Ethical Considerations In Favor Of Prescription Transfer

In order to ensure the continuity of care when a service user is being transferred to another setting it is important that their medication is sent with them. The new care service may not have the necessary medication available to them so by sending the medication with the service user, you are ensuring that they receive the correct medication at the correct time. It is just as important that a copy of theMAR sheet is also sent with the person, as this will inform

Goal three by the National Patient Safety Goal for 2014 is to use medicines safely. Many errors occur regularly with medications which is why communication is so important with the doctors, nurses and patients. One process that Joint Commission requires in accredited HCO’s is medication reconciliation “creating the most accurate list possible off all medications a patient is taking, including drug name, dosage, frequency, and route, and comparing that list against the physician’s admission, transfer, and/or discharge orders with the goal of providing correct medications to the patients at all transition points within the hospital (Finkelman & Kenner, 2012, p. 388)”. Ensuring medication reconciliation to the patient, health providers and any new consults that are

The activity that I performed and relates to this outcome is medication reconciliation. I performed this activity in my IPPE-III class as a PS-III student. It was a mandatory activity, which I carried out in workshop in the group of 4 students. In this activity, we were given a patient case, which had list of all the medications that patient was taking and had patient’s demographic information. After reviewing patient’s given information, I had to interview a standardized patient and find out if the patient is taking all the medications as directed by prescriber or not. If patient is taking any other vitamins, herbal or OTC medications that is not on the list and also had to look out for if there is any discrepancy with the medications patient currently on for example, duplicate therapy, drug-drug interaction, incorrect frequency etc.

We (Individuals) do not want an individual in jury duty under the use of illegal dugs. But, what if the individual is actually under prescription drugs?

drugs can be potentially dangerous for a patient, particularly if they are receiving medications from different clinicians who are not communicating with each

The medication reconciliation process compares the medications taken by a patient prior to admission to a facility with medication orders at the facility. The Joint Commission (TJC), the accrediting body for health care organizations, stipulates that the medication reconciliation process must be completed within 24 hours of admission (Sentinel Event Alert, Issue 35, 2006). This process begins with compiling an accurate list of the patient's home medications which are also referred to as prior to admission (PTA) medications. At Poudre Valley Hospital, it is the job of the Pharmacy Admission Specialist (PAS) to compile and verify this list. The PAS must collect, record and communicate to the provider an accurate list of the patient's

There are many challenges during the process of medication reconciliation. Some patients are taking herbal supplements that they forgot to mention during the interview, some of them do not take all medications that are on their list for different reasons, and errors made during transfer of care reconciliation, are just a few examples how this problem is serious and can cause potential harm, even death in some cases.

Many patients are finding it more difficult to afford their prescription medications. Comparing health care expenditures in the United States, prescription drug costs rank third compared to hospital expenses and physician services (Omojasola, Hernandez, Sansgiry, & Jones, 2012, p. 479). The rising cost of prescription drugs is concerning to many patients. “The high out-of-pocket prescription drug cost is associated with medication non-adherence and adverse health outcomes” Omojasola, et al., 2012, p. 480).

R/s Kim is sending Kadyn to school with medication and it is against school policy. R/s last school year Kim was advised not to send medication with the child. R/s last week Kim sent the EpiPen and this week she sent Benadryl with Kadyn. R/s she called Kim on yesterday regarding the medication policy and Kim response was “okay.” R/s Kim gave permission for the school to change Kadyn’s clothes at school. R/s the school has clothes for Kadyn due to the strong odor. R/s Kadyn’s bookbag has to sit outside of the classroom because of the urine smell. R/s last year, they had the same issue with Rodney.

According to IMS Health (2015) over 4.3 billion prescription drugs were dispensed in the United States and Narconon (2015) reports that the decade ending in 2008 saw a four hundred percent increase in people seeking treatment for opioid addiction. Prescription drug abuse is an epidemic that transcends all socioeconomic boundaries in our society and is destroying lives, families, and whole communities, especially those most vulnerable; the physically and mentally ill. For one to better understand the full social implications of this issue, it is important to first review the history, impacts, and current debates around prescription drug abuse in the United States, and to then evaluate the connections that are formed by the culture, social roles, social inequalities, and social changes in our society.

A reminder: It is the clinician’s responsibility to keep the prescription locked into the safe at the end of the day.

The cost of medical care continues to increase, and for retired individuals on limited budgets the cost of medical care, especially prescription cost, can be staggering. I interviewed my hospital’s case manager, Nelda Peacock, to discuss the issues and concerns with this population, specifically in regards to medication costs. In addition, we explored resources and assistance available to the elderly.

The error was found after the vaccine was given and Ms. Lee had left the offices. The Ms. Dhabolt was going to enter the vaccination record into the online systems and the system wouldn’t allow it. The system flagged the entry because the Lot number on the vaccine did not match the pediatric Lot numbers. Both Dr. Gifford and the office manager, Christine Wilson was immediately contacted by Ms. Dhabolt and informed of the error.

During the site visit I was scheduled to do medication history with patients. In the morning of the site visit, I attended to the medication history lecture and this presentation was very beneficial, this lecture made me feel well prepared and apply these skills during actual patient medication history. In the afternoon of the site visit, I got an opportunity to do medication histories with actual patients. This visit helped me have a better understand the role of an institutional pharmacist relating to medication history and medication reconciliation and why medication reconciliation is very important for the pharmacists in institutional setting. Medication reconciliation is important for an institutional pharmacist because this is a process

According to the Institute for Healthcare Improvement, “Medication reconciliation is the process of creating the most accurate list possible of all medications a patient is taking — including drug name, dosage, frequency, and route — and comparing that list against the physician’s admission, transfer, and/or discharge orders” (Institute For Healthcare Improvement, n.d). This process includes three steps: collecting the medication history, ensuring that the medications and dosages are appropriate for the patient, and documenting the changes in the orders. This occurs when the patient is admitted, transferred and discharged from the hospital (Institute for Healthcare Improvement, 2011). The purpose is to avoid any duplications, incorrect