How to Fill Out the Admission Best Possible Medication History (BPMH) Tool

Size: px
Start display at page:

Download "How to Fill Out the Admission Best Possible Medication History (BPMH) Tool"

Transcription

1 How to Fill Out the Admission Best Possible Medication History (BPMH) Tool Medication Reconciliation On Admission Updated: August 21, 2014 Medication Reconciliation on Admission How to Fill Out an admission BPMH 1

2 Overview What is an admission Best Possible Medication History (BPMH)? The cornerstone of the MedRec process upon admission is to develop the BPMH. The admission BPMH is a single medication history/list that acts as the one source of truth which is shared and communicated across all disciplines for documenting the patient/resident s medication regimen prior to admission. The admission BPMH then becomes the reference point for: decisions to continue, discontinue, or modify the patient/resident s medication regimen upon admission; creating medication admission orders for the patient/resident once reviewed and signed by a prescriber; and determining the patient/resident s medication regimen upon external transfer/discharge To review the admission BPMH tool, please refer to Appendix A. To review an example of a completed admission BPMH tool is located in Appendix B. For guidance and tips on how to conduct a BPMH, please refer to the BPMH Interview Guide located in Appendix C. Medication Reconciliation on Admission How to Fill Out an admission BPMH 2

3 How To How to fill out a Best Possible Medication History (BPMH) This document will provide you with a step-by-step process of how to fill out an admission BPMH tool, broken down by each section/area of the tool. A copy of the admission BPMH tool in its entirety is found in Appendix A of this document. Information Sources Section: Ensure you affix the patient label to the upper right corner of each page Place check marks to indicate each of the sources used to complete the admission BPMH tool. Remember, ideally at least two sources should be used. Please see the following page for an explanation of the various information sources. Medication Reconciliation on Admission How to Fill Out an admission BPMH 3

4 Explanation of information sources: Patient Recall and/or Family Recall Medication Vials Bubble Pack/ Dosette MAR From other Facility This refers to interviewing the patient/resident and/or family using a systematic process. The aim is to identify the patient s actual use of medications. Wherever possible, try to interview the patient/ resident. Tip: An interview guide can be found in Appendix C of this document, and on CompassionNet. When patients/residents bring in their medication vials, use the Show and Tell Method. This means showing the patient/resident the vial/medication and asking open-ended questions about the medication. Ensure to check that the most recent pack has been provided and ask the patient if there have been any subsequent changes to it. Even if the patients/residents are unsure of their medications, keep them involved in the process. Sometimes patients/residents forget about a change until you ask them about a medication. Tip: Remember to ask about any additional medications not contained in the Bubble Pack. A Medication Administration Record (MAR) is applicable if it is current and accurate. This is available in the case of patients/residents arriving directly from another health care facility. Tip: Contact the facility or the facility s affiliated pharmacy if it is unclear whether it is a current MAR. Medication Discharge Plan Patient Home Medication List Alberta Netcare PIN Profile Pharmacy Ensure this is a recent plan. Double check with the patient to ensure the name of the facility and date of discharge. Tip: Additionally, the most recent discharge summary information may be already uploaded and available for viewing on Alberta Netcare, depending how recent the admission. It can be very helpful to have a home list. Confirm with the patient/resident that this list is up to date and reflects how the medications are actually being taken. Always print off a Netcare PIN Profile history for the past 6 months at minimum. Do not transcribe your BPMH list directly from this printout, because this may not reflect how the patient is actually taking their medications. Tip: It is best to proactively print out the PIN Profile before interviewing the patient/resident to use as a starting point for conversation. For information on the role of Alberta Netcare and PIN in MedRec,please refer to CompassionNet. This refers to the patient/resident s Community Pharmacy. Telephoning this pharmacy team can be a valuable resource for supplementing or clarifying information obtained from the patient/resident and/or Alberta Netcare PIN profile. Tip: Adding the telephone/fax number of the pharmacy contacted is helpful to ensure all care providers are clear which pharmacy was contacted. Medication Reconciliation Admission BPMH Interview Guide 4

5 How To Best Possible Medication History (BPMH) Section: Fill in the date and time your BPMH tool was completed. If there are no prescribed medications, check the No Prescribed home medications box. If the patient is taking prescription medications and/or prescribed Over the Counter (OTC) medications, record them in the space provided (Medication Name, Dose, Route and Frequency). Use Generic names. Note: the dose, route and frequency are written how the patient/resident is actually taking the medication. Immediately below the last entry, sign and indicate your designation. Self Prescribed (OTC) Medications Section: In the Self Prescribed (OTC) Medications section, you will write the medications a patient/resident is taking that were not prescribed (i.e. vitamins, herbals not prescribed by a prescriber). Comments Section: Use the comments section to inform the prescriber of any discrepancies, concerns or relevant additional information not captured elsewhere. Additionally, the comments section is a place to document how a medication was originally prescribed, if the patient/resident is currently taking any of the medications differently, and why. Medication Reconciliation on Admission How to Fill Out an admission BPMH 5

6 Prescriber Reconciliation Section: How To Using the Prescriber Reconciliation section, the prescriber will indicate whether to continue, discontinue or change a medication using a check mark in the appropriate box. If the prescriber is discontinuing or changing a medication, a reason for the change must be noted. If the prescriber is changing a BPMH medication, a new order must be written on the regular order sheets for the unit. Late Entries Note: The BPMH is not an order until the prescriber completes the prescriber reconciliation section, prints his/her name, the date, time and signs the document. Clerical staff may utilize the Copy to Pharmacy line to document the date and time the BPMH was scanned/sent to the inpatient pharmacy. Please ensure a copy of the completed tool is kept in the patient s chart. On the bottom right of the page, indicate the current page number as well as the total number of pages the BPMH will contain. If new information is learned about the patient/resident s preadmission medications after the initial BPMH is completed and signed, it is still important to capture this new information. Write a late entry on the BPMH tool itself. If there is room on the original BPMH, write Late Entry along with the name, dose, frequency and route of the medication, date, time and your signature. If there is no room, start a new Medication Reconciliation tool and renumber all associated pages. Additionally, write this information in the progress notes and notify the prescriber to address the discrepancy. Medication Reconciliation on Admission How to Fill Out an admission BPMH 6

