ATTENTION A New Method for Medication Reconciliation at Admission Will Be Introduced on February 3rd
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1 ATTENTION A New Method for Medication Reconciliation at Admission Will Be Introduced on February 3rd Our new Pharmacy System and Meaningful Use require a new medication reconciliation method. The current version of Med Admission Order will be replaced after February 22 nd. Beginning February 3 rd, please begin to use and become familiar with the new medication reconciliation at admission process by clicking on the SCALE ICON, and be better prepared when the Med Admission order goes away on February 22 nd. Med Admission help and education: Review education document- ed to office and posted on SMH.COM physician resources. Call Dr. Reid to discuss this change, or schedule one on one or group education. Call Jim Grimes, Clinical Systems, for additional assistance at x1878. Clinical Systems Support will be stationed in MD lounge during lunch hours and will round on units. Unit based Pharmacist available to assist with education. Call Clinical Systems at x6107 for immediate assistance. Please Note: Med Admission Attestation (Alert) and Med Discharge Order will convert to the SCALE ICON in the Spring. 1
2 Orders Reconciliation Manager (New MED SCALE ICON Click on Order Reconciliation SCALE ICON on main toolbar. If the Admission Med Rec has not been done, the Admission(New) link will be Bolded. Click on the Admission(New) link This takes you to the Reconcile Orders work area. Green circle means the Nurse has verified home med list for this visit. Red Circle means the Nurse has not reviewed or entered the home med list for this visit. If home meds are displayed they are from previous admission. 2
3 Orders Reconcile Management Work Area Left column represents Home Medications (collected by Nurse or from previous admission) Right column represents Current Medications ordered for this hospital visit. Note: Current Medications column will be empty if there are no hospital medication orders at the time that you complete the Admission Reconciliation. 3
4 To Reconcile a Home Medication Click on the black dropdown arrow beside the medication (as pictured below) or you can right click on the medication and receive the same menu of options. Mouse over the continue as medication presented to you and follow the browse tree to desired medication, its dosage and frequency that you want to continue the patient on. If you do not see the drug option you want, you may also click on the Order Entry option. Or choose one of the other options: Needs Further Review, No Longer Taking, Review and Reconcile etc. Quick Tip: No Longer Taking will strike through the medication in the Home Medications list; this medication will not be available to you on Med Rec at Discharge. 4
5 Quick Review and Hold All Home Meds at one time Quick Tip: This will also allow you to reconcile the medications you want to continue, and then click the Mark All As Reviewed and Held on Admission icon to reconcile the remaining medications in which you do not want to continue on Admission for this patient. Upon completion of the Admission Reconciliation, the Home Medications that were reconciled will be sent to pharmacy as inpatient orders. 5
6 New Pharmacy Forms Education Example of Therapeutic Interchange Order Set (Therapeutic Substitution) Right click on the Medication or click on the black arrow to open the order menu. 6
7 The order set opens for you to select the correct dosage of the Therapeutic Interchange Need Help? Call Dr. Reid to schedule one on one education. Or call Jim Grimes of Clinical Systems for additional support at x1878. Clinical Systems Support will be stationed in MD lounge during lunch hours and will round on units. Unit based Pharmacist available to assist with education. Call Clinical Systems at x6107 for immediate assistance. 7
4. If needed Add a home medication, right mouse click over a medication and Modify or Cancel/Dc medications that are inaccurate.
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