Non Otc Herbal Supplements At The Same Time

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

My Butler University academic training and intern experience has positioned me to recognize and appreciate the essential role performed by the clinical pharmacist. Although sometimes transparent, it is the clinical pharmacist that is central to a patient’s ultimate successful recovery. This was evident during my clinical rotations, where I directly participated in the optimization of medication therapy to achieve patient-specific outcomes; it is for this reason I am impassioned and compelled to pursue a residency. As a PGY-1 resident, I plan to apply my clinical knowledge in the acute and ambulatory care settings to identify medication-related problems and make therapeutic recommendations in collaboration with other practitioners. Upon completion

Due to the large number of consumers being prescribed multiple medications, and the complexity of managing those medications, it is of a major safety concern that systems are in place for clinicians to reconcile patients medications to resolve any discrepancies in what the patient is using, or should be using, and newly added ones.

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.

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

I have spent my time as a student pharmacist learning about opportunities within clinical pharmacy and making certain that I was equipped with the knowledge and skills necessary to succeed. In my pursuit, I became an active member of pharmaceutical organizations, held multiple leadership positions, attended clinical conferences, established research projects, participated in community service events, and other initiatives. I excelled academically, which was manifested in not just a high academic standard but also in tutoring fellow classmates and arranging sessions with other pharmacy students to help them improve time management and study skills. I shadowed pharmacists and residents before my advanced pharmacy practice experiences commenced to discover which areas of clinical pharmacy I found intriguing. I have obtained valuable pharmacy practice experiences in five specialties thus far including inpatient internal medicine, long term acute care, geriatrics and telehealth, and primary care. Through these rotations, I built upon the knowledge I acquired from my didactic courses but also developed patient-centered approaches and strengthened my clinical skills. I enjoyed many aspects of my rotations, including contributing pharmacotherapy recommendations, providing patient education, attending rounds and interdisciplinary team meetings – all of which have solidified my desire

Human health and theIR quality of life have been improving in the past 100 due to changes in medicine and in public health (Mattes et al., 2013). Patients are placed on multiple medications at the same time and it important to understand their safety, efficacy, drug interaction, and toxicity (Mattes et al., 2013). As Mr. Cynthia Nurse practitioner, my job is to understand what affect her prescribing medication is having on her body. I have place Mrs. Cynthia on Lisinopril for her hypertension and metformin for her type II diabetes.

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.

Adverse drug events are the sixth leading cause of death in the United States and represent a significant financial burden to healthcare institutes at an estimated cost of $5.6 million per hospital per year (Meguerditchian N, Krotneva, Reidel, Huang, & Tamblyn, 2013). According to The Joint Commission (2006), medication reconciliation is the process of comparing a patient’s medication orders to all of the medications the patient has been taking. This reconciliation is done to identify and resolve medication discrepancies, which are unintended or unexplained

"Medication reconciliation is the process of comparing a patient's medication orders to all of the medications that the patient has been taking. This reconciliation is done to avoid medication errors such as omissions, duplications, dosing errors, or drug interactions. It should be done at every transition of care in which new medications are ordered or existing orders are rewritten. Transitions in care include changes in setting, service, practitioner, or level of care. (Barnsteiner, nd, p.1)

This is really an eye opener for me I realized that some doctors act on home medication list, and previous screening on allergy status, nurses take allergy information as least important thing which is supposed to be the crucial one for the patient. Patients are not sure what allergies are compared to sensitivity so they mention whatever they feel like without having reaction as an allergy. Overall, the pharmacists pay closer attention to allergy than any other healthcare professional. I observed a pharmacist refusing to verify an order until the nurses enter an allergy information for a patient. I learned that the physicians time are very important because they are very busy, the skill set on allergy issues, and how to conduct an interview. Essentially, we strive so hard to always do the best for our patients, but when we do make a mistake because we are human, it is very important that we take accountability and responsibility to protect ourselves and our

While this type of incident is common in the hospital as FDA reported that nearly 300,000 preventable adverse events occur in United States (U.S) hospitals and many of them are as a result of confusing medication information (FDA, 2009). This incident however caused a stir at ABC Hospital prompting the Board of Directors and Governing Council to convene an emergency meeting to discuss the challenge and how to prevent future

The pharmacist’s role is vital in Sue’s care and she has established that they help her manage her condition (Shawn McFarland et al., 2014). For instance she picks up her prescription from the pharmacy, and discovered that she had a new medication that the doctor prescribed. She asked the pharmacist if he could explain the medication to her. He gave her an easy to read pamphlet of her medication.

Prescription medication use is widespread, complex, and increasingly risky. Clinicians have access to an armamentarium of more than 10,000 prescription medications, and nearly one-third of adults in the United States take 5 or more medications. Advances in clinical therapeutics have undoubtedly resulted in major improvements in health for patients with many diseases, but these benefits have also been accompanied by increased risks. An adverse drug event (ADE) is defined as harm experienced by a patient as a result of exposure to a medication, and ADEs account for nearly 700,000 emergency department visits and 100,000 hospitalizations each year. ADEs affect nearly 5% of hospitalized patients, making them one of the most common types of inpatient errors; ambulatory patients may experience ADEs at even higher rates. Transitions in care are also a well-documented source of preventable harm

Counseling patients is extremely important; it allows pharmacists with the opportunity to better understand the health status of their patients. If a patient doesn’t know what, why or how to take their medication. We are the ones who help educate them. Better informed patients equates to better overall healthcare. If they are more medically literate before seeking our help, we can better assist them. As they begin to inquire more, it pushes health care providers to be more conscientious of their tasks. Greater care and consideration is taken when our patients can also hold us accountable. Encouraging patients to reach out with concerns or comments will benefit the pharmacist patient care process. For example, if the patient was able to identify that the drug name, though similar, were blatantly incorrect and brought it to the attention of her pharmacist they could have fixed it before the patient walked out the