7 Appendix A Best Possible Medication History (BPMH) Tool Medication Reconciliation Admission BPMH Interview Guide 7

8 Appendix B Completed Best Possible Medication History (BPMH) Example Medication Reconciliation Admission BPMH Interview Guide 8

9 Appendix C Interview Guide for Obtaining a Best Possible Medication History Introduction When you first meet a patient/resident, it is important to introduce yourself and state your profession; then ask if it would it be possible to discuss their preadmission medications with them (or a family member) and explain the rationale for this discussion. Example: Good morning. My name is Joan. I am a pharmacist working with the Family Medicine team and I am looking to gain a clear understanding of the medications you are currently taking at home. Would it be alright for me to ask you some questions about your medications, so I can create an accurate list for your chart? This will help the health care team make decisions about your care, and ensure none of your home medications are overlooked. Information Gathering Information gathering is a critical step to accurately obtaining a comprehensive list of the current and actual medications the patient/resident is taking. Be proactive and gather as much information as possible prior to seeing the patient/resident (i.e., Alberta Netcare Pharmaceutical Information Network (PIN) profile, copy of recent discharge summary, community pharmacy patient medication profile printout, etc.). Here are a few other tips to help you: When speaking with the patient/resident and/or family/caregiver: Avoid medical terminology, use simple terms. Ask open-ended questions Use medical conditions as a trigger to prompt consideration of appropriate common medications Use a show and tell method when they have their medications with them. How do you take your (medication name)? How often or when do you take (medication name)? Encourage questions from the patient Get details on PRN usage How often do you take this medication (i.e. in a day, week or month)? Collect information about dose, route and frequency for each drug. If the patient is taking a medication differently than prescribed, record what the patient is actually taking in the prescribed section, and note how it was prescribed in the comment section. Go through at least one other source (See Information Sources section of this document) and if you find there are any medications you did not already discuss, ask the patient about them. Medication Reconciliation Admission BPMH Interview Guide 9

10 Always Ask: Do you have your medication list or medication bottles/vials/dosette/bubble pack with you? Do you take any ASA (acetylsalicylic acid)? Do you take any over-the-counter medications (OTCs)? Do you take any vitamins/minerals/supplements/herbals? Do you use any: Eye drops Ear drops Nasal sprays Inhalers Medicated creams or ointments Medicated patches Injections Doctor Samples Recreational Drugs Have you used any antibiotics in the past 3 months? If so, what are they? (Put this information in the comments section on the BPMH) Are there any prescription medications you (or your physician) have recently stopped or changed and what is the reason for this change? Conclusion To conclude, thank the patient/resident and/or family/caregiver for their time and reassure them the importance of this process. Allow for questions and address any concerns and explain how you can be reached if issues arise after the interview (the manner in which they are instructed to contact you will differ based on your role and practice area). Example: Do you have any questions or concerns? If you think of anything else later, please notify your nurse who will contact me; I will be happy to update the information and/or answer any of your questions or concerns. Thank you so much for your time and for helping me to gather this important information for your care. Note: If new information is learned about the patient/resident s preadmission medications after the initial BPMH is completed and signed, it is still important to capture this new information. See Page 6 (Late Entries) for details. Adapted From Best Possible Medication History Interview Guide By: ISMP, Safer Healthcare Now and UHN Medication Reconciliation Task Force Medication Reconciliation Admission BPMH Interview Guide 10

Learner Manual. Document Best Possible Medication History (BPMH)

Learner Manual. Document Best Possible Medication History (BPMH) Learner Manual Document Best Possible Medication History (BPMH) Table of Contents Medication safety... 1 Medication errors impact everyone... 1 Who should obtain the BPMH?... 1 When is the BPMH obtained?...

More information

IHA Regional Pharmacy Best Possible Medication History Practice Standard

IHA Regional Pharmacy Best Possible Medication History Practice Standard IHA Regional Pharmacy Best Possible Medication History Practice Standard Section: None Origin Date: June 24, 2009 Number: None Reviewed Date: June 24, 2009 Revised Date: September 24, 2009 PRINTED copies

More information

Mental Health Pharmacist Education. Medication Reconciliation Patient Safety Initiative

Mental Health Pharmacist Education. Medication Reconciliation Patient Safety Initiative Mental Health Pharmacist Education Medication Reconciliation Patient Safety Initiative August 2015 Introductions Agenda MedRec Project Overview Project Structure Implementation/Dates MedRec Basics What

More information

Medication Reconciliation

Medication Reconciliation Medication Reconciliation The Care Transitions Network National Council for Behavioral Health Montefiore Medical Center Northwell Health New York State Office of Mental Health Netsmart Technologies Today

More information

Who s s on What? Latest Experience with the Framework Challenges and Successes. November 29, Margaret Colquhoun Project Leader ISMP Canada

Who s s on What? Latest Experience with the Framework Challenges and Successes. November 29, Margaret Colquhoun Project Leader ISMP Canada Who s s on What? Latest Experience with the Framework Challenges and Successes November 29, 2005 Margaret Colquhoun Project Leader ISMP Canada 1 Outline ISMP Canada Partnership with SHN The Canadian Getting

More information

Pharmacological Therapy Practice Guidance Note Medicine Reconciliation on Admission to Hospital for Adults in all Clinical Areas within NTW V02

Pharmacological Therapy Practice Guidance Note Medicine Reconciliation on Admission to Hospital for Adults in all Clinical Areas within NTW V02 Pharmacological Therapy Practice Guidance Note Medicine Reconciliation on Admission to Hospital for Adults in all Clinical Areas within NTW V02 V02 issued Issue 1 May 11 Issue 2 Dec 11 Planned review May

