Medication Reconciliation Flashcards
Med Reconciliation
Process of creating and maintains the most accurate list possible of all medications and patient is taking and using that list to guide therapy
Includes drug name, dosage, frequency and route
Goals: prevent redundancies, interactions, knowledge deficits
Med Rec Process
Involve RN, MD and pharmazcists 5 steps Develop current list Develop list of Rx Meds Compare 2 lists Make clinical decision based Communicate with client and care givers
Should take place at every transition point
Med Reconciliation Discrepancies
- OTC med
- lack of education
- multiple providers
- individual patient factors
- health literacy
Med Rec Populations @ Risk
Pediatric clients > 4 meds
Geriatric clients with multiple health concerns
Clients receiving meds form more than one provider
Other strategies of Med Rec
Teach back method to endure client/family understands the meds
Use same pharmacy for ALL prescriptions
Be cautious with self-treatment (OTC, herbs, supplements, advice from friends/internet)