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  • 1.  Medication Reconciliation Policy

    Posted 10-18-2022 12:34
    Hello!

    We are currently reviewing/editing our medication reconciliation process at our organization. Is there anyone who uses Cerner who would be willing to share with us your policy on med rec? Specifically who can cancel/discontinue meds, how long should you leave a med on the list if the patient states they haven't taken them, etc.

    Thank you for any and all suggestions!​

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    Jody Will BSN RN
    Sarah Bush Lincoln
    Mattoon, IL
    (217)238-4772
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  • 2.  RE: Medication Reconciliation Policy

    Posted 10-20-2022 06:03

    Hello Jody,
    we have Cerner. I am in the OBGYN department and we do the following:


    MAs-can review and document compliance (cannot discontinued or add meds)
    RNs-can cancel/discontinue as they feel comfortable. So I cancel/discontinue meds all the time if they are short term or the patient states they are not taking and I find that they are not necessary or chronic medications.  It can get more involved with those who have extensive med lists. 


    I would love to hear what you are doing  


    Nicole

    In general, we try not to remove meds that we think patients should be taking (even if they are not) and have them discuss with the ordering provider or we message that provider ourselves so they can follow up. 



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    Nicole Napier-Scott MSM, MSN, RN
    MIT Medical
    Cambridge MA
    (617)331-0013
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  • 3.  RE: Medication Reconciliation Policy

    Posted 10-20-2022 15:45
    Hello,
    Our organization uses Epic, however, in our med rec procedure, the staff who are doing the intake regarding meds (a variety of roles) are responsible to make updates to the list based on what the patient tells them.  They will discontinue meds, which show up for the provider with a line through them requiring the provider to take action to either reinstate (if the patient says they plan to take it) or complete the discontinuation process.  Our intent is to have an accurate med list of what the patient is actually taking.  The provider still takes action to remove the med, but this forces that final action by the provider.
    Stephanie

    Stephanie G Witwer, Ph.D., RN, NEA-BC, FAAN
    Department of Nursing
    Emeritus Staff





  • 4.  RE: Medication Reconciliation Policy

    Posted 10-21-2022 18:01
    Our stie is changing to epic from Centricity.

    We add only medications that we can prove our patient is taking through actual bottles, or calling the pharmacy, or reviewing their pharmacy app.  We have a workflow where we are only allowed to remove medications such as Antibiotics whos regimen is complete or creams that were for like a fungus or something like that.  We are not allowed to remove any chronic medications from the list.  We write a note to the provider of the medication that needs addressed and what about the meditation is not accurate with what the med list states.  The provider then addresses tha with the patient and changes or leaves the medication as is.

    We are moving to epic in about 6-9 months.  I am curious of the workflow you have established for Epic, and how it was implemented, and how effective/ satisfied staff are with the workflow.


    --
    Bonnie Hooper, RN,  BSN
    Clinic Training Specialist
    Pronouns: She/Her/Hers

    PHC
    1200 University Avenue, Des Moines, IA 50314
    bhooper@phcinc.net| 515-248-1887

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