More information

MMPR034 MEDICINES RECONCILIATION ON ADMISSION TO HOSPITAL PROTOCOL

MMPR034 MEDICINES RECONCILIATION ON ADMISSION TO HOSPITAL PROTOCOL MMPR034 MEDICINES RECONCILIATION ON ADMISSION TO HOSPITAL PROTOCOL 1 Table of Contents Why we need this Protocol...3 What the Protocol is trying to do...3 Which stakeholders have been involved in the creation

More information

Section 2 Medication Orders

Section 2 Medication Orders Section 2 Medication Orders 2-1 Objectives: 1. List/recognize the components of a complete medication order. 2. Transcribe orders onto the Medication Administration Record (MAR) correctly use proper abbreviations,

More information

All Wales Multidisciplinary Medicines Reconciliation Policy

All Wales Multidisciplinary Medicines Reconciliation Policy All Wales Multidisciplinary Medicines Reconciliation Policy June 2017 This document has been prepared by the Quality and Patient Safety Delivery Group of the All Wales Chief Pharmacists Group, with support

More information

St. Michael s Hospital Medication Reconciliation Learning Package

St. Michael s Hospital Medication Reconciliation Learning Package St. Michael s Hospital Medication Reconciliation Learning Package What is Medication Reconciliation? A formal process which begins with obtaining a complete and accurate list of each patient s home medications

More information

MINNESOTA. Downloaded January 2011

MINNESOTA. Downloaded January 2011 MINNESOTA Downloaded January 2011 4658.1300 MEDICATIONS AND PHARMACY SERVICES; DEFINITIONS. Subpart 1. Controlled substances. "Controlled substances" has the meaning given in Minnesota Statutes, section

More information

2. Short term prescription medication and drugs (administered for less than two weeks):

2. Short term prescription medication and drugs (administered for less than two weeks): Medication Administration Procedure This is a companion document with Policy # 516 Student Medication To access the policy: click on Policies (under the District Information heading) The Licensed School

More information

NOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.

NOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section. TITLE MANAGEMENT OF PATIENT S OWN MEDICATIONS SCOPE Provincial: Inpatient Settings, Ambulatory Services, and Residential Addiction and Detoxification Settings APPROVAL AUTHORITY Clinical Operations Executive

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Medicines Reconciliation Policy and Procedure for Adult and Paediatric Patients

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Medicines Reconciliation Policy and Procedure for Adult and Paediatric Patients The Newcastle upon Tyne Hospitals NHS Foundation Trust Medicines Reconciliation Policy and Procedure for Adult and Paediatric Patients Version.: 2.0 Effective From: 15 March 2018 Expiry Date: 15 March

More information

Derbyshire Medicines Management on behalf of Southern Derbyshire CCG, Erewash CCG, North Derbyshire CCG & Hardwick CCG

Derbyshire Medicines Management on behalf of Southern Derbyshire CCG, Erewash CCG, North Derbyshire CCG & Hardwick CCG Derbyshire Medicines Management on behalf of Southern Derbyshire CCG, Erewash CCG, rth Derbyshire CCG & Hardwick CCG CCG Position Statement on the Supply of Multi-Compartment Compliance Aids (MCAs) There

More information

Best Practice Guidance for GP Practices, Community Pharmacists and Care Home Providers

Best Practice Guidance for GP Practices, Community Pharmacists and Care Home Providers Medicines Management in Care Homes Best Practice Guidance for GP Practices, Community Pharmacists and Care Home Providers 1. Communication The care home manager, community pharmacist and GP surgery should

More information

MEDICATION POLICY FOR DOMICILIARY CARE IN CEREDIGION

MEDICATION POLICY FOR DOMICILIARY CARE IN CEREDIGION MEDICATION POLICY FOR DOMICILIARY CARE IN CEREDIGION Authors Ceredigion Social Services Ceredigion Local Health Board Date of publication Review Date Final Version 1 01.12.08 LOGOS 1 1. INTRODUCTION These

More information

SELF - ADMINISTRATION OF MEDICINES AND ADMINISTRATION OF MEDICINES SUPPORTED BY FAMILY/INFORMAL CARERS OF PATIENTS IN COMMUNITY NURSING

SELF - ADMINISTRATION OF MEDICINES AND ADMINISTRATION OF MEDICINES SUPPORTED BY FAMILY/INFORMAL CARERS OF PATIENTS IN COMMUNITY NURSING CLINICAL PROTOCOL SELF - ADMINISTRATION OF MEDICINES AND ADMINISTRATION OF MEDICINES SUPPORTED BY FAMILY/INFORMAL CARERS OF PATIENTS IN COMMUNITY NURSING RATIONALE Medication errors can cause unnecessary

More information

Optimizing Medication Safety in Maryland Assisted Living Facilities. Panel Discussion Moderated by: Nicole Brandt, PharmD

Optimizing Medication Safety in Maryland Assisted Living Facilities. Panel Discussion Moderated by: Nicole Brandt, PharmD Optimizing Medication Safety in Maryland Assisted Living Facilities Panel Discussion Moderated by: Nicole Brandt, PharmD 11 Objectives At the end of this knowledge based activity, the participants should

More information

University of Wisconsin Hospital and Clinics Medication Reconciliation Education Packet

University of Wisconsin Hospital and Clinics Medication Reconciliation Education Packet Medication Reconciliation Education Objectives Purpose: The following learning objectives will be presented and evaluated with regard to the process of medication reconciliation. The goal is to provide

More information

Pharmacy Medication Reconciliation Workflow Emergency Department

Pharmacy Medication Reconciliation Workflow Emergency Department Objectives of the Pharmacy Forum Page To become familiar with EPIC functionalities used in prior to admission (PTA) medication reconciliation (Section 1) 2 7 To understand the pharmacy technicians role

More information

Procedure to Allow Nursing Staff to Dispense Leave and Discharge Medication

Procedure to Allow Nursing Staff to Dispense Leave and Discharge Medication Procedure to Allow Nursing Staff to Dispense Leave and Discharge Medication Version 2 minor update June 2013 Procedure Number Replaces Policy No. Ratifying Committee N/a PPPF Date Ratified April 2009 Minor

More information

Medicine Management Policy

Medicine Management Policy INDEX Prescribing Page 2 Dispensing Page 3 Safe Administration Page 4 Problems & Errors Page 5 Self Administration Page 7 Safe Storage Page 8 Controlled Drugs Best Practice Procedure Page 9 Controlled

More information

NOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.

NOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section. TITLE MEDICATION ORDERS SCOPE Provincial APPROVAL AUTHORITY Clinical Operations Executive Committee SPONSOR Provincial Medication Management Committee PARENT DOCUMENT TITLE, TYPE AND NUMBER Not applicable

More information

Medication Reconciliation: Using Pharmacy Technicians to Improve Care. Becky Johnson, CPhT Megan Ohrlund, PharmD Steve Finch, RPh

Medication Reconciliation: Using Pharmacy Technicians to Improve Care. Becky Johnson, CPhT Megan Ohrlund, PharmD Steve Finch, RPh Medication Reconciliation: Using Pharmacy Technicians to Improve Care Becky Johnson, CPhT Megan Ohrlund, PharmD Steve Finch, RPh Objectives Evaluate the medication reconciliation process and evidence for

More information

ADMINISTRATIVE PROCEDURES

ADMINISTRATIVE PROCEDURES Batch #4, Redline Edits SHELTON SCHOOL DISTRICT ADMINISTRATIVE PROCEDURES Policy No. 3416P Series 3000 (Students) Page 1 of 8 PROCEDURE - MEDICATION AT SCHOOL Under normal circumstances prescribed or oral

More information

Medication Reconciliation: Using Pharmacy Technicians to Improve Care. Objectives THE BASICS AND USING TECHNICIANS 3/22/2017

Medication Reconciliation: Using Pharmacy Technicians to Improve Care. Objectives THE BASICS AND USING TECHNICIANS 3/22/2017 Medication Reconciliation: Using Pharmacy Technicians to Improve Care Becky Johnson, CPhT Megan Ohrlund, PharmD Steve Finch, RPh Objectives Evaluate the medication reconciliation process and evidence for

More information

PACKAGING, STORAGE, INFECTION CONTROL AND ACCOUNTABILITY (Lesson Title) OBJECTIVES THE STUDENT WILL BE ABLE TO:

PACKAGING, STORAGE, INFECTION CONTROL AND ACCOUNTABILITY (Lesson Title) OBJECTIVES THE STUDENT WILL BE ABLE TO: LESSON PLAN: 7 COURSE TITLE: UNIT: II MEDICATION TECHNICIAN GENERAL PRINCIPLES SCOPE OF UNIT: This unit includes medication terminology, dosage, measurements, drug forms, transcribing physician s orders,

More information

MEDICINES RECONCILIATION GUIDELINE Document Reference

MEDICINES RECONCILIATION GUIDELINE Document Reference MEDICINES RECONCILIATION GUIDELINE Document Reference G358 Version Number 1.01 Author/Lead Job Title Jackie Stark Principle Pharmacist Clinical Services Date last reviewed, (this version) 29 November 2012

More information

Fettle house Procedure for self medication

Fettle house Procedure for self medication Appendix 1 Fettle house Procedure for self medication As a rehabilitation unit one of our most important roles is to prepare clients to the best of their ability to manage their medication. Each individual

More information

Workbook Describe pre-packaged medication and the process for its use in a health or disability context

Workbook Describe pre-packaged medication and the process for its use in a health or disability context Workbook Describe pre-packaged medication and the process for its use in a health or disability context US 23685 Level 2 Credits 2 Name Contents Before you start... 4 What is medication?... 7 Pre-packaged

More information

As we ll discuss below, the setting will determine the extent of the PSW role. However, as a PSW, you should have been taught to do the following:

As we ll discuss below, the setting will determine the extent of the PSW role. However, as a PSW, you should have been taught to do the following: What is a PSW s Role in Medication? The rules for a PSW monitoring and assisting their clients with medication are often misunderstood. This Fact Sheet provides information to help clarify the PSW role

More information

Administration of Oral Prescription Medication Procedure Page 1 of 6

Administration of Oral Prescription Medication Procedure Page 1 of 6 Page 1 of 6 RATIONALE: Hamilton-Wentworth District School Board is committed to ensuring the provision of plans, programs, and/or services that will enable students with health or medical needs to attend

More information

Go! Guide: Medication Administration

Go! Guide: Medication Administration Go! Guide: Medication Administration Introduction Medication administration is one of the most important aspects of safe patient care. The EHR assists health care professionals with safety by providing

More information

Monitoring Medication Storage & Administration

Monitoring Medication Storage & Administration Monitoring Medication Storage & Administration Objectives Review F-Tags pertaining to medication management Discuss proper medication storage and administration Understand medication cart and medication

More information

Reducing medicines waste in Care Settings.

Reducing medicines waste in Care Settings. Reducing medicines waste in Care Settings. Good practice Guidance Recommendations for care home staff, prescribers and pharmacists working with care homes. This good practice guidance has been developed

More information

Managing medicines in care homes

Managing medicines in care homes Managing medicines in care homes http://www.nice.org.uk/guidance/sc/sc1.jsp Published: 14 March 2014 Contents What is this guideline about and who is it for?... 5 Purpose of this guideline... 5 Audience

More information

STUDENT PERSONNEL MEDICATION POLICY ADMINISTRATIVE PROCEDURES

STUDENT PERSONNEL MEDICATION POLICY ADMINISTRATIVE PROCEDURES STUDENT PERSONNEL MEDICATION POLICY ADMINISTRATIVE PROCEDURES Procedures for Implementation of Medication Administration A. All administration of medication must be under the general supervision of a Licensed

More information

Getting Started Kit MEDICATION RECONCILIATION IN ACUTE CARE. Version 4. Reducing Harm Improving Healthcare Protecting Canadians.

