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In most nursing homes, both registered nurses (RNs) and licensed practical nurses (LPNs) are permitted to perform medication reconciliations, but RNs are much more likely to discover discrepancies in medications than LPNs are, suggests new research from the University of Missouri.
Medication Reconciliation -- The process of identifying the most accurate list of all medications that the patient is taking, including name, dosage, frequency, and route, by comparing the medical record to an external list of medications obtained from a patient, hospital, or other provider.
This process comprises five steps: (1) develop a list of current medications; (2) develop a list of medications to be prescribed; (3) compare the medications on the two lists; (4) make clinical decisions based on the comparison; and (5) communicate the new list to appropriate caregivers and to the patient.
Define the Steps in the Reconciliation Process IHI suggests three steps to the process: (1) verify by collecting the list of medications, vitamins, nutritional supplements, over-the-counter drugs, and vaccines; (2) clarify that the medications and dosages are appropriate; and (3) reconcile and document any changes.
Examples of Medication Reconciliation A patient receiving for hypertension was admitted for surgery. The admitting resident did not order on admission due to concerns about perioperative hypotension.
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This process comprises five steps: (1) develop a list of current medications; (2) develop a list of medications to be prescribed; (3) compare the medications on the two lists; (4) make clinical decisions based on the comparison; and (5) communicate the new list to appropriate caregivers and to the patient.
The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation. The EP performs medication reconciliation for more than 50 percent of transitions of care in which the patient is transitioned into the care of the EP.
Upon receipt of the information from the pharmacy, the nurse can be required to reconcile the list from the patient and the pharmacy with new medications ordered by the physician upon admission. This is a process that must be completed by the physician/prescriber.
Medication Reconciliation -- The process of identifying the most accurate list of all medications that the patient is taking, including name, dosage, frequency, and route, by comparing the medical record to an external list of medications obtained from a patient, hospital, or other provider.
Medicines reconciliation is the process of identifying an accurate list of a person's current medicines and comparing it with the current list in use.

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