North Cluster Develops a Medication Reconciliation Protocol

Cheers to the team up North for creating standard work we can all use to promote patient safety and get the medication list right every time!

Medication Reconciliation Protocol for North Cluster:
(DRAFT)

MA/RN/LPN Responsibilities:

1. INQUIRE
- ask the patient if they have a list and/or the pill bottles with them and reconcile their data with medication on epic
-ask about inhaled medications/OTC/herbals and PRN meds as well.

2. UPDATE
If a patient states they are taking a medication that is not listed on active meds, look in the historical meds and mark as taking and notify MD/PA on Yellow form/or PN of discrepancy.

3. DELETE
Discontinue all duplicate medications and completed courses.

4. VERIFY
verify with patient that AVS has been updated with RX changes and list has been correctly reconciled



MD/PA responsibilities:

1) REVIEW
review the med list for accuracy reviewing indications with patient and checking for understanding

2) UPDATE
-if any changes to medications made at that visit, ensure this has been reflected on medication list
(if not picking up new RX, rewrite and use 'update and file' tab)
-try to put indications on all RX to help patient understanding
-consider maximizing refills


3) VERIFY
if you are giving AVS, confirm with patient that RX list has been updated and changes reflected and confirm their understanding of the various indications