Getting Started Kit MEDICATION RECONCILIATION IN ACUTE CARE. Version 4. Reducing Harm Improving Healthcare Protecting Canadians. Reducing Harm Improving Healthcare Protecting Canadians MEDICATION RECONCILIATION IN ACUTE CARE Getting Started Kit Version 4 Marc h 2017 w w w.patientsafetyinstitute.c a This Getting Started Kit has been

More information

MAR/MEDICATION AUDIT NAME NAME NAME

MAR/MEDICATION AUDIT NAME NAME NAME MAR/MEDICATION AUDIT NAME NAME NAME DATE Copies of all current prescriptions in file (correlate with MAR, Meds on hand and Healthcare Communication Forms) MAR reflects current correct medications, correct

More information

Patients Own Medications Policy

Patients Own Medications Policy Department of Health and Human Services SYSTEM PURCHASING AND PERFORMANCE - MEDICATION STRATEGY AND REFORM SDMS Id Number: Patients Own Medications Policy Effective From: June 2014 Replaces Doc. No: Custodian

More information

Policy Statement Medication Order Legibility Medication orders will be written in a manner that provides a clearly legible prescription.

Policy Statement Medication Order Legibility Medication orders will be written in a manner that provides a clearly legible prescription. POLICY POLICY PURPOSE: The purpose of this policy is to provide a foundation for safe communication of medication and nutritional orders in-scope, thereby reducing the potential for preventable medication

More information

POLICIES AND PROCEDURES. Pharmacy Services for Nursing Facilities

POLICIES AND PROCEDURES. Pharmacy Services for Nursing Facilities POLICIES AND PROCEDURES Pharmacy Services for Nursing Facilities Contents I. GENERAL POLICIES AND PROCEDURES A. Organizational Aspects 1. Provider Pharmacy Requirements... 1 2. Consultant Pharmacist Services

More information

A Discussion of Medication Error Reduction Strategies

A Discussion of Medication Error Reduction Strategies A Discussion of Medication Error Reduction Strategies By: Donald L. Sullivan, R.Ph., Ph.D. Program Number: 071067-011-01-H05 C.E.U.s: 0.1 Contact Hours: 1 hour Release Date: 4/1/11 Expiration Date: 4/1/14

More information

Medicines Management in the Domiciliary Setting (Adults)

Medicines Management in the Domiciliary Setting (Adults) Medicines Management in the Domiciliary Setting (Adults) DOCUMENT NO: Lead author/initiator(s): (enter job titles) Developed by: (enter Team/Group etc.) Approved by: (enter management group/committee)

More information

Section 1: Introduction to Medication Assistance

Section 1: Introduction to Medication Assistance MEDICATION ASSISTANCE IN ASSISTED LIVING Section 1: Introduction to Medication Assistance Introduction Promoting medication safety Definition of medications Level of assistance Assistance vs. administration

More information

Getting Started Kit MEDICATION RECONCILIATION IN LONG-TERM CARE. Reducing Harm Improving Healthcare Protecting Canadians

Getting Started Kit MEDICATION RECONCILIATION IN LONG-TERM CARE. Reducing Harm Improving Healthcare Protecting Canadians Reducing Harm Improving Healthcare Protecting Canadians MEDICATION RECONCILIATION IN LONG-TERM CARE Getting Started Kit March 2012 www.saferhealthcarenow.ca Safer Healthcare Now! We invite you to join

More information

Drug Distribution Services for Long Term Care Facilities. Susan L. Lakey, PharmD 1/11/06

Drug Distribution Services for Long Term Care Facilities. Susan L. Lakey, PharmD 1/11/06 Drug Distribution Services for Long Term Care Facilities Susan L. Lakey, PharmD 1/11/06 Drug distribution The process: Receipt / transcription of order Interpretation / evaluation of order Filling and

More information

MEDICATION ADMINISTRATION TRAINING FOR SCHOOL PERSONNEL SCHOOL HEALTH SERVICES

MEDICATION ADMINISTRATION TRAINING FOR SCHOOL PERSONNEL SCHOOL HEALTH SERVICES MEDICATION ADMINISTRATION TRAINING FOR SCHOOL PERSONNEL SCHOOL HEALTH SERVICES OVERVIEW This training is intended for non-nursing staff in the school setting who have been assigned to give medication at

More information

Medicines Reconciliation Standard Operating Procedures

Medicines Reconciliation Standard Operating Procedures Creator Sam Carvell, Amber Wynne, Sue Coppack Version 1 Review Date Medicines Reconciliation Standard Operating Procedures Purpose of SOP This standard operating procedure (SOP) provides a framework for

More information

Penticton & District Community Resources Society. Child Care & Support Services. Medication Control and Monitoring Handbook

Penticton & District Community Resources Society. Child Care & Support Services. Medication Control and Monitoring Handbook Penticton & District Community Resources Society Child Care & Support Services Medication Control and Monitoring Handbook Revised Mar 2012 Table of Contents Table of Contents MEDICATION CONTROL AND MONITORING...

More information

Social care guideline Published: 14 March 2014 nice.org.uk/guidance/sc1

Social care guideline Published: 14 March 2014 nice.org.uk/guidance/sc1 Managing medicines in care homes Social care guideline Published: 14 March 2014 nice.org.uk/guidance/sc1 NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-ofrights).

