CONSULT / MEDICATION RECONCILIATION

In view of common medication reconciliation difficulties particularly in tertiary care health centers, we are thinking about dedicating FTE( s) as Medication Reconciliation at admission and also throughout the transition of treatment.

Medication reconciliation group that is made up of pharmacy technicians and also pharmacy interns
On the inpatient side, we have unit-based pharmacists that finish medication reconciliations towards the end of their shifts if time allows. We are also involved in reconciliations by demand. Each unit-based pharmacist has a phone that nurses and also doctors can call with medication-related requests/questions. It is not unusual to get demands to clear up home medication regimens. Discharge medication reconciliation is also a part of our unit-based services. Regional HIS allows us to see which clients are being discharged as well as we make certain discharge medication lists are accurate/appropriate.

In emergency department there is one dedicated pharmacist for medication reconciliation throughout peak hrs. This shift is covered by our rotating unit based clinical pharmacists. ED clinical pharmacist hrs are 7 AM to 11 PM, they complete restricted quantities of reconciliations when time allows or when consulted. (3 FTE) There are likewise certified technicians/students (4.5 FTE) that covers the ED as well as in-patient units. (healthcare facility has strategies to increase our technician insurance coverage to 7 FTE due to high quantity). All technician work is examined by our ED clinical pharmacist or unit based pharmacists. The unit based clinical pharmacists are also in charge of completing med reconciliations in their very own units or during transition and at discharge.

Clinical pharmacist’s in different services do the medication reconciliation for transfer and discharge. When we have residents as well as students throughout rotation they likewise add to this process.

AO

Pharmacist interested in improving the health outcome for every single case he meets.

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