Medication Reconciliation is defined by the Joint Commission as the process of checking and rechecking a patient’s current medication list to the patient’s orders. Within a MedRec program, three steps must be followed to ensure patients have the correct medications at admission and discharge: Verification, Clarification, and Reconciliation (Greenwald et
Medication reconciliation is defined as “ the formal process of obtaining, verifying, and documenting an accurate list of a patient’s current medicines on admission and comparing this list to the admission, transfer, and discharge orders, to identify and resolve discrepancies (Duguid, 2012). This is very important process for all parties involved. If we think about the admission process (let us assume that this patient is able to talk), there are many stressors that our patient is exposed at that time and sometimes that person is not able to verbalize and give us the list of all medications that he/she is taking. We also cannot rely on their family members as a source of such important information.
Why should you quit Nicotine? Do you smoke, Dip, Snort, or vape nicotine? If you answered yes to any of these questions, you should quit nicotine. There are so many reasons to quit consuming nicotine. Did you know nicotine can actually be used as a rat poison? Did you know one drop of liquid nicotine is enough to kill an infant to a child up to 7 years old? There’s no denying the fact that nicotine is poisonous to your body and should be avoided at all costs.
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
Single Study Comparison: Medication Reconciliation Discrepancies in patient’s medication reconciliation (MR) can have consequences that are potentially lethal. While many of these discrepancies are potentially avoidable, facilities are not utilizing all of the resources readily available. With evidence-based practice (EBP) guidelines in place it is possible to improve the medication reconciliation process, and provide safe care to patients across all transitions in healthcare. The purpose of this paper is to show improved medication accuracy, during the medication reconciliation process, through increased collaboration between Advance Practice Nurses (APN) and pharmacists.
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
1. Based on this information, what are your treatment goals for this patient? According to the conditions presented in the case study, it is important to treat the patient for the infection and also to help the patient quit smoking. As far as easing the exacerbations is concerned, antibiotic treatment is the best option. The long-term treatment can include the use of 250mg azithromycin on a daily basis for up to twelve months (Verduri et al., 2015). This treatment option is known to ease most of the bacterial infections and reduce the breathing problems as well as the obstruction faced by the patient due to the infection. Since the patient already uses the β2-agonist for the management of COPD, the infection induced complications can be managed
The process requires that individual resident medication list should be created prior to providing medical or nursing care. This involves accurate medications the residents are taking that include the medication name, route, dosage, and frequency to be administered. The steps for medication reconciliation process include, patient medication history validation, clarification that the ordered medication is suitable for that patient and resolution for any variation with the medication. The outcome measure of medication reconciliation processes are reduction in medication administration errors and patient safety (Whittich, Burkle, & Lanier,
Specific Need in this Environment Approximately "60% of medication reconciliation errors occur when patients are admitted, transferred to another unit, or discharged." (Haynes, 2007). Medication reconciliation
I work in a medical surgical area where we get lots of inpatient admissions and it is a challenge for nurses to keep an accurate medications list. When an elderly patient gets admitted she usually has no clue about the names of the medicines she takes, they mostly say I take three white pills in the morning and a blue pill at night. Obtaining the correct information about the medicines is very crucial for the continuity of care for the patient. When we get the incorrect information it alters the stability of care (Sluisveld, Zegers, Natsch, & Wollersheim, 2012). The initiation of medication reconciliation (MR) designed to avoid any errors on medications that patient is currently taking and to improve communication. But most of the time it gets complicated when we receive a new patient to our unit without having it updated like if the patient was previously got admitted for a surgery and the surgeon held Plavix during the hospital stay and never had it resumed upon discharge. It is the responsibility of the discharge nurse and also the physician to clarify the medicine before sending patient home. MR requires the help of the medical team in different levels including physicians, pharmacists and staff
The use of tobacco has become a global problem. Tobacco poses serious health issues to both kids and adults. People in today's society believe that the government has no right to take smoking away from the public. I think of it in a completely different way. First of all smoking is very expensive. These expenses don't just get payed by the people; non smokers also pay for people to smoke indirectly. They pay for people to smoke via public assistance. Second of all, smoking is extremely bad for your health. Smoking results in many health complications. Finally, smoking does not just risk the life of a smoker. Smoking will also harm the people around you.
I am writing to persuade you to quit smoking. The are two main overall issues that you should consider when smoking are health and financial. After you read this you will have all the reasons to quit smoking and no reason to not. First main problem with smoking is health
Smoking is a one of the major cause of increased mortality. More than 80% of smokers develop Chronic Obstructive Pulmonary Disease (COPD), making it one of the leading causes of death in the world (p.786). Smoking Cessation or quitting smoking is one of the most cost-effective ways to reduce the risk of COPD. The article “Evaluating the effectiveness of smoking cessation in the management of COPD” shows the various ways to control the disease by discontinuing the nicotine intake from smoking. The author explains that pharmacotherapy (nicotine replacement therapy) and nurses counselling conjointly can play an important role in the management of COPD.
To promote smoking cessation program New Zealand government has taken many initiatives, and nurses have pivotal role in the success of these initiatives. Culture of nursing plays very important role in patients’ health, so when nurse work with patient it is very essential to evaluate the cultural aspects of nursing in detail.
Topic: Smoking in Society Goal: I want to persuade my audience that smoking is a health risk to all of society and that smokers should be encouraged to quit.