Module 1- Concepts and terminology

Question 1

AM

Answer 1

Morning

Question 2

BID

Answer 2

Twice a day

Question 3

HS

Answer 3

Bedtime

Question 4

IM

Answer 4

IntraMuscular

Question 5

INH

Answer 5

Inhalation

Question 6

IV

Answer 6

Intravenous

Question 7

med rec

Answer 7

Medication reconciliation

Question 8

OTC

Answer 8

Over the counter

Question 9

PAML

Answer 9

Pre-admission medication list

Question 10

PM

Answer 10

Evening

Question 11

PRN

Answer 11

As needed

Question 12

SC (or SQ)

Answer 12

Subcutaneous

Question 13

A process of identifying the most accurate list of all medications a patient is taking and using this list to provide correct medications for patient anywhere within the health system 
— it is it is required at ALL transitions of care.
— the intent of medication reconciliation is patient safety.
— it should not be full from simply to fulfill a accreditation and or regulatory requirement(checking a box)
——— it is a requirement because it improves medication safety 

Answer 13

med rec

Question 14

A systematic process of interviewing the patient and or caregiver and reviewing at least two reliable sources of information to obtain and verify all of the patient’s medication 

Answer 14

BPMH- best possible medication history

Question 15

A former process in which healthcare providers work together with the patient to ensure accurate and comprehensive medication information is consistently access transition of care 

Answer 15

Medication reconciliation

Question 16

A complete and accurate list of all the medication a patient is taking created using at least two sources of information, including a client and our family interview

Answer 16

Best possible medication history, (BPMH)

Question 17

What is a best possible medication history in the first step?

Answer 17

The first step of BPMH possible in medication history is the medication reconciliation process

Question 18

A process of identifying the most accurate list of all medication a patient is taking… And using this list to provide correction medication for patient anywhere within health system

Answer 18

Medication reconciliation (med rec)

Question 19

Medication reconciliation steps: 4 steps

Answer 19

1-obtain
2-verify
3-reconcile
4-communicate

Question 20

-Complete an accurate and comprehensive list of patient’s medications.
-Medication names(including release forms, when applicable), strength or concentration, doses, routes of administration, frequencies, and indications.
-Document in medical record

Answer 20

Obtain

Question 21

-confirm accuracy of medication.
-Use at least two reliable sources

Answer 21

Verify

Question 22

-review current medications and decide which to continue, change, and /or discontinue
-Compare that list with new medication’s that have been ordered to identify and resolve discrepancy

Answer 22

Reconcile 

Question 23

-Relay the complete list of medication to others providers
-relay the complete list of medications to the patient when they leave the organizationcare 

Answer 23

Communicate

Question 24

Medication reconciliation process-
— hospital inpatient

Answer 24

1-Obtain BPMH identify and resolve discrepancy
2- Order admission medication via PAML
3- Medication changes during hospitalization
4-Discharge medication reconciliation
5-New home medication list 

Question 25

Medication reconciliation processed-inpatient

Answer 25

1-home medications new
2-obtain medication history and verify accuracy.
3-admission medication reconciliation.
4-medication changes during hospitalization.
5-discharge medication reconciliation.
6-discharge.
7-updated Home medication list.
a-medication education to patient or caregivers.
b-relay updated medication list to all the providers

Question 26

Medication history taking- example

Answer 26

Identifying and managing discrepancy in order

Question 27

Medication history taking identifying, and managing discrepancy in order:

Answer 27

Obtain.
Verify
Obtaining + verifying = taking a BPMH

Question 28

I complete an accurate list of the patients medication, including name, (including release forms when applicable), strengths, or concentration, doses, frequency, route of administration, and indications, document in medical record

Answer 28

Obtain

Question 29

Confirm accuracy with at least two reliable sources

Answer 29

Verify

Question 30

Best possible medication histories
-BPMH : a medication history created using:
1-
2-

Answer 30

1-systematic process of interviewing the patient and our caregiver, and
2- A review of at least two reliable sources of information, obtain and verify all of the patients medication (prescribe and non-prescribe )

Question 31

Best possible medication history(BPMH):

Answer 31

A- BPML: a medication history create using :
1-
2-
B- A complete documentation, including medication names, including weekly forms when applicable) strength /concentrations, doses, frequencies, route of administration, and indications
C- Critical to understand what the patient is actually taking vs what the patient is supposed to be taken i.e what is prescribed by the medical provider

Question 32

What is a systematic process??

