[MT-L] Medication Reconciliation magic 5.64
Arif, Amir 10-55
Hello,
I’m looking for sites that have implemented Med Rec and are willing to share what their process is from start to finish. If nurses are updating the home medication list, what are they doing for meds that patient was on before and is no longer taking it. Is your nurse Discontinuing the home medication or leaving it on for doctor/resident/pharmacist to review and have them discontinue it or they DC it. The med will show under “Discontinued” Header for doctors to review. Our nurses are not comfortable discontinuing the home med if it is on the list.
Thank you,
Amir Arif
Application Analyst II
email: aa...@schosp.org
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Thank you for your cooperation.
Leona Bizier
We are having out nurses DC the home medications, if a patient states that they are no longer taking this medication than the nurse is only acting on what the patient has told them. No problems with that here. Our nurses are doing this from start to finish including updating the last taken information upon admission.
Leona Bizier
Pharmacy Analyst
Sturdy Memorial Hospital, Inc.
211 Park St, Attleboro MA 02703
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Kimberly Frick
Our nurses cancel a med the patient states they are no longer taking. They don’t DC them.
Kim Frick, RN
Project Coordinator
Licking Memorial Health Systems
Phone: 740-348-4114
Fax: 740-348-4769
kfr...@lmhealth.org
www.LMHealth.org
From: Meditech-l [mailto:meditech-...@mtusers.com]
On Behalf Of Arif, Amir 10-55
Sent: Tuesday, November 13, 2012 2:27 PM
To: Meditech L (medit...@mtusers.com)
Subject: [MT-L] Medication Reconciliation magic 5.64
Hello,
This e-mail, including attachments, is intended for the sole use of the individual and/or entity to whom it is addressed, and contains information from Licking Memorial Health Systems which is confidential or privileged. If you are not the intended recipient, nor authorized to receive for the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this e-mail and attachments is prohibited. If you have received this in error, please advise the sender by reply e-mail and delete the message immediately. You may also contact the LMH Process Improvement Center at 740-348-4641. E-mail transmissions cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. Thank you.
Pilz, Marie
Same here - they cancel the med if they are no longer taking it when the patient is admitted.
Marie S. Pilz, MSN, RN, CCNS
Clinical Informaticist
St. Joseph's/Candler
office (912) 819-6618
fax (912) 691-9208
Sent: Tuesday, November 13, 2012 2:59 PM
To: 'Arif, Amir 10-55'; Meditech L (medit...@mtusers.com)
Subject: Re: [MT-L] Medication Reconciliation magic 5.64
This e-mail message has been scanned for viruses and content and cleared by St. Joseph's/Candler.
HINES, SUSAN
Our nurses update the home med list in RXM. They are responsible to make sure that list is as accurate as possible. Pharmacy and the physicians are supposed to review it but it is up to nursing to keep it up-to-date. The only time, at present, that anyone else makes any adjustments is when our doctors who are up on CPOE use the discharge function. That will hopefully change whenever they decide to start the “Cont from AMB” routine.
They dc meds from the list that the patient states they are no longer taking. When they dc the med they have get a pop-up where they have to choose a reason such as “changed since last dschg” or “already completed” (if it was an antibiotic/taper med/etc). The pup-up for DC’ing meds from the med rec is a facility determined group response. At present we have 5 choices but will probably come up with more prn. All the meds that are DC’ed are still there under the DC’ed meds section and can still be reviewed. This is an active list of patient meds, the same as the piece of paper the patients used to hand us with their list of med (if we were lucky). DC’ing a med from the med rec list is not like DC’ing it from the inpatient med list. Our nurses do not have a problem with using the DC meds choice because of meaning the facility has put on the functionality within our P&P.
We use the cancel meds only if the person entering the meds accidentally entered the med in error.
Susan A. Hines, RN, MSN
Nurse Informaticist
(410) 414 – 4816 (W)
5222 (Companion Phone)
Calvert Memorial Hospital
100 Hospital Road
Prince Frederick, MD 20678
Gast, Judith A., R.N.
Our nurses discontinue meds that are no longer being taken. List needs to be clean prior to the physician going in to do Med Rec Continue from Ambulatory and at time of Discharge…
Have a Great Day!
