Reaction Paper On Medication Therapy Management

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

Byerly, W. (2009). Working with the institutional review board. American Journal of Health-System Pharmacy: AJHP: Official Journal Of The American Society Of Health System Pharmacists, 66(2), 176-184. Retrieved from http://library.kaplan.edu/content.php?pid=150035

It’s not simply the particular giving of the medications that fare up all the time. It is checking the medical record with the hand written prescriptions, grouping the varied medications and also the instrumentation for giving them, and ensuring all the patients safety measure are covered.

Medication administration is a very imperative aspect in the field of nursing. The patients’ five medication rights: right patient, right drug, right dose, right route and right time is a very crucial part of nursing that has to be followed in order to lessening the possibilities of medication errors. Medication distributions among patients coincide with implementing the nursing process: assessment, diagnosis, planning outcome and intervention, implementation and evaluation. The nursing process aids nurses to carefully provide the appropriate patient care when it comes to medication management. Many times even with the proper nursing care and techniques nurses encounter interruptions when preparing and administering medications. In a research article, a tertiary care university teaching hospital conducted an observational study where it was established how often nurses were involved in interruptions

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

As future pharmacists, we are going to face with not only the medications but also the patients, which the former ones are our tools while the latter ones are the people we use correct tools to care about. We are required to combine our pharmacy knowledge among medications with patients’ different health conditions to create the patient-centered care and provide the best outcomes. However, this care trend is in transition now, from professional-orientated to patient-centered.

Outcome measures assess whether the interventions to improve medication safety practice will be successful. During the interview of the new employee, competency evaluation related to medication administration will be applied first. In addition, during the orientation for these new employees, adequate training will be provided to ensure the importance of preventing medication errors. They will be given a list of similar and look-alike medications and will focus on medications that cause the most adverse reactions when errors may occur. Then, after training and when staff start working, they will be supervised during their first few months. When they are not supervised, they will be assessed and evaluated for any errors. During this process,

It is composed of actively practicing physicians, other prescribers, pharmacists, nurses, administrators, quality improvement managers, and other health care professionals and staff who participate in the medication-use process. The P&T committee should be responsible for overseeing policies and procedures related to all aspects of medication use within an institution. The P&T committee is responsible to the medical staff as a whole, and its recommendations are subject to approval by the organized medical staff as well as the administrative approval process. The P&T committee’s organization and authority should be outlined in the organization’s medical staff bylaws, medical staff rules and regulations, and other organizational policies as appropriate. Other responsibilities of the P&T committee include medication-use evaluation (MUE), adverse-drug-event monitoring and reporting, medication-error prevention, and development of clinical care plans and guidelines. The hospital’s internal policies follow all national standards for how the P&T committee should

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.

As part of my third-year pharmacy practice module which I study at the university of Huddersfield, I just finished a New Medicines Service (NMS) exercise. The aim of this exercise was for those involved to consider communication skills, adherence to medication taking and the application of the NMS. Those involved included pharmacy students in their first year of study and students in their third year of university, with the first years acting as patients and the third years acting as the pharmacist.

Pharmacists have many different responsibilities to their patients, these include promoting patient’s safety through checking the patient’s medication and keeping good records every time a patient fills a new prescription or refills prescription filled (Leagle, 1994). Pharmacists should also improve

Specialty pharmacy is based on the dispensing and managing medications based on the disease state. Some examples of this include but are not limited to cancer, HIV/AIDS, hemophilia, and immune disorders. Specific and continuous monitoring is required for many chronic conditions and generally there is a high cost for the use of certain medications. Specialty pharmacy plays a role in ensuring the best outcome for these conditions and the minimalization of adverse reactions. Some of the appealing aspects listed about these positions include being able to work with other fields or health professionals, spending a good portion of their time working with patients, and having a flexible schedule. The more negative aspects of this position include traveling, the amount of prescriptions processed, and some respondents stated there was low patient interaction. According to United Health Groups article The Growth of Specialty Pharmacy, due to new therapies and treatments spending on specialty pharmacy is growing by double digit numbers. In 2012 the spending on specialty drugs was estimated to be about $87 billion and it is suggested that spending is could increase to $400 billion by

A physician could make mistakes in prescribing, the pharmacy could send the wrong medication, but who actually gave it to the patient is accountable for the consequences. For this reason, it’s our responsibility to implement change in our practice based on the evidence in order to ensure safe patient care.

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

I am interested working in a health care delivery setting where my knowledge of drug therapy management, creating care plans and my direct and patient-centered care orientation as a pharmacist with my medical interpretation training of both Arabic and Somali languages and my cultural competence will add value in to the patient therapy outcome and in to the General wellness of the patient.