Electronic Medication Reconciliation

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• Electronic Medication Reconciliation

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Select Medication Reconciliation _at_ Discharge
order to begin the process for captain of the
ship to complete form or for the consultants to
review home and active inpatient medications on
the form.
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Order form will fill in with Home Meds (from the
Admission Profile) and active Inpatient
Medication orders
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If you are the attending physician and wish to
proceed with discharge medication reconciliation,
select the I am Captain of the Ship checkbox.
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Selecting I am Captain of the Ship activates
the Continue at home controls for both Home
Meds and Inpatient Meds.
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Do not select the same medications from both
lists.
Select medications from the Home Meds list and
the Inpatient Medication list that you want the
patient to take at home.
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Click this checkbox if you would like to print
prescriptions. Quantity and Refills for the
discharge prescriptions being printed.
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1. Scroll to the bottom of the screen to enter
any additional medications or prescriptions you
may want the patient to take at home.
2. Click on this checkbox to activate. Enter the
medication name and directions in the text box.
3. Select the box to print discharge
prescriptions for the additional medications
entered (optional).
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Review the name of the patient and submit order
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Under the Orders Tab, the summary line specifies
that Med Reconciliation was completed
electronically.
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Example of discharge prescriptions that will
print after you submit the order. The physician
must sign each prescription and add DEA if
needed.
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Nursing will print discharge instructions for the
patient after all medication reconciliation is
completed by captain of the ship and consultants.
The copy the patient signs will be scanned back
into electronic record and available to view in
documents tab after discharge.
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• For consultants
• On the order entry worksheet type in Med Rec.
• This is for review only
• Consultants do not submit this order.

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If med rec has been completed by the captain of
ship, You will see the details of what
medications have been reconciled already, but you
cannot add or edit form. Review and click Close.
Open order entry worksheet to enter
prescriptions.
If med rec has not been completed by the captain
of ship, the order form will display active and
home medications. Review and click Close.Open
order entry worksheet to enter prescriptions.
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Change session type to Discharge for
prescription writing.
The discharge session will allow you to prescribe
discharge medications and print prescriptions.
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Thumbs Up represents the discharge icon
Example of medication ordered in Discharge
session.
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Fill in the quantity and number of refills.
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Example of a discharge prescription by a
consultant that was entered prior to this order.
The discharge prescriptions orders will display
if they are ordered prior to the med rec order.
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• After the order is submitted, prescriptions will
  print automatically.
• Physician must sign each prescription and add DEA
  if needed.
• When dictating the D/C summary Under medications
  say see Medication Reconciliaton for
  medications (instead of the list). If sending
  D/C summary to outside doctor, end dictation with
  send med rec list along with the D/C summary.
• The final list of meds given to patient will be
  scanned by medical records and returned to the
  chart (with any written changes visible on the
  scanned list).

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If there are more than 30 active medications the
electronic form will not be able to be used. You
will receive the above message Maximum
inpatient medication exceeded. If you are the
attending and would like to reconcile, click on
the I am Captain of the Ship box and a paper
medication reconciliation form will automatically
print. The paper form needs to be reconciled and
signed.
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Limitations of Electronic Medication
Reconciliation

• Cannot reprint Discharge Rx
• Cannot print Discharge Rx from offsite locations.
• Cannot reorder existing Medication Reconciliation
  at Discharge order. The order will need to be
  discontinued and reordered.
• Electronic Reconciliation will accommodate a
  maximum of 30 active inpatient medication orders.

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Questions ?

• Dr. Silverstein 350-3710