More information

South Staffordshire and Shropshire Healthcare NHS Foundation Trust

South Staffordshire and Shropshire Healthcare NHS Foundation Trust South Staffordshire and Shropshire Healthcare NHS Foundation Trust Document Version Control Document Type and Title: Authorised Document Folder: Policy for Medicines Reconciliation on Admission and on

More information

MEDICATION ADMINISTRATION POLICY POLICY, PROCEDURES, & GUIDELINES FOR MEDICATION ADMINISTRATION II. PROCEDURES FOR MEDICATION ADMINISTRATION

MEDICATION ADMINISTRATION POLICY POLICY, PROCEDURES, & GUIDELINES FOR MEDICATION ADMINISTRATION II. PROCEDURES FOR MEDICATION ADMINISTRATION Insytt-ma-procedures 08-09; 02-17 page 1 of 7 MEDICATION ADMINISTRATION POLICY POLICY, PROCEDURES, & GUIDELINES F MEDICATION ADMINISTRATION II. PROCEDURES F MEDICATION ADMINISTRATION Procedures used for

More information

Medication Reconciliation: Preventing Errors and Improving Patient Outcomes

Medication Reconciliation: Preventing Errors and Improving Patient Outcomes Murray State's Digital Commons Scholars Week 2016 - Spring Scholars Week Apr 18th, 12:00 PM - 2:00 PM Medication Reconciliation: Preventing Errors and Improving Patient Outcomes Amanda S. Boren Murray

More information

MEDICATION RISK ASSESSMENT AND AGREEMENT FORM. Service User Name: Date: Service: SSID

MEDICATION RISK ASSESSMENT AND AGREEMENT FORM. Service User Name: Date: Service: SSID MEDICATION RISK ASSESSMENT AND AGREEMENT FORM Service User Name: Date: Service: SSID POSSIBLE RISK Is the service user able to order and collect prescriptions if needed? Can service user provide a list

More information

Medicines Reconciliation: Standard Operating Procedure

Medicines Reconciliation: Standard Operating Procedure Clinical Medicines Reconciliation: Standard Operating Procedure Document Control Summary Status: Version: Author/Owner/Title: Approved by: Ratified: Related Trust Strategy and/or Strategic Aims Implementation

More information

Medication Reconciliation with Pharmacy Technicians

Medication Reconciliation with Pharmacy Technicians Technician Education Day March 29, 2014 Jacksonville, FL Outline with Pharmacy Technicians Roma Merrick RPhT., CPhT. Pharmacy Technician Coordinator St. Vincent s Medical Center Southside Jacksonville,

More information

Authorisation to Administer Medicines

Authorisation to Administer Medicines Authorisation to Administer Medicines Health Guidance Publication date: March 2016 This information sheet is produced for the guidance of Care Inspectorate staff only. The contents should not be regarded

More information

Assistance and Administration of Medication for Domiciliary Care Staff

Assistance and Administration of Medication for Domiciliary Care Staff This is an official Northern Trust policy and should not be edited in any way Assistance and Administration of Medication for Domiciliary Care Staff Reference Number: NHSCT/12/543 Target audience: Domiciliary

More information

CHAPTER 15 F425 - PHARMACY SERVICES THE MEDICATION AUDIT TRAIL (ORDERING, RECEIVING AND DISPOSITION OF MEDICATION) 15.1

CHAPTER 15 F425 - PHARMACY SERVICES THE MEDICATION AUDIT TRAIL (ORDERING, RECEIVING AND DISPOSITION OF MEDICATION) 15.1 CHAPTER 15 F425 - PHARMACY SERVICES THE MEDICATION AUDIT TRAIL (ORDERING, RECEIVING AND DISPOSITION OF MEDICATION) 15.1 THE PRESCRIPTION AUDIT TRAIL I. Regulatory Overview STATE 59A-4.112 Florida Nursing

More information

A Carers Guide to Managing Medicines

A Carers Guide to Managing Medicines A Carers Guide to Managing Medicines Contents When to give medicines 3 How to give medicines 3 Ordering repeat prescriptions 3 Collecting medicines 3 Buying medicines 3 Safe storage 4 Disposing of medicines

More information

Best Practice Guidelines - BPG 9 Managing Medicines in Care Homes

Best Practice Guidelines - BPG 9 Managing Medicines in Care Homes Best Practice Guidelines - BPG 9 Managing Medicines in Care Homes Medicines in Care Homes 1 DOCUMENT STATUS: Approved DATE ISSUED: 10 th November 2015 DATE TO BE REVIEWED: 10 th November 2017 AMENDMENT

More information

Reducing Harm Improving Healthcare Protecting Canadians MEDICATION RECONCILIATION IN THE ICU. Change Package.

Reducing Harm Improving Healthcare Protecting Canadians MEDICATION RECONCILIATION IN THE ICU. Change Package. Reducing Harm Improving Healthcare Protecting Canadians MEDICATION RECONCILIATION IN THE ICU Change Package January 2012 Background The ultimate goal of medication reconciliation is to prevent adverse

More information

SELF ADMINISTRATION OF MEDICATIONS PROGRAMME FOR REHABILITATION & RECOVERY SERVICES AND LOW/MEDIUM SECURE SERVICES

SELF ADMINISTRATION OF MEDICATIONS PROGRAMME FOR REHABILITATION & RECOVERY SERVICES AND LOW/MEDIUM SECURE SERVICES MENTAL HEALTH DIRECTORATE POLICY SELF ADMINISTRATION OF MEDICATIONS PROGRAMME FOR REHABILITATION & RECOVERY SERVICES AND LOW/MEDIUM SECURE SERVICES Originator: Mental Health Policies and Procedures Group

More information

LOUISIANA. Downloaded January 2011

LOUISIANA. Downloaded January 2011 LOUISIANA Downloaded January 2011 SUBCHAPTER A. PHYSICIAN SERVICES 9807. Standing Orders A. Physician's standing orders are permissible but shall be individualized, taking into consideration such things

More information

MedRec in the Home Care Setting: Sharing Ontario s Central Community Care and Access Centre s Success Story

MedRec in the Home Care Setting: Sharing Ontario s Central Community Care and Access Centre s Success Story SHN MedRec National Teleconference MedRec in the Home Care Setting: Sharing Ontario s Central Community Care and Access Centre s Success Story Medication Management Support Services (MMSS) Speakers: Mary

More information

Getting Started Kit MEDICATION RECONCILIATION IN LONG-TERM CARE. Version 3. Reducing Harm Improving Healthcare Protecting Canadians.