Answer 32

• Methodical (Phuong Phap ) in procedure or plan

Question 33

What is a patient/or caregiver interview?

Answer 33

• speaking directly to the patient and or caregiver

Question 34

What are reliable sources?

Answer 34

1-source #1 - from patient such as:
-patient, family, member, or other caregiver
- home medication list provided by patient caregiver,
- medication container-pill, bottles, OTC bottle/, packages.
-Pillboxes/medication planner

Question 35

what are reliable sources?
— source # 2

Answer 35

From elsewhere:
-Discharge medication order from recent hospitalization
-Medication list/or notes from other providers
-Medication administration record, and/or medication order from other facility
-families or patient fill prescriptions
-Go potty prescription field data

Question 36

Components of a BPMH:

Answer 36

1-medication name:
— generic name are preferred
— critical to include release designation when a applicable to avoid medication errors
—-many different abbreviations for Extended -release dosage forms i.e ER,SR,DR, TR,, etc..

2-strength or concentration-example:
-50 mg capsule
- combination of - -medication (25 mg – 12.5 mg tablet)
-5mg/ml (concentration of medication in a specified volume of liquid)
-250mcg/50 mcg inhaler(combination of medication)
-75mcg/hour transdermal patches(I’m out of medication release overtime)

Question 37

Component of BPMH

Answer 37

1-medication name.
2-strength or concentration.
3- dose- —how much is the patient supposed to take? (5 mg, 100 µg, 50 mg./12.5 mg etc…..
4-route of administration( how does the medication get in?() the body.—eg. PO, IV, SC, I am, PR, INH , transdermal
5-Frequency— how often is the patient supposed to take the medication?
6-indication— what is the reason the medication has been prescribed ? eg. Diabetes, hypertension, heart, failure, constipation.ect..

Question 38

BPMH— additional information

Answer 38

1-medication allergies and other adverse drug reaction.
2-times of the day when each medication is taking.
3-most recent dose of each medication-
-Assist with determining when the next dose of medication will administer following admission
4-notes documented in the medication history about- e.g.l
— recent changes to medication
—-variation in how the patient is taking their medication vs. how the medication are prescribe
—-medication, adherence:
1-medication, adherence strategies utilize by the patient and or family or caregivers
2-adherence issue identify
5-prescriber name, and specialties
6-name of the pharmacies where prescription are filed

Question 39

Importance of an accurate and comprehensive BPMH

Answer 39

GARBAGE IN = GARBAGE OUT

Question 40

What is the output of the BPMH?

Answer 40

1-they BPMH process creates the pre-admission medication list (PAML)
2- the PAML it used by the providers to create admission medication orders.
3-error on the PA ML will result in errors in the admission medication orders
——-result in medication errors during hospitalization, as well as at discharge.

BPMH——>PAML—->ADMIISSION
MEDICATION ORDER

Question 41

A process of identifying the most accurate list of ALL medications a patient is taking and using this list to provide correction medication for patients anywhere with in the health system

Answer 41

What is med rec ? Medic reconciliation is :

Question 42

Do you help with the med rec —
The first step is asking the patient for his medication history and you want to do the highest quality work for obtain medication you take a BPMH patient what does that entail?

Answer 42

A systematic process of interviewing the patient and all caregiver and reviewing at list, two reliable sources of information to obtain and verify all of the patients medication’s 

Question 43

Conclusions:
What is the medication reconciliation process?

Answer 43

The med rec ( medication reconciliation process) is made up of the following steps:
1- Obtain,
2-verify,
3- reconcile, and
4-communicate

Question 44

Conclusions:

What is the critical first step in the medication, reconciliation process?

Answer 44

A BPMH is the critical first step in the medication reconciliation process

Question 45

In med rec what two reliable sources need involving process process BPMH involves with?

Answer 45

BPMH involves obtaining an accurate and comprehensive list of medication. A patient is taking using at least two reliable source of information patient and /or caregiver and elsewhere

Question 46

Conclusions:3-
What are the components of a BPMH includes:?

Answer 46

Components of a BPMH include medication name(including release forms, when applicable), strengths, or concentrations, doses, frequency, route of administration, and indication

Question 47

Conclusions: 4-
What are patient safety with medication reconciliation process?

Answer 47

The ability to safely continue patient’s home medication regiment in the hospital, and all the patient care setting rest is dependent upon an accurate and comprehensive BPMH

Question 48

Pr

Answer 48

Rectally