8. Safe prescribing 1 Flashcards
Define medicines reconciliation
Process to ensure all medication a patient is taking is correctly documented on admission and on each transfer of care
Three parts of medicines reconciliation
Collecting information (history)
Checking and verifying (prescriptions)
Communicating (to the patient)
Three stages of medicines reconciliation in hospital
Admission
Post admission verification - by pharmacy team
Discharge
Admission and initial prescription of patient should be done when?
Ideally within the first 24 hours
Admission and initial prescription of patient can occur where? x3
Pre-admission clinic, A and E, arrival to ward
Discharge stage of medicine reconciliation occurs where?
Ward
Advantage of having the patient as a source of their medication history and current medications
Patient will tell you exactly how they take it
Disadvantage of having the patient as a source of their medication history and current medications x2
Patient may be confused or disorientated
Patient may be unable to speak English
Three minimum categories included in Summary Care Records of a patient
Allergies
Adverse reactions
Medications