Getting Started Kit MEDICATION RECONCILIATION IN LONG-TERM CARE. Version 3. Reducing Harm Improving Healthcare Protecting Canadians. Reducing Harm Improving Healthcare Protecting Canadians MEDICATION RECONCILIATION IN LONG-TERM CARE Getting Started Kit Version 3 Marc h 2017 w w w.patientsafetyinstitute.c a This Getting Started Kit has

More information

Unintentional Medication Discrepancies Technical Assistance Webinar October 16 17, 2017

Unintentional Medication Discrepancies Technical Assistance Webinar October 16 17, 2017 Unintentional Medication Discrepancies Technical Assistance Webinar October 16 17, 2017 Jeffrey L. Schnipper, MD, MPH, FHM Director of Clinical Research, BWH Hospitalist Service Associate Physician, Division

More information

Professional advice Training care workers to safely administer medicines in care homes

Professional advice Training care workers to safely administer medicines in care homes Professional advice Training care workers to safely administer medicines in care homes Purpose of this document 1. This document gives CQC inspectors a guide to good practice in how care providers should

More information

Improving Primary Care Medication Patient Safety: System-level Medication Adherence Issues

Improving Primary Care Medication Patient Safety: System-level Medication Adherence Issues Improving Primary Care Medication Patient Safety: System-level Medication Adherence Issues Marie Smith, PharmD Professor and Asst. Dean, Practice and Public Policy Partnerships Meg Mello Moniz, PharmD

More information

Measure #46 (NQF 0097): Medication Reconciliation Post-Discharge National Quality Strategy Domain: Communication and Care Coordination

Measure #46 (NQF 0097): Medication Reconciliation Post-Discharge National Quality Strategy Domain: Communication and Care Coordination Measure #46 (NQF 0097): Medication Reconciliation Post-Discharge National Quality Strategy Domain: Communication and Care Coordination 2017 OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS ONLY MEASURE TYPE: Process

More information

Enclosure A. MEDICATION ASSISTANCE Frequently Asked Questions

Enclosure A. MEDICATION ASSISTANCE Frequently Asked Questions MEDICATION ASSISTANCE Frequently Asked Questions DATE: August 26, 2005 1 ACQUISITIONS 1. Question: May facility staff use a personal identification number (PIN) to access computerized medication check-in

More information

North West Residential Support Services Inc. Policies & Procedures PROCEDURES FOR THE ADMINISTRATION OF MEDICATION IN SHARED HOMES

North West Residential Support Services Inc. Policies & Procedures PROCEDURES FOR THE ADMINISTRATION OF MEDICATION IN SHARED HOMES North West Residential Support Services Inc. Policies & Procedures PROCEDURES FOR THE ADMINISTRATION OF MEDICATION IN SHARED HOMES Number: Effective From: Replaces: Review: NWRSS

More information

Procedure 26 Standard Operating Procedure for Controlled Drugs in homes within NHS Sutton CCG

Procedure 26 Standard Operating Procedure for Controlled Drugs in homes within NHS Sutton CCG Standard Operating Procedure for Controlled Drugs in homes within NHS Sutton CCG Introduction All health and social care organisations are accountable for ensuring the safe management of controlled drugs

More information

4. The following medicinal products are excluded from self-administration: Controlled drugs

4. The following medicinal products are excluded from self-administration: Controlled drugs Procedure for Adult in-patient Self-administration of Medicines (SAM) Definition Self-administration of medicines may be defined as: suitable patients having responsibility for the storage administration

More information

Promotion of Consumer Health and Safety. A. Safe Medication Assistance and Administration Policy

Promotion of Consumer Health and Safety. A. Safe Medication Assistance and Administration Policy 3. Promotion of Consumer Health and Safety A. Safe Medication Assistance and Administration Policy 1. Policy: a. It is the policy of this DHS license provider Meridian Services, Incorporated s to provide

More information

C. Physician s orders for medication, treatment, care and diet shall be reviewed and reordered no less frequently than every two (2) months.

C. Physician s orders for medication, treatment, care and diet shall be reviewed and reordered no less frequently than every two (2) months. SECTION 1300 - MEDICATION MANAGEMENT 1301. General A. Medications, including controlled substances, medical supplies, and those items necessary for the rendering of first aid shall be properly managed

More information

Template (to be adapted by care home) Medication to be administered on a PRN (when required) basis in a care home environment

Template (to be adapted by care home) Medication to be administered on a PRN (when required) basis in a care home environment Template (to be adapted by care home) Medication to be administered on a PRN (when required) basis in a care home environment The PRN Purpose & Outcome Protocol (PRN POP) Background The term PRN (from

More information

Aged residential care (ARC) Medication Chart implementation and training guide (version 1.1)

Aged residential care (ARC) Medication Chart implementation and training guide (version 1.1) Aged residential care (ARC) Medication Chart implementation and training guide (version 1.1) May 2018 Prepared by and the Health Quality & Safety Commission Version 1, March 2018; version 1.1, May 2018

More information

University of Michigan Health System Program and Operations Analysis. Analysis of Problem Summary List and Medication Reconciliation Final Report

University of Michigan Health System Program and Operations Analysis. Analysis of Problem Summary List and Medication Reconciliation Final Report University of Michigan Health System Program and Operations Analysis Analysis of Problem Summary List and Medication Reconciliation Final Report To: John Clark, PharmD, MS, University of Michigan Health

More information

San Andreas Regional Center Health-Related Best Practices Residential Services, Supported Living & Adult Day Programs

San Andreas Regional Center Health-Related Best Practices Residential Services, Supported Living & Adult Day Programs San Andreas Regional Center Health-Related Best Practices Residential Services, Supported Living & Adult Day Programs Best Practices are intended to benefit those served by San Andreas and to help Providers

More information

Obtaining the Best Possible Medication History (BPMH)

Obtaining the Best Possible Medication History (BPMH) Obtaining the Best Possible Medication History (BPMH) What is a BPMH? A Best Possible Medication History is: A thorough comprehensive medication history, using a combination of sources to obtain and validate

More information

Medication Guidelines

Medication Guidelines Guidelines March 2015 Medication Guidelines MEDICATION MARCH 2015 i Approved by the College and Association of Registered Nurses of Alberta () Provincial Council, March 2015. On September 22, 2017 Provincial

