgery
Patient receives
pre-op package
from doctor
Nurse initiates MedRec by
confirming medications using
MedsCheck and creates the
Best Possible Medication
History (BPMH)
Day Surgery nurse
reviews medication
list with patient
on day of surgery
Patient makes appointment
with community pharmacist
for a follow up MedsCheck
Patient to be admitted
post-op, makes
appointment with
community pharmacist
for MedsCheck
Patient brings
MedsCheck /drug list
to Pre-op Planning
Clinic Appointment
Patient has surgery
and is scheduled for
discharge
BPMDP and post-op
prescriptions sent to
community pharmacist
MD reviews BPMH &
writes post-op orders
for home medications
MedRec at discharge to
reconcile discrepancies and
creates the Best Possible
Medication Discharge Plan
(BPMDP)
Institute for Safe Medication Practices Canada
4711 Yonge Street, Suite 501 • Toronto, ON M2N 6K8
416-733-3131 • 1-866-544-7672
www.ismp-canada.org • [email protected]
Linking MedsCheck and MedRec
An ISMP Canada MedsCheck/ Medication Reconciliation Pilot Project
Information for the Surgical Patient
What to do:
If you are having surgery and taking 3 or more chronic
medications arrange a MedsCheck with your community
pharmacist 1-2 weeks before your pre-admission clinic
appointment.
What to bring:
• The MedsCheck from your community pharmacy and a list of
your medications.
• Medication vials (prescriptions, puffers, eye drops, creams
herbals, vitamins)
Follow Up:
You are also eligible for a MedsCheck follow-up within 2 weeks of
hospital discharge.
Information for Community Pharmacy
If a patient calls for a MedsCheck appointment:
• ARRANGE the meeting 1-2 weeks before their pre-admission
clinic date.
• CONDUCT a MedsCheck and print two copies for the patient.
The patient should bring a copy of the medication list to the
pre-admission clinic appointment.
Information for Hospitals
•
TELL your patients to get a MedsCheck 1-2 weeks before
their pre-admission clinic appointment or within 2 weeks of
discharge from hospital.
•
ASK your patient for a MedsCheck when performing MedRec.
•
USE the MedsCheck as one of at least two sources of
information.
Institute for Safe Medication Practices Canada
4711 Yonge Street, Suite 501 • Toronto, ON M2N 6K8
416-733-3131 • 1-866-544-7672
www.ismp-canada.org • [email protected]