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Using the CIS for Medication Reconciliation Inpatient Providers

Using the CIS for Medication Reconciliation Inpatient Providers. 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

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Using the CIS for Medication Reconciliation Inpatient Providers

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  1. Using the CIS forMedication ReconciliationInpatient Providers

  2. 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.

  3. Process OverviewAdmission/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.

  4. Medication Reconciliation Worksheetfor 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:

  5. Medication Reconciliation Worksheetfor Admissions – Part 2 • 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.

  6. Admission/TransferMedication Reconciliation Alert The Medication Reconciliation alert displays when the Provider opens the patient chart after admission or transfer.

  7. Admission/TransferStep 1: Open the Form

  8. Admission/TransferStep 2: Complete the Form

  9. Admission/TransferStep 3: Sign or Close the Form

  10. Process OverviewDischarge 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.

  11. DischargeMedication Reconciliation Alert The Medication Reconciliation alert displays when the provider enters: • An EasyScript for discharge medications • The Discharge from Hospital Stay order

  12. DischargeStep 1: Open the Form

  13. DischargeStep 2: Complete the Form and Sign

  14. DischargeNurse Prepares the Discharge Home Medication List • The Nurse: • Prints the Discharge Home Medication List. • Reviews list and if any questions or concerns, asks the provider to address them. • Fills in times for Last Dose and Next Dose • Gives list to patient/family.

  15. Key Points • Review patient’s medications and complete the Medication Reconciliation Form at admission/transfer/discharge. • To access the Medication Reconciliation Form: click the Patient Care Activities tab, then the Med Rec sub tab. • 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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