Judi Gast RN, BSN
EDM Project Manager
IT Analyst
Information Technology
Fax: 912-287-2579
__________________________________________
Mayo Clinic Health System in Waycross
1900 Tebeau Street
Waycross, GA 31501
MIS...@elkregional.org
Same Here
Derrick Goode
Clinical Analyst
Elk Regional Health Center
763 Johnsonburg Road
St. Marys, PA 15857
P: 814-788-8661
F: 814-788-8076
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Horsley, Randi - CRH
We use “DC” when the patient is no longer taking the med. We use “Cancel” for errors in entry in that visit only.
Jenkins, Diana
We are going to upgrade to 5.66 then convert to Allergies II. Would anyone be willing to share their experience with the allergies conversion?
How many people worked on the project and what were their titles?
How much time did each person dedicate to the project?
How long did the project take?
Any suggestions?
Thank you in advance,
Diana Jenkins, RN, Clinical Systems Analyst
Princeton Community Hospital
Princeton, WV 24740
Arif, Amir 10-55
Why use “Cancel” and not “DC”? Isn’t cancel used when a drug is entered in error and needs to be remove from the active home med list.
From: Kimberly Frick [mailto:KFr...@lmhealth.org]
Sent: Tuesday, November 13, 2012 2:00 PM
To: Arif, Amir 10-55; Meditech L (medit...@mtusers.com)
Pohlman, Rhonda
We are 6.06. If we have a pt that states they no longer takes a home medication (or no longer correct entry, etc) while doing their initial med rec medication history upon admission – we cancel. We found that if you DC the medication, it still shows on our medication discharge report as a discontinued medication and looks very confusing to everyone.
Rhonda
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Nash, Sarah
We use cancel if the medication is entered in error by the nurse (picked the wrong product, etc.) DC is used when the patient reports they used to take the medication but do not take it at the present time.
Kimberly Frick
It is the same way in Magic. That is the reason why we have the nurses cancel instead of DC.
Kim Frick,
RN
Project Coordinator
Licking Memorial Health Systems
Phone: 740-348-4114
Fax: 740-348-4769
kfr...@lmhealth.org
www.LMHealth.org
From: Meditech-l [mailto:meditech-...@mtusers.com]
On Behalf Of Pohlman, Rhonda
Sent: Wednesday, November 14, 2012 3:28 PM
To: 'medit...@mtusers.com'
Subject: [MT-L] Medication Reconciliation magic 5.64
Gast, Judith A., R.N.
Now that makes sense, another question related to how things appear once you have completed Med Rec. If the patient was given prescriptions the last visit they were here, and they were entered into RXM they will show up in the Med Rec Home list. Right now our nurses just review the list and if the pt is still taking that medication they just put in the last dose date and time—problem is—this med is not showing up as an ACTIVE script. Do your facilities cancel the script and then reenter it as a medication. If so then the script now shows as never being given—but it should have been transmitted or printed the last visit, so does that matter? Thanks we are C/S 5.65
Have a Great Day!
Judi Gast RN, BSN
EDM Project Manager
IT Analyst
Information Technology
Fax: 912-287-2579
__________________________________________
Mayo Clinic Health System in Waycross
1900 Tebeau Street
Waycross, GA 31501
From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Pohlman, Rhonda
Sent: Wednesday, November 14, 2012 3:28 PM
To: 'medit...@mtusers.com'
Subject: [MT-L] Medication Reconciliation magic 5.64
Dibble, Tina M.
In Magic there is a parameter in the CDP of RXM, I believe, that allows you to define which DC’d medications will go to the discharge instructions based on the reason for discontinuing them. We are 5.64 and I had to have a DTS moved in to get this to work properly.
Tina
Tina Dibble MSN, RN
Clinical Informatics Specialist
Pennock Hospital
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Jamie Nguyen
Does anyone have a screenshot of the DC Med Rec Form given to patients in 6.06?
We use the cancel feature as well in 6.06
Jamie Nguyen RN, BSN, CCRN
Clinical Informatics Senior Analyst
Office:870-262-4081
Cell:870-834-0764
Stephani...@lpnt.net
Do you have any Med Rec reports you would be willing to share? I specifically need Admission, Transfer and Discharge. We are going live with Med Rec just for nursing.
Thanks,
Stephanie Duncan RN BSN| Clinical Systems Analyst | HighPoint Health System | 555 Hartsville Pike, Gallatin, TN 37066 | 615.328.6548
New email address is stephani...@lpnt.net
From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Kimberly Frick
Sent: Thursday, November 15, 2012 7:35 AM
To: 'Pohlman, Rhonda'; 'medit...@mtusers.com'