The Counseling Requirements Of The Omnibus Budget Reconciliation Act Of 1990

When making the decision to prescribe there are a number of influence you have to consider. It is important to have an awareness of these influences and take them into consideration when issuing a prescription. It is importance to have knowledge of the DOH (2006) Medicines Matters this give guidance on the mechanisms available for prescribing and administration and supply of products. Team trends and external company’s and there representatives promoting their products have a big influence on your prescribing practice Bradley (2006) found that these influences were of concern to some nurses feeling that their colleague may ask them to prescribe for patients they haven’t seen. Thomas (2008)

There are several types of medication, each has a purpose and function needed for their administration via the different routes.

patients follow directions and be aware of potential interactions with other drugs. Don’t just change your dose without discussing with your doctor first. Never use another persons prescription.

During the discharge process, Mr. K was instructed to follow-up with his primary care provider. The inpatient team also gave Mr. K prescriptions for a new anti-hypertensive medication. Sadly, they did not provide any instructions about his previous anti-hypertensive drugs. As a result, Mr. K continued to take the old and the new anti-hypertensive medications. Since his next appointment was within three weeks, he decided to wait instead

Even so, physicians at Community Hospital may not yet be able to send a medication order to the pharmacy from their recommending device, because it has been recommended that their facility does not have the type of pharmacy information system that can support a CPOE. At the same time, this may cause a small issue, providers have taken it upon

Additionally, the facility should have a system in place that alerts the staff regarding high dosages. One way to alert the pharmacist would be via a computerized system that monitors the dispensing of all medications. The system should contain an up to date database for referencing medications. Also, the computerized system should have parameters set for alerting pharmacy and nursing staff for all high dosages. When taking cost into consideration, the facility might not have the feasibility to implement an entire computerized dispensing system that provides dosage alerts and cross check off of medications. To maintain patient safety with limited funds, the facility should have remote access to a pediatric pharmacy where all pediatric medications can be cross-checked and verified. If the facility was unable to have a pediatric pharmacist on staff, the remote access would provide a safety net for pediatric medication dispensing. In addition to the pharmacy staff having access to a computerized system, the physician should as well. Had the physician had computer access and been required to enter medication orders, the tenfold error could have been noted and not reached baby Miguel.

All EMS personnel must take into consideration the “Six Rights” of medications: Right person, Right drug, Right dose, Right time, Right route, Right documentation.

Our health care environment is faced with the patient safety issues, shortages on health and human resources, increasingly complex health care needs. Before coming to activity I expect that Interprofesional activity is a way of bringing all the perspectives of different healthcare professionals to improve patient safety. During the activity I found the role of a mental health counselor might treat a patient who has been the victim of domestic abuse, individuals struggling with poor self-esteem, helps individuals and families deal with difficult emotions, in a variety of settings, including schools, hospitals, private offices and clinics, and substance abuse treatment facilities. On the other hand, Pharmacists can play an active role in treating

This goal could be helped through having telephonic medication reminders, delivery of prescriptions to the client’s home and reminders when refills are due. Another short term goal would be that the client would be able to state the symptoms of an acute exacerbation. These symptoms include fatigue, shortness of breath, rapid heart rate, increased edema and excessive (Baltimore County Department of Health, 2008). The client should be taught to recognize these symptoms and seek care from the primary doctor if any of this issues begin to occur. These steps will help prevent the acute exacerbation and prevent a hospital

A Corrective Action Plan meeting was held on 8/3/15. Present during the meeting were Elena Briceno, Regional Director, People's Care, Dara Mikesell, Manager of Quality Assurance, Kristen Gener SG/PRC Service Coordinator, and Adriane Picazo, Manager of Client Services, RS1. Plan of Correction: A, Staff will dispense medications as prescribed by physician B, The Administrator arranged for staff to received medication training by a pharmacy on July 24, 1=2015, verification of this training was submitted on August 3, 2015. C, The Administrator will instruct the staff to continue following the present Medication Dispensing Protocol, which indicates that DSP A dispenses the medications and DSP B verifies the medications with the Medication Administration

When providing care patients should be able to rely on their current care attendant to be attentive and focused, while this isn't always the case. Some patients are learning the ins and outs of outsmart their doctors to gain access to the drugs that they are addicted too. According to Urgentcarenews.com there was recently a post on the internet by drug addicted paient that had created a step-by-step guide on how to scam Urgent Cares doctors. This six step plan created by a patient who scammed his urgent care facility is proof that patients can easily be given the drugs they crave accidently by these care centers. This six step plan includes the following; step one the patient makes an appointment or goes to a care facility most likely a doctor

• Standard 9.7 and 20.9 Controlled drugs should be given by care workers who have been trained and designated to do so. Another trained and designated member of staff should witness this process.

Nevertheless, the day started as all days did with responding to the needs of all the patients’ requests left on the nurse’s line. Then it happened, she got a message from a patient’s mother that the insurance company denied coverage of the medicines needed to assist in treating her child’s Attention Deficit Hyperactivity Distress (ADHD) symptoms. Without the medicine, the child could experience withdrawals and denied the right to attend school. Upon this type of notification, they understood that paperwork submission is required for to obtain prior authorization because the insurance company does not want to cover the astronomical expense of the stimulant medication. In this case, Medicaid was the insurance utilized by this child. For Medicaid to approve an expensive medication, they have a stipulation that states a patient must try at least two other stimulants with failure and the physician must provide medical justification to substantiate the necessary for the higher price medication. Since she was new to

My initial reaction to this situation is to not advise them to write a prescription for their patient to give to the woman nor would I advise them to visit the woman either. If possible, I would say to that instead the patient could try to convince the woman to visit them or another doctor to examine if she actually needs the drugs for her condition. In this circumstance I consider both the physical, resident, and the woman as the primary decision makers with the patient as the stakeholder. My primary ethical question is whether it is morally permissible to write a prescription for someone who is not your patient and is it right to pay them a visit at their home.

The person who prescribes the medication must be qualified to do so, for example a GP or nurse, they must make sure that they update themselves as required by any professional body that they might belong to. It is the prescriber’s responsibility to ensure that the person whom the medication is being prescribed for, fully understands what the medication is, why it is being prescribed, any side effects and any warnings that come with that medication. If the patient has any communication or learning difficulties, it is the prescriber’s duty to make certain that any assistance in understanding, is provided, for example an interpreter or large print.