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We are Magic. 

-----Original Message-----
From: Ronda Reimer [mailto:[EMAIL PROTECTED] 
Sent: Tuesday, April 04, 2006 2:47 PM
To: Pivonka, Michelle; Castillo, Cristina; [email protected];
[EMAIL PROTECTED]
Subject: RE: [MEDITECH-L] Medication Reconciliation Process

Are both of you Magic?  We are C/S. 
Thanks,
Ronda Reimer, RN
Special Projects Coordinator

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Pivonka, Michelle
Sent: Tuesday, April 04, 2006 8:33 AM
To: Castillo, Cristina; [email protected]; [EMAIL PROTECTED]
Subject: RE: [MEDITECH-L] Medication Reconciliation Process

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Our process is pretty much the same as yours. When it comes to who calls
the outside pharmacy - it is nursing. I'm afraid that it all falls on
nursing. It's really the provider that needs to reconcile the meds. The
nurse collects and enters the information. We have a special report that
prints out, where the provider can see the home meds (and we have a spot
that tells them that this is a complete or incomplete list), and any
meds ordered in house - for transfers and discharges. 

Good luck !
Michelle Pivonka, RN
Systems Analyst
Information Services
Sinai Health System
(773) 257-6020
[EMAIL PROTECTED]
www.sinai.org

 

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Castillo, Cristina
Sent: Monday, April 03, 2006 2:12 PM
To: [email protected]; [EMAIL PROTECTED]
Subject: [MEDITECH-L] Medication Reconciliation Process

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Our Pharmacy and Nursing are kinda having a struggle on who should do
what. Currently, this is our process which we just implemented:
1. Nursing collects the Home Meds list during the admission process.
They also ask for the Pharmacy name and phone number. 
2. The list gets printed thru a standard profile format report.
3. The report is shown to the physician where they can indicate whether
it is a DC or Continue.
4. It is then faxed to pharmacy to enter it in the system. 
No Problem here.
Now, when nursing can't obtain the medication list either from patient
or family but somehow has the name of the pharmacy and the phone, they
feel that Pharmacy has to call the outside pharmacy, obtain the list
then enter it thru an NUR CDS. A trigger query will print an instruction
to the nursing unit to print the profile, then nursing does Step 3 and 4
as above.  Pharmacy feels that Nursing should be calling the outside
Pharmacy and obtain the list themselves. 
How much involvement does your Pharmacy have in the Medication
Reconciliation process? How does it work in your facility and would you
mind sharing your process? Thanks in advance!


Cristina G. Castillo, BSN, RN
Manager, Clinical Informatics
Pacific Alliance Medical Center
531 W. College St.
Los Angeles, Ca 90012
Ph: (213) 437-4214
Fax: (213) 617-9203
Email: [EMAIL PROTECTED]
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