More information

Making the Most of the Guide to Minnesota Class F Home

Making the Most of the Guide to Minnesota Class F Home Making the Most of the Guide to Minnesota Class F Home Care Provider Rules Susan Christianson SDC Consulting Mhdmanor@cableone.net 218-236-6286 2/15/2010 1 Guide to Minnesota Class F Home Care Provider

More information

Quality ID #46 (NQF 0097): Medication Reconciliation Post-Discharge National Quality Strategy Domain: Communication and Care Coordination

Quality ID #46 (NQF 0097): Medication Reconciliation Post-Discharge National Quality Strategy Domain: Communication and Care Coordination Quality ID #46 (NQF 0097): Medication Reconciliation Post-Discharge National Quality Strategy Domain: Communication and Care Coordination 2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE TYPE:

More information

Page 2 of 29 Questions? Call

Page 2 of 29 Questions? Call Revised 7.29.2018 Contents Introduction. 3 OutcomesMTM Participation.. 3 User Access to Protected Health Information (PHI) 3 Participation from Various Settings..3 Retail 3 LTC/Assisted Living 3 Ambulatory

More information

Please adjust your computer volume to a comfortable listening level. This is lesson 4 How do you handle medication at home?

Please adjust your computer volume to a comfortable listening level. This is lesson 4 How do you handle medication at home? Welcome to the Pennsylvania Department of Public Welfare (DPW), Office of Developmental Programs (ODP) Medication Administration Course for life sharers. This course was developed by the ODP Office of

More information

High 5s Project: Action on Patient Safety. SOP Flow Charts. 20 th International Forum on Quality and Safety in Healthcare April 2015 London, UK

High 5s Project: Action on Patient Safety. SOP Flow Charts. 20 th International Forum on Quality and Safety in Healthcare April 2015 London, UK High 5s Project: Action on Patient Safety SOP Flow Charts 20 th International Forum on Quality and Safety in Healthcare 21-24 April 2015 London, UK Performance of Correct Procedure at Correct Body Site

More information

DDS MAP TECHNICAL ASSISTANCE TOOL Medication System Monitoring Check List c

DDS MAP TECHNICAL ASSISTANCE TOOL Medication System Monitoring Check List c Provider: Address: DPH MCSR: Contact(s): Date of Visit: MAP Coordinator/Reviewer: A. HEALTH CARE PROVIDER (HCP) ORDERS & TRANSCRIPTIONS (SECTIONS 13 & 06) YES NO COMMENTS 1. There is a HCP order for all

More information

Understanding Health Care in America An introduction for immigrant patients

Understanding Health Care in America An introduction for immigrant patients Patient Education Understanding Health Care in America An introduction for immigrant patients The health care system in the United States is complex. Some parts of the system are different in different

More information

Health Care Aide Role in Medication Assistance. A Companion to the Alberta Provincial Continuing Care Medication Assistance Program (MAP) Manual

Health Care Aide Role in Medication Assistance. A Companion to the Alberta Provincial Continuing Care Medication Assistance Program (MAP) Manual Health Care Aide Role in Medication Assistance A Companion to the Alberta Provincial Continuing Care Medication Assistance Program (MAP) Manual Updated March 1, 2016 Acknowledgements This document has

More information

NHS Grampian Medicines Reconciliation Protocol. Organisational: Area:

NHS Grampian Medicines Reconciliation Protocol. Organisational: Area: Title: Unique Identifier: NHS Grampian Medicines Reconciliation Protocol NHSG/Guid/Med_RecMGPG711 Replaces: N/A New document Across NHS Boards Organisation Wide Yes Directorate Clinical Service Sub Department

More information

GENERAL MEDICATION PROCEDURES

GENERAL MEDICATION PROCEDURES GENERAL MEDICATION PROCEDURES In situations where services will be provided in the person s own home or with their family, guardian / responsible party, medication storage, ordering and receiving medications

More information

Overview of e-portfolio Learning Activities for Part III Community Pharmacy Placements

Overview of e-portfolio Learning Activities for Part III Community Pharmacy Placements Overview of e-portfolio Learning Activities for Part III Community Pharmacy Placements Placement Module 2 & 3 The following sections must be completed for Placement. Pre-placement Preparation My Glossary

More information

MODULE 5: RECORDING & ERRORS

MODULE 5: RECORDING & ERRORS MODULE 5: RECORDING & ERRORS 5.1 Recording Administration Using a Medication Administration Record (MAR) Chart Care providers are responsible for maintaining an up-to-date record of medication administered.

More information

Clinical Training: Medication Reconciliation. VNAA Best Practice for Home Health

Clinical Training: Medication Reconciliation. VNAA Best Practice for Home Health Clinical Training: Medication Reconciliation VNAA Best Practice for Home Health Learning Objectives To understand why medication reconciliation is important to providing quality care To understand the

More information

Hospital Pharmacy. Tutorial Series. Title slide without an image. Tutorial series learning objectives. Tutorial overview Learning outcomes

Hospital Pharmacy. Tutorial Series. Title slide without an image. Tutorial series learning objectives. Tutorial overview Learning outcomes Hospital Pharmacy Title slide without an image Tutorial Series Tutorial series learning objectives To understand the roles of hospital pharmacists, including in the continuum of patient care. To recognise

More information

Guidelines for Medication Distribution

Guidelines for Medication Distribution STUDENTS Guidelines for Medication Distribution 09.2241 AP.1 STUDENT SELF-MEDICATION With the written permission of a licensed healthcare provider and approval by the Principal, students may be authorized

More information

(b) Service consultation. The facility must employ or obtain the services of a licensed pharmacist who-

(b) Service consultation. The facility must employ or obtain the services of a licensed pharmacist who- 420-5-10-.16 Pharmacy Services. (1) The facility must provide routine and emergency drugs and biologicals to its residents, or obtain them under an agreement described in 483.75(h) of Title 42 Code of

More information