Transcript Provider Training for Electronic Medication

Using the CIS for
Medication Reconciliation
Inpatient Providers
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Medication Reconciliation
• A Joint Commission Patient Safety
Initiative with two goals:
– Review patient’s current medications on:
• Admission (Entry to Children’s)
• Transfer between levels of care and providers
• Discharge (Exit from Children’s)
– Give a complete list of medications to be
continued at home to the patient/family on
discharge.
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Process Overview
Admission/Transfer
Admission to Hospital
– Medication Intake Coordinator (MIC) documents current home
medications in the CIS Medication Profile. If there are questions,
Pharmacist reviews.
– Provider receives Medication Reconciliation alert after MIC
documentation/Pharmacy review.
– Provider reviews home medications and signs the Medication
Reconciliation form.
Transfer between Departments/Services
– Provider receives Medication Reconciliation alert.
– Provider reviews current and home medications then signs the
Medication Reconciliation form.
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Medication Reconciliation Worksheet
for Admissions – Part 1
• Print the Medication Reconciliation Worksheet as a reference tool
to assist you in:
– Reviewing the patient’s home medications
– entering the medication orders. (This is easier than toggling between
the Medication Profile and the Orders tab.)
• To access the Medication Reconciliation Worksheet:
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Medication Reconciliation Worksheet
for Admissions – Part 2
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Indicate on the worksheet which medications will be continued during the
hospital stay.
Open the CIS and complete the Provider Medication Reconciliation form.
(described later)
Order the patient’s medications in the CIS.
Give the worksheet to the admitting nurse so she/he can be aware of
which medications will not be given during the inpatient stay.
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Admission/Transfer
Medication Reconciliation Alert
The Medication Reconciliation alert displays when the
Provider opens the patient chart after admission or transfer.
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Admission/Transfer
Step 1: Open the Form
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Admission/Transfer
Step 2: Complete the Form
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Admission/Transfer
Step 3: Sign or Close the Form
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Process Overview
Discharge
Discharge from Inpatient (Exit to Patient’s
Home)
– Provider receives Medication Reconciliation alert after
entering an EasyScript home medication or Discharge
from Hospital stay order.
– Provider reviews patient’s medications for discharge
and updates the Medication Profile.
– Provider signs the Medication Reconciliation form.
– Nurse prints, reviews and gives the Discharge Home
Medication List to patient/family.
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Discharge
Medication Reconciliation Alert
The Medication Reconciliation alert displays when the provider
enters:
• An EasyScript for discharge medications
• The Discharge from Hospital Stay order
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Discharge
Step 1: Open the Form
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Discharge
Step 2: Complete the Form and Sign
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Discharge
Nurse Prepares the Discharge Home
Medication List
The Nurse:
1. Prints the Discharge Home
Medication List.
2. Reviews list and if any questions or
concerns, asks the provider to
address them.
3. Fills in times for Last Dose and
Next Dose
4. Gives list to patient/family.
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Key Points
1.
Review patient’s medications and complete the
Medication Reconciliation Form at
admission/transfer/discharge.
2.
To access the Medication Reconciliation Form: click
the Patient Care Activities tab, then the Med Rec
sub tab.
3.
On discharge, make sure the Current
Prescription(s)/Home Mediations accurately reflect the
medications the patient should be